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102814 CC Agenda
In compliance with the Americans with Disabilities Act, if you need special assistance to participate in this meeting, please contact the office of the City Clerk (951) 694-6444. Notification 48 hours prior to a meeting will enable the City to make reasonable arrangements to ensure accessibility to that meeting [28 CFR 35.102.35.104 ADA Title II] AGENDA TEMECULA CITY COUNCIL REGULAR MEETING CITY COUNCIL CHAMBERS 41000 MAIN STREET TEMECULA, CALIFORNIA OCTOBER 28, 2014 — 7:00 PM At approximately 9:45 P.M., the City Council will determine which of the remaining agenda items can be considered and acted upon prior to 10:00 P.M. and may continue all other items on which additional time is required until a future meeting. All meetings are scheduled to end at 10:00 P.M. 6:00 P.M. — The City Council will convene in Closed Session in the Canyons Conference Room on the third floor of the Temecula City Hall concerning the following matters: 1) CONFERENCE WITH REAL PROPERTY NEGOTIATORS. The City Council will meet with its real property negotiators pursuant to Government Code Section 54956.8 regarding real property negotiations for the acquisition of a storm drain easement on the approximate 1.205 -acre parcel located off of Old Town Front Street in the City of Temecula, California and identified as Assessor's Parcel Number 922-110-022 and potential temporary impacts to the adjacent parcel commonly known as 28991 Old Town Front Street, Temecula, and identified as Assessor's Parcel Number 922-110-038, in connection with the Citywide Storm Drain Improvements — Old Town Front Street Pavement and Storm Drain Rehabilitation Project. The negotiating parties are the City of Temecula and Metropolitan Water District of Southern California and Plaza Del Rio LLC. The City's negotiators are Tom Garcia and Amer Attar. Under negotiation are the price and terms of the purchase of the storm drain easement." 2) Conference with Real Property Negotiators. The City Council will meet in closed session pursuant to Government Code Section 54956.8 regarding one parcel of real property owned by the City of Temecula as the Housing Successor Agency to the former Temecula Redevelopment Agency consisting of approximately 32 acres (APN 909-370-002) located northwesterly of Diaz Road and Dendy Parkway in the City of Temecula. The parties to the negotiations for the potential sale of the property are: Wild Rivers Temecula, LLC and the City of Temecula. Negotiators for Wild Rivers, LLC are: Michael Riedel and Jeff Hopkins; negotiators for the City of Temecula are: Aaron Adams, Greg Butler, Armando Villa and Luke Watson. Under negotiation are price and terms of the potential sale of the property. Public Information concerning existing litigation between the City and various parties may be acquired by reviewing the public documents held by the City Clerk. 1 Next in Order: Ordinance: 14-08 Resolution: 14-66 CALL TO ORDER: Mayor Maryann Edwards Prelude Music: Ally Negulescu Invocation: Pastor John Ruhlman of Sandals Church Flag Salute: Council Member Ron Roberts ROLL CALL: Comerchero, Naggar, Roberts, Washington, Edwards PRESENTATIONS/PROCLAMATIONS Presentation by Susan Harrington of Riverside County Department of Public Health and Darlene Wetton of Temecula Valley Hospital PUBLIC COMMENTS A total of 30 minutes is provided so members of the public may address the City Council on items that appear within the Consent Calendar or a matter not listed on the agenda. Each speaker is limited to three minutes. If the speaker chooses to address the City Council on an item listed on the Consent Calendar or a matter not listed on the agenda, a Request to Speak form must be filled out and filed with the City Clerk prior to the City Council addressing Public Comments and the Consent Calendar. Once the speaker is called to speak, please come forward and state your name for the record. For all Public Hearing or Council Business items on the agenda, a Request to Speak form must be filed with the City Clerk prior to the City Council addressing that item. Each speaker is limited to five minutes. CITY COUNCIL REPORTS Reports by the members of the City Council on matters not on the agenda will be made at this time. A total, not to exceed, 10 minutes will be devoted to these reports. CONSENT CALENDAR NOTICE TO THE PUBLIC All matters listed under Consent Calendar are considered to be routine and all will be enacted by one roll call vote. There will be no discussion of these items unless Members of the City Council request specific items be removed from the Consent Calendar for separate action. 1 Standard Ordinance and Resolution Adoption Procedure RECOMMENDATION: 1.1 That the City Council make a motion to waive the reading of the text of all ordinances and resolutions included in the agenda. 2 2 Action Minutes RECOMMENDATION: 2.1 That the City Council approve the action minutes of October 14, 2014. 3 List of Demands RECOMMENDATION: 3.1 That the City Council adopt a resolution entitled: RESOLUTION NO. 14- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA ALLOWING CERTAIN CLAIMS AND DEMANDS AS SET FORTH IN EXHIBIT A 4 Approve a Sponsorship Agreement with Destination Races for the Temecula Wine Country Half Marathon RECOMMENDATION: 4.1 That the City Council approve the Sponsorship Agreement with Destination Races for city -support costs, in the amount of $2,500 and in-kind promotional services of $11,415, for the 2014 Temecula Wine Country Half Marathon. 5 Approve State of California Department of Housing and Community Development Housing -Related Parks Program Grant Award RECOMMENDATION: 5.1 That the City Council adopt a resolution entitled: RESOLUTION NO. 14- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA APPROVING THE STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT, HOUSING -RELATED PARKS PROGRAM GRANT AWARD 6 Award a Construction Contract to All American Asphalt for the Ynez Road Pavement Rehabilitation (Jedediah Smith Road to Vallejo Avenue), PW12-12 RECOMMENDATION: 6.1 Award a Construction Contract to All American Asphalt, in the amount of $664,500, for the Ynez Road Pavement Rehabilitation (Jedediah Smith Road to Vallejo Avenue), PW12-12; 6.2 Authorize the City Manager to approve Contract Change Orders not to exceed the contingency amount of $66,450, which is equal to 10% of the contract amount; 3 6.3 Make a finding that the Ynez Road Pavement Rehabilitation (Jedediah Smith Road to Vallejo Avenue), PW 12-12, is exempt from Multiple Species Habitat Conservation Plan (MSHCP) fees. 7 Approval of Possession and Use Agreement for the South Side Parking Lot in Connection with the Murrieta Creek Flood Control, Environmental Restoration and Recreation Project RECOMMENDATION: 7.1 Adopt a resolution entitled: RESOLUTION NO. 14- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA APPROVING THAT CERTAIN AGREEMENT FOR POSSESSION AND USE BETWEEN THE RIVERSIDE COUNTY FLOOD CONTROL AND WATER CONSERVATION DISTRICT AND THE CITY OF TEMECULA IN CONNECTION WITH THE MURRIETA CREEK FLOOD CONTROL, ENVIRONMENTAL RESTORATION AND RECREATION PROJECT 7.2 Authorize the City Manager to approve and execute any documents necessary to effectuate the terms of the Possession and Use Agreement, and to take all necessary actions to complete the transaction contemplated pursuant to said Agreement. ******************** RECESS CITY COUNCIL MEETING TO SCHEDULED MEETINGS OF THE TEMECULA COMMUNITY SERVICES DISTRICT, THE SUCCESSOR AGENCY TO THE TEMECULA REDEVELOPMENT AGENCY, THE TEMECULA HOUSING AUTHORITY, AND THE TEMECULA PUBLIC FINANCING AUTHORITY ******************** 4 TEMECULA COMMUNITY SERVICES DISTRICT MEETING Next in Order: Ordinance: No. CSD 14-01 Resolution: No. CSD 14-05 CALL TO ORDER: President Jeff Comerchero ROLL CALL: DIRECTORS: Edwards, Naggar, Roberts, Washington, Comerchero CSD PUBLIC COMMENTS A total of 30 minutes is provided so members of the public may address the Board of Directors on items that appear within the Consent Calendar or a matter not listed on the agenda. Each speaker is limited to three minutes. If the speaker chooses to address the Board of Directors on an item listed on the Consent Calendar or a matter not listed on the agenda, a Request to Speak form must be filled out and filed with the City Clerk prior to the Board of Directors addressing Public Comments and the Consent Calendar. Once the speaker is called to speak, please come forward and state your name for the record. For all Public Hearing or District Business items on the agenda, a Request to Speak form must be filed with the City Clerk prior to the Board of Directors addressing that item. Each speaker is limited to five minutes. CSD CONSENT CALENDAR NOTICE TO THE PUBLIC All matters listed under Consent Calendar are considered to be routine and all will be enacted by one roll call vote. There will be no discussion of these items unless Members of the Temecula Community Services District request specific items be removed from the Consent Calendar for separate action. 8 Action Minutes RECOMMENDATION: 8.1 That the Board of Directors approve the action minutes of October 14, 2014. CSD DIRECTOR OF COMMUNITY SERVICES REPORT CSD GENERAL MANAGER REPORT CSD BOARD OF DIRECTORS REPORTS CSD ADJOURNMENT Next regular meeting: Tuesday, November 18, 2014, at 5:30 PM, for a Closed Session, with regular session commencing at 7:00 PM, City Council Chambers, 41000 Main Street, Temecula, California. 5 SUCCESSOR AGENCY TO THE TEMECULA REDEVELOPMENT AGENCY — no meeting TEMECULA HOUSING AUTHORITY — no meeting TEMECULA PUBLIC FINANCING AUTHORITY — no meeting 6 RECONVENE TEMECULA CITY COUNCIL PUBLIC HEARING Any person may submit written comments to the City Council before a public hearing or may appear and be heard in support of or in opposition to the approval of the project(s) at the time of the hearing. If you challenge any of the project(s) in court, you may be limited to raising only those issues you or someone else raised at the public hearing or in written correspondence delivered to the City Clerk at, or prior to, the public hearing. 9 Approve Assembly Bill (AB) 1600 Financial Reports — Development Impact Fee Expenditures RECOMMENDATION: 9.1 That the City Council approve the AB 1600 Financial Reports for Fiscal Year Ending June 30, 2014. CITY COUNCIL BUSINESS 10 Approve Recommendation for Community Service Funding Program for Fiscal Year 2014-15 RECOMMENDATION: 10.1 That the City Council approve the Community Service Funding Ad Hoc Subcommittee's recommendation to allocate a total of $71,085 to fund 16 out of 28 grant applications received from nonprofit organizations for the Fiscal Year 2014-15 Community Service Funding Program. DEPARTMENTAL REPORTS 11 Community Development Monthly Report 12 Police Department Monthly Report 13 Public Works Department Monthly Report CITY MANAGER REPORT CITY ATTORNEY REPORT 7 ADJOURNMENT Next regular meeting: Tuesday, November 18, 2014, at 5:30 PM, for a Closed Session, with regular session commencing at 7:00 PM, City Council Chambers, 41000 Main Street, Temecula, California. NOTICE TO THE PUBLIC The agenda packet (including staff reports) will be available for public viewing in the Main Reception area at the Temecula Civic Center (41000 Main Street, Temecula) after 4:00 PM the Friday before the City Council meeting. At that time, the agenda packet may also be accessed on the City's website — www.cityoftemecula.org — and will be available for public viewing at the respective meeting. Supplemental material received after the posting of the Agenda Any supplemental material distributed to a majority of the City Council regarding any item on the agenda, after the posting of the agenda, will be available for public viewing in the Main Reception area at the Temecula Civic Center (41000 Main Street, Temecula, 8:00 AM — 5:00 PM). In addition, such material will be made available on the City's website — www.cityoftemecula.org — and will be available for public review at the respective meeting. If you have questions regarding any item on the agenda for this meeting, please contact the City Clerk's Department, (951) 694- 6444. 8 Item No. 1 CONSENT CALENDAR Item No. 2 ACTION MINUTES TEMECULA CITY COUNCIL REGULAR MEETING CITY COUNCIL CHAMBERS 41000 MAIN STREET TEMECULA, CALIFORNIA OCTOBER 14, 2014 — 7:00 PM The City Council meeting convened at 7:00 P.M. CALL TO ORDER: Mayor Maryann Edwards Prelude Music: Susan Miyamoto Invocation: Pastor Jim Kirkman of Trinity Lutheran Church Flag Salute: Council Member Mike Naggar ROLL CALL: Comerchero, Naggar, Roberts, Washington, Edwards PRESENTATIONS/PROCLAMATIONS Greek Food Festival Month Proclamation PUBLIC COMMENTS The following individuals addressed the City Council: • Bob Hagel • Chuck Rear • James Mc Cann • Brenda Denn Stedt • Tom Vining • Kathy Vining • Paul Jacobs • Matt Rahn • Fred Bartz • Bret Kelley • Wayne Hall CITY COUNCIL REPORTS CONSENT CALENDAR Paul Jacobs addressed the City Council on Item 1. Action Minutes 101414 1 The following individuals addressed the City Council on Item 8: • Paul Jacobs • Wayne Hall 1 Standard Ordinance and Resolution Adoption Procedure - Approved Staff Recommendation (5-0-0) Council Member Naggar made the motion; it was seconded by Councilmember Comerchero; and electronic vote reflected approval by Council Members Comerchero, Naggar, Roberts, Washington and Edwards. RECOMMENDATION: 1.1 That the City Council make a motion to waive the reading of the text of all ordinances and resolutions included in the agenda. 2 Action Minutes - Approved Staff Recommendation (5-0-0) Council Member Naggar made the motion; it was seconded by Councilmember Comerchero; and electronic vote reflected approval by Council Members Comerchero, Naggar, Roberts, Washington and Edwards. RECOMMENDATION: 2.1 That the City Council approve the action minutes of September 23, 2014. 3 List of Demands - Approved Staff Recommendation (5-0-0) Council Member Naggar made the motion; it was seconded by Councilmember Comerchero; and electronic vote reflected approval by Council Members Comerchero, Naggar, Roberts, Washington and Edwards. RECOMMENDATION: 3.1 That the City Council adopt a resolution entitled: RESOLUTION NO. 14-64 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA ALLOWING CERTAIN CLAIMS AND DEMANDS AS SET FORTH IN EXHIBIT A 4 Approve City Treasurer's Report as of August 31, 2014 - Approved Staff Recommendation (5-0-0) Council Member Naggar made the motion; it was seconded by Councilmember Comerchero; and electronic vote reflected approval by Council Members Comerchero, Naggar, Roberts, Washington and Edwards. RECOMMENDATION: 4.1 That the City Council approve and file the City Treasurer's Report as of August 31, 2014. Action Minutes 101414 2 5 Receive Financial Statements for the 4th Quarter Ended June 30, 2014 - Approved Staff Recommendation (5-0-0) Council Member Naggar made the motion; it was seconded by Councilmember Comerchero; and electronic vote reflected approval by Council Members Comerchero, Naggar, Roberts, Washington and Edwards. RECOMMENDATION: 5.1 Receive and file the Financial Statements for the 4th Quarter Ended June 30, 2014. 5.2 Approve an increase of $98,100 in revenues and an appropriation in Fund 160 Supplemental Law Enforcement Services Fund (SLESF) Transfer Out to General Fund Transfer In, due to the late receipt of FY2012-13 grant revenue; 5.3 Approve a transfer of $131,900 in General Fund Non -Departmental from Legal Services Litigation line item budget to cover the increased annual payment to the Retiree Benefit Trust per the updated actuarial study; 5.4 Approve an appropriation of $256,500 in the Insurance Fund 300 to cover claims that were incurred, but not reported; 5.5 Approve an appropriation of $36,000 in the Information Technology Fund 320 to cover higher depreciation expenses; 5.6 Approve an appropriation of $28,000 in the Support Services Fund 330 to cover higher costs related to compensated absences not typically budgeted; 5.7 Approve an appropriation of $56,500 in the California Employer's Retiree Benefit Trust Fund 700, as a result of the updated actuarial study. 6 Approve a Sponsorship Agreement with Riverside County Sheriff's Department K9 Association for the Riverside County K9 Trials - Approved Staff Recommendation (5- 0-0) Council Member Naggar made the motion; it was seconded by Councilmember Comerchero; and electronic vote reflected approval by Council Members Comerchero, Naggar, Roberts, Washington and Edwards. RECOMMENDATION: 6.1 That the City Council approve the Sponsorship Agreement with the Riverside County Sheriff's Department K9 Association for city -support costs, in the amount of $300 and in-kind promotional services of $11,415, for the 2014 Riverside County K9 Trials. 7 Approve a Sponsorship Agreement with St. Nicholas Greek Orthodox Church of Temecula Valley for the Temecula Greek Festival — Approved Staff Recommendation (4-1-0, Council Member Edwards abstained) Council Member Naggar made the motion; it was seconded by Council Member Comerchero; and electronic vote reflected approval by Council Members Comerchero, Naggar, Roberts and Washington with Council Member Edwards abstaining because her employer, the Boys and Girls Club, is listed as a recipient of the proceeds of this event. Action Minutes 101414 3 RECOMMENDATION: 7.1 That the City Council approve the Sponsorship Agreement with St. Nicholas Greek Orthodox Church of Temecula Valley for city -support costs, in the amount of $6,575 and in-kind promotional services of $11,415, for the 2014 Temecula Greek Festival. 8 Award a Construction Contract to IVL Contractors, Inc., for the Pauba Road Sidewalks, PW13-08 - Approved Staff Recommendation (5-0-0) Council Member Naggar made the motion; it was seconded by Councilmember Comerchero; and electronic vote reflected approval by Council Members Comerchero, Naggar, Roberts, Washington and Edwards. RECOMMENDATION: 8.1 Award a Construction Contract to IVL Contractors, Inc., in the amount of $235,428, for Pauba Road Sidewalks, PW13-08; 8.2 Authorize the City Manager to approve change orders not to exceed the contingency amount of $35,314.20, which is equal to 15% of the contract amount; 8.3 Make a finding that Pauba Road Sidewalks, PW13-08, is exempt from Multiple Species Habitat Conservation Plan (MSHCP) fees. 9 Award a Construction Contract to CLS Constructors, Inc., for the Citywide Concrete Repairs Fiscal Year 2014-15, PW14-07 - Approved Staff Recommendation (5-0-0) Council Member Naggar made the motion; it was seconded by Councilmember Comerchero; and electronic vote reflected approval by Council Members Comerchero, Naggar, Roberts, Washington and Edwards. RECOMMENDATION: 9.1 Award a Construction Contract to CLS Constructors, Inc., in the amount of $412,785.63, for Citywide Concrete Repairs Fiscal Year 2014-15, PW14-07; 9.2 Authorize the City Manager to approve change orders not to exceed the contingency amount of $41,278.56, which is equal to 10% of the contract amount; 9.3 Make a finding that Citywide Concrete Repairs Fiscal Year 2014-15, PW14-07, is exempt from Multiple Species Habitat Conservation Plan (MSHCP) fees. 10 Approve the All-inclusive Settlement Agreement and General Release with Faith Armory for Murrieta Creek Bridge and Overland Drive Extension to Diaz Road, PW00-26 - Approved Staff Recommendation (5-0-0) Council Member Naggar made the motion; it was seconded by Councilmember Comerchero; and electronic vote reflected approval by Council Members Comerchero, Naggar, Roberts, Washington and Edwards. Action Minutes 101414 4 RECOMMENDATION: 10.1 Approve the AII-inclusive Settlement Agreement and General Release between the City of Temecula and Nathan Guy, Individually, and doing business as Faith Armory; 10.2 Authorize the Finance Director to issue a warrant for the sum of $131,301.66; 10.3 Authorize the City Manager to approve and execute any documents necessary to effectuate the terms of the AII-inclusive Settlement Agreement and General Release, and to take all necessary actions to complete the transaction contemplated pursuant to said Agreement. 11 Receive Temporary Street Closures for 2014 Winterfest Events - Approved Staff Recommendation (5-0-0) Council Member Naggar made the motion; it was seconded by Councilmember Comerchero; and electronic vote reflected approval by Council Members Comerchero, Naggar, Roberts, Washington and Edwards. RECOMMENDATION: 11.1 That the City Council receive and file the following proposed action by the City Manager: Temporarily close certain streets for the following 2014 Winterfest Events: SUNDAY IN THE PARK VETERAN'S DAY PU'ESKA MOUNTAIN DAY TEMECULA ON ICE SANTA'S ELECTRIC LIGHT PARADE WINTER WONDERLAND 12 Establish an All -Way Stop Control at the Intersections of Via Puebla at Monte Verde Road and Corte Mislanca - Approved Staff Recommendation (5-0-0) Council Member Naggar made the motion; it was seconded by Councilmember Comerchero; and electronic vote reflected approval by Council Members Comerchero, Naggar, Roberts, Washington and Edwards. RECOMMENDATION: 12.1 That the City Council adopt a resolution entitled: RESOLUTION NO. 14 -65 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA ESTABLISHING AN ALL -WAY STOP CONTROL AT THE INTERSECTIONS OF VIA PUEBLA AT MONTE VERDE ROAD AND VIA PUEBLA AT CORTE MISLANCA Action Minutes 101414 5 RECESS At 8:04 P.M., the City Council recessed and convened to the Temecula Community Services District Meeting and the Successor Agency to the Temecula Redevelopment Agency Meeting. At 8:12 P.M., the City Council resumed with the remainder of the City Council Agenda. CITY COUNCIL BUSINESS 19 Appointment of Community Services Commissioner - Continued to a future City Council Meeting. RECOMMENDATION: 19.1 That the City Council appoint one applicant, Juliet Grossman, to serve an unexpired term on the Community Services Commission through October 10, 2015 and direct the City Clerk to include the remaining applications for consideration in the current recruitment for an additional vacancy on the Community Services Commission. CITY MANAGER REPORT CITY ATTORNEY REPORT (None) ADJOURNMENT At 8:26 P.M., the City Council meeting was formally adjourned to Tuesday, October 28, 2014, at 5:30 PM, for a Closed Session, with regular session commencing at 7:00 PM, City Council Chambers, 41000 Main Street, Temecula, California. Maryann Edwards, Mayor ATTEST: Randi Johl-Olson, JD, MMC City Clerk [SEAL] Action Minutes 101414 6 Item No. 3 TO: FROM: DATE: SUBJECT: Approvals City Attorney Finance Director City Manager CITY OF TEMECULA AGENDA REPORT City Manager/City Council Jennifer Hennessy, Finance Director October 28, 2014 List of Demands PREPARED BY: RECOMMENDATION: Pascale Brown, Accounting Manager Jada Shafe, Accounting Specialist That the City Council adopt a resolution entitled: RESOLUTION NO. 14- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA ALLOWING CERTAIN CLAIMS AND DEMANDS AS SET FORTH IN EXHIBIT A BACKGROUND: All claims and demands are reported and summarized for review and approval by the City Council on a routine basis at each City Council meeting. The attached claims represent the paid claims and demands since the last City Council meeting. FISCAL IMPACT: All claims and demands were paid from appropriated funds or authorized resources of the City and have been recorded in accordance with the City's policies and procedures. ATTACHMENTS: 1. Resolution 2. List of Demands RESOLUTION NO. 14- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA ALLOWING CERTAIN CLAIMS AND DEMANDS AS SET FORTH IN EXHIBIT A THE CITY COUNCIL OF THE CITY OF TEMECULA DOES HEREBY RESOLVE AS FOLLOWS: Section 1. That the following claims and demands as set forth in Exhibit A, on file in the office of the City Clerk, has been reviewed by the City Manager's Office and that the same are hereby allowed in the amount of $ 2,747,262.40. Section 2. The City Clerk shall certify the adoption of this resolution. PASSED, APPROVED, AND ADOPTED by the City Council of the City of Temecula this 28th day of October, 2014. Maryann Edwards, Mayor ATTEST: Randi Johl-Olson, JD, MMC City Clerk [SEAL] STATE OF CALIFORNIA ) COUNTY OF RIVERSIDE ) ss CITY OF TEMECULA ) I, Randi Johl-Olson, JD, MMC, City Clerk of the City of Temecula, do hereby certify that the foregoing Resolution No. 14- was duly and regularly adopted by the City Council of the City of Temecula at a meeting thereof held on the 28th day of October, 2014, by the following vote: AYES: COUNCIL MEMBERS: NOES: COUNCIL MEMBERS: ABSENT: COUNCIL MEMBERS: ABSTAIN: COUNCIL MEMBERS: Randi Johl-Olson, JD, MMC City Clerk CITY OF TEMECULA LIST OF DEMANDS 10/02/2014 TOTAL CHECK RUN $ 1,085,494.84 10/09/2014 TOTAL CHECK RUN 1,211,521.74 10/09/2014 TOTAL PAYROLL RUN: 450,245.82 TOTAL LIST OF DEMANDS FOR 10/28/2014 COUNCIL MEETING: $ 2,747,262.40 DISBURSEMENTS BY FUND: CHECKS: 001 GENERAL FUND 135 BUSINESS INCUBATOR RESOURCE 140 COMMUNITY DEV BLOCK GRANT 150 AB 2766 FUND 165 SARDA AFFORDABLE HOUSING 190 TEMECULA COMMUNITY SERVICES DISTRICT 192 TCSD SERVICE LEVEL B 194 TCSD SERVICE LEVEL D 196 TCSD SERVICE LEVEL "L" LAKE PARK MAINT. 197 TEMECULA LIBRARY FUND 210 CAPITAL LVIPROVEMENT PROJECTS FUND 300 INSURANCE FUND 320 INFORMATION TECHNOLOGY 330 CENTRAL SERVICES 340 FACILITIES 375 SUMMER YOUTH EMPLOYMENT PROGRAM 380 SARDA DEBT SERVICE FUND 477 CH)- RORIPAUGH 501 SERVICE LEVEL"C"ZONE 1 SADDLEWOOD 502 SERVICE LEVEL"C"ZONE 2 WINCHESTER CREEK 503 SERVICE LEVEL"C"ZONE 3 RANCHO HIGHLANDS 504 SERVICE LEVEL"C"ZONE 4 THE VINEYARDS 505 SERVICE LEVEL"C"ZONE 5 SIGNET SERIES 506 SERVICE LEVEL"C"ZONE 6 WOODCREST COUNTRY 507 SERVICE LEVEL"C"ZONE 7 RIDGEVIEW 508 SERVICE LEVEL"C"ZONE 8 VILLAGE GROVE 509 SERVICE LEVEL"C"ZONE 9 RANCHO SOLANA 510 SERVICE LEVEL"C"ZONE 10 MARTINIQUE 511 SERVICE LEVEL"C"ZONE 11 MEADOWVIEW 512 SERVICE LEVEL"C"ZONE 12 VINTAGE HILLS 513 SERVICE LEVEL"C'7ONE 13 PRESLEY DEVELOP. 514 SERVICE LEVEL"C"ZONE 14 MORRISON HOMES 515 SERVICE LEVEL"C"ZONE 15 BARCLAY ESTATES 516 SERVICE LEVEL"C"ZONE 16 TRADEWINDS 517 SERVICE LEVEL"C"ZONE 17 MONTE VISTA 518 SERVICE LEVEL"C"ZONE 18 TEMEKU HILLS 519 SERVICE LEVEL"C"ZONE 19 CHANTEMAR 520 SERVICE LEVEL"C"ZONE 20 CROWNE HILL 521 SERVICE LEVEL"C"ZONE 21 VAIL RANCH 522 SERVICE LEVEL"C"ZONE 22 SUTTON PLACE 523 SERVICE LEVEL"C"ZONE 23 PHEASENT RUN 524 SERVICE LEVEL"C"ZONE 24 HARVESTON 525 SERVICE LEVEL"C"ZONE 25 SERENA HILLS 526 SERVICE LEVEL"C"ZONE 26 GALLERYTRADITION 527 SERVICE LEVEL"C"ZONE 27 AVONDALE 528 SERVICE LEVEL"C"ZONE 28 WOLF CREEK 529 SERVICE LEVEL"C"ZONE 29 GALLERY PORTRAIT 700 CERBT CALIFORNIA EE RETIREE-GASB45 $ 1,365,178.18 224.81 1,026.45 1,812.00 14,279.92 174,725.52 119.91 846.77 5,272.86 31,419.00 488,851.28 45,126.76 44,320.95 10,647.51 72,142.19 29.36 11,080.00 3,657.36 112.39 117.78 7,634.18 34.67 202.09 43.46 512.88 4,416.55 27.38 33.11 30.92 322.17 208.15 91.63 37.03 80.54 28.75 266.97 113.61 1,624.70 2,778.65 34.00 32.94 329.32 52.47 28.49 36.01 809.68 2.67 6,212.56 $ 2,297,016.58 CITY OF TEMECULA LIST OF DEMANDS 001 GENERAL FUND $ 262,709.18 140 COMMUNITY DEV BLOCK GRANT 2,251.43 165 SARDA AFFORDABLE HOUSING 4,282.02 190 TEMECULA COMMUNITY SERVICES DISTRICT 97,340.22 192 TCSD SERVICE LEVEL B 239.26 194 TCSD SERVICE LEVEL D 2,052.39 196 TCSD SERVICE LEVEL 'Z" LAKE PARK MAINT. 430.15 197 TEMECULA LIBRARY FUND 837.94 300 INSURANCE FUND 2,284.94 320 INFORMATION TECHNOLOGY 27,387.64 330 SUPPORT SERVICES 6,400.49 340 FACILITIES 10,003.45 375 SUMMER YOUTH EMPLOYMENT PROGRAM 160.84 501 SERVICE LEVEL"C"ZONE 1 SADDLEWOOD 81.04 502 SERVICE LEVEL"C"ZONE 2 WINCHESTER CREEK 54.33 503 SERVICE LEVEL"C"ZONE 3 RANCHO HIGHLANDS 64.70 504 SERVICE LEVEL"C"ZONE 4 THE VINEYARDS 11.76 505 SERVICE LEVEL"C"ZONE 5 SIGNET SERIES 130.88 506 SERVICE LEVEL"C"ZONE 6 WOODCREST COUNTRY 23.69 507 SERVICE LEVEL"C"ZONE 7 RIDGEVIEW 33.65 508 SERVICE LEVEL"C"ZONE 8 VILLAGE GROVE 222.13 509 SERVICE LEVEL"C"ZONE 9 RANCHO SOLANA 2.30 510 SERVICE LEVEL"C"ZONE 10 MARTINIQUE 10.01 511 SERVICE LEVEL"C"ZONE 11 MEADOWVIEW 6.84 512 SERVICE LEVEL"C"ZONE 12 VINTAGE HILLS 148.31 513 SERVICE LEVEL"C"ZONE 13 PRESLEY DEVELOP. 31.68 514 SERVICE LEVEL"C"ZONE 14 MORRISON HOMES 18.27 515 SERVICE LEVEL"C"ZONE 15 BARCLAY ESTATES 15.96 516 SERVICE LEVEL"C"ZONE 16 TRADEWINDS 36.91 517 SERVICE LEVEL"C"ZONE 17 MONTE VISTA 3.23 518 SERVICE LEVEL"C"ZONE 18 TEMEKU HILLS 137.33 519 SERVICE LEVEL"C"ZONE 19 CHANTEMAR 73.56 520 SERVICE LEVEL"C"ZONE 20 CROWNE HILL 199.24 521 SERVICE LEVEL"C"ZONE 21 VAIL RANCH 336.96 522 SERVICE LEVEL"C"ZONE 22 SUTTON PLACE 8.06 523 SERVICE LEVEL"C"ZONE 23 PHEASENT RUN 8.81 524 SERVICE LEVEL"C"ZONE 24 HARVESTON 189.58 525 SERVICE LEVEL"C"ZONE 25 SERENA HILLS 61.07 526 SERVICE LEVEL"C"ZONE 26 GALLERYTRADITION 2.82 527 SERVICE LEVEL"C"ZONE 27 AVONDALE 8.81 528 SERVICE LEVEL"C"ZONE 28 WOLF CREEK 279.58 529 SERVICE LEVEL"C"ZONE 29 GALLERY PORTRAIT 3.80 700 CERBT CALIFORNIA EE RETIREE-GASB45 31,660.56 450,245.82 TOTAL BY FUND: $ 2,747,262.40 apChkLst Final Check List Page: 1 10/02/2014 11:20:07AM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA Check # Date Vendor Description Amount Paid Check Total 166976 10/02/2014 016764 ABM BUILDING SERVICES, LLC hvac inspection: jrc 74.56 diagnostic leak search: children's 312.35 hvac repairs:pbsp snackbar & jrc 89.48 476.39 166977 10/02/2014 017313 ADCOCK, GARY M. Settlement:Tribute B Streisand 09/27 1,211.90 1,211.90 166978 10/02/2014 009374 ALLEGRO MUSICAL VENTURES Piano tuning & maint:theater & library 185.00 Piano tuning & maint:theater & library 370.00 555.00 166979 10/02/2014 006915 ALLIES PARTY EQUIPMENT RENTAL EQUIP:COLLEGE FAIR 2014 4,383.82 4,383.82 166980 10/02/2014 013015 ALWAYS RELIABLE BACKFLOW backflow testing:various medians M-17 50.00 backflow testing & repairs: SP -05 100.00 backflow testing: SAFE Building 25.00 175.00 166981 10/02/2014 004240 AMERICAN FORENSIC NURSES Phlebotomy srvcs:temecula police 340.00 (AFN) Phlebotomy srvcs:temecula police 380.00 720.00 166982 10/02/2014 000101 APPLE ONE INC W/E 08/23/14: IT, Planning, City Clerk 6,733.14 6,733.14 166983 10/02/2014 004307 ARCH CHEMICALS, INC. Sep 14 water maint:hary lake/duck pond 3,900.00 3,900.00 166984 10/02/2014 017149 B G P RECREATION, INC. TCSD instructor earnings 412.65 TCSD instructor earnings 415.80 TCSD instructor earnings 415.80 1,244.25 166985 10/02/2014 011954 BAKER & TAYLOR INC Temecula Library: Misc. collections. 21.93 21.93 166986 10/02/2014 003215 BARCLAYS LAW PUBLISHERS Title 19 motor vehicle docs 355.00 355.00 166987 10/02/2014 007385 BAUDVILLE, INC. Visitor pass login book:front reception 781.50 781.50 166988 10/02/2014 014718 BURT, KRISTAA. TCSD Instructor Earnings 235.20 235.20 166989 10/02/2014 011657 CALIF STATE OF PUBLIC registration fee: CALPERS ed forum 350.00 350.00 EMPLOYEE 166990 10/02/2014 004971 CANON FINANCIAL SERVICES, Oct 14 Copier lease (11): Civic Center 3,004.54 3,004.54 INC 166991 10/02/2014 000131 CARL WARREN & COMPANY Aug 14 Claim adjuster services 600.88 600.88 INC Pagel apChkLst Final Check List Page: 2 10/02/2014 11:20:07AM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA Check # Date Vendor (Continued) Description Amount Paid Check Total 166992 10/02/2014 017309 CATHOLIC CHARITIES refund:sec dep:crc multipurpose 200.00 200.00 166993 10/02/2014 015090 CLEARWATER SYSTEMS CORP prey maint hvac h2o sys:civ ctr 550.00 550.00 166994 10/02/2014 017315 CONNELLY MANSELL INC. refund:inspection fees:fire alarm permit 503.00 503.00 166995 10/02/2014 002945 CONSOLIDATED ELECTRICAL MISC ELECTRICAL SUPPLIES: VAR 855.36 855.36 DIST. PARK SITES 166996 10/02/2014 013379 COSSOU, CELINE TCSD Instructor Earnings 103.60 103.60 166997 10/02/2014 001264 COSTCO TEMECULA #491 Misc supplies: 2014 College Fair 9/20 556.37 556.37 166998 10/02/2014 004329 COSTCO TEMECULA #491 Misc pgrm supplies:human services Misc Supplies: Skate Park Supplies:Jefferson Recreation Center 472.48 90.91 204.72 768.11 166999 10/02/2014 010650 CRAFTSMEN PLUMBING & Facility Maintenance: Sta 92 85.00 85.00 HVAC INC 167000 10/02/2014 000209 CROP PRODUCTION SERVICES misc small tool parts:pw street maint 140.91 140.91 167001 10/02/2014 015213 CYBER COMPUTERS, INC. Monitor Lifecycle Replacement :info tech 9,700.80 9,700.80 167002 10/02/2014 002990 DAVID TURCH & ASSOCIATES Aug 14 fed. legislative consulting 3,500.00 3,500.00 167003 10/02/2014 012614 DBX, INC. Install traffic signal equipment: pw 7,189.00 7,189.00 167004 10/02/2014 004192 DOWNS ENERGY FUEL & Fuel for City vehicles: tcsd 585.62 LUBRICANTS Fuel for City vehicles: police dept Fuel for City vehicles: pw Fuel for City vehicles: pw & tcsd Fuel for City vehicles: pw Fuel for City vehicles: traffic 53.90 904.51 1,205.58 139.34 252.83 3,141.78 Page2 apChkLst Final Check List Page: 3 10/02/2014 11:20:07AM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA Check # Date Vendor 167005 10/02/2014 004068 ECALDRE MANALILI-DE VILLA, AILEEN (Continued) Description Amount Paid Check Total TCSD Instructor Earnings 280.00 TCSD Instructor Earnings TCSD Instructor Earnings TCSD Instructor Earnings TCSD Instructor Earnings TCSD Instructor Earnings TCSD Instructor Earnings TCSD Instructor Earnings TCSD Instructor Earnings TCSD Instructor Earnings TCSD Instructor Earnings 167006 10/02/2014 011203 ENVIRONMENTAL CLEANING Sep 14 janitorial srvcs: var park 167007 10/02/2014 001056 EXCEL LANDSCAPE, INC. park repair & maint:various parks irrigation repair S -21-I vail ranch install tree bubblers: ridgeview slope irrigation repairs S -21-F Vail Ranch irrig repairs:wolf crk & vail ranch install tree bubblers: vail ranch slope irrigation repairs: vail ranch slope replace backflow dev:crownehill s20c & d 262.50 297.50 192.50 297.50 157.50 315.00 245.00 227.50 315.00 175.00 2,765.00 5,265.00 5,265.00 281.28 261.24 3,510.00 328.97 342.62 1,350.00 376.72 817.00 167008 10/02/2014 000165 FEDERAL EXPRESS INC 9/12-9/16 Express mail services 68.79 167009 10/02/2014 004882 FORTEL TRAFFIC, INC. Speed display sign: pw traffic 6,615.00 7,267.83 68.79 6,615.00 167010 10/02/2014 011145 FOSTER, JILL CHRISTINE TCSD instructor earnings 1,638.00 TCSD instructor earnings 1,883.70 TCSD instructor earnings 1,031.10 4,552.80 167011 10/02/2014 004074 FRANCHISE MGMT SERVICES Misc supplies:high hopes pgrm 86.81 86.81 INC 167012 10/02/2014 003946 G T ENTERTAINMENT DJ/MC srvcs: FIT Finale 5k/10k run 9/14 400.00 400.00 167013 10/02/2014 013076 GAUDET, YVONNE M. TCSD instructor earnings 462.00 462.00 167014 10/02/2014 017307 GEORGE, TRISTIN refund:sec dep:ronald reagan sports park 200.00 200.00 167015 10/02/2014 009608 GOLDEN VALLEY MUSIC Settlement:Classics...Merc Sep 2014 836.50 836.50 SOCIETY 167016 10/02/2014 003792 GRAINGER maintenance equipment: crc 29.44 29.44 Page:3 apChkLst Final Check List Page: 4 10/02/2014 11:20:07AM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA (Continued) Check # Date Vendor 167017 10/02/2014 015451 GREATAMERICA FINANCIAL SVCS 167018 10/02/2014 017318 HARTER, STANLEY 167019 10/02/2014 001135 HEALTHPOINTE MEDICAL GROUP INC 167020 10/02/2014 010210 HOME DEPOT SUPPLY INC, THE 167021 10/02/2014 013695 INLAND EMPIRE SHRED IT 167022 10/02/2014 001407 INTER VALLEY POOL SUPPLY INC 167023 10/02/2014 015673 JDS VIDEO & MEDIA PRODUCTIONS 167024 10/02/2014 004831 JOHN R. BYERLY, INC. 167025 10/02/2014 017118 KRACH, BREE B. 167026 10/02/2014 009467 LANKENAU, STEVE 167027 10/02/2014 014817 LAPP, JEREMY SCOTT Description Amount Paid Check Total Sep 14 copier lease incubator: Econ Dev 362.45 Sep Copier Lease: Central Svcs & TVE2 1,680.14 reimb: APA CAAnnual Conference 9/14 80.43 2,042.59 80.43 9/4-9/11 Pre-emplymnt drug 75.00 75.00 misc maintenance supplies: crc 837.85 837.85 Shred srvcs:temecula police 15.75 15.75 misc pool chemicals: var pool sites 944.46 944.46 VIDEO PRODUCTION SRVCS:ECO DEV 850.00 850.00 Geotechnical srvcs: fire station 73 3,595.00 3,595.00 AWARDS/M E DALS/TRO P H I ES: S PO RTS 139.32 TENNIS Commission recognition: city council 736.56 Reimb:ICC Inspector Cert trng 215.40 Sttlmnt:An Evening w/ S. Schwartz 9/22 2,691.25 Settlement:Cabaret at the Merc 875.88 215.40 1,331.25 4,022.50 167028 10/02/2014 004412 LEANDER, KERRY D. TCSD instructor earnings 551.60 551.60 167029 10/02/2014 017320 LICKISS, WILLIAM & JOANN refund: parking citation #316698 60.00 60.00 167030 10/02/2014 013982 M C I COMM SERVICE Sep xxx-0346 general usage 30.47 167031 10/02/2014 008610 MCR STAMPS 167032 10/02/2014 014431 MARTLAND, BETTE B 167033 10/02/2014 014392 MC COLLOUGH, JILL DENISE Sep xxx-0714 gen usage:PD mall alarm 33.32 63.79 Performances:High Hopes 25.00 25.00 TCSD instructor earnings 315.00 315.00 Sep 14 lease interior plantscape:civic 525.00 Sep 14 lease interior plantscape:library 200.00 725.00 Page:4 apChkLst Final Check List Page: 5 10/02/2014 11:20:07AM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA Check # Date Vendor (Continued) Description 167034 10/02/2014 013443 MIDWEST TAPE LLC AV collections:TPL 167035 10/02/2014 004043 MISSION ELECTRIC SUPPLY, misc electrical supplies:var park sites INC 167036 10/02/2014 004040 MORAMARCO, ANTHONY, J. 167037 10/02/2014 010908 MR APPLIANCE OF WINCHESTER 167038 10/02/2014 001986 MUZAK LLC TCSD instructor earnings TCSD instructor earnings TCSD instructor earnings TCSD instructor earnings TCSD instructor earnings TCSD instructor earnings Amount Paid Check Total 154.37 154.37 97.79 97.79 504.00 308.00 664.13 509.60 178.50 112.00 kitchen freezer repair:pbsp snack bar 403.78 2,276.23 Ice Maker, cleaning and sanitizing: foc 371.46 Refrigerator and freezer - services: crc 231.55 Ice Maker, cleaning and sanitizing: mpsc 460.04 kitchen equip prey maint: conf ctr 331.55 1,798.38 Oct dish network prgm:41952 6th st 55.00 Oct dish network programming: FOC 135.85 190.85 167039 10/02/2014 002105 OLD TOWN TIRE & SERVICE City Vehicle Maint Svcs:PW Parks Maint 825.61 City Vehicle Maint Svcs:PW Parks Maint 270.95 1,096.56 167040 10/02/2014 002105 OLD TOWN TIRE & SERVICE City Vehicle Maint Svcs:PW Street Maint 504.88 504.88 167041 10/02/2014 004538 PAULEY EQUIPMENT equip rentals & repairs: var park sites 1,949.90 1,949.90 COMPANY 167042 10/02/2014 013115 PETERSON NUGENT, KRISTIN TCSD Instructor Earnings 254.80 TCSD Instructor Earnings 182.00 436.80 167043 10/02/2014 017312 PRIME CARE OF TEMECULA refund:sec dep:crc multipurpose 400.00 400.00 (NAMN) 167044 10/02/2014 014957 PRN PRODUCTIONS Comedy @ the Merc 9/27 86.80 86.80 167045 10/02/2014 004029 R J M DESIGN GROUP INC Aug dsgn srvcs:teen/young adult village 2,244.65 2,244.65 167046 10/02/2014 000267 RIVERSIDE CO FIRE FPARC-TM, 231842, 13-14, Q4 917,553.77 917,553.77 DEPARTMENT 167047 10/02/2014 001365 RIVERSIDE COUNTY OF plan check fee/pool:former YMCA site 1,646.00 1,646.00 167048 10/02/2014 000873 ROBERTS, RONALD H. reimb: NLC Summer Policy forum 7/30 100.00 100.00 Page:5 apChkLst Final Check List Page: 6 10/02/2014 11:20:07AM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA Check # Date Vendor (Continued) Description 167049 10/02/2014 012251 ROTH, DONALD J. TCSD Instructor Earnings 167050 10/02/2014 000815 ROWLEY, CATHY 167051 10/02/2014 013376 SECURITY SIGNAL DEVICES INC 167052 10/02/2014 009213 SHERRY BERRY MUSIC TCSD Instructor Earnings TCSD Instructor Earnings smoke detectors: civic center Jazz @ the Merc 9/25 167053 10/02/2014 015674 SJ LINKING SYSTEMS Portable radios:FIT Finale 9/14 167054 10/02/2014 000645 SMART & FINAL INC 167055 10/02/2014 000537 SO CALIF EDISON 167056 10/02/2014 001212 SO CALIF GAS COMPANY 167057 10/02/2014 002503 SOUTH COAST AIR QUALITY 167058 10/02/2014 000519 SOUTH COUNTY PEST CONTROL INC Misc supplies: 2014 College Fair Misc supplies: 2014 College Fair Misc supplies:human services Misc supplies:mpsc Amount Paid Check Total 63.00 63.00 224.00 196.00 420.00 407.65 407.65 513.00 513.00 170.00 170.00 237.42 429.09 51.92 196.73 Sep 2-34-624-4452:32131 S. Loop rd lot 1,242.43 Sep 2-21-981-4720:30153 Tem pkwy tpp 24.02 Sep 2-28-331-4847:32805 Pauba LS3 109.06 Sep 2-33-357-5785:44747 Redhawk pkwy 32.00 Sep 2-35-164-3242: 44270 meadows pkwy 27.73 Sep 2-35-164-3515: 32932 leena way ped 26.42 Sep 2-35-164-3663: 42335 meadows pkwy 26.42 Sep 2-35-164-3770: 43487 butterfield 28.51 Sep 021 725 0775 4 MPSC Sep 026 671 2909 8 Theater Sep 028 025 1468 3 C. Museum Sep 055 461 2483 4 Harveston Center Sep 091 024 9300 5 CRC Sep 095-167-7907-2:30650 Pauba Rd Sep 101 525 0950 0 TCC Sep 101-525-1560-6:27415 Enterprise cir Sep 125 244 2108 3 Library Sep 129 535 4236 7 Civic Center Sep 129 582 9784 3 FOC Sep 133 040 7373 0 West Wing Sep 181 383 8881 6 T. Museum 66.58 26.98 19.87 22.89 293.17 146.85 14.79 61.47 14.79 597.03 29.53 18.85 18.85 915.16 1,516.59 1,331.65 liquid fuel dispensing system:Stn 84 98.10 FY14-15 flat fee -last yr emissions: Sta 119.76 217.86 Aug pest control svcs:City facs 748.00 748.00 PageB apChkLst Final Check List Page: 7 10/02/2014 11:20:07AM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA Check # Date Vendor 167059 10/02/2014 008337 STAPLES BUSINESS ADVANTAGE (Continued) Description Amount Paid Check Total Misc office supplies:PD mall storefront 8.31 Misc office supplies:PD old town office Misc office supplies:PD mall storefront 216.32 54.67 279.30 167060 10/02/2014 002015 STAR WAY PRODUCTIONS AUDIO & LIGHTING SRVCS:MOVIE 8/16 1,100.00 AUDIO & LIGHTING SRVCS:CONCERT 8f 750.00 AUDIO & LIGHTING SRVCS:MOVIE 8/9 1,100.00 AUDIO & LIGHTING SRVCS:CONCERT 8/ 750.00 AUDIO & LIGHTING SRVCS:MOVIE 8/23 1,100.00 4,800.00 167061 10/02/2014 006145 STENO SOLUTIONS Aug transcription srvcs:Police 765.94 765.94 TRANSCRIPTION 167062 10/02/2014 009452 STRAWN, WILLIAM R. Reimb:supplies for Community Theater 257.13 257.13 167063 10/02/2014 003840 STRONGS PAINTING painting srvcs: pbsp structures 7,390.00 7,390.00 167064 10/02/2014 010924 T & D COMMUNICATIONS, INC. Data cable for digital signage:library 629.32 629.32 167065 10/02/2014 000305 TARGET BANK BUS CARD Misc supplies:high hopes pgrm 97.96 SRVCS Misc supplies:mpsc 181.82 Misc supplies:FIT 5k/10/k Run 9/14 228.77 Misc supplies:FIT 5k/10/k Run 9/14 154.01 Misc supplies:pumpkin plunge/halloween 99.62 762.18 167066 10/02/2014 012265 TEMECULA ACE HARDWARE Hardware supplies: Sta 92 90.22 90.22 C/O 167067 10/02/2014 000168 TEMECULA FLOWER CORRAL Aug sunshine fund 67.98 67.98 167068 10/02/2014 003677 TEMECULA MOTORSPORTS Veh repair & maint:PD 1,227.29 LLC Veh repair & maint:PD 1,197.61 Veh repair & maint:PD 643.57 Veh repair & maint:PD 1,071.42 4,139.89 167069 10/02/2014 000515 TEMECULA VALLEY CHAMBER '14 Women in Business 9/9 C.D./K.S. 90.00 90.00 OF 167070 10/02/2014 009194 TEMECULA VALLEY NEWS Aug advertising:Temecula Presents 257.76 257.76 167071 10/02/2014 004274 TEMECULA VALLEY SECURITY Locksmith srvcs: tve2 20.00 CENTR Locksmith srvcs: rrsp 16.20 36.20 167072 10/02/2014 003941 TEMECULA WINNELSON misc plumbing supplies:civic center 221.11 221.11 COMPANY Page:7 apChkLst Final Check List Page: 8 10/02/2014 11:20:07AM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA Check # Date Vendor (Continued) Description Amount Paid Check Total 167073 10/02/2014 008379 THEATER FOUNDATION, THE K.Fekete-Kovacs & Modern Art Orchestra 925.00 925.00 167074 10/02/2014 010276 TIME WARNER CABLE Oct high speed internet:Civic Center 4,175.94 4,175.94 167075 10/02/2014 016796 TIME WARNER CABLE MEDIA 7/28-8/31 ads:Hot Summer Nights 2,264.00 2,264.00 167076 10/02/2014 017317 TURLEY-TREJO, LANAE reimb: APA CA annual conference 9/14 87.21 87.21 167077 10/02/2014 005460 U S BANK Fiscal Agent Srvcs:Finance 02 RDA 6,050.00 Fiscal Agent Srvcs:Finance 10,11 RDA 5,030.00 11,080.00 167078 10/02/2014 002110 UNITED RENTALS NORTH misc equip rentals: pw street maint 17.82 AMERICA misc equip rentals: pw street maint 19.85 37.67 167079 10/02/2014 012549 UPODIUM Vehicle maint supplies: Sta 73 75.60 Vehicle maint supplies: Sta 73 41.31 116.91 167080 10/02/2014 008977 VALLEY EVENTS, INC. Misc rental equip:Hot Summer Nights 2,115.00 2,115.00 167081 10/02/2014 014848 VALUTEC CARD SOLUTIONS, Aug ticketing services:Theater 39.16 39.16 LLC 167082 10/02/2014 004261 VERIZON Sep xxx-8165 gen usage:27495 Enterprise 100.35 100.35 167083 10/02/2014 004789 VERIZON Sep Internet svcs:senior center 144.99 Sep Internet svcs:Tem PD DSL 49.99 Sep Internet svcs:Library 184.99 379.97 167084 10/02/2014 014486 VERIZON WIRELESS 8/16-9/15 broadband svcs:citywide 167085 10/02/2014 009101 VISION ONE INC Aug ShoWare ticketing srvcs:Theater 167086 10/02/2014 010283 W B PRODUCTIONS INC Timing Services:FIT Finale 2014 167087 10/02/2014 006248 WALKER, JESSICA TCSD Instructor Earnings 167088 10/02/2014 003730 WEST COAST ARBORISTS INC tree trims & removals:ridgeview slope tree trim and maint svcs:street maint 1000223 09/26/2014 017306 AHERUSA refund:sec dep:tcc multipurpose rm 1000224 09/26/2014 017305 BARRERA, KAYLA refund:sec dep:harveston mpr 1,826.48 1,826.48 2,437.20 2,437.20 3,390.25 3,390.25 378.00 378.00 435.00 2,545.00 2,980.00 200.00 200.00 200.00 200.00 Page:8 apChkLst Final Check List Page: 9 10/02/2014 11:20:07AM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA Check # Date Vendor (Continued) Description 1000225 09/26/2014 017304 LEITEREG, MARIANNE refund:google apps for ed/bus:class Amount Paid Check Total 60.00 60.00 1000226 09/26/2014 009508 MARQUEZ, LETICIA refund:cinderella jr! 187.88 187.88 Grand total for UNION BANK OF CALIFORNIA: 1,085,494.84 Page apChkLst Final Check List Page: 10 10/02/2014 11:20:07AM CITY OF TEMECULA 117 checks in this report. Grand Total All Checks. 1,085,494.84 Pagel 0 apChkLst Final Check List Page: 1 10/09/2014 2:19:46PM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA Check # Date Vendor 2534 10/02/2014 000246 PERS (EMPLOYEES' RETIREMENT) 2538 10/09/2014 010349 CALIF DEPT OF CHILD SUPPORT 2539 10/09/2014 000245 PERS - HEALTH INSUR PREMIUM 2540 10/09/2014 000194 I C M A RETIREMENT -PLAN 303355 2541 10/09/2014 000444 I N STATAX (EDD) 2542 10/09/2014 000283 INSTATAX (IRS) 2543 10/09/2014 001065 NATIONWIDE RETIREMENT SOLUTION 2545 10/09/2014 000642 TEMECULA CITY FLEXIBLE 2546 10/09/2014 000389 NATIONWIDE RETIREMENT SOLUTION 167090 10/09/2014 003552 A F L A C 167091 10/09/2014 004973 ABACHERLI, LINDI 167092 10/09/2014 013367 ACTIVE MICRO INC 167093 10/09/2014 004802 ADLERHORST INTERNATIONAL INC 167094 10/09/2014 016823 ADURI YOGA 167095 10/09/2014 003951 ALL AMERICAN ASPHALT 167096 10/09/2014 013015 ALWAYS RELIABLE BACKFLOW Description PERS RETIREMENT PAYMENTS SUPPORT PAYMENT PERS HEALTH INSUR PREMIUMS I C M A RETIREMENT TRUST 457 PAYMENT STATE DISABILITY INS PAYMENT FEDERAL INCOME TAXES PAYMENT NATIONWIDE RETIREMENT PAYMENT CHILD CARE REIMBURSEMENT PAYMENT OBRA- PROJECT RETIREMENT PAYMENT AFLAC HOSPITAL ADVANTAGE PAYMENT TCSD instructor earnings Misc. tools & equip.: pw traffic Police K-9 monthly training TCSD Instructor Earnings asphalt products:street maint citywide backflow testing:various medians m-07 backflow testing & repairs:various parks Amount Paid Check Total 38,317.77 1,439.52 92,840.88 5,760.77 22, 686.10 80,454.55 12,883.73 5,581.52 3,326.76 3,360.00 525.00 211.90 283.34 302.40 906.93 25.00 38,317.77 1,439.52 92,840.88 5,760.77 22, 686.10 80,454.55 12,883.73 5,581.52 3,326.76 3,360.00 525.00 211.90 283.34 302.40 906.93 450.00 475.00 Pagel apChkLst Final Check List Page: 2 10/09/2014 2:19:46PM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA (Continued) Check # Date Vendor Description Amount Paid Check Total 167097 10/09/2014 004422 AMERICAN BATTERY CORPORATION 167098 10/09/2014 001323 ARROWHEAD WATER INC Signal batteries: pw traffic 1,601.06 Signal batteries: pw traffic 990.74 Signal batteries: pw traffic 495.37 3,087.17 8/23-9/22 WATER DELIVERY SVCS: 57.47 LIBRARY 8/23-9/22 WATER DELIVERY SVCS: CRC 187.79 8/23-9/22 WATER DELIVERY SVCS: HIST( 15.54 8/23-9/22 WATER DELIVERY SVCS: TCC 21.14 8/23-9/22 WATER DELIVERY SVCS: SKAT 47.51 8/23-9/22 WATER DELIVERY SVCS: TVE2 16.78 8/23-9/22 water delivery svcs: skate 6.47 8/23-9/22 WATER DELIVERY SVCS: FOC 93.07 8/23-9/22 WATER DELIVERY SVCS: CHILE 17.25 8/23-9/22 WATER DELIVERY SVCS: THEA 39.88 8/23-9/22 WATER DELIVERY SVCS: HAR\ 32.74 8/23-9/22 water delivery svcs: aquatics 6.47 8/23-9/22 WATER DELIVERY SVCS:CITY f 31.88 167099 10/09/2014 017149 B G P RECREATION, INC. TCSD instructor earnings 167100 10/09/2014 004205 BALLET FOLKLORICO TCSD Instructor Earnings TCSD Instructor Earnings 573.99 224.00 224.00 280.00 262.50 542.50 167101 10/09/2014 015592 BAMM PROMOTIONAL SHIRTS: COMMISSIONERS 476.78 PRODUCTS, INC hooded sweatshirts:Sports pgrm 4,092.12 4,568.90 167102 10/09/2014 013482 BAS SECURITY Sep 14 Security: Harveston Lake Park 1,432.00 Security:Health & Comm Fair 09/26-27 238.80 1,670.80 167103 10/09/2014 008605 BONTERRA PSOMAS 7/1-8/21 CNSLTNG SVCS:RRSP DEST 462.50 462.50 BASIN 167104 10/09/2014 016688 CALIFORNIA WATERSHED ENG CORP 02/14-8/14 Dsgn srvc: flood cntrl 42,582.00 42,582.00 167105 10/09/2014 009640 CERTIFION CORPORATION ONLINE DATABASE SUBSCRIPTION - 152.99 152.99 POLICE 167106 10/09/2014 014726 CHAPTER 13 STANDING SUPPORT PAYMENT 205.85 205.85 TRUSTEE Travelers Insurance for Sister City Trip 482.79 482.79 167107 10/09/2014 007598 COLLEGIATE RISK MANAGEMENT 167108 10/09/2014 004405 COMMUNITY HEALTH CHARITIES COMMUNITY HEALTH CHARITIES 24.00 24.00 PAYMENT Page2 apChkLst Final Check List Page: 3 10/09/2014 2:19:46PM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA Check # Date Vendor (Continued) Description Amount Paid Check Total 167109 10/09/2014 002945 CONSOLIDATED ELECTRICAL misc electrical supplies:old town 6th st 140.40 140.40 DIST. 167110 10/09/2014 013379 COSSOU, CELINE TCSD Instructor Earnings 103.60 103.60 167111 10/09/2014 014521 COSTAR GROUP Oct 14 web subscription:Eco Dev 397.13 397.13 INFORMATION, INC 167112 10/09/2014 001264 COSTCO TEMECULA#491 Misc office supplies:info tech 182.00 182.00 167113 10/09/2014 004329 COSTCO TEMECULA #491 Misc pgrm supplies:human services 48.91 48.91 167114 10/09/2014 002631 COUNTS UNLIMITED INC Traffic data collection: pw traffic 200.00 200.00 167115 10/09/2014 017043 CPP, INC. MBTI leadership program: I. Garibay 5,000.00 5,000.00 167116 10/09/2014 010650 CRAFTSMEN PLUMBING & Facility Maintenance: Sta 84 224.95 HVAC INC replace tile:repair grout: duck pond 500.00 724.95 167117 10/09/2014 008810 CROSSTOWN ELECTRICAL & Maint & repair CCTV cameras:pwtraffic 1,150.00 1,150.00 DATA 167118 10/09/2014 005766 DATA BUSINESS SYSTEMS INC 1099 Misc tax forms:finance dept 288.89 288.89 167119 10/09/2014 001393 DATA TICKET, INC. Aug 14 Parking citation 1,688.43 1,688.43 167120 10/09/2014 004569 DAVID TAUSSIG & ASSOCIATES JUN 14 CONSULT SRVC: PROPOSED 3,436.42 3,436.42 ARBOR VIST 167121 10/09/2014 003945 DIAMOND ENVIRONMENTAL 9/29-10/26 portable rstrm svcs:vail 52.80 SRVCS 9/29-10/26 portable rstrm svc:veteran 9/29-10/26 portable rstrm svc:riverton 9/29-10/26 portable rstrm svcs:ing cnyon 52.80 52.80 52.80 211.20 Page:3 apChkLst Final Check List Page: 4 10/09/2014 2:19:46PM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA Check # Date Vendor 167122 10/09/2014 004192 DOWNS ENERGY FUEL & LUBRICANTS (Continued) Description Amount Paid Check Total Fuel for City vehicles: code enforcement 233.54 Fuel for City vehicles: bldg dept Fuel for City vehicles: plan & code enf. Fuel for City vehicles: tcsd Fuel for City vehicles: traffic div Fuel for City vehicles: pw maint Fuel for City vehicles: pw parks maint Fuel for City vehicles: pw land dev & Fuel for City vehicles: pw land dev, cip Fuel for City vehicles: police dept Fuel for City vehicles: bldg & safety Fuel for City vehicles: tcsd 167123 10/09/2014 012217 DUDEK 7/26-8/29 CNSLTNG:PED/BICYCLE BRIDGE 167124 10/09/2014 002390 EASTERN MUNICIPAL WATER DIST 167125 10/09/2014 014419 ELLIOTT, MICHAEL G. 167126 10/09/2014 004829 ELLISON WILSON ADVOCACY LLC 167127 10/09/2014 011202 EMH SPORTS USA, INC 167128 10/09/2014 009953 FEDERAL CLEANING CONTRACTORS 167129 10/09/2014 000165 FEDERAL EXPRESS INC 167130 10/09/2014 014865 FEIZE UHLER, KIMBERLY 167131 10/09/2014 003347 FIRST BANKCARD CENTER 319.67 174.67 528.88 359.69 491.93 1,127.99 127.27 552.62 162.03 341.66 49.54 4,469.49 1,812.00 1,812.00 Sep water meter:32131 S Loop rd bldg 201.21 Sep water meter:32131 S Loop rd dcda 43.50 244.71 Jul 14 Landscape inspect srvcs:pw cip 350.00 350.00 Oct 14 state legis cnsltng svcs: cm 3,500.00 3,500.00 TCSD instructor earnings 851.20 TCSD instructor earnings 533.75 TCSD instructor earnings 402.50 1,787.45 Oct 14 Janitorial srvcs:police mall 854.50 854.50 9/15-9/18 Express mail services 20.55 20.55 ECONOMIC DEVELOPMENT PROMO ITEMS Departmental Shirts: City Clerk Staff 3,027.94 164.08 003698 RIVERSIDE CO ECONOMIC JC State of the Riv Cnty Address fee 50.00 167132 10/09/2014 014819 FLATIRON WEST, INC. SEP 14 CONST:FRENCH VALLEY PKWY 95,574.34 PROJ 167133 10/09/2014 014393 FONSTAD, RONALD EUGENE AED repair/maint: Medics 3,192.02 50.00 95,574.34 5,472.36 5,472.36 Page:4 apChkLst Final Check List Page: 5 10/09/2014 2:19:46PM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA Check # Date Vendor (Continued) Description Amount Paid Check Total 167134 10/09/2014 015767 FOODSERVICEWAREHOUSE.0 Ice -O -Matic machine: TCC 1,893.00 1,893.00 OM 167135 10/09/2014 017331 FORZA FOR ALL refund:credit for 1 hr min:library rm b 36.00 36.00 167136 10/09/2014 009097 FULL COMPASS SYSTEMS SOUND/LIGHTING & MISC 283.00 283.00 SUPPLIES:THEATER 167137 10/09/2014 017338 GASOLINE RETAIL FACILITIES refund:overpmt:incorrect cup application 2,325.00 2,325.00 167138 10/09/2014 010452 GAYLORD BROS INC Misc supplies:History Museum exhibits 46.33 46.33 167139 10/09/2014 000177 GLENNIES OFFICE PRODUCTS Sep 14 misc office supplies: city clerk 27.84 INC 167140 10/09/2014 016656 GOLTSMAN, ROBIN 167141 10/09/2014 003792 GRAINGER 167142 10/09/2014 003592 GRANITE CONSTRUCTION COMPANY SEP 14 MISC OFFICE SUPPLIES -BLDG 8 545.49 Sep 14 misc office supplies: records 41.88 Sep 14 misc office supplies: info tech 441.23 Sep 14 misc office supplies: finance 187.28 Sep 14 misc office supplies: planning 571.87 Sep 14 misc offce supplies:eco dev -56.14 refund:sec dep:crc meeting room a/b small maint equip parts: civic center AUG CONST:MAIN STREET BRIDGE 1,759.45 200.00 200.00 96.80 96.80 119,689.63 JUL CONST:MAIN STREET BRIDGE 1,097.25 Stop notice: main street bridge -17,812.50 102, 974.38 167143 10/09/2014 008081 HALL & FOREMAN INC Aug 14 eng svcs: old town storm drain 605.00 605.00 167144 10/09/2014 000186 HANKS HARDWARE INC Sep 14 misc hardware supplies: tcc Sep 14 misc hardware supplies: theater Sep 14 misc hardware supplies: mpsc Sep 14 misc hardware supplies: crc Sep 14 misc hardware supplies: civic ctr Sep 14 misc hardware supplies: library Sep 14 misc hardware supplies: jrc 167145 10/09/2014 012204 HERITAGE FAMILY MINISTRIES TCSD Instructor Earnings TCSD Instructor Earnings 15.09 10.78 75.51 275.11 359.95 101.64 410.38 409.50 1,248.46 864.50 1,274.00 Page:5 apChkLst Final Check List Page: 6 10/09/2014 2:19:46PM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA (Continued) Check # Date Vendor 167146 10/09/2014 010210 HOME DEPOT SUPPLY INC, THE Description Amount Paid Check Total misc maint supplies:pw street maint 300.36 misc maint supplies:pw street maint 125.00 misc maint supplies:pw street maint 174.77 misc maint supplies: crc 42.76 642.89 167147 10/09/2014 004221 INLAND EMPIRE AFFILIATE OF FY14-15 SPONSORSHIP:RACE FOR 22,500.00 22,500.00 THE CURE 167148 10/09/2014 010607 INTL SOCIETY OF con't educ trng 11/14 Stacy Fox 80.00 80.00 ARBORICULTURE 167149 10/09/2014 015295 J & A FLOORING, INC. flooring installation: TVE2 502.00 502.00 167150 10/09/2014 012883 JACOB'S HOUSE INC JACOB'S HOUSE CHARITY PAYMENT 40.00 40.00 167151 10/09/2014 017336 JONES/BLUMENTHAL Reimb: city monument sign 179,983.00 179,983.00 TEMECULA 167152 10/09/2014 015358 KELLY PAPER COMPANY, INC. misc paper supplies:central services 167.93 167.93 167153 10/09/2014 001091 KEYSER MARSTON REAL ESTATE CONSULT:AFFORDABLE 10,774.39 10,774.39 ASSOCIATES INC HOUSING 167154 10/09/2014 003975 LAWRENCE, JEFF reimb:pizza-skate park scooter night 89.10 89.10 167155 10/09/2014 004905 LIEBERT, CASSIDY & ERC mbshp 7/14-06/30/15 - I. Garibay 895.50 895.50 WHITMORE 167156 10/09/2014 017335 MDM CONSTRUCTION refund:CC was run twice 488.00 488.00 167157 10/09/2014 017328 MENDEZ, MARLON refund:sec dep:amphitheater 200.00 200.00 167158 10/09/2014 003076 MET LIFE INSURANCE METLIFE DENTAL INSURANCE 8,464.30 8,464.30 COMPANY PAYMENT 167159 10/09/2014 015955 METRO FIRE & SAFETY, INC. troubleshoot system: Civic center 735.00 735.00 167160 10/09/2014 013443 MIDWEST TAPE LLC AV collections:TPL 205.13 205.13 167161 10/09/2014 012962 MILLER, MISTY TCSD Instructor Earnings 224.00 TCSD Instructor Earnings 392.00 616.00 Page6 apChkLst Final Check List Page: 7 10/09/2014 2:19:46PM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA Check # Date Vendor 167162 10/09/2014 012264 MIRANDA, JULIO C. (Continued) Description TCSD Instructor Earnings TCSD Instructor Earnings TCSD Instructor Earnings TCSD Instructor Earnings TCSD Instructor Earnings TCSD Instructor Earnings Amount Paid Check Total 396.90 220.50 308.70 220.50 1,014.30 88.20 2,249.10 167163 10/09/2014 005887 MOFFATT & NICHOL 7/27-8/30 Eng&const supp srvcs:pwcip 6,003.00 ENGINEERS 8/31-9/27 Eng&const supp srvcs:pwcip 12,862.50 18,865.50 167164 10/09/2014 015756 MOUNTAINVIEW COMMUNITY refund:sec dep:ronald reagan park 200.00 200.00 CHURCH 167165 10/09/2014 010908 MR APPLIANCE OF WINCHESTER 167166 10/09/2014 015507 MSDSONLINE, INC. 167167 10/09/2014 002925 NAPAAUTO PARTS ref/freezer-service/cleaning: pbsp 284.23 kitchen equip prey maint: pbsp 524.50 808.73 msds online subscription: civic center 1,679.00 1,679.00 Auto parts & misc supplies: TCC 137.14 137.14 167168 10/09/2014 000727 NATIONAL FIRE PROTECTION Misc publication: Prevention ASSN 167169 10/09/2014 014391 NICHOLS, KELLIE D. 369.31 369.31 TCSD Instructor Earnings 205.80 TCSD Instructor Earnings 343.00 TCSD Instructor Earnings 378.00 TCSD Instructor Earnings 277.20 TCSD Instructor Earnings 428.40 TCSD Instructor Earnings 201.60 TCSD Instructor Earnings 352.80 2,186.80 167170 10/09/2014 017148 OAKLEY SALES CORP qty 10 Police motor gloves 460.08 QTY 7 POLICE SAFETY GLASSES 661.28 qty 1 Police safety glasses 91.80 qty 2 Police safety glasses 239.18 1,452.34 167171 10/09/2014 003964 OFFICE DEPOT BUSINESS SVS Misc office supplies:human resources 110.69 110.69 DIV 167172 10/09/2014 002105 OLD TOWN TIRE & SERVICE City Vehicle Maint Svcs:Parks 336.43 336.43 167173 10/09/2014 002105 OLD TOWN TIRE & SERVICE City Vehicle Maint Svcs:Bldg & Safety 11.94 11.94 167174 10/09/2014 013127 ON STAGE MUSICALS The Modernaires ticket sales 10/5 3,453.88 3,453.88 Page:7 apChkLst Final Check List Page: 8 10/09/2014 2:19:46PM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA Check # Date Vendor (Continued) Description 167175 10/09/2014 014273 PARAGON PARTNERS LTD RELOCATION SRVCS:MURR CRK/OVRLND DR Amount Paid Check Total 118.75 118.75 167176 10/09/2014 000249 PETTY CASH Petty Cash Reimbursement 870.52 870.52 167177 10/09/2014 017337 PFP TEMECULA REAL ESTATE, refund:fire alarm inspection fees 8,385.00 8,385.00 HOLDINGS 167178 10/09/2014 016529 PIONEER CREDIT RECOVERY SUPPORT PAYMENT 49.16 49.16 INC 167179 10/09/2014 005820 PRE -PAID LEGAL SERVICES PREPAID LEGAL SERVICES PAYMENT 205.30 205.30 INC 167180 10/09/2014 003155 PRICE CHOPPER INC Wristbands for pools:aquatics pgrm 496.20 496.20 167181 10/09/2014 012904 PRO ACTIVE FIRE DESIGN Sept plan ck consultant: Prevention 3,900.34 3,900.34 167182 10/09/2014 000262 RANCHO CALIF WATER SEP RECL LNDSCP 48.14 48.14 DISTRICT METER:JEFFERSON AVE 167183 10/09/2014 002654 RANCHO FORD LINCOLN Veh repair & maint:Police CAP 208.00 208.00 MERCURY 167184 10/09/2014 002412 RICHARDS WATSON & GERSHON 167185 10/09/2014 000353 RIVERSIDE CO AUDITOR 167186 10/09/2014 000406 RIVERSIDE CO SHERIFFS DEPT 167187 10/09/2014 001365 RIVERSIDE COUNTY OF 167188 10/09/2014 001365 RIVERSIDE COUNTY OF 167189 10/09/2014 000220 ROBINSON PRINTING & CREATIVE 167190 10/09/2014 002226 RUSSO, MARY ANNE Aug 2014 legal services 108,904.25 108,904.25 FY 14/15 LAFCO fees:Planning 9,983.19 9,983.19 DUI trng 10/14-16 Dep. Trower 145.00 145.00 Apr -Jun '14 vector control services 5,025.35 5,025.35 renew permit:CRC 722.00 722.00 PRINT & PREP BUDGET DOCS: FINANCE DEPT PRINT & PREP BUDGET DOCS: FINANCE 109.08 525.96 635.04 TCSD Instructor Earnings 616.00 TCSD Instructor Earnings 609.00 1,225.00 167191 10/09/2014 007582 SAFEGUARD DENTAL & VISION SAFEGUARD VISION PLAN PAYMENT 872.20 872.20 Page:8 apChkLst Final Check List Page: 9 10/09/2014 2:19:46PM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA Check # Date Vendor (Continued) Description Amount Paid Check Total 167192 10/09/2014 017327 SANATAN SOCIETY OF refund:sec dep:tcc multipurpose rm 200.00 200.00 SOUTHERN, CALIFORNIA 167193 10/09/2014 009980 SANBORN, GWYNETH A. Country @ the Merc 10/4 771.75 771.75 167194 10/09/2014 017113 SCHOLASTIC LIBRARY Collections (books): Library 5,721.13 5,721.13 PUBLISHING, 167195 10/09/2014 013376 SECURITY SIGNAL DEVICES smoke detectors: civic center 503.13 503.13 INC 167196 10/09/2014 008529 SHERIFF'S CIVIL DIV - SUPPORT PAYMENT 300.00 300.00 CENTRAL 167197 10/09/2014 008529 SHERIFF'S CIVIL DIV - SUPPORT PAYMENT 233.38 233.38 CENTRAL 167198 10/09/2014 009213 SHERRY BERRY MUSIC Jazz @ the Merc 10/2 283.50 283.50 167199 10/09/2014 004814 SIMON WONG ENGINEERING Feb-Apr'14 const support:Main Str 1,447.50 1,447.50 167200 10/09/2014 015119 SMC FAMILY CORP balance due:commission recogn 10/7 1,055.00 1,055.00 Page apChkLst Final Check List Page: 10 10/09/2014 2:19:46PM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA Check # Date Vendor 167202 10/09/2014 000537 SO CALIF EDISON (Continued) Description Amount Paid Check Total Sep 2-30-520-4414:32781 Tem pkwy LS3 1,176.74 Sep 2-36-641-3912:27498 Enterprise cir 41.12 Sep 2-36-641-3839:27498 Enterprise cir 30.28 Sep 2-28-904-7706:32329 Overland Trl 139.17 Sep 2-35-074-2847:26902 Jefferson ave 51.00 Sep 2-35-664-9053:29119 Margarita rd 360.71 Sep 2-35-403-6337:41375 McCabe Ct 1,611.65 Sep 2-25-393-4681:41951 Moraga Rd 546.09 Sep 2-02-351-4946:41845 6th St 2,638.51 Sep 2-18-937-3152:28314 Mercedes St 1,319.98 Sep 2-31-912-7494:28690 Mercedes St 2,023.50 Sep 2-29-933-3831:43230 Bus park dr 3,009.76 Sep 2-14-204-1615:30027 Front st rdio 66.17 Sep 2-29-295-3510:32211 Wolf vly rd 2,207.64 Sep 2-29-224-0173:32364 Overland Trl 3,220.47 Sep 2-00-397-5042:43200 Bus pk dr #1 6,808.52 Sep 2-32-903-8293:Civic Center 38,532.25 Sep 2-02-502-8077:43210 Bus pk dr B 378.01 Sep 2-19-171-8568:28300 Mercedes St 103.04 Sep 2-28-629-0507:30600 Pauba Rd 19,608.96 Sep 2-29-223-8607:42035 2nd St PED 928.24 Sep 2-31-031-2616:27991 Diaz Rd 28.77 Sep 2-31-282-0665:27407 Diaz Rd 28.77 Sep 2-31-419-2873:43000 Hwy -395 27.50 Sep 2-34-333-3589:41702 Main St 28.64 Sep 2-31-536-3655:41904 Main St 1,499.38 Sep 2-31-536-3481:41902 Main St 242.36 Sep 2-29-953-8082:31523 Wolf vly rd 30.71 Sep 2-29-953-8249:46497 Wolf crk dr 29.75 Sep 2-35-707-0010:33451 S Hwy -79 83.13 Sep 2-31-404-6020:28771 OT front st 1,112.33 Sep 2-29-953-8447:31738 Wolf vly rd 26.19 Sep 2-29-657-2332:45538 Redwood Rd 26.35 Sep 2-30-220-8749:45850 N Wolf crk dr 293.10 Sep 2-29-807-1226:28077 Diaz Rd 28.34 Sep 2-29-657-2787:41638 Winchester 27.67 Sep 2-29-807-1093:28079 Diaz Rd 28.34 Sep 2-29-657-2563:42902 Butterfield 227.17 Sep 2-31-936-3511:46488 Pechanga pkwy 56.52 Sep 2-00-397-5067:TCSD svc lev C 2,632.47 Sep credit billing adj:planned outage -30.00 Sep 2-31-536-3226:28690 Mercedes St 2,237.13 167203 10/09/2014 001212 SO CALIF GAS COMPANY Sep 117-188-6393-6:32131 S Loop rd Sep 091-085-1632-0:41951 Moraga Rd 47.75 93,466.43 124.87 172.62 Pagel 0 apChkLst Final Check List Page: 11 10/09/2014 2:19:46PM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA (Continued) Check # Date Vendor Description 167204 10/09/2014 006221 SOUTH BAY FOUNDRY INC. storm drain grates:winchester crk dr/79n 167205 10/09/2014 000519 SOUTH COUNTY PEST CONTROL INC 167206 10/09/2014 012652 SOUTHERN CALIFORNIA 167207 10/09/2014 013935 SOUTHERN CALIFORNIA EDISON CO 167208 10/09/2014 016939 SPERO VINEYARDS, INC 167209 10/09/2014 005786 SPRINT Amount Paid Check Total 1,339.20 1,339.20 pest control svcs:wolf creek park 49.00 Sept pest control svcs:City facs pest control svcs:stn 84 pest control svcs:stn 92 890.00 80.00 49.00 1,068.00 OCT GEN USAGE:0141,0839,2593,9306 493.15 493.15 Raise existing pull box:F.V.Pkwy Intrchg 1,704.00 1,704.00 Use Fee:Global Citizens program 1,500.00 1,500.00 Aug 26 - Sep 25 cellular usage/equip 4,958.81 8/26-9/25 CREDIT BILLING ADJ:CELLULAI 167210 10/09/2014 000293 STADIUM PIZZA INC Rfrshmnts:High Hopes Halloween 10/17 167214 10/09/2014 007762 STANDARD INSURANCE MANDATORY LIFE INSURANCE COMPANY PAYMENT 167215 10/09/2014 012723 STANDARD INSURANCE VOLUNTARY SUPP LIFE INSURANCE COMPANY PAYMENT 167216 10/09/2014 012789 STUART, JENNIFER SARAH TCSD Instructor Earnings 2,526.79 2,526.79 167217 10/09/2014 009061 STURDIVANT, ANGELA P. TCSD Instructor Earnings 308.70 308.70 -711.00 4,247.81 250.92 250.92 9,155.73 9,155.73 801.70 801.70 167218 10/09/2014 010924 T & D COMMUNICATIONS, INC. General cabling services:TES Pool 240.00 240.00 167219 10/09/2014 000305 TARGET BANK BUS CARD MISC SUPPLIES:THEATER 33.90 SRVCS MISC SUPPLIES:THEATER MISC SUPPLIES:THEATER Misc supplies:children's museum Misc supplies:harveston center 167220 10/09/2014 001547 TEAMSTERS LOCAL 911 UNION DUES PAYMENT 167221 10/09/2014 000515 TEMECULA VALLEY CHAMBER 2nd qtr sponsorship agrmnt pmt OF 4.23 5.69 23.16 26.08 93.06 4,960.00 4,960.00 33,750.00 33,750.00 Page:11 apChkLst Final Check List Page: 12 10/09/2014 2:19:46PM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA Check # Date Vendor (Continued) Description Amount Paid Check Total 167222 10/09/2014 005970 TEMECULA VALLEY PLAYERS West Side Story 9/11-28/14 22,168.97 22,168.97 167223 10/09/2014 016311 TIERCE, NICHOLAS Graphic design srvcs: Theater 2,295.00 2,295.00 167224 10/09/2014 010276 TIME WARNER CABLE Oct high speed internet:Library 571.61 Oct high speed internet:40135 Village Rd 319.00 890.61 167225 10/09/2014 000161 TYLER TECHNOLOGIES, INC Aug Permitting & Land Mgmt software 453.41 453.41 167226 10/09/2014 000325 UNITED WAY UNITED WAY CHARITIES PAYMENT 5.00 5.00 167227 10/09/2014 004261 VERIZON Sep xxx-5694 gen usage:32131 S Loop rd 745.79 Sep xxx-2886 gen usage:Harveston ctr 167228 10/09/2014 017326 VERSTRATEN, MONICA refund:sec dep:mpr harveston center 167229 10/09/2014 017330 WELLS -ALLEN, MONIQUE refund:sec dep:tcc multipurpose rm 167230 10/09/2014 003730 WEST COASTARBORISTS INC 8/16-31 tree maint srvc:r.highlands 8/16-30 tree maint srvcs:parks & medians 8/16-31 tree maint srvcs:villages slope 8/16-31 tree maint srvcs:crowne hill 167231 10/09/2014 008402 WESTERN RIVERSIDE COUNTY 167232 10/09/2014 000341 WILLDAN ASSOCIATES INC 167233 10/09/2014 009512 WURMS JANITORIAL SERVICES, INC 1000227 10/01/2014 017311 CALVARY KOINONIA 1000228 10/01/2014 017310 KENDIG, SAMANTHA 1000229 10/01/2014 017079 SIMON, JODIE 1000230 10/02/2014 017322 BARBOUR, LAURA 1000231 10/02/2014 017323 BROWN, CATHY 120.56 866.35 200.00 200.00 150.00 150.00 7,420.00 3,532.00 504.00 224.00 11, 680.00 Aug '14 MSHCP payment 14,892.00 14,892.00 7/28-8/22 on-call traffic eng srvcs: pw 552.63 552.63 Oct janitorial srvcs:police old town 269.57 Oct janitorial svcs:City facs 21,899.53 22,169.10 refund:sec dep:amphitheater 200.00 200.00 refund:cooking event:girls night out 37.00 37.00 refund:bear cub university:kiddie cubs 329.00 329.00 refund:bear cub university:kiddie cubs 215.20 215.20 refund:first aid course 25.00 25.00 Page:12 apChkLst Final Check List Page: 13 10/09/2014 2:19:46PM CITY OF TEMECULA Bank : union UNION BANK OF CALIFORNIA Check # Date Vendor (Continued) Description 1000232 10/02/2014 017324 NERI, JIELEEN refund:cooking event:girls night out 1000233 10/07/2014 017329 COOKS, LOLA refund:sec dep:tcc classroom a Amount Paid Check Total 37.00 37.00 150.00 150.00 Grand total for UNION BANK OF CALIFORNIA: 1,211,521.74 Page:13 apChkLst Final Check List Page: 14 10/09/2014 2:19:46PM CITY OF TEMECULA 156 checks in this report. Grand Total All Checks. 1,211,521.74 Page:14 Item No. 4 Approvals City Attorney Finance Director City Manager CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Kevin Hawkins, Director of Community Services DATE: October 28, 2014 SUBJECT: Approve a Sponsorship Agreement with Destination Races for the Temecula Wine Country Half Marathon PREPARED BY: Dawn Adamiak, Recreation Supervisor RECOMMENDATION: That the City Council approve the Sponsorship Agreement with Destination Races for city -support costs, in the amount of $2,500 and in-kind promotional services of $11,415, for the 2014 Temecula Wine Country Half Marathon. BACKGROUND: Staff has received a sponsorship request from Destination Races to provide city -support costs for the 2014 Temecula Wine Country Half Marathon to be held November 14-15, 2014. The Economic Development Sub -Committee of the City Council (Council Members Roberts and Washington) met on March 26, 2014 to review the budget on this special event and recommended support at the levels indicated in the staff report. The event will serve as a fundraiser with the Boys & Girls Club of Southwest County, a local non-profit whose mission is to inspire and enable all youth to reach their full potential as educated, productive, responsible and caring citizens by providing enriching and challenging programs presented by dedicated, professionally trained teachers and mentors. The Temecula Wine Country Half Marathon will include a Race Expo open to the public featuring exhibits, product sampling, packet pick-up, seminars and wine tasting on Friday, November 14th in Old Town from 10:OOam-7:OOpm. Saturday will include the race beginning at 7:15am followed by the post -race Wine & Music Festival held in Wine Country. FISCAL IMPACT: The City -support costs of $2,500 and in-kind promotional services of $11,415 are included in the Fiscal Year 2014-15 Operating Budget of the various supporting departments. ATTACHMENTS: Agreement SPONSORSHIP AGREEMENT BETWEEN THE CITY OF TEMECULA AND DESTINATION RACES, INC., FOR TEMECULA WINE COUNTRY HALF MARATHON THIS AGREEMENT is made and effective as of this October 28, 2014, by and between the City of Temecula ("City"), and Destination Races, a California corporation (hereinafter referred to as ("Destination Races"). In consideration of the mutual covenants, conditions and undertakings set forth herein, the parties agree as follows: 1. RECITALS This Agreement is made with respect to the following facts and purposes which each of the parties acknowledge and agree are true and correct: a. Destination Races shall operate the Temecula Wine Country Half Marathon event (hereinafter referred to as the "Event") on November 14-15, 2014. The Event is a special event which is located in the City of Temecula at the Civic Center and at South Coast Winery. b. The Event includes a half marathon race in Temecula Wine Country, race expo at the Temecula Civic Center and dine -around at restaurants in Old Town Temecula. c. Alcohol will be served. d. The City desires to be a Co -Sponsor of the Event. e. The Event will serve as a fundraiser for the Boy's and Girl's Club of Southwest County, a local 501(c)(3) non-profit organization whose charitable work and contribution have benefited the people of Temecula, selected to be the primary recipient. The Boy's and Girl's Club of Southwest County is a recipeient of community service grants and Community Development Block Grant funding from the City. Other funds that are available will be designated to other Temecula based charities. f. The Event will provide significant benefits to the City of Temecula. In addition to raising funds for the Boy's and Girl's Club of Southwest County, the Event will draw many tourists to Old Town Temecula who will patronize local Temecula businesses and restaurants. Destination Races will directly utilize local Temecula business and restaurants to support the Event Programs. Advertising by Destination Races of the event will also provide advertising and promotion of the City of Temecula and its local businesses. 2. TERM This Agreement shall commence on the date of this Agreement, and shall remain and continue in effect until tasks described herein are completed, but in no event later than March 1, 2015, unless sooner terminated pursuant to the provisions of this Agreement. 3. OBLIGATIONS OF DESTINATION RACES AND CITY a. In exchange for providing Destination Races with in-kind city -support services valued at an amount not to exceed Two Thousand Five Hundred Dollars and No Cents ($2,500.00) and in-kind promotional services valued at an amount not to exceed Eleven Thousand Four Hundred Fifteen Dollars and No Cents ($11,415.00), as listed in Exhibit B, the City of Temecula shall be designated as a Co -Sponsor of the Event. As a Co -Sponsor the City shall receive sponsor benefits as listed in Exhibit A. b. Destination Races shall partner with the Temecula Valley Convention & Visitors Bureau ("TVCVB") to help promote the Event. The City of Temecula contracts with the TVCVB to generate Visitor -Related Economic Impact for the City of Temecula. This will include but not be limited to over -night room bookings, dining and shopping within the City of Temecula. Any media visits coordinated by Destination Races shall include an invitation to visit all Temecula entities (i.e. Old Town, wineries, golf). Secondly, Destination Races shall include in its basic press kit a press release provided by the TVCVB which focuses on the attractions of Temecula, including Old Town, golf, wineries, etc. This informational piece shall be provided to all media working with Destination Races or its representatives on festival -related stories. c. Destination Races shall support economies of the City of Temecula by promoting and utilizing local businesses (e.g. local food vendors, restaurants, wineries, crafters, etc.) first when competitive and practicable. d. Destination Races shall allocate a minimum of $2.00 per each race registarion to the Boy's and Girl's Club of Southwest County for the Club's programs benefiting children within the City of Temecula. Registrants will have the option of making an additional contribution to the Boy's and Girl's Club of Southwest County. Desintation Races will make a contribution of $50.00 to the Boy's & Girl's Club per each volunteer provided. Prior to the City's providing the in-kind support services and promotional services described in this Agreement, Destination Races shall enter into a donation agreement with the Boy's and Girl's Club of Southwest County to confirm its donation pledge and the details of making this donation. On or before March 1, 2015, Destination Races shall provide the City with the amount of the gross proceeds of the Event as verified by a certified public accountant. 4. WRITTEN REPORT Within ninety (90) days after the conclusion of the Event, Destination Races shall prepare and submit to the Assistant City Manager a written report evaluating the Event, its attendance, media coverage, and description of the materials in which the City has been listed as a sponsor. The report shall also include samples of media, press clippings, flyers, pamphlets, etc., in a presentation notebook format. In addition, complete financial statements including a balance sheet, income statement and budget to actual comparison report of the Event must be included in such a written report. 5. PERMITS Destination Races shall file an application for a Special Event Permit with the City no later than thirty (30) days prior to the first day of the Event. The City retains its governmental jurisdiction to determine whether to issue the permits and the nature and scope of Conditions of Approval. Destination Races shall comply with all conditions of approval for the Special Event Permit, or any other City -issued permits. Failure to comply with the Conditions of Approval of such permits shall constitute a default of this Agreement and is grounds for termination of this Agreement. 6. MEETING ATTENDANCE Destination Races shall attend all City pre -event planning meetings and event recap meetings if warranted. 7. INDEMNIFICATION Destination Races shall indemnify, protect, defend and hold harmless the City of Temecula, Temecula Community Services District, and/or the Successor Agency to the Temecula Redevelopment Agency, its elected officials, officers, employees, volunteers, and representatives from any and all suits, claims, demands, losses, defense costs or expenses, actions, liability or damages of whatsoever kind and nature which the City of Temecula, Temecula Community Services District, and/or the Successor Agency to the Temecula Redevelopment Agency, its officers, agents and employees may sustain or incur or which may be imposed upon them for injury to or death of persons, or damage to property arising out of Destination Races' negligent or wrongful acts or omissions arising out of or in any way related to the performance or non-performance of this Agreement. 8. INSURANCE Destination Races shall secure and maintain from a State of California admitted insurance company, pay for and maintain in full force and effect for the duration of this Agreement an insurance policy of comprehensive general liability against claims for injuries to persons or damages to property, which may arise from or in connection with the performance of the work hereunder by, its agents, representatives, or employees. a. Minimum Scope of Insurance. Coverage shall be at least as broad as: 1) Insurance Services Office Commercial General Liability form No. CG 00 01 11 85 or 88. 2) Insurance Services Office Business Auto Coverage form CA 00 01 06 92 covering Automobile Liability, code 1 (any auto). If the Recipient owns no automobiles, a non -owned auto endorsement to the General Liability policy described above is acceptable. 3) Alcohol Liability. 4) Worker's Compensation insurance as required by the State of California and Employer's Liability Insurance. If the Recipient has no employees while performing under this Agreement, worker's compensation insurance is not required, but Destination Races shall execute a declaration that it has no employees. b. Minimum Limits of Insurance. Destination Races shall maintain limits no less than: 1) General Liability: Two million ($2,000,000) per occurrence for bodily injury, personal injury and property damage. If Commercial General Liability Insurance or other form with a general aggregate limit is used, either the general aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit. 2) Automobile Liability: One million ($1,000,000) per accident for bodily injury and property damage. 3) Alcohol Liability Coverage: Two million ($2,000,000) per occurrence for bodily injury, personal injury and property damage. 4) Worker's Compensation as required by the State of California; Employer's Liability: One million dollars ($1,000,000) per accident for bodily injury or disease. c. Deductibles and Self -Insured Retentions. Any deductibles or self-insured retentions shall not exceed Twenty Five Thousand Dollars and No Cents ($25,000). d. Other Insurance Provisions. The general liability and automobile liability policies are to contain, or be endorsed to contain, the following provisions: 1) The City of Temecula, the Temecula Community Services District, the Successor Agency to the Temecula Redevelopment Agency, their officers, officials, employees and volunteers are to be covered as insured's, as respects: liability arising out of activities performed by or on behalf of Destination Races; products and completed operations of the Recipient; premises owned, occupied or used by Destination Races; or automobiles owned, leased, hired or borrowed by Destination Races. The coverage shall contain no special limitations on the scope of protection afforded to the City of Temecula, the Temecula Community Services District, the Successor Agency to the Temecula Redevelopment Agency, their officers, officials, employees or volunteers. 2) For any claims related to this project, Destination Races' insurance coverage shall be primary insurance as respects the City of Temecula, the Temecula Community Services District, the Successor Agency to the Temecula Redevelopment Agency, their officers, officials, employees and volunteers. Any insurance or self-insured maintained by the City of Temecula, Temecula Community Services District, and/or the Successor Agency to the Temecula Redevelopment Agency, its officers, officials, employees or volunteers shall be excess of Destination Races' insurance and shall not contribute with it. 3) Any failure to comply with reporting or other provisions of the policies including breaches of warranties shall not affect coverage provided to the City, the Temecula Community Services District, the Successor Agency to the Temecula Redevelopment Agency, their officers, officials, employees or volunteers. 4) Destination Races' insurance shall apply separately to each insured against whom claim is made or suit is brought, except with respect to the limits of the insurer's liability. 5) Each insurance policy required by this agreement shall be endorsed to state: should the policy be canceled before the expiration date the issuing insurer will endeavor to mail thirty (30) days prior written notice to the City. 6) If insurance coverage is canceled or, reduced in coverage or in limits Destination Races shall within two (2) business days of notice from insurer phone, fax, and/or notify the City via certified mail, return receipt requested of the changes to or cancellation of the policy. e. Acceptability of Insurers. Insurance is to be placed with insurers with a current A.M. Best rating of A -:VII or better, unless otherwise acceptable to the City. Self insurance shall not be considered to comply with these insurance requirements. f. Verification of Coverage. Destination Races shall furnish the City with original endorsements effecting coverage required by this clause. The endorsements are to be signed by a person authorized by that insurer to bind coverage on its behalf. The endorsements are to be on forms provided by the City. All endorsements are to be received and approved by the City before work commences. As an alternative to the City's forms, Destination Races' insurer may provide complete, certified copies of all required insurance policies, including endorsements affecting the coverage required by these specifications. 9. GOVERNING LAW The City and Destination Races understand and agree that the laws of the State of California shall govern the rights, obligations, duties and liabilities of the parties to this Agreement and also govern the interpretation of this Agreement. Any litigation concerning this Agreement shall take place in the municipal, superior, or federal district court with geographic jurisdiction over the City of Temecula. In the event such litigation is filed by one party against the other to enforce its rights under this Agreement, the prevailing party, as determined by the Court's judgment, shall be entitled to reasonable attorney fees and litigation expenses for the relief granted. 10. LEGAL RESPONSIBILITIES Destination Races shall keep itself informed of all local, State and Federal ordinances, laws and regulations which in any manner affect those employed by it or in any way affect the performance of its service pursuant to this Agreement. Destination Races shall at all times observe and comply with all such ordinances, laws and regulations. The City, and its officers and employees, shall not be liable at law or in equity occasioned by failure of Destination Races to comply with this section. 11. ASSIGNMENT Destination Races shall not assign the performance of this Agreement, nor any part thereof, nor any monies due hereunder, without prior written consent of the City. 12. NOTICES Any notices which either party may desire to give to the other party under this Agreement must be in writing and may be given either by (i) personal service, (ii) delivery by a reputable document delivery service, such as but not limited to, Federal Express, that provides a receipt showing date and time of delivery, or (iii) mailing in the United States Mail, certified mail, postage prepaid, return receipt requested, addressed to the address of the party as set forth below or at any other address as that party may later designate by Notice: Mailing Address: To Recipient: City of Temecula Attn: Assistant City Manager 41000 Main Street Temecula, CA 92590 Destination Races 1224 Sperring Road Sonoma, CA 95476 Attn: Matt Dockstader 15. INDEPENDENT CONTRACTOR a. Destination Races shall at all times remain as to the City a wholly independent contractor. The personnel performing the services under this Agreement on behalf of Destination Races shall at all times be under Destination Races' exclusive direction and control. Neither City nor any of its officers, employees, agents, or volunteers shall have control over the conduct of Recipient or any of Destination Races' officers, employees, or agents except as set forth in this Agreement. Destination Races shall not at any time or in any manner represent that it or any of its officers, employees or agents are in any manner officers, employees or agents of the City. Destination Races shall not incur or have the power to incur any debt, obligation or liability whatever against City, or bind City in any manner. b. No employee benefits shall be available to Destination Races in connection with the performance of this Agreement. Except for the fees paid to Destination Races as provided in the Agreement, City shall not pay salaries, wages, or other compensation to Destination Races for performing services hereunder for City. City shall not be liable for compensation or indemnification to Destination Races for injury or sickness arising out of performing services hereunder. 13. ENTIRE AGREEMENT This Agreement contains the entire understanding between the parties relating to the obligations of the parties described in this Agreement. All prior or contemporaneous agreements, understandings, representations and statements, oral or written, are merged into this Agreement and shall be of no further force or effect. Each party is entering into this Agreement based solely upon the representations set forth herein and upon each party's own independent investigation of any and all facts such party deems material. 14. AUTHORITY TO EXECUTE THIS AGREEMENT The person or persons executing this Agreement on behalf of Destination Races warrants and represents that he or she has the authority to execute this Agreement on behalf of Destination Races and has the authority to bind Destination Races to the performance of its obligations hereunder. The City Manager is authorized to enter into an amendment on behalf of the City to make the following non -substantive modifications to the agreement: (a) name changes; (b) extension of time; (c) non -monetary changes in scope of work; (d) agreement termination. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed the day and year first above written. CITY OF TEMECULA Jeff Comerchero, Mayor Pro Tem ATTEST: Randi Johl-Olson, JD, MMC, City Clerk APPROVED AS TO FORM: Peter M. Thorson, City Attorney DESTINATION RACES, Inc., a California Corporation (Two Signatures of corporate officers required unless corporate documents authorize only one person to sign the agreement on behalf of the corporation.) By: Bart Davis, Director of Operations By: Matt Dockstader, Race Director Destination Races Attn: Matt Dockstader 1224 Sperring Road Sonoma, CA 94776 (707) 933-1796 matt@destinationraces.com PM Initials: Date: EXHIBIT "A" CITY OF TEMECULA'S SPONSORSHIP BENEFITS CO-SPONSOR Destination Races shall provide the following benefits and services for the citizens of the City of Temecula: • City of Temecula logo/name on advertisements • City of Temecula name on all press releases • City of Temecula logo/name on event poster • City of Temecula logo/name on event flyers • City of Temecula logo/name on event t -shirt • 10 Temecula Wine Country Half Marathon t -shirts **Press Releases will be distributed to all local media, however, publication cannot be guaranteed. Press Releases can also be provided to all sponsors for distribution to their clients, agents, employees, etc. EXHIBIT "B" IN-KIND SERVICES ESTIMATED VALUE OF CITY SUPPORT SERVICES AND COSTS Based on the input from City departments we received estimated cost projections for the Temecula Wine Country Half Marathon event. The following expenses can be anticipated for the event: Police: $0 Fire: $0 Community Services: $2,000.00 Public Works: $ 500.00 TOTAL: $2,500.00 ESTIMATED VALUE OF PROMOTIONAL SERVICES PROVIDED BY THE CITY OF TEMECULA The estimated value for in-kind promotional assistance provided by The City of Temecula for the Temecula Wine Country Half Marathon is as follows: Item Value Cable Channel Event slide appears approximately once per hour for 30 seconds Auto Mall Marque Appears approximately once every 4 1/2 minutes Promotional Poster Located in the concourse at the City of Temecula Civic Center City Website Event listing on the City of Temecula Website Event Calendar TOTAL VALUE $ 5,100.00 $ 3,115.00 $ 1,000.00 $ 2,200.00 $ 11,415.00 Item No. 5 Approvals City Attorney Finance Director City Manager CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Armando G. Villa, AICP, Director of Community Development DATE: October 28, 2014 SUBJECT: Approve State of California Department of Housing and Community Development Housing -Related Parks Program Grant Award PREPARED BY: Dana Weaver, Associate Planner RECOMMENDATION: That the City Council adopt a resolution entitled: RESOLUTION NO. 14- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA APPROVING THE STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT, HOUSING -RELATED PARKS PROGRAM GRANT AWARD BACKGROUND: The State Department of Housing and Community Development (HCD) Housing -Related Parks Program (HRPP) grant is an innovative program designed to reward local governments that approve housing for lower-income households, and are in compliance with State housing element law, with non-competitive grant funds to create or rehabilitate parks. The City of Temecula City Council adopted Resolution No. 14-03 on January 14, 2014, authorizing staff to submit a grant application to HCD for HRPP grant funds. City staff submitted the application to HCD on January 22, 2014, and received confirmation of a $321,100 grant award on July 8, 2014. The City selected the Special Needs Playground Project at Margarita Community Park for the HRPP funding. The project scope includes the design, purchase, and installation of a playground and splash pad intended for use by special needs children, ages 2-8, with physical disabilities, special needs, and/or developmental disabilities. Phase I was fully funded with Development Impact Fees (Parks & Recreation) and Development Impact Fees (Quimby). Phase II, funded with the HRPP grant, will include purchase and installation of the above ground splash pad components, and complete the park improvements. In order to accept and administer the HRPP grant, the City must enter into a Standard Agreement with HCD. City staff received the Standard Agreement on October 9, 2014. The agreement was signed by the City Manager, and mailed to HCD for execution. The City may begin to incur costs and execute funds for the special needs playground phase II (splash pad) once the Standard Agreement is fully executed. On October 9, 2014, City staff received notice that during the contracting process for the Standard Agreement, the legal division for HCD determined the adopted resolution authorizing submittal and execution of the Standard Agreement must also include the exact amount of the grant award. This information was not available to staff at the time the City adopted the authorizing resolution as HCD did not include this information in the resolution template provided to potential applicants. As a result, HRPP grant awardees are being required to submit a revised resolution. HCD has confirmed that the adoption of a revised resolution will not impact the City's ability to encumber funds against its award immediately upon execution of the Standard Agreement. Because HCD did not identify this requirement in the original resolution template, grantees are being allowed to commence work on their park projects in advance of submitting the revised resolutions. FISCAL IMPACT: The timely submittal of the revised resolution to HCD enables the City to receive reimbursement of $321,100 for the funding of Phase II of the Special Needs Playground Project at Margarita Community Park. ATTACHMENT: Resolution RESOLUTION NO. 14- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA APPROVING THE STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT, HOUSING -RELATED PARKS PROGRAM GRANT AWARD THE CITY COUNCIL OF THE CITY OF TEMECULA DOES HEREBY RESOLVE AS FOLLOWS: Section 1. Findings. The City Council of the City of Temecula does hereby find, determine and declare that: A. The State California, Department of Housing and Community Development (HCD) issued a Notice of Funding Availability (NOFA) dated October 2, 2013, under its Housing -Related Parks Program (HRPP). B. The City Council adopted Resolution No. 14-03 on January 14, 2014, authorizing the submittal of a grant application to HCD and execution of the Standard Agreement for HRPP grant funds. C. The City of Temecula submitted a grant application to HCD for HRPP grant funds to construct the splash pad at the special needs playground at Margarita Community Park in Fiscal Year 2014-2015. D. The City of Temecula has been identified as the recipient of HRPP grant funds, in the amount of $321,100, to construct the splash pad at the Special Needs Playground at Margarita Community Park in Fiscal Year 2014-2015. E. The stakeholders for this program include the City of Temecula, acting as the lead agency and recipient for HRPP grant funds with HCD. F. The City of Temecula will enter into a Standard Agreement with HCD in order to fund and administer the grant program. G. The City of Temecula certifies that all uses of the funds will be in compliance with the HRPP requirements, subject to the terms and conditions of the Standard Agreement. Funds are to be used for allowable capital asset project expenditures to be identified in Exhibit E of the Standard Agreement. Section 2. The City of Temecula hereby accepts the HRPP grant award of $321,100 to be used for the tasks and deliverables outlined in the scope of work for the splash pad at the Special Needs Playground at Margarita Community Park. Section 3. The City of Temecula is authorized to act as the lead agency for the purposes of applying for and administering the HRPP grant, and the City Manager or his representative is authorized and empowered to execute all required certifications, contracts and agreements, and any subsequent amendments thereto, necessary to enter into the Standard Agreement with HCD for the purposes of performing any and all responsibilities in relationship to the HRPP grant. PASSED, APPROVED, AND ADOPTED by the City Council of the City of Temecula this 28th day of October, 2014. Maryann Edwards, Mayor ATTEST: Randi Johl-Olson, JD, MMC City Clerk [SEAL] STATE OF CALIFORNIA ) COUNTY OF RIVERSIDE ) ss CITY OF TEMECULA ) I, Randi Johl-Olson, JD, MMC, City Clerk of the City of Temecula, do hereby certify that the foregoing Resolution No. 14- was duly and regularly adopted by the City Council of the City of Temecula at a meeting thereof held on the 28th day of October, 2014, by the following vote: AYES: COUNCIL MEMBERS: NOES: COUNCIL MEMBERS: ABSENT: COUNCIL MEMBERS: ABSTAIN: COUNCIL MEMBERS: Randi Johl-Olson, JD, MMC City Clerk Supplemental Material for Item No. 5 Approve State of California Department of Housing and Community Development Housing -Related Parks Program Grant Award RESOLUTION NO. 14- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA APPROVING THE STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT, HOUSING -RELATED PARKS PROGRAM GRANT AWARD THE CITY COUNCIL OF THE CITY OF TEMECULA DOES HEREBY RESOLVE AS FOLLOWS: Section 1. Findings. The City Council of the City of Temecula does hereby find, determine and declare that: A. The State California, Department of Housing and Community Development (HCD) issued a Notice of Funding Availability (NOFA) dated October 2, 2013, under its Housing -Related Parks Program (HRPP). B. The City Council adopted Resolution No. 14-03 on January 14, 2014, authorizing the submittal of a grant application to HCD and execution of the Standard Agreement for HRPP grant funds. C. The City of Temecula submitted a grant the 2013 Designated Program Year Aapplication to HCD for HRPP grant funds to construct the splash pad at the special needs playground at Margarita Community Park in Fiscal Year 2014-2015. D. HCD is authorized to approve funding allocations for the HRP Program, subject to the terms and conditions of the NOFA, Program Guidelines, Application Package, and Standard Agreement. ED. The City of Temecula has been identified -awarded as the rccipient of an HRPP grant funds; in the amount of $321,100, to construct the splash pad at the Special Needs Playground at Margarita Community Park in Fiscal Year 2014-2015. E. The stakeholders for this program include the City of Temecula, acting as the lead agency and recipient for HRPP grant funds with HCD. G. The City of Temecula will enter into, execute, and deliver a State of California -a Standard Agreement with HCD in order to fund and administer the HRPP grant in the amount of $321,100grant program. HG. The City of Temecula certifies that all uses of the funds will be in compliance with the HRPP requirements, subject to the terms and conditions as specified efin the Standard Agreement. Funds are to be used for allowable capital asset project expenditures to be identified in Exhibit AS of the Standard Agreement. The application in full is incorporated as part of the Standard Agreement. Any and all activities funded, information provided, and timelines represented in the application are enforceable through the Standard Agreement. Applicant hereby agrees to use the funds for eligible capital asset(s) in the manner presented in the application as approved by the Department and in accordance with the NOFA and Program Guidelines and Application Package. Section 2. The City of Temecula hereby accepts the HRPP grant award of $321,100 to be used for the tasks and deliverables outlined in the scope of work for the splash pad at the Special Needs Playground at Margarita Community Park. Section 3. The City of Temecula is authorized to act as the lead agency for the purposes of applying for and administering the HRPP grant, and the City Manager or his representative is authorized and empowered to execute all required certifications, contracts and agreements, and any subsequent amendments thereto, necessary to enter into the Standard Agreement with HCD for the purposes of performing any and all responsibilities in relationship to the HRPP grant. PASSED, APPROVED, AND ADOPTED by the City Council of the City of Temecula this 28th day of October, 2014. Maryann Edwards, Mayor ATTEST: Randi Johl-Olson, JD, MMC City Clerk [SEAL] STATE OF CALIFORNIA ) COUNTY OF RIVERSIDE ) ss CITY OF TEMECULA ) I, Randi Johl-Olson, JD, MMC, City Clerk of the City of Temecula, do hereby certify that the foregoing Resolution No. 14- was duly and regularly adopted by the City Council of the City of Temecula at a meeting thereof held on the 28th day of October, 2014, by the following vote: AYES: COUNCIL MEMBERS: NOES: COUNCIL MEMBERS: ABSENT: COUNCIL MEMBERS: ABSTAIN: COUNCIL MEMBERS: Randi Johl-Olson, JD, MMC City Clerk Item No. 6 Approvals City Attorney Finance Director City Manager CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Thomas W. Garcia, Director of Public Works/City Engineer DATE: October 28, 2014 SUBJECT: Award a Construction Contract to All American Asphalt for the Ynez Road Pavement Rehabilitation (Jedediah Smith Road to Vallejo Avenue), PW12-12 PREPARED BY: Amer Attar, Principal Engineer Jon Salazar, Associate Engineer RECOMMENDATION: That the City Council: 1. Award a Construction Contract to All American Asphalt, in the amount of $664,500, for the Ynez Road Pavement Rehabilitation (Jedediah Smith Road to Vallejo Avenue), PW12-12; 2. Authorize the City Manager to approve Contract Change Orders not to exceed the contingency amount of $66,450, which is equal to 10% of the contract amount; 3. Make a finding that the Ynez Road Pavement Rehabilitation (Jedediah Smith Road to Vallejo Avenue), PW12-12, is exempt from Multiple Species Habitat Conservation Plan (MSHCP) fees. BACKGROUND: On September 9, 2014, the City Council approved the plans and specifications and authorized the Department of Public Works to solicit construction bids for the Ynez Road Pavement Rehabilitation (Jedediah Smith Road to Vallejo Avenue), PW12-12. As part of the Capital Improvement Program (CIP), the City Council approved an appropriation for the Citywide Pavement Rehabilitation Program that will implement the recommended maintenance activities identified in the Pavement Management System (PMS). The PMS prioritized the areas in need of repairs and made recommendations for the method of these repairs. The Ynez Road project is one of the projects listed in the City's Capital Improvement Program Budget as a project to be implemented in the current fiscal year. Three bids were received and publicly opened on October 9, 2014. The results were as follows: Staff has reviewed the bid proposals and found All American Asphalt of Corona, California to be the lowest responsible bidder for this project. All American Asphalt has public contracting experience and has completed similar projects for the City and other public agencies in Southern California. The Engineer's Estimate for the project was $610,000. The project specifications allow for 40 working days, which is an approximate duration of two months. The Multiple Species Habitat Conservation Plan (MSHCP) is an element of the Riverside County Integrated Project (RCIP) to conserve open space, nature preserves, and wildlife to be set aside in some areas. It is designed to protect over 150 species and conserve over 500,000 acres in Western Riverside County. The City of Temecula is a permittee to the MSHCP, and as such, is required to abide by the Regional Conservation Authority's (RCA) Fee Remittance and Collection Policy adopted by Resolution 07-04 on September 10, 2007. The RCA is a joint regional authority formed by the County and the Cities to provide primary policy direction for implementation of the MSHCP. Beginning July 1, 2008, the RCA required that locally funded Capital Improvement Projects contribute applicable MSHCP fees within 90 -days of construction contract award. Fees outside the public right of way are calculated on a cost per acre of disturbed area basis, while fees for typical right of way improvements projects are 5% of construction costs. Projects funded by TUMF or Measure A are exempt from MSHCP fees, as those programs contribute directly to the MSHCP. The Ynez Road Pavement Rehabilitation project consists of constructing improvements within the existing right of way. There is no new disturbed area, thus, the project is exempt from MHSCP fees. FISCAL IMPACT: The Pavement Rehabilitation Program - Citywide project is included in the City's Capital Improvement Program (CIP) Budget for Fiscal Years 2015-19, and is funded with Capital Projects Reserves and Measure A. Adequate funds are available in the project accounts for the contract amount of $664,500.00 plus the 10% contingency amount of $66,450.00 for a total encumbrance of $730,950.00. ATTACHMENTS: 1. Contract 2. Project Description 3. Project Location Base Bid 1. All American Asphalt $664,500.00 2. R.J. Noble Company $705,992.50 3. Hardy and Harper $818,000.00 Staff has reviewed the bid proposals and found All American Asphalt of Corona, California to be the lowest responsible bidder for this project. All American Asphalt has public contracting experience and has completed similar projects for the City and other public agencies in Southern California. The Engineer's Estimate for the project was $610,000. The project specifications allow for 40 working days, which is an approximate duration of two months. The Multiple Species Habitat Conservation Plan (MSHCP) is an element of the Riverside County Integrated Project (RCIP) to conserve open space, nature preserves, and wildlife to be set aside in some areas. It is designed to protect over 150 species and conserve over 500,000 acres in Western Riverside County. The City of Temecula is a permittee to the MSHCP, and as such, is required to abide by the Regional Conservation Authority's (RCA) Fee Remittance and Collection Policy adopted by Resolution 07-04 on September 10, 2007. The RCA is a joint regional authority formed by the County and the Cities to provide primary policy direction for implementation of the MSHCP. Beginning July 1, 2008, the RCA required that locally funded Capital Improvement Projects contribute applicable MSHCP fees within 90 -days of construction contract award. Fees outside the public right of way are calculated on a cost per acre of disturbed area basis, while fees for typical right of way improvements projects are 5% of construction costs. Projects funded by TUMF or Measure A are exempt from MSHCP fees, as those programs contribute directly to the MSHCP. The Ynez Road Pavement Rehabilitation project consists of constructing improvements within the existing right of way. There is no new disturbed area, thus, the project is exempt from MHSCP fees. FISCAL IMPACT: The Pavement Rehabilitation Program - Citywide project is included in the City's Capital Improvement Program (CIP) Budget for Fiscal Years 2015-19, and is funded with Capital Projects Reserves and Measure A. Adequate funds are available in the project accounts for the contract amount of $664,500.00 plus the 10% contingency amount of $66,450.00 for a total encumbrance of $730,950.00. ATTACHMENTS: 1. Contract 2. Project Description 3. Project Location CITY OF TEMECULA, DEPARTMENT OF PUBLIC WORKS CONTRACT for YNEZ ROAD PAVEMENT REHABILITATION (JEDEDIAH SMITH ROAD TO VALLEJO AVENUE) PROJECT NO. PW12-12 THIS CONTRACT, made and entered into the 28th day of October, 2014, by and between the City of Temecula, a municipal corporation, hereinafter referred to as "City", and All American Asphalt, hereinafter referred to as "Contractor." WITNESSETH: That City and Contractor, for the consideration hereinafter named, mutually agree as follows: 1. CONTRACT DOCUMENTS. The complete Contract includes all of the Contract Documents, to wit: Notice Inviting Bids, Instructions to Bidders, Proposal, Performance Bond, Labor and Materials Bond, Plans and Specifications entitled YNEZ ROAD PAVEMENT REHABILITATION (JEDEDIAH SMITH ROAD TO VALLEJO AVENUE), PROJECT NO. PW12-12, Insurance Forms, this Contract, and all modifications and amendments thereto, the State of California Standard Plans and Specifications, (latest edition), issued by the California Department of Transportation, where specifically referenced in the Plans, Special Provisions, and Technical Specifications, and the latest version of the Standard Specifications for Public Works Construction, including all supplements as written and promulgated by Public Works Standards, Inc. (hereinafter, "Standard Specifications") as amended by the General Specifications, Special Provisions, and Technical Specifications for YNEZ ROAD PAVEMENT REHABILITATION (JEDEDIAH SMITH ROAD TO VALLEJO AVENUE), PROJECT NO. PW12-12. Copies of these Standard Specifications are available from the publisher: BNi Building News Division of BNi Publications, Inc. 1612 South Clementine St. Anaheim, California 92802 (714) 517-0970 The Standard Specifications will control the general provisions, construction materials, and construction methods for this Contract except as amended by the General Specifications, Special Provisions, and Technical Specifications for YNEZ ROAD PAVEMENT REHABILITATION (JEDEDIAH SMITH ROAD TO VALLEJO AVENUE), PROJECT NO. PW12-12. In case of conflict between the Standard Specifications and the other Contract Documents, the other Contract Documents shall take precedence over, and be used in lieu of, such conflicting portions. Where the Contract Documents describe portions of the work in general terms, but not in complete detail, it is understood that the item is to be furnished and installed completed and in place and that only the best general practice is to be used. Unless otherwise 1 specified, the Contractor shall furnish all labor, materials, tools, equipment, and incidentals, and do all the work involved in executing the Contract. The Contract Documents are complementary, and what is called for by anyone shall be as binding as if called for by all. Any conflict between this Contract and any other Contract Document shall be resolved in favor of this Contract. SCOPE OF WORK. Contractor shall perform everything required to be performed, shall provide and furnish all the labor, materials, necessary tools, expendable equipment, and all utility and transportation services required for the following: YNEZ ROAD PAVEMENT REHABILITATION (JEDEDIAH SMITH ROAD TO VALLEJO AVENUE), PROJECT NO. PW12-12. All of said work to be performed and materials to be furnished shall be in strict accordance with the Drawings and Specifications and the provisions of the Contract Documents hereinabove enumerated and adopted by City. 3. CITY APPROVAL. All labor, materials, tools, equipment, and services shall be furnished and work performed and completed under the direction and supervision, and subject to the approval of City or its authorized representatives. 4. CONTRACT AMOUNT AND SCHEDULE. The City agrees to pay, and Contractor agrees to accept, in full payment for, the work agreed to be done, the sum of: SIX HUNDRED SIXTY-FOUR THOUSAND FIVE HUNDRED DOLLARS ($664,500), the total amount of the base bid. Contractor agrees to complete the work in a period not to exceed 40 working days, commencing with delivery of a Notice to Proceed by City. Construction shall not commence until bonds and insurance are approved by City. 5. CHANGE ORDERS. All change orders shall be approved by the City Council, except that the City Manager is hereby authorized by the City Council to make, by written order, changes or additions to the work in an amount not to exceed the contingency as established by the City Council. 6. PAYMENTS A. Lump Sum Bid Schedule: Before submittal of the first payment request, the Contractor shall submit to the Director of Public Works a schedule of values allocated to the various portions of the work, prepared in such form and supported by such data to substantiate its accuracy as the Director of Public Works may require. This schedule, as approved by the Director of Public Works, shall be used as the basis for reviewing the Contractor's payment requests. B. Unit Price Bid Schedule: Pursuant to Section 20104.50 of the Public Contract Code, within thirty (30) days after submission of a payment request to the City, the Contractor shall be paid a sum equal to 95 percent of the value of the work completed according to the bid schedule. Payment request forms shall be submitted on or about the thirtieth (30th) day of each successive month as the work progresses. The final payment, 2 if unencumbered, or any part thereof unencumbered, shall be made sixty (60) days after acceptance of final payment and the Contractor filing a one-year Warranty and an Affidavit of Final Release with the City on forms provided by the City. C. Payments shall be made on demands drawn in the manner required by law, accompanied by a certificate signed by the City Manager, stating that the work for which payment is demanded has been performed in accordance with the terms of the Contract, and that the amount stated in the certificate is due under the terms of the Contract. Partial payments on the Contract price shall not be considered as an acceptance of any part of the work. D. Interest shall be paid on all undisputed payment requests not paid within thirty (30) days pursuant to Public Contracts Code Section 20104.50. Public Contract Code Section 7107 is hereby incorporated by reference. 7. LIQUIDATED DAMAGES — EXTENSION OF TIME. In accordance with Government Code Section 53069.85, Contractor agrees to forfeit and pay to City the sum of $1,000 per day for each calendar day completion is delayed beyond the time allowed pursuant to Paragraph 4 of this Contract. Such sum shall be deducted from any payments due to or to become due to Contractor. Contractor will be granted an extension of time and will not be assessed liquidated damages for unforeseeable delays beyond the control of, and without the fault or negligence of, the Contractor including delays caused by City. Within ten (10) calendar days of the occurrence of such delay, Contractor shall give written notice to City. Within Thirty (30) calendar days of the occurrence of the delay, Contractor shall provide written documentation sufficient to support its delay claim to City. Contractor's failure to provide such notice and documentation shall constitute Contractor's waiver, discharge, and release of such delay claims against City. 8. WAIVER OF CLAIMS. On or before making each request for payment under Paragraph 6 above, Contractor shall submit to City, in writing, all claims for compensation as to work related to the payment. Unless the Contractor has disputed the amount of the payment, the acceptance by Contractor of each payment shall constitute a release of all claims against the City related to the payment. Contractor shall be required to execute an affidavit, release, and indemnity agreement with each claim for payment. 9. PREVAILING WAGES. Pursuant to the provisions of Section 1773 of the Labor Code of the State of California, the City Council has obtained the general prevailing rate of per diem wages and the general rate for holiday and overtime work in this locality for each craft, classification, or type of workman needed to execute this Contract, from the Director of the Department of Industrial Relations. These rates are available from the California Department of Industrial Relations' Internet Web Site at http://www.dir.ca.gov. Contractor shall post a copy of such wage rates at the job site and shall pay the adopted prevailing wage rates as a minimum. Contractor shall comply with the provisions of Section 1773.8, 1775, 1776, 1777.5, 1777.6, and 1813 of the Labor Code. Pursuant to the provisions of 1775 of the Labor Code, Contractor shall forfeit to the City, as a penalty, the sum of $50.00 for each calendar day, or portion thereof, for each laborer, worker, or mechanic employed, paid less than the stipulated prevailing rates for any work done under this Contract, by him or by any subcontractor under him, in violation of the provisions of the Contract. 3 10. TIME OF THE ESSENCE. Time is of the essence in this contract. 11. INDEMNIFICATION. All work covered by this Contract done at the site of construction or in preparing or delivering materials to the site shall be at the risk of Contractor alone. Contractor agrees to save, indemnify, hold harmless and defend the City of Temecula, Temecula Community Services District, and/or successor Agency to the Temecula Redevelopment Agency, its officers, employees, and agents, against any and all liability, injuries, or death of persons (Contractor's employees included), and damage to property, arising directly or indirectly out of the obligations herein undertaken or out of the operations conducted by Contractor, save and except claims or litigations arising through the sole active negligence or sole willful misconduct of the City. The Contractor shall indemnify and be responsible for reimbursing the City for any and all costs incurred by the City as a result of Stop Notices filed against the project. The City shall deduct such costs from progress payments or final payments due to the Contractor. 12. GRATUITIES. Contractor warrants that neither it nor any of its employees, agents, or representatives has offered or given any gratuities or promises to City's employees, agents, or representatives with a view toward securing this Contract or securing favorable treatment with respect thereto. 13. CONFLICT OF INTEREST. Contractor warrants that none of its partners, members or shareholders are related by blood or marriage to any employee of the City who has participated in the development of the specifications or approval of this project or who will administer this project nor are they in any way financially associated with any City officer or employee, or any architect, engineer, or other preparers of the Drawings and Specifications for this project. Contractor further warrants that no person in its employ nor any person with an ownership interest in the Contractor has been employed by the City within one year of the date of the Notice Inviting Bids. 14. CONTRACTOR'S AFFIDAVIT. After the completion of the work contemplated by this Contract, Contractor shall file with the City Manager, its affidavit stating that all workmen and persons employed, all firms supplying materials, and all subcontractors upon the Project have been paid in full, and that there are no claims outstanding against the Project for either labor or materials, except certain items, if any, to be set forth in an affidavit covering disputed claims or items in connection with a Stop Notice which has been filed under the provisions of the laws of the State of California. 15. NOTICE TO CITY OF LABOR DISPUTES. Whenever Contractor has knowledge that any actual or potential labor dispute is delaying or threatens to delay the timely performance of the Contract, Contractor shall immediately give notice thereof, including all relevant information with respect thereto, to City. 16. BOOKS AND RECORDS. Contractor's books, records, and plans or such part thereof as may be engaged in the performance of this Contract, shall at all reasonable times be subject to inspection and audit by any authorized representative of the City. 17. INSPECTION. The work shall be subject to inspection and testing by City and its authorized representatives during manufacture and construction and all other times and places, including without limitation, the plants of Contractor and any of its suppliers. Contractor shall provide all reasonable facilities and assistance for the safety and 4 convenience of inspectors. All inspections and tests shall be performed in such manner as to not unduly delay the work. The work shall be subject to final inspection and acceptance notwithstanding any payments or other prior inspections. Such final inspection shall be made within a reasonable time after completion of the work. 18. DISCRIMINATION. Contractor represents that it has not, and agrees that it will not, discriminate in its employment practices on the basis of race, creed, religion, national origin, color, sex, age, or handicap. 19. GOVERNING LAW. The City and Contractor understand and agree that the laws of the State of California shall govern the rights, obligations, duties and liabilities of the parties to this Contract and also govern the interpretation of this Contract. Any litigation concerning this Contract shall take place in the municipal, superior, or federal district court with geographic jurisdiction over the City of Temecula. In the event of litigation between the parties concerning this Contract, the prevailing party as determined by the Court, shall be entitled to actual and reasonable attorney fees and litigation costs incurred in the litigation. 20. PROHIBITED INTEREST. No member, officer, or employee of the City of Temecula or of a local public body who has participated in the development of the specifications or approval of this project or will administer this project shall have any interest, direct or indirect, in the Contract or the proceeds thereof during his/her tenure or for one year thereafter. Furthermore, the Contractor/Consultant covenants and agrees to their knowledge that no board member, officer or employee of the City of Temecula has any interest, whether contractual, non -contractual, financial or otherwise, in this transaction, or in the business of the contracting party other than the City of Temecula, and that if any such interest comes to the knowledge of either party at any time, a full and complete disclosure of all such information will be made, in writing, to the other party or parties, even if such interest would not be considered a conflict of interest under Article 4 (commencing with Section 1090) or Article 4.6 (commencing with Section 1220) of Division 4 of Title I of the Government Code of the State of California. 21. ADA REQUIREMENTS. By signing this contract, Contractor certifies that the Contractor is in total compliance with the Americans with Disabilities Act of 1990, Public Law 101- 336, as amended. 22. WRITTEN NOTICE. Any written notice required to be given in any part of the Contract Documents shall be performed by depositing the same in the U.S. Mail, postage prepaid, directed to the address of the Contractor as set forth in the Contract Documents, and to the City addressed as follows: Mailing and Delivery Address: 5 Thomas W. Garcia, PE Director of Public Works/City Engineer City of Temecula 41000 Main Street Temecula, CA 92590-3606 IN WITNESS WHEREOF, the parties hereto have caused this Contract to be executed on the date first above written. DATED: DATED: ATTEST: Randi Johl-Olson, JD, MMC, City Clerk APPROVED AS TO FORM: Peter M. Thorson, City Attorney CONTRACTOR: All American Asphalt P.O. Box 2229 Corona, CA 92878-2229 (951) 736-7600 By: Robert Bradley Vice President By: Michael Farkas Secretary (Signatures of two corporate officers required for Corporations) CITY OF TEMECULA By: Maryann Edwards, Mayor 6 Acting PM Initials: Date: Capital Improvement Program Fiscal Years 2015-19 PAVEMENT REHABILITATION PROGRAM—CITYWIDE Circulation Project Project Description: This project includes the environmental processing, design, construction of pavement rehabilitation, and reconstruction of major streets as recommended in the Pavement Management System. Benefit / Core Value: This project improves pavement conditions so that the transportation needs of the public, business industry, and government can be met. In addition, this project satisfies the City's Core Value of Transportation Mobility and Connectivity. Project Status: A priority list of rehabilitation projects has been developed. Installations are completed on an ongoing basis. Department: Public Works—Account No. 210.165.655 Level: I Project Cost: Prior Years FYE 2014 2014-15 Actual Carryover Adopted 2015-16 Expenditures Budget Appropriation Projected 2016.17 Projected 2017-18 Projected 2018-19 Total Project Projected Cost Administration $ 1,267,194 $ 25,770 $ 50,000 $ 160,000 $ 160,000 $ 160,000 $ 160,000 $ 1,982,964 Construction $ 10,768,967 $4,108,262 $ 678,323 $4,260,000 $3,199,265 $4,260,000 $4,260,000 $31,534,817 Construction $12.756,550 $4,386,590 $ 878,323 $4,800,000 _$3.739.265 $4,800,000 $4,800,000 $36,160,728 Engineering $ 122,165 $ 218.594 $ 60,000 $ 150,000 $ 150,000 $ 150,000 $ 150,000 $ 1,000,759 Design $ 598,224 $ 33,964 $ 90,000 $ 230,000 $ 230,000 $ 230,000 $ 230,000 $ 1,642,188 Totals $12,756,550 $ 4.386.590 $ 878.323 $4.800,000 $3,739,265 $4,800.000 $4,800.000 $36,160.728 Source of Funds: Prior Years FYE 2014 2014-15 Actual Carryover Adopted 2015-16 Exoend itures Bud et Appropriation Projected 2016-17 Projected 2017-18 Projected 2018-19 Total Project Projected Cost Capital Project Reserves $ 3,650,585 $1,832,938 $3,509,685 $3,739,265 $3,403,100 $3,346,659 $19,482,232 MeasureA $ 9,105,965 $2.553,652 $ 878,323 $1,290,315 $1,396,900 $1,453,341 $16,678,496 Total Fundin.: $12.756,550 $4,386,590 $ 878,323 $4,800,000 _$3.739.265 $4,800,000 $4,800,000 $36,160,728 Future Operation & Maintenance Costs: 2014-15 2015-16 2016-17 2017.18 2018-19 *Project cannot be constructed until a funding source is identified. 69 THE CITY or tha, TEMECULA Location Map-Ynez Road 'msµ f.'OId'h dam;.NewOpj,m�wii& a4.11111 •*tea . o FFcF_ / _.\0.„ I INC ,,s ti41.64 Q Z 41110P . a la f ` r P ..... 111.1'z �_ . s 0t= ''� Iii r.41, Legend nN -�:�0 City \--4 FQ- 0 p ,,7„„,,,,,,, IP (P IV. 0 i o • 1 , • 101 JtrAW1 A.* 11 -- 11 t......,k, Of* 4, 0111 **VI " ir s' ** 1 It**. 1% ipi A ,,, ,. illk,.. ,, 4\# **fall w` 11‘ 1."\. - 9 nir-- ' /.. # & 4. ii Q 4 41 Wh ri # s t ''il, cue%���. • C9 at to 1 "pot 44 lik li Streets Parcels 414 111.410,41 -4'4, gilia, Up ASC/ i 4411111141111111.0% Di* mew 1111 3� Illib '1' tiyq�O R , AA 410111IFN 0 1500 3000 4500 ft. Scale: 1:15,419 • Map center: 6291749, 2120759 This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. Item No. 7 Approvals City Attorney Finance Director City Manager CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Thomas W. Garcia, Director of Public Works/City Engineer DATE: October 28, 2014 SUBJECT: Approval of Possession and Use Agreement for the South Side Parking Lot in Connection with the Murrieta Creek Flood Control, Environmental Restoration and Recreation Project PREPARED BY: Amer Attar, Principal Engineer Paula Gutierrez Baeza, Deputy City Attorney RECOMMENDATION: That the City Council: 1. Adopt a resolution entitled: RESOLUTION NO. 14- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA APPROVING THAT CERTAIN AGREEMENT FOR POSSESSION AND USE BETWEEN THE RIVERSIDE COUNTY FLOOD CONTROL AND WATER CONSERVATION DISTRICT AND THE CITY OF TEMECULA IN CONNECTION WITH THE MURRIETA CREEK FLOOD CONTROL, ENVIRONMENTAL RESTORATION AND RECREATION PROJECT 2. Authorize the City Manager to approve and execute any documents necessary to effectuate the terms of the Possession and Use Agreement, and to take all necessary actions to complete the transaction contemplated pursuant to said Agreement. BACKGROUND: The Riverside County Flood Control and Water Conservation District ("District") and the City of Temecula ("City") seek to enter into an Agreement for Possession and Use ("Agreement") authorizing the District to possess and use an approximate 32,332 square foot (0.74 acre) portion of the City's South Side Parking Lot identified as Riverside County Tax Assessor's Parcel Numbers 922-073-024 and 922-046-025 in connection with the Murrieta Creek Flood Control, Environmental Restoration and Recreation Project ("Project"). The approximate 32,332 square foot portion of the City's South Side Parking Lot is referenced as RCFC Parcel Nos. 7021-18A1 and 7021-32A ("Subject Property"). The District has extended to the City several written offers to purchase portions of the City's South Side Parking Lot since approximately 2005. Based on the status of the Project, funding and other issues, the Parties have not finalized the District's proposed purchase of the Subject Property. Most recently, the District extended to the City a new written offer for the Subject Property on November 8, 2012, based on the District's appraisal of the fair market value of the Subject Property that used a date of value of August 24, 2012. The Parties continue to negotiate the District's purchase of the Subject Property, but have not reached an agreement regarding the proposed acquisition. Based on the timing of the Project, the District needs possession of the Subject Property to construct the Project. The District has informed the City that a ground breaking ceremony for the construction of the project will be held in December 2014. Accordingly, it is necessary that the Parties enter into the Agreement to authorize the District's possession and use of the Subject Property. Pursuant to the Agreement, the City grants to the District, its contractors, agents and all others deemed necessary by the District, the irrevocable and exclusive right to possession and use of the Subject Property including the right to remove and dispose of improvements within the Subject Property, subject to the rights, if any, of First & Front, a California general partnership and/or its tenant(s), to the Subject Property. In addition, the District is entitled to take possession of and to use the Subject Property, including but not limited to the right to begin construction of the Project, upon execution of this Agreement by both Parties. The District is solely responsible for obtaining any necessary consent from First & Front, a California general partnership and/or its tenant(s), in connection with the District's use of the Subject Property. The Agreement further provides that the District will continue to negotiate with the City in good faith for the District's purchase of the Subject Property. If the Parties reach a negotiated agreement for the District's purchase of the Subject Property, the Parties will enter into a Purchase and Sale Agreement to set forth the terms of the acquisition. If the Parties do not reach an agreement regarding the District's purchase of the Subject Property within nine months of the Effective Date of the Agreement, the District may file an eminent domain proceeding. If the District does not file an eminent domain proceeding within twenty-four months of the Effective Date of the Agreement, the City may file an inverse condemnation proceeding. The Parties have agreed that the only issue in such eminent domain or inverse condemnation proceeding is the amount of just compensation that the District will pay for the Subject Property. Pursuant to Government Code section 37350, the City is authorized to purchase, lease, receive, hold and enjoy real and personal property, and control and dispose of it for the common benefit. Pursuant to Government Code section 37351, the City may control, dispose of and convey its property for the benefit of the City. The District seeks possession and use of the Subject Property to facilitate the construction of Phase 11 of the Project. As discussed more fully below, the Project is in the public interest and necessity and will benefit the community because it seeks to reduce the risk of flooding along Murrieta Creek. Description of Project The District has been working with the U.S. Army Corps of Engineers on the Project to reduce the potential threat of future flooding along Murrieta Creek in the southwest area of Riverside County. The Project is comprised of several funding sources, including local participation by the Cities of Temecula and Murrieta. The City is a local participant in this Project pursuant to that certain Cooperative Agreement, dated January 11, 2005, between the District, the City of Temecula, and the City of Murrieta. The Project was authorized as a multipurpose flood control, ecosystem restoration and recreation project. The U.S. Army Corps of Engineers and the District anticipate that they will construct the Project in four phases, subject to the necessary federal appropriations as follows: Phase I: Consists of a green -belt channel starting near the USGS gauging station located downstream of Old Town Temecula that extends approximately 3,000 feet upstream to First Street in Temecula. Phase II: Consists of a green -belt channel starting at First Street in Old Town Temecula that extends approximately 15,000 feet upstream, to Winchester Road in Temecula. Phase III Consists of a 250 -acre stormwater detention basin, located near the confluence of Santa Gertrudis, Warm Springs and Murrieta Creeks in Murrieta. An approximate 50 -acre park and recreation area is included within the basin. Phase IV Consists of a green -belt channel starting from the basin that extends approximately 19,000 feet up stream to Vineyard Parkway (formerly Tenaja Road) in the City of Murrieta. The U.S. Army Corps of Engineers and the District have completed Phase I and are currently working on completing the design and the environmental document for Phase II. They anticipate bidding Phase II later this year. They will implement future phases of the Project when they secure the necessary funding. The Project has the following components: • It includes approximately seven miles of channel improvements to protect more than 600 single-family residences and commercial structures in the vicinity of Murrieta Creek. • It provides a riparian habitat corridor throughout the length of the project, which will promote species movement and provide connectivity to existing wildlife preserves. • It significantly enlarges the open space corridor and provides esthetic benefits. • It provides for equestrian and hiking/biking trails with connections to the active recreation site at the detention basin and to "pocket parks" along the length of the channel project. • It improves water quality through the creation of an extensive natural wetlands system that can efficiently remove contaminants from stream flows destined for Camp Pendleton's aquifer. • The detention basin (250 acres) attenuates flood flows from the over 150 square mile watershed. • It creates over 160 acres of wildlife habitat (wetland and riparian). • It reduces downstream flood flow peaks and captures sediment, benefiting the overall water quality of the watershed and Camp Pendleton. • It proposes the development of a regional sports park within the detention basin that includes several soccer fields, baseball/softball fields, a tot playground, comfort stations and picnic areas in cooperation with the Cities of Temecula and Murrieta. FISCAL IMPACT: impact to the City. ATTACHMENTS: The approval of the Possession and Use Agreement has no fiscal 1. Resolution 2. Agreement for Possession and Use 3. Exhibits A and B to the Agreement 3. Map of Subject Property RESOLUTION NO. 14- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA APPROVING THAT CERTAIN AGREEMENT FOR POSSESSION AND USE BETWEEN THE RIVERSIDE COUNTY FLOOD CONTROL AND WATER CONSERVATION DISTRICT AND THE CITY OF TEMECULA IN CONNECTION WITH THE MURRIETA CREEK FLOOD CONTROL, ENVIRONMENTAL RESTORATION AND RECREATION PROJECT THE CITY COUNCIL OF THE CITY OF TEMECULA DOES HEREBY RESOLVE AS FOLLOWS: Section 1. A. The City of Temecula ("City") is a municipal corporation, located in the County of Riverside, State of California. Pursuant to Government Code section 37350, the City is authorized to purchase, lease, receive, hold and enjoy real and personal property, and control and dispose of it for the common benefit. Pursuant to Government Code section 37351, the City may control, dispose of and convey its property for the benefit of the City. B. The City is a local participant of the Murrieta Creek Flood Control, Environmental Restoration and Recreation Project ("Project") pursuant to that certain Cooperative Agreement dated January 11, 2005 between the District, the City of Temecula and the City of Murrieta. The Riverside County Flood Control and Water Conservation District ("District") has been working with the U.S. Army Corps of Engineers on the Project. The Project is comprised of several funding sources, including local participation by the Cities of Temecula and Murrieta. C. The Project was authorized as a multipurpose flood control, ecosystem restoration and recreation project. The Project is in the public interest and necessity and will benefit the community because it seeks to reduce the risk of flooding along Murrieta Creek in the Southwest area of Riverside County. The U.S. Army Corps of Engineers and the District anticipate that they will construct the Project in the following four phases, subject to the necessary federal appropriations: • Phase I —Consists of a green -belt channel starting near the USGS gauging station located downstream of Old Town that extends approximately 3,000 feet upstream to First Street in Temecula. • Phase II — Consists of a green -belt channel starting at First Street in Old Town that extends approximately 15,000 feet upstream, to Winchester Road in Temecula. 1 • Phase III — Consists of a 250 -acre stormwater detention basin, located near the confluence of Santa Gertrudis, Warm Springs and Murrieta Creeks in Murrieta. An approximate 50 -acre park and recreation area is included within the basin. • Phase IV — Consists of a green -belt channel starting from the basin that extends approximately 19,000 feet up stream to Vineyard Parkway (formerly Tenaja Road) in the City of Murrieta. D. On November 8, 2012, the District extended to the City a written offer to purchase an approximate 32,332 square foot (0.74 acre) portion of the City's South Side Parking Lot identified as Riverside County Tax Assessor's Parcel Numbers 922- 073-024 and 922-046-025 to construct Phase 11 of the Project. The 32,332 square foot portion of the City's South Side Parking Lot is referenced as RCFC Parcel Nos. 7021- 18A1 and 7021-32A ("Subject Property") . E. The City and the District have engaged in good faith negotiations for the District's acquisition of the Subject Property, but have not reached an agreement in connection with the acquisition. Based on the timing of the Project, the District seeks possession and use of the Subject Property to construct Phase 11 of the Project. Accordingly, the Parties desire to enter into that certain Agreement for Possession and Use Between the Riverside County Flood Control and Water Conservation District and the City of Temecula in Connection with the Murrieta Creek Flood Control, Environmental Restoration and Recreation Project ("Possession and Use Agreement") to authorize the District to possess and use the Subject Property to construct Phase II of the Project. F. Pursuant to the Possession and Use Agreement, the City grants to the District, its contractors, agents and all others deemed necessary by the District, the irrevocable and exclusive right to possession and use of the Subject Property including the right to remove and dispose of improvements within the Subject Property, subject to the rights, if any, of First & Front, a California general partnership and/or its tenant(s) to the Subject Property. In addition, the District is entitled to take possession and use the Subject Property, including but not limited to the right to begin construction of the Project, upon execution of this Agreement by both Parties. The District is solely responsible for obtaining any necessary consents from First & Front, a California general partnership and/or its tenant(s) in connection with the District's use of the Subject Property. G. Pursuant to the Possession and Use Agreement, the District agrees to continue to negotiate with the City in good faith for the District's purchase of the Subject Property. If the Parties reach a negotiated agreement for the District's purchase of the Subject Property, the Parties will enter into a Purchase and Sale Agreement to set forth the terms of the acquisition. If the Parties do not reach an agreement regarding the District's purchase of the Subject Property within nine months of the Effective Date of the Possession and Use Agreement, the District may file an eminent domain proceeding. If the District does not file an eminent domain proceeding within twenty - 2 four months of the Effective Date of the Possession and Use Agreement, the City may file an inverse condemnation proceeding. The Agreement provides that the only issue in such eminent domain or inverse condemnation proceeding is the amount of just compensation that the District will pay for the Subject Property. Section 2. A. Approval of Possession and Use Agreement and Authority of City Manager to Take Actions Necessary to Implement the Agreement in Connection with the Subject Property Identified as RCFC Parcel Numbers 7021-18A1 and 7021-32A B. The City Council of the City of Temecula hereby finds that authorizing the District to possess and use the Subject Property to construct Phase 11 of the Project is for the common benefit and for the benefit of the City. The construction of the Project will benefit the community because it seeks to reduce the risk of flooding along Murrieta Creek in the Southwest area of Riverside County. The Possession and Use Agreement will facilitate the District's construction of Phase 11. The City Council of the City of Temecula hereby approves that certain agreement entitled "Agreement for Possession and Use Between the Riverside County Flood Control and Water Conservation District and the City of Temecula in Connection with the Murrieta Creek Flood Control, Environmental Restoration and Recreation Project", with such changes in the Possession and Use Agreement as may be mutually agreed to by the District and the City Manager as are in substantial conformance with the form of the Possession and Use Agreement on file in the Office of the City Clerk. The Mayor Pro Tem is hereby authorized to execute the Possession and Use Agreement on behalf of the City. A copy of the final Possession and Use Agreement, when executed by the Mayor Pro Tem, shall be placed on file in the Office of the City Clerk. Section 4. A. The City Manager (or his designee), is hereby authorized, on behalf of the City, to take all actions necessary and convenient to carry out and implement the Possession and Use Agreement, and to administer the City's obligations, responsibilities and duties to be performed under the Possession and Use Agreement, including but not limited to, other similar agreements and documents as contemplated by or as necessary and convenient to implement said Agreement. Section 5. A. The City Clerk shall certify the adoption of this resolution. 3 PASSED, APPROVED, AND ADOPTED by the City Council of the City of Temecula this 28th day of October, 2014. Maryann Edwards, Mayor ATTEST: Randi Johl-Olson, JD, MMC City Clerk [SEAL] STATE OF CALIFORNIA ) COUNTY OF RIVERSIDE ) ss CITY OF TEMECULA ) I, Randi Johl-Olson, JD, MMC, City Clerk of the City of Temecula, do hereby certify that the foregoing Resolution No. 14- was duly and regularly adopted by the City Council of the City of Temecula at a meeting thereof held on the 28th day of October, 2014, by the following vote: AYES: COUNCIL MEMBERS: NOES: COUNCIL MEMBERS: ABSENT: COUNCIL MEMBERS: ABSTAIN: COUNCIL MEMBERS: 4 Randi Johl-Olson, JD, MMC City Clerk Project: Murrieta Creek, Phase 2 Project No. 7-0-00021 RCFC Parcel Nos. 7021-18A1 and 7021-32A AGREEMENT FOR POSSESSION AND USE BETWEEN THE RIVERSIDE COUNTY FLOOD CONTROL AND WATER CONSERVATION DISTRICT AND THE CITY OF TEMECULA (Murrieta Creek, Phase 2) This Agreement for Possession and Use ("Agreement") is entered into by and between the Riverside County Flood Control and Water Conservation District, a body politic ("District"), and the City of Temecula, a municipal corporation ("City") as of the date the Agreement is fully executed by the District and the City ("Effective Date"). The District and the City are referred to below collectively as the "Parties". RECITALS A. The District has been working with the U.S. Army Corps of Engineers on the Murrieta Creek Flood Control, Environmental Restoration and Recreation Project, which would reduce the potential threat of future flooding along Murrieta Creek in the Southwest area of Riverside County. The District is constructing flood control facilities known as the Murrieta Creek, Phase 2 ("Project"). B. The Project is comprised of several funding sources, including local participation by the Cities of Temecula and Murrieta. The City is a local participant in this Project pursuant to that certain Cooperative Agreement dated January 11, 2005 between the District, the City of Temecula and the City of Murrieta. C. The City owns those certain real properties, located in the City of Temecula, County of Riverside, State of California, identified as Riverside County Tax Assessor's Parcel Numbers 922-073-024 and 922-046-025 (referred to collectively as the "Larger Parcel"). The Larger Parcel is burdened by an easement dedicated for River Street and Santa Gertrudis Creek on the Town of Temecula Map, recorded in Book 15, Page 726 ("River Street"). D. On November 8, 2012, the District extended a written offer to the City to purchase in fee an approximate 32,332 square foot (0.74 acre) portion of the Larger Parcel and River Street referenced as RCFC Parcel Nos. 7021-18A1 and 7021-32A ("Subject Property"). The portion of the Subject Property identified as RCFC Parcel No. 7021-18A1 is described on Exhibit "A" to this Agreement labeled "Exhibit 'A' Murrieta Creek Parcel 7021-18A1" and is depicted on Exhibit "B" hereto labeled "Parcel 7021-18A1". The portion of the Subject Property identified as RCFC Parcel No. 7021-32A is labeled "Exhibit 'A' Murrieta Creek Parcel 7021-32A" and is depicted on Exhibit "B" to this Agreement labeled "Parcel 7021-32A". Said Exhibits are incorporated in this Agreement by this reference. E. The Subject Property is intersected by and/or adjacent to the Project and is needed in order to proceed with the Project. The Parties believe that the completion of the Project is in the public interest and will alleviate the threat of potential flooding in the area. The Parties further believe that any delay in the commencement of the construction of the Project is contrary to the public interest and health. 1 F. Based on the timing of the Project, the District desires for itself, its agents, contractors, employees and representatives, the right to possession and use of the Subject Property to allow the District to construct the Project without delay. G. It is agreed by the Parties that any delay in the commencement of construction of the Project is contrary to the public interest and could cause an unnecessary health and safety burden upon the City of Temecula. H. Accordingly, the Parties have agreed to enter into this Agreement to allow the District to proceed with the construction of the Project and to authorize the District's possession and use of the Subject Property as provided herein. OPERATIVE PROVISIONS NOW, THEREFORE, in consideration of the above recitals and mutual promises, covenants and other conditions set forth herein, the City and the District agree as follows: 1. Purpose. The District requires immediate possession of the Subject Property to construct the Project, which is designed to protect the health and safety. The purpose of this Agreement is to allow the District to (a) enter upon the Subject Property at all reasonable times to conduct any necessary or appropriate due diligence activities, environmental testing, and inspections of the Subject Property, and (b) use and possess the Subject Property without delay in connection with the District's construction of the Project. 2. Exclusive Right to Possession and Use. The City irrevocably grants to the District, its contractors, agents and all others deemed necessary by the District, the irrevocable and exclusive right to possession and use of the Subject Property including the right to remove and dispose of improvements within the right of way, subject to the rights, if any, of First & Front, a California general partnership and/or its tenant(s) to the Subject Property. The District is entitled to take possession and use the Subject Property, including but not limited to the right to begin construction of the Project, upon execution of this Agreement by both Parties. The City has informed the District about the Agreement and Grant Deed of Real Property Subject to and Reserving Parking Easement, which was recorded on May 13, 1999 as Document No. 208241 of Official Records of the County of Riverside. Accordingly, the District is aware that it is solely responsible for obtaining any necessary consents from First & Front, a California general partnership and/or its tenant(s) in connection with the District's use of the Subject Property. 3. Liens and Encumbrances. The City represents that except for the liens and encumbrances identified on Litigation Guarantee No. 0930473-1-E dated December 30, 2011, which was obtained by the District, the title to the Larger Parcel is free and clear of all liens and encumbrances or that proper releases will be executed for the Subject Property before funds are disbursed under this Agreement. The City further agrees to hold the District harmless from all liability for unreleased or undisclosed liens or encumbrances affecting the Subject Property. 4. Term. The District's right to possession of the Subject Property commences on the Effective Date of this Agreement and shall terminate on the earlier occurrence of (a) the date the City completes the conveyance of title to the Subject Property to the District or (b) the issuance of a Final Order of Condemnation by the Riverside County Superior Court. 2 5. Offer Pursuant to Government Code Section 7267.2. The City acknowledges that it has received a written offer for the Subject Property pursuant to Government Code Section 7267.2 that is based on the District's independent appraisal. The District has provided to the City a copy of the appraisal summary statement, which sets forth the basis of the amount of just compensation for the Subject Property. 6. Negotiations. It is understood by the Parties that the District will continue to negotiate in good faith with the City to acquire the Subject Property. It is further understood that in the event the City and the District do not reach a negotiated agreement for the purchase of the Subject Property within nine months of the Effective Date of this Agreement, such failure will be an acknowledgement that the negotiations to acquire the Subject Property have proved futile. 7. Power of Eminent Domain. The City acknowledges the District is authorized and entitled to exercise the power of eminent domain for public purposes under Article I, Section 19, of the California Constitution; California Water Code — Appendix, Chapter 48, Section 48-9, Paragraph 9; and Code of Civil Procedure Sections 1240.010, 1240.020, 1240.110, 1240.120, 1240.140, 1240.410, 1240.510, and 1240.610. The City further acknowledges that the use for which the District seeks to acquire the Subject Property, namely flood control channel purposes, is authorized by law and is a public use; the public interest and necessity require the Project; the Project is planned and located in the manner that will be most compatible with the greatest public good and the least private injury; and the Subject Property is necessary for the Project. If the City and the District do not reach a negotiated agreement for the District's purchase of the Subject Property, District staff may recommend to the District's Board that it consider the adoption of a resolution of necessity authorizing the initiation of eminent domain proceedings to acquire the Subject Property in accordance with the Eminent Domain Law. Under the Eminent Domain Law, the District's Board has the exclusive and sole discretion to adopt a resolution of necessity. 8. Eminent Domain Proceeding. a. The Parties agree and acknowledge that in the event the District and the City do not reach a negotiated settlement in connection with the District's acquisition of the Subject Property within nine months of the Effective Date of this Agreement, the District may commence an eminent domain proceeding to acquire the Subject Property. The City reserves all of its rights regarding the payment of just compensation for the Subject Property in any such eminent domain proceeding. The City, however, agrees not to object to the District's filing of any such eminent domain proceeding to acquire the Subject Property by eminent domain. The Parties agree that the only issue in any such eminent domain proceeding will be the amount of just compensation that the District will pay for the Subject Property, including, but not limited to the fair market value of the Subject Property, and any claims for mitigation, costs to cure, severance damages and interest. b. California Code of Civil Procedure Section 1245.235 requires the District, to give each person whose property is to be acquired by eminent domain notice and a reasonable opportunity to appear before the Board of Supervisors for the District and be heard on the matters referred to in Code of Civil Procedure Section 1240.030, which provides: The power of eminent domain may be exercised to acquire property for a proposed project only if all of the following are established: 3 (1) The public interest and necessity require the project. (2) The project is planned or located in the manner that will be most compatible with the greatest public good and the least private injury. (3) The property sought to be acquired is necessary for the project. c. By granting this irrevocable right to possession and use of the Subject Property to the District, the City agrees to the following: (i) The City specifically waives the notice required by Code of Civil Procedure Section 1245.235 of the hearing on the matters referred to in Code of Civil Procedure Section 1240.030, and the City shall not object to the adoption of the resolution of necessity by the District authorizing the taking of the Subject Property described in Exhibits "A" and "B". (ii) The City shall not object to the filing of an eminent domain proceeding to acquire the Subject Property described in Exhibits "A" and "B". (iii) In any eminent domain proceeding filed by the District to acquire the Subject Property described in Exhibits "A" and "B", the City shall not challenge District's right to acquire such property, and the only issue shall be the amount of just compensation for the Subject Property. d. If the District fails to file an eminent domain proceeding within twenty-four months of the Effective Date of this Agreement, then the City shall be entitled to file an inverse condemnation proceeding. The District agrees that in any such inverse condemnation proceeding, the only issue shall be the amount of just compensation for the Subject Property and the District shall not challenge liability. 9. Date of Valuation. The Parties agree that in any eminent domain proceeding filed by the District to acquire the Subject Property, the date of valuation for determining the amount of just compensation for the Subject Property would be the date on which the District files the Complaint in Eminent Domain. 10. Indemnification. a. The District will, and will request that its contractor, indemnify, defend and hold the City harmless from any and all liability for bodily injury, death and property damage arising out of or in any way connected with the District's use of the Subject Property, and will reimburse the City for all reasonable costs, expenses and losses, including reasonable attorney's fees, incurred by it in consequence of any claims, demands and causes of action that may be made or brought against it arising out of the District's entry on and use of the Subject Property for the construction of the Project. In the event that any portions of the Larger Parcel not comprising the Subject Property are damaged in any way by the District's construction of the Project, the District will, at its sole expense, return said portions of the Larger Parcel to as close to its pre -construction condition at the sole expense of the District. 4 b. To the extent permitted by law, the District hereby indemnifies the City from and against all claims and demands for payment, or liens or lien claims made against the City or any portion of the Larger Parcel by contractors, subcontractors, suppliers, engineers and/or architects and surveyors who might have lien rights as a result of the District's use of the Subject Property for the construction of the Project. c. Prior to entry onto the Subject Property, the District shall cause the District's contractors or agents constructing the Project to procure or maintain a policy of commercial general liability insurance issued by an insurer reasonably satisfactory to the District covering the construction of the Project on the Subject Property with a single limit of liability (per occurrence and aggregate) of not less than $2,000,000.00, and will require that the Contractor add the City as an additional insured. The District will require its contractor to maintain the insurance in force throughout the term of this Agreement. 11. Taxes. The City agrees to pay all taxes, including prorated taxes for the current year, and special assessments due as of the date the District takes possession of the Subject Property. 12. Compliance with Laws. The District shall comply with all laws, ordinances, orders, rules and regulations enacted or promulgated by all state, federal, municipal and other governmental agencies and bodies relating to the use, condition and occupancy of the Subject Property. 13. Hazardous Materials. a. The City represents and warrants that, from the date of its purchase of the Subject Property through the Effective Date of this Agreement, the City did not use, generate, release, discharge, store or dispose of any hazardous waste, toxic substances or related materials on, or under, in or about the Subject Property or transport any Hazardous Materials to or from the Subject Property. The term "Hazardous Materials" shall mean any substance, material or waste which is or becomes regulated by any local governmental authority, the State of California or the United States Government, including, but not limited to, any material or substance which is (i) defined as a "hazardous waste," "extremely hazardous waste" or "restricted hazardous waste" under Section 25115, 25117 or 25122.7 or listed pursuant to Section 25140 of the California Health and Safety Code, Division 20, Chapter 6.5 (Hazardous Waste Control Law), (ii) defined as "hazardous material", "hazardous substance" or "hazardous waste" under Section 25501 of the California Health and Safety Code, Division 20, Chapter 6.95 (Hazardous Materials Release Response Plans and Inventory), (iv) defined as "hazardous substance" under Section 25281 of the California Health and Safety Code, Division 20, Chapter 6.7 (Underground Storage of Hazardous Substances), (v) petroleum, (vi) asbestos, (vii) polychlorinated biphenyls, (viii) listed under Article 9 or defined as "hazardous" or "extremely hazardous" pursuant to Article 11 of Title 22 of the California Administrative Code, Division 4, Chapter 20, (ix) designated as a "hazardous substances" pursuant to Section 311 of the Clean Water Act, (33 U.S.C. §1317), (x) defined as a "hazardous waste" pursuant to Section 1004 of the Resource Conservation and Recovery Act, 42 U.S.C. §6901 et seq. (42 U.S.C. §6903) or (xi) defined as a "hazardous substances" pursuant to Section 101 of the Comprehensive Environmental Response, Compensation, as amended by Liability Act, 42, U.S.C. §9601 et seq. (42 U.S.C. §9601). 5 b. District has the opportunity to conduct due diligence inspections, investigations and examinations of the Subject Property, and subject to the City's representations set forth above in Operative Provision 13.a., District will take possession and use of the Subject Property on an "AS IS, WHERE IS BASIS." Except for the representations and warranties set forth above in Operative Provision 13.a., District is not relying on and the City has not made any warranties of any kind or character with respect to the environmental, soils, seismic or geotechnical condition of the Subject Property. Further, District is not relying on, and the City has not made and is not making any representations or warranties of any kind or character whatsoever with respect to the environmental, soils, seismic or geotechnical condition of the Subject Property based on the use of the Subject Property by any previous owner or occupant, including any use, generation, release, discharge, storage, or disposal of any hazardous waste, toxic substances or related materials on, under, in or about the Subject Property or transportation of any hazardous materials to or from the Subject Property by any previous seller or occupant of the Subject Property. 14. Notices. All notices and demands will be given in writing by certified mail, postage prepaid, and return receipt requested or by Federal Express. Notices will be considered given upon the earlier of (a) two business days following deposit in the United States mail, postage prepaid, certified or registered, return receipt requested, or (b) one business day following deposit with Federal Express. The Parties will address such notices as provided below or as may be amended by written notice: City: Copy to: City of Temecula 41000 Main Street Temecula, California 92590 Attention: Aaron Adams, City Manager Richards, Watson & Gershon Attention: Peter M. Thorson, City Attorney 355 South Grand Avenue, 40th Floor Los Angeles, California 90071-3101 Grantor: Riverside County Flood Control & Water Conservation District 1995 Market Street Riverside, California 92501 Attention: Greg Walker Copy to: Riverside County Counsel's Office Attention: Synthia Gunzel, Deputy County Counsel 3960 Orange Street, Fifth Floor Riverside, California 92501-3674 15. Miscellaneous Provisions. a. Authority to Bind Parties and Execute Agreement. The City and the District represent and warrant to one another that this Agreement constitutes a binding obligation on each of them and that the person executing this Agreement is authorized to execute the Agreement on behalf of the respective Party and to bind it. 6 b. Entire Agreement. This Agreement reflects the entire agreement between the City and the District regarding the District's possession and use of the Subject Property, and shall supersede all prior or contemporaneous oral or written understandings, statements, representations or promises between the City and the District concerning the subject matter of this Agreement. c. Governing Law. This Agreement is deemed to have been prepared by each of the Parties hereto, and any uncertainty or ambiguity herein shall not be interpreted against the drafter, but rather, if such uncertainty or ambiguity exists, shall be interpreted according to the applicable rules of interpretation of contracts under the laws of the State of California, and not the substantive law of another state or the United States or federal common law. This Agreement shall be deemed to have been executed and delivered within the State of California, and the rights and obligations of the Parties shall be governed by, and construed and enforced in accordance with, the laws of the State of California. d. Amendment or Modification. This may be modified or amended only by a writing executed by all Parties to this Agreement. e. Partial Invalidity/Severability. Each provision of this Agreement shall be valid and enforceable to the fullest extent permitted by law. If any provision of this Agreement or the application of such provision to any person or circumstance is, to any extent, deemed to be invalid or unenforceable, the remainder of this Agreement, or the application of such provision to persons or circumstances other than those as to which it is held invalid or unenforceable, shall not be affected by such invalidity or unenforceability, unless such provision or such application of such provision is essential to this Agreement. f. Successors -in -Interest and Assigns. Except as otherwise provided herein, the provisions of this Agreement will be binding on and inure to the benefit of the Parties hereto and their respective heirs, successors and assigns. g. Legal Representation. The Parties, and each of them, acknowledge that in connection with the negotiation and execution of this Agreement, they have each been represented by independent counsel of their own choosing and the Parties executed the Agreement after review by such independent counsel, or, if they were not so represented, said non -representation is and was the voluntary, intelligent and informed decision and election of any of the Parties not so represented; and, prior to executing this Agreement, each of the Parties has had an adequate opportunity to conduct an independent investigation of all the facts and circumstances with respect to the matters that are the subject of this Agreement. h. Counterparts, Facsimile & Electronic Signatures. This Agreement may be executed in whole or in counterparts which together shall constitute the entire Agreement. Facsimile or electronic signatures/counterparts to this Agreement shall be effective as if the original signed counterpart were delivered. i. Fees and Costs. Each of the Parties to this Agreement shall bear its own attorney's fees and costs, including, but not limited to expert fees, incurred in connection with negotiating the matters described in this Agreement. This provision is not a waiver of the City's rights to seek litigation costs and expenses in any inverse condemnation filed in connection with the Subject Property. 7 IN WITNESS WHEREOF, the City and the District have entered into this Agreement as of the date set forth below. DISTRICT: CITY: RIVERSIDE COUNTY FLOOD CITY OF TEMECULA, a municipal CONTROL AND WATER CONSERVATION corporation DISTRICT, a body politic Dated: Dated: By: By: Warren Williams Jeff Comerchero, Mayor Pro Tem General Manager -Chief Engineer ATTEST: By: Kecia Harper -Them Clerk of the Board ATTEST: Randi Johl-Olson, JD, MMC, City Clerk Approved as to Form: Approved as to form: Dated: Dated: GREGORY P. PRIAMOS RICHARDS, WATSON & GERSHON County Counsel By: Synthia M. Gunzel Peter M. Thorson, City Attorney Deputy County Counsel 8 Exhibit "A" Murrieta Creek Parcel 7021-18A1 Being a portion of River Street as shown on the map of the Town of Temecula Map Book 15, Page 726, records of San Diego County, California, all within the city of Temecula, Riverside County, California, described as follows: All of Parcel 7021-I8A as shown on Record of Survey Book 119, Pages 40 through 44, inclusive, records of Riverside County, California; Excepting therefrom the Northeasterly 5,00 feet of said parcel as shown on said Record of Survey. Land Surveyor No. 6290 Signed For: Riverside County Flood Control and Water Conservation District Date: /0 -6- 0 Exhibit 'R BEING A PORTION OF RIVER STREET AS SHOWN ON THE MAP OF THE TOWN OF TEMECULA MAP BOOK 15, PAGE 726. RECORDS OF SAN DIEGO COUNTY, CALIFORNIA, ALL WITHIN THE CITY OF TEMECULA, RIVERSIDE COUNTY, CALIFORNIA. PARCEL 3 R.S. 1 1 9 / 4" \ CERTIFICATE OF COMPLIANCE NO. 317123 8/22/1996 REC. OF RIV CO. PARCEL 2 SOUTHWESTERLY LINE OF PARCEL 2 PARCEL 7021-I8A \ \ ivI.B 15 / 726 SD. CO. \ . \ \ \ PARCEL7021-18;) R/W CURVE DATA 0 = R = T = L - (I) 2002'50" 50.00' 8.84' 17.49' 06.00'07" 538.96' 28.26' 56.46' .. c, <cc!- , \ .\/'\ / , / RIVERSIDE COUNTY COUNTY FLOOD CONTROL AND WATER CONSERVATION DISTRICT 1995 MARKET ST. RIVERSIDE. CA. 92501 PROJECT NAmEl MURR I ETA CREEK THIS PLAT IS SOLELY AN AID IN LOCATING THE PARCEL(S) DESCRIBED IN THE • ATTACHED DOCUMENT, IT 15 NOT A PART OF THE WRITTEN DESCRIPTION THEREIN. RCFC PARCEL NLLIBER(S)i PARCEL 7021-18A1 SCALEr NO SCALE PREPARED BY1 DAC DATE: SEP -30-2009 SHEET RO. 1 OF 1 Exhibit "A" Murrieta Creek Parcel 7021-32A Being a portion of River Street as shown on the map of the Town of Temecula Map Book 15, Page 726, records of San Diego County, California, all within the city of Temecula, Riverside County, California, described as follows: A11 of Parcel 7021-32 as shown on Record of Survey Book 119, Pages 40 through 44, inclusive, records of Riverside County, California; Excepting therefrom the Northeasterly 5.00 feet of said parcel as shown on said Record of Survey. Land Surveyor No. 6290 Signed For: Riverside County Flood Control and Water Conservation District Date: /0 - - Exhibit "B" BEING A PORTION OF RIVER STREET AS SHOWN ON THE MAP OF THE TOWN OF TEMECULA MAP BOOK 15, PAGE 726, RECORDS OF SAN DIEGO COUNTY, CALIFORNIA, ALL WITHIN THE CITY OF TEMECULA, RIVERSIDE COUNTY, CALIFORNIA. \ \ CERTIFICATE OF / COMPLIANCE NO. 317123 8/22/1996 \/„. REC. OF RIV CO. o. / ctS) R. S • 4'9vX • sof / 119/40-44 / / • U.B 15 / 726 SD Co. / PARCEL 3 SOUTHWESTERLY LINE OF PARCEL 3 PARCEL 2 PARCEL 7021-32 RIVERSIDE COUNTY FLOOD CONTROL AND WATER CONSERVATION DISTRICT 1995 MARKET ST. RIVERSIDE, CA. 92501 PROJECT NAM. MURR I ETA CREEK THIS PLAT IS SOLELY AN AID IN LOCATING THE PARCELCS1 DESCRIBED IN THE ATTACHED DOCUMENT. IT IS NOT A PART OF THE WRITTEN DESCRIPTION THEREIN. RCFC PARCEL NumeER(S). PARCEL 7021-32A SCALEJ NO SCALE PREPARED DAC DATE. SEP -30-200-9 SHEET NO. 1 OF Murrieta Creek Flood Control, Environmental Restoration and Recreation Project (Led by Riverside County Flood Control and Water Conservation District and the U.S. Army Corps of Engineers) Murrieta Phase 11 Aerial - February 2006 Map Prepared May B. 2014 .e- .!ei47riR:«:lipsK ❑Areas Subject to the Possession and Use Agreement between the City of Temecula and Riverside County Flood Control and Water Conservation District ❑ Murrieta Creek Flood Control, Environmental Restoration and Recreation Project, Phase 11 Boundary Item No. 8 TEMECULA COMMUNITY SERVICES DISTRICT ACTION MINUTES October 14, 2014 City Council Chambers, 41000 Main Street, Temecula, California TEMECULA COMMUNITY SERVICES DISTRICT MEETING The Temecula Community Services District Meeting convened at 8:04 P.M. CALL TO ORDER: President Jeff Comerchero ROLL CALL: DIRECTORS: Edwards, Naggar, Roberts, Washington, Comerchero CSD PUBLIC COMMENTS (None) CSD CONSENT CALENDAR 13 Action Minutes - Approved Staff Recommendation (5-0-0) Director Naggar made the motion; it was seconded by Director Washington; and electronic vote reflected approval by Directors Edwards, Naggar, Roberts, Washington and Comerchero. RECOMMENDATION: 13.1 That the Board of Directors approve the action minutes of September 23, 2014. 14 Receive Financial Statements for the 4th Quarter Ended June 30, 2014 - Approved Staff Recommendation (5-0-0) Director Naggar made the motion; it was seconded by Director Washington; and electronic vote reflected approval by Directors Edwards, Naggar, Roberts, Washington and Comerchero. RECOMMENDATION: 14.1 That the Board of Directors receive and file the Financial Statements for the 4th Quarter Ended June 30, 2014. 15 Approve a Concession Agreement with Keith Gors dba Goodtime Rentals for Harveston Lake Paddle Boat Services — Approved Staff Recommendation (4-1-0, Director Comerchero abstained) Director Naggar made the motion; it was seconded by Director Washington; and electronic vote reflected approval by Directors Edwards, Naggar, Roberts and Washington with Council Member Comerchero abstaining because the proximity of his real estate is within 500 feet of the lake. RECOMMENDATION: 15.1 That the Board of Directors approve a one-year concession agreement with Keith Gors dba Goodtime Rentals for paddle boat services at Harveston Lake. CSD Action Minutes 101414 1 16 Approve a Sponsorship Agreement with the Temecula Valley Woman's Club for Use of the Community Recreation Center (CRC) Kitchen - Approved Staff Recommendation (5-0-0) Director Naggar made the motion; it was seconded by Director Washington; and electronic vote reflected approval by Directors Edwards, Naggar, Roberts, Washington and Comerchero. RECOMMENDATION: 16.1 That the Board of Directors approve the Sponsorship Agreement with the Temecula Valley Woman's Club, in the amount of $1,044, for the use of the Community Recreation Center (CRC) kitchen. CSD DIRECTOR OF COMMUNITY SERVICES REPORT CSD GENERAL MANAGER REPORT CSD BOARD OF DIRECTORS REPORTS CSD ADJOURNMENT At 8:11 P.M., the Community Services District was formally adjourned to Tuesday, October 28, 2014, at 5:30 PM, for a Closed Session, with regular session commencing at 7:00 PM, City Council Chambers, 41000 Main Street, Temecula, California. Jeff Comerchero, President ATTEST: Randi Johl-Olson, JD, MMC City Clerk [SEAL] CSD Action Minutes 101414 2 Item No. 9 PUBLIC HEARING Approvals City Attorney Finance Director City Manager CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Jennifer Hennessy, Finance Director DATE: October 28, 2014 SUBJECT: Approve Assembly Bill (AB) 1600 Financial Reports — Development Impact Fee Expenditures PREPARED BY: Pascale Brown, Accounting Manager RECOMMENDATION: That the City Council approve the AB 1600 Financial Reports for Fiscal Year Ending June 30, 2014. BACKGROUND: Government Code Sections 66006 requires that an accounting of the developer impact fees be made public and the information reviewed in a regularly scheduled public hearing. The Legislature finds and declares that the timely and proper allocation of development fees promotes economic growth and is, therefore, a matter of statewide interest and concern. Annually, the City Finance Department staff compiles a report of expenditures made with the developer impact fees collected and interest accrued during the year. Staff has compiled the AB 1600 Report for this purpose and recommends acceptance and approval of the report of expenditures made with the developer impact fees after hearing public testimony. FISCAL IMPACT: Monies must be used within five years for specified purposes or returned to the developer. All funds are programmed to be spent in accordance with the Fiscal Years 2015-2019 Capital Improvement Program adopted June 10, 2014, by the City Council. ATTACHMENTS: 1. Summary of Development Impact Fees 2. AB 1600 Financial Reports City of Temecula Summary of Development Impact Fees Fiscal Year 2013-14 Development Impact Fee Fund Beginning Fund Fees Interest Ending Fund Balance Collected Earned Expenditures Balance Capital Improvement Projects FY13-14 % Funded Expenditures Complete with DIFs Open Space Land Acquisition 359,312 149,898 2,285 (65,000) 446,495 210.165.703 -Bike Lane and Trail Program 50,000 15% 100% 210.165.762 -Ecological Reserve Open Space 15,000 100% 100% 210.165.602 -Murrieta Creek Bridge & Overland Drive Street Improvements 1,892,687 663,637 6,719 (1,250,000) 1,313,043 Extension to Diaz Road 1,250,000 50% 43% 210.165.670 -Flashing Beacons & Speed Advisory Traffic Signals & Traffic Control System: 189,144 97,914 572 (175,925) 111,705 Signs 210.165.680 -Traffic Signal Equipment Replacement Program- Citywide 21,978 55% 100% 153,947 60% 100% Park & Recreation Improvements 210.165.754 -Temecula Community Center 1,087,683 1,114,476 2,892 (1,639,995) 565,056 Renovation 788,114 100% 62% 210.190.128 -Tennis Court Lighting-GOHS 558,830 100% 100% 210.190.129 -Special Needs Playground 293,051 50% 28% Corporate Facilities 210.165.702 Temecula Valley Entrepreneur's 61,429 195,065 554 (148,725) 108,323 Exchange 210.165.759- YMCA Repair and Remediation 48,725 100% 100% 100,000 100% 100% Fire Protection Facilities 534,945 92,806 2,872 (69,489) 561,134 210.165.757 -Fire Station 73 Living Quarters Upgrade 69,489 100% 10% Library 275,548 307,490 2,290 (137,868) 447,460 210.190.153 Library Parking -Phase II 137,868 100% 100% Public Art 238,140 19,149 72 (243,212) 14,149 210.165.671- Temecula City Entry Monumentation 150,000 100% 100% 210.190.121- Old Town Public Art 93,212 100% 100% Police Facilities 442,546 97,077 2,775 - 542,398 City of Temecula Attachment No. 1 - OPEN SPACE LAND ACQUISITIONS Government Code 66000 Calculation FY 2013-14 The impact fees for Open Space Land Acquisitions are based on the cost of land needed to maintain the City's existing ratio of open space acreage to population. Because these fees are population driven, they apply only to residential development. The fee is $644.36 per residential attached unit (condominium, apartment, townhouse, and duplex), and $899.41 per residential detached unit (single family), payable at the time of issuance of a building permit. The fees are adjusted annually based on the percentage increase or decrease, if any, of the Engineering News Record Building Cost Index. Account Description Beginning Fund Balance FY 2013-14 Ending Fund Balance Revenues & Other Sources: 210.165.703 -Bike Lane and Trail Program 210.165.762 -Ecological Reserve Open Space $ 149,898 $ 2,285 15.00% 100.00% Developer Fees Interest Income Contributions from Property Owners Transfers In Total Sources $ 65,000 $ 152,183 Expenditures & Other Uses: $ 65,000 Capital Projects Transfers Out Total Uses $ 65,000 Total Available $ 359,312 $ 87,183 $ 446,495 Five Year Revenue Test Using First In First Out Method Unspent Funds Represent Ending Fund Balance June 30, 2014 Previous Years Revenues Revenues Collected from FY2010-11 Revenues Collected from FY2011-12 Revenues Collected from FY2012-13 Revenues Collected from FY2013-14 $ $ $ 294,312 $ 152,183 Total Ending Fund Balance $ 446,495 Result : Five year spent test met in accordance with Government Code 66001 Capital Improvement Facilities Expenditures Capital Improvement Projects FY 2013-14 % Complete % Funded With Fee 210.165.703 -Bike Lane and Trail Program 210.165.762 -Ecological Reserve Open Space $ 50,000 $ 15,000 15.00% 100.00% 100.00% 100.00% Total $ 65,000 City of Temecula Attachment No. 2 - STREET IMPROVEMENTS Government Code 66000 Calculation FY 2013-14 The fees are collected based on the total cost of such improvements and number of peak hour vehicle trips generated by future development. The fee is $1,308.76 per residential attached unit (condominium, apartment, townhouse, and duplex), $1,869.65 per residential detached unit (single family), and $2.56-$7.15 per square foot of floor area for commercial development, payable at the time of issuance of a building permit. The fees are adjusted annually based on the percentage increase or decrease, if any, of the Engineering News Record Building Cost Index. Account Description Beginning Fund Balance FY 2013-14 Ending Fund Balance Revenues & Other Sources: $ - $ 663,637 $ 6,719 $ - Developer Fees Interest Income Contributions from Property Owners Transfers In Total Sources Revenues Collected from FY2013-14 $ 670,356 Total Ending Fund Balance Expenditures & Other Uses: $ 1,250,000 Capital Projects Transfers Out Total Uses $ 1,250,000 Total Available $ 1,892,687 $ (579,644) $ 1,313,043 Five Year Revenue Test Using First In First Out Method Unspent Funds Represent Ending Fund Balance June 30, 2014 Previous Years Revenues $ - Revenues Collected from FY2010-11 $ - Revenues Collected from FY2011-12 $ - Revenues Collected from FY2012-13 $ 642,687 Revenues Collected from FY2013-14 $ 670,356 Total Ending Fund Balance $ 1,313,043 Result : Five year spent test met in accordance with Government Code 66001 Capital Improvement Facilities Expenditures Capital Improvement Projects FY 2013-14 % Complete % Funded With Fee 210.165.602 -Murrieta Creek Bridge & Overland Drive Extension to Diaz Road $ 1,250,000 50.00% 43.00% Total $ 1,250,000 City of Temecula Attachment No. 3 - TRAFFIC SIGNALS AND TRAFFIC CONTROL SYSTEMS Government Code 66000 Calculation FY 2013-14 The fees are collected based on the total cost of such improvements and number of peak hour vehicle trips generated by future development. The fee is $185.25 per residential attached unit (condominium, apartment, townhouse, and duplex), and $264.66 per residential detached unit (single family), and $0.38- $1.01 per square foot of floor area from commercial development, payable at the time of issuance of a building permit. The fees are adjusted annually based on the percentage increase or decrease, if any, of the Engineering News Record Building Cost Index. Account Description Beginning Fund Balance FY 2013-14 Ending Fund Balance Revenues & Other Sources: $ - $ 97,914 $ 572 $ - Developer Fees Interest Income Contributions from Property Owners Transfers In Total Sources Revenues Collected from FY2013-14 $ 98,486 Total Ending Fund Balance Expenditures & Other Uses: $ 175,925 Capital Projects Transfers Out Total Uses $ 175,925 Total Available $ 189,144 $ (77,439) $ 111,705 Five Year Revenue Test Using First In First Out Method Unspent Funds Represent Ending Fund Balance June 30, 2014 Previous Years Revenues $ - Revenues Collected from FY2010-11 $ - Revenues Collected from FY2011-12 $ - Revenues Collected from FY2012-13 $ 13,219 Revenues Collected from FY2013-14 $ 98,486 Total Ending Fund Balance $ 111,705 Result : Five year spent test met in accordance with Government Code 66001 Capital Improvement Facilities Expenditures Capital Improvement Projects FY 2013-14 % Complete % Funded With Fee 210.165.670 -Flashing Beacons & Speed Advisory Signs 210.165.680 -Traffic Signal Equipment Replacement Program- Citywide $ 21,978 $ 153,947 Total $ 175,925 55.00% 60.00% 100.00% 100.00% City of Temecula Attachment No. 4 - PARK and RECREATION IMPROVEMENTS Government Code 66000 Calculation FY 2013-14 The fees are collected for park improvements based on the cost of improvements needed to maintain the City's existing ratio of improved park acreage to population. The fee for recreation facilities is based on the existing ratio of facility replacement cost to population. Because the fees are population driven, it only applies to residential developments. The fee is $2,210.67 per residential attached unit (condominium, apartment, townhouse, and duplex), and $3,085.73 per residential detached unit (single family), payable at the time of issuance of a building permit. The fees are adjusted annually based on the percentage increase or decrease, if any, of the Engineering News Record Building Cost Index. Account Description Beginning Fund Balance FY 2013-14 Ending Fund Balance Revenues & Other Sources: 210.165.754 -Temecula Community Center Renovatior 210.190.128 -Tennis Court Lighting-GOHS 210.190.129 -Special Needs Playground $ 1,114,476 $ 2,892 100.00% 100.00% 50.00% Developer Fees Interest Income Contributions from Property Owners Transfers In Total Sources $ 1,639,995 $ 1,117,368 Expenditures & Other Uses: $ 1,639,995 Capital Projects Transfers Out Total Uses $ 1,639,995 Total Available $ 1,087,683 $ (522,627) $ 565,056 Five Year Revenue Test Using First In First Out Method Unspent Funds Represent Ending Fund Balance June 30, 2014 Previous Years Revenues Revenues Collected from FY2010-11 Revenues Collected from FY2011-12 Revenues Collected from FY2012-13 Revenues Collected from FY2013-14 $ 565,056 Total Ending Fund Balance $ 565,056 Result : Five year spent test met in accordance with Government Code 66001 Capital Improvement Facilities Expenditures Capital Improvement Projects FY 2013-14 % Complete % Funded With Fee 210.165.754 -Temecula Community Center Renovatior 210.190.128 -Tennis Court Lighting-GOHS 210.190.129 -Special Needs Playground $ 788,114 $ 558,830 $ 293,051 100.00% 100.00% 50.00% 62.00% 100.00% 28.00% Total $ 1,639,995 City of Temecula Attachment No. 5 - CORPORATE FACILITIES Government Code 66000 Calculation FY 2013-14 Fees are collected for City administrative and maintenance facilities. The need for future space at the Civic Center is due to the demand of services housed at the Civic Center. The need for maintenance facilities is due to an increase in street and park maintenance. The fee is $271.97 per residential attached unit (condominium, apartment, townhouse, and duplex), $507.25 per residential detached unit (single family), and $0.17-$0.50 per square foot of floor area for commercial developments, payable at the time of issuance of a building permit. The fees are adjusted annually based on the percentage increase or decrease, if any, of the Engineering News Record Building Cost Index. Account Description Beginning Fund Balance FY 2013-14 Ending Fund Balance Revenues & Other Sources: 210.165.702 Temecula Valley Entrepreneur's Exchange 210.165.759- YMCA Repair and Remediation $ 195,065 $ 554 100.00% 100.00% Developer Fees Interest Income Contributions from Property Owners Transfers In Total Sources $ 148,725 $ 195,619 Expenditures & Other Uses: $ 148,725 Capital Projects Transfers Out Total Uses $ 148,725 Total Available $ 61,429 $ 46,894 $ 108,323 Five Year Revenue Test Using First In First Out Method Unspent Funds Represent Ending Fund Balance Previous Years Revenues Revenues Collected from FY2010-11 Revenues Collected from FY2011-12 Revenues Collected from FY2012-13 Revenues Collected from FY2013-14 June 30, 2014 $ 108,323 Total Ending Fund Balance $ 108,323 Result : Five year spent test met in accordance with Government Code 66001. Capital Improvement Facilities Expenditures Capital Improvement Projects FY 2013-14 % Complete % Funded With Fee 210.165.702 Temecula Valley Entrepreneur's Exchange 210.165.759- YMCA Repair and Remediation 48,725 $ 100,000 100.00% 100.00% 100.00% 100.00% Total $ 148,725 City of Temecula Attachment No. 6 - FIRE PROTECTION FACILITIES Government Code 66000 Calculation FY 2013-14 Fees are collected to provide future fire protection facilities and apparatus. The fee is $297.77 per residential attached unit (condominium, apartment, townhouse, and duplex), $641.70 per residential detached unit (single family), and $0.11-$0.17 per square foot of floor area for commercial developments, payable at the time of issuance of building permit. The fee is adjusted annually based on the percentage increase or decrease, if any, of the Engineering News Record Building Cost Index. Account Description Beginning Fund Balance FY 2013-14 Ending Fund Balance Revenues & Other Sources: 210.165.757 -Fire Station 73 Living Quarters Upgrade $ 92,806 $ 2,872 100.00% Developer Fees Interest Income Contributions from Property Owners Total Sources $ 69,489 $ 95,678 Expenditures & Other Uses: $ 69,489 Capital Projects Transfers Out Total Uses $ 69,489 Total Available $ 534,945 $ 26,189 $ 561,134 Five Year Revenue Test Using First In First Out Method Unspent Funds Represent Ending Fund Balance Previous Years Revenues Revenues Collected from FY2010-11 Revenues Collected from FY2011-12 Revenues Collected from FY2012-13 Revenues Collected from FY2013-14 June 30, 2014 135,700 136,308 193,448 95,678 Total Ending Fund Balance $ 561,134 Result : Five year spent test met in accordance with Government Code 66001 Capital Improvement Facilities Expenditures Capital Improvement Projects FY 2013-14 % Complete % Funded With Fee 210.165.757 -Fire Station 73 Living Quarters Upgrade $ 69,489 100.00% 10.00% Total $ 69,489 City of Temecula Attachment No. 7- LIBRARY Government Code 66000 Calculation FY 2013-14 Fees are collected to provide future facilities and materials. Because these fees are population -driven, they apply only to residential development. The fee is $588.81 per residential attached unit (condominium, apartment, townhouse, and duplex), and $821.87 per residential detached unit (single family), payable at the time of issuance of building permit. The fee is adjusted annually based on the percentage increase or decrease, if any, of the Engineering News Record Building Cost Index. Account Description Beginning Fund Balance FY 2013-14 Ending Fund Balance Revenues & Other Sources: 210.190.153 Library Parking -Phase II $ 307,490 $ 2,290 100.00% Developer Fees Interest Income Contributions from Property Owners Transfers In Total Sources $ 137,868 $ 309,780 Expenditures & Other Uses: $ 137,868 Capital Projects Transfers Out Total Uses $ 137,868 Total Available $ 275,548 $ 171,912 $ 447,460 Five Year Revenue Test Using First In First Out Method Unspent Funds Represent Ending Fund Balance June 30, 2014 Previous Years Revenues Revenues Collected from FY2010-11 Revenues Collected from FY2011-12 Revenues Collected from FY2012-13 Revenues Collected from FY2013-14 $ $ 137,680 $ 309,780 Total Ending Fund Balance $ 447,460 Result : Five year spent test met in accordance with Government Code 66001 Capital Improvement Facilities Expenditures Capital Improvement Projects FY 2013-14 % Complete % Funded With Fee 210.190.153 Library Parking -Phase II $ 137,868 100.00% 100.00% Total $ 137,868 City of Temecula Attachment No. 8 - PUBLIC ART Government Code 66000 Calculation FY 2013-14 Fees are collected to enhance the quality of life for City residents, workers, and visitors by providing for the acquisition and placement of public art work. The fees are equal to 10% of 1% of the building value in excess of $100,000, payable at the time of issuance of building permit. The fee is adjusted annually based on the percentage increase or decrease, if any, of the Engineering News Record Building Cost Index. Account Description Beginning Fund Balance FY 2013-14 Ending Fund Balance Revenues & Other Sources: 210.165.671- Temecula City Entry Monumentation 210.190.121- Old Town Public Art $ 19,149 $ 72 100% 100% Developer Fees Interest Income Contributions from Property Owners Transfers In Total Sources $ 243,212 $ 19,221 Expenditures & Other Uses: $ 243,212 Capital Projects Transfers Out Total Uses $ 243,212 Total Available $ 238,140 $ (223,991) $ 14,149 Five Year Revenue Test Using First In First Out Method Unspent Funds Represent Ending Fund Balance June 30, 2014 Previous Years Revenues Revenues Collected from FY2010-11 Revenues Collected from FY2011-12 Revenues Collected from FY2012-13 Revenues Collected from FY2013-14 $ 14,149 Total Ending Fund Balance $ 14,149 Result : Five year spent test met in accordance with Government Code 66001 Capital Improvement Facilities Expenditures Capital Improvement Projects FY 2013-14 % Complete % Funded With Fee 210.165.671- Temecula City Entry Monumentation 210.190.121- Old Town Public Art $ 150,000 $ 93,212 100% 100% 100% 100% Total $ 243,212 City of Temecula Attachment No. 9 - POLICE FACILITIES Government Code 66000 Calculation FY 2013-14 Fees are collected to provide future space for police facilities and equipment. The fee is $478.02 per residential attached unit (condominium, apartment, townhouse, and duplex), $270.18 per residential detached unit (single family), and $0.06-$0.26 per square foot of floor area for commercial development, payable at the time of issuance of a building permit. The fee is adjusted annually based on the percentage increase or decrease, if any, of the Engineering News Record Building Cost Index. Account Description Beginning Fund Balance FY 2013-14 Ending Fund Balance Revenues & Other Sources: $ 97,077 $ 2,775 Developer Fees Interest Income Contributions from Property Owners Transfers In Total Sources $ - $ 99,852 Expenditures & Other Uses: Capital Projects Transfers Out Total Uses $ - Total Available $ 442,546 $ 99,852 $ 542,398 Five Year Revenue Test Using First In First Out Method Unspent Funds Represent Ending Fund Balance June 30, 2014 Previous Years Revenues Revenues Collected from FY2010-11 Revenues Collected from FY2011-12 Revenues Collected from FY2012-13 Revenues Collected from FY2013-14 $ 23,688 $ 86,534 $ 98,553 $ 233,771 $ 99,852 Total Ending Fund Balance $ 542,398 Result : Five year spent test met in accordance with Government Code 66001 Capital Improvement Facilities Expenditures Capital Improvement Projects FY 2013-14 % Complete % Funded With Fee Total $ - Item No. 10 COUNCIL BUSINESS Approvals City Attorney Finance Director City Manager CITY OF TEMECULA AGENDA REPORT TO: City Council FROM: Aaron Adams, City Manager DATE: October 28, 2014 SUBJECT: Approve Recommendation for Community Service Funding Program for Fiscal Year 2014-15 PREPARED BY: Betsy Lowrey, Sr. Management Analyst RECOMMENDATION: That the City Council approve the Community Service Funding Ad Hoc Subcommittee's recommendation to allocate a total of $71,085 to fund 16 out of 28 grant applications received from nonprofit organizations for the Fiscal Year 2014-15 Community Service Funding Program. BACKGROUND: The City Council appointed Council Member Mike Naggar and Council Member Chuck Washington to the Fiscal Year 2014-15 Community Service Funding Ad Hoc Subcommittee to allocate grant funds up to $5,000 per non-profit organization for programs that provide community services to the citizens of Temecula. The Community Service Funding Program adopted Fiscal Year 2014-15 budget is $76,000, inclusive of FY13-14 Rod Run proceeds. The Community Service Funding Program information was e-mailed to non-profit organizations in the Temecula Valley area including all community-based charities in the City's database. In addition, advertisements were sent to all contacts on the City's media list including all local newspapers. The application and guidelines was also posted on the City's website and hard copies were made available at City Hall. A total of 28 applications from non-profit organizations were submitted to the City requesting a total of $132,385 in grant funding. The Ad Hoc Subcommittee, along with staff members, reviewed the requests for funding based on criteria previously adopted by the entire City Council to continue to support those non-profit organizations who offer community -wide services such as food, clothing, shelter, and medical care. The Ad Hoc Subcommittee recommends that 16 programs receive grant funding up to $5,000 each totaling $71,085; however, it should be noted that Council Member Washington has abstained from recommending any funding for the following organizations: All From the Heart and the Waves Project. FISCAL IMPACT: Funds are available in the Fiscal Year 2014-15 Community Service Funding line item budget in the amount of $76,000. If $71,085 is awarded as proposed, a balance of $4,915 will remain available in the Fiscal Year 2014-15 Community Service Funding line item budget. ATTACHMENTS: 1. Fiscal Year 2014-15 Community Service Funding Program Ad Hoc Subcommittee Recommendation Spreadsheet 2. Fiscal Year 2014-15 Community Service Funding Program Applications CITY OF TEMECULA FY 2014-15 Community Service Funding Program Ad Hoc Subcommittee Recommendations Account No 001-101-999-5267 APPL NO. NAME OF ORGANIZATION PROJECT DESCRIPTION (Summarized) 2013-14 AWARD 2014-15 REQUEST Ad Hoc Subcommittee Recommendation Comments 1 ALL FROM THE HEART Support Our Troops - Event to be held at the Temecula Harley-Davidson on December 6, y 2014 Declined $ 5,000 $ 5,000 Chuck Washington Abstained 2 ALL FROM THE HEART Wheels For Warriors - Providing refurbished wheelchairs and scooters to veterans $ 5,000 $ 5,000 $ 5,000 Chuck Washington Abstained 3 ALL FROM THE HEART Divine Equine - Horse therapy for combat veterans Declined $ 5,000 Declined Chuck Washington Abstained 4 ASSISTANCE LEAGUE OF TEMECULA VALLEY (ALTV) ALTV Thrift Shop & Meeting Room, Parking Lot Improvements & ADA Compliance $ 5,000 $ 5,000 $ 5,000 5 BOYS & GIRLS CLUB OF SOUTHWEST COUNTY Our Hero's Children - Providing Boys & Girls programs free to military children $ 5,000 $ 5,000 $ 5,000 6 CHAPARRAL HIGH SCHOOL FOUNDATION GRAD NIGHT Chaparral High School Grad Night Declined $ 5,000 Declined 1 APPL NO. NAME OF ORGANIZATION PROJECT DESCRIPTION (Summarized) 2013-14 AWARD 2014-15 REQUEST Ad Hoc Subcommittee Recommendation Comments 7 GOD'S FAN CLUB DBA PROJECT T.O.U.C.H. Shared and Homeless Prevention Program g Declined $ 5,000 Declined 8 HABITAT FOR HUMANITY INLAND VALLEY A Brush with Kindness -Serve low income homeowner within the City of Temecula with minor exterior home repair services $ 5,000 $ 5,000 $ 5,000 9 HOPE'S COMMUNITY CLOSET Hope's Community Closet - Providing clothing, shoes backpacks and school supplies to students-- Funds will be used for operating expenses associated with space that will be leased as a drop off location for donations $ 5,000 Declined New Applicant 10 HOSPICE OF THE VALLEYS Senior Assistance Program $ 5,000 $ 5,000 $ 5,000 11 JACOB'S HOUSE, INC. Jacob's House Operations - Funds would be used to provide for all the needs a family may have during an emergency medical crisis as well as children's play area/equipment $ 5,000 Declined New Applicant 12 JDS CREATIVE ACADEMY Equipment needs for the Visual & Performing Arts Program $ 5,000 Declined New Applicant 13 LILLY'S HOUSE Teen Inclusion Club - To provide special needs teens and their typical peer buddies with enriching activities - Funding to pay for the cost of activities, refreshments and transportation $ 5,000 Declined New Applicant 2 APPL NO. NAME OF ORGANIZATION PROJECT DESCRIPTION (Summarized) 2013-14 AWARD 2014-15 REQUEST Ad Hoc Subcommittee Recommendation Comments 14 MENTORING FOR EXCELLENCE Keep Lifting as You Rise - promote mentoring with guardian/parenting involvement, and life skills workshops, education $ 5,000 Declined New Applicant 15 MICHELLE'S PLACE - BREAST CANCER RESOURCE CENTER Breast Health Assistance $ 5,000 $ 5,000 $ 5,000 16 OUR NICHOLAS FOUNDATION Our Nicholas Foundation - After School and Sports Programs $ 5,000 $ 5,000 $ 5,000 17 ROSE AGAIN FOUNDATION The Kids of Summer - Funding will assist in child summer camp or sports activities and allows for foster and adopted children to attend camp or join a sport $ 1,000 $ 2,000 New Applicant 18 ROTARY CLUB OF TEMECULA FOUNDATION Holiday Food Baskets - Distributed to families in need of support $ 5,000 $ 5,000 $ 5,000 19 SENIOR CITIZENS SERVICE CENTER OF THE TEMECULA RANCHO AREA, INC. Senior Citizens Center Food Bank $ 5,000 $ 5,000 $ 5,000 20 SOCIETY OF ST. VINCENT DE PAUL New Freezer $ 3,362 $ 4,285 $ 4,285 21 SPECIAL OLYMPICS SOUTHERN CALIFORNIA - TEMECULA VALLEY AREA Sports Training and Competition Programs in the Temecula area $ 2,500 $ 5,000 $ 2,500 3 APPL NO. NAME OF ORGANIZATION PROJECT DESCRIPTION (Summarized) 2013-14 AWARD 2014-15 REQUEST Ad Hoc Subcommittee Recommendation Comments 22 T.E.A.M. EVANGELICAL ASSISTANCE MINISTRIES Temecula Pantryfood and supplies PP Declined $ 5,000 $ 2,500 23 TEMECULA DOLLARS FOR SCHOLARS Temecula Dollars for Scholars - Administrative Funds - Print and copy costs for marketing brochures, paper, envelopes, and other office supplies Declined $ 4,000 Declined 24 TEMECULA VALLEY GARDEN CLUB Temecula Valley Garden Club Flower Show to be held May 9, 2015 at the CRC Declined $ 3,300 Declined 25 TEMECULA VALLEY PEOPLE HELPING PEOPLE 2014 Care to Share Holiday Programs - Funds will be used to provide holiday gifts for children, seniors, veterans $ 5,000 $ 5,000 $ 5,000 26 CALIFORNIA VFW MOTORCYCLE CLUB- EMPIRE Emergency Food Assistance - food boxes at a cost of $25 each $ 5,000 Declined New Applicant 27 WAVES PROJECT INC. Waves Project - Funds will be used to assist Veterans learning to scuba dive $ 4,800 $ 4,800 1.New Applicant 2.Chuck Washington Abstained 28 WOMEN ORGANIZING WOMEN, INC. Temecula Valley Visual and Performing Arts Mentorship - Funds to pay for workshop supplies and field trips. Music, singing, dancing and acting. Also books, music sheets, instruments and materials, props/costumes, instructional materials $ 5,000 Declined New Applicant TOTAL 4 $ 132,385 71,085 City of Temecula 2014-15 CS Funding Program APPLICATION NO. 1 CITY OF TEMECU aA FISCAL YEAR 2014-15 r. 1 COMMUNITY SERVICE FUNDING PROGRAM APPLICIO�I (Please Print or Tvoe) OFFIC fit3 19 14f 01.1 0 RCV RECEIVED 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 5,000 Project Name: Support Our Troops Project Start Date: August 1, 2014 (Maximum allowable $5,000) Project End Date: December 7, 2014 ORGANIZATION INFORMATION Name of Organization: All From the Heart Contact Name: Judy Harter Title/Position: Founder/President Mailing Address: 31805 Temecula Parkway #121, Temecula, CA 92592 Telephone: 951 -290 -VETS (8387) Number of Paid Staff- 0 Geographic Area(s) Served: Inland Empire Year Organization Founded: 2006 Number of Volunteers: 50 Is this organization incorporated in California as a non-profit organization? If "no": Yes X No Effective Date: 6/26/2006 If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: 6/26/2006 Federal identification number: _22-3953079 State identification number: C2898008 Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee Board of Directors X Members -at -Large Application Page 1 FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. Our entire city is invited to the "Support Our Troops" event. We have 50-60 volunteers who help us every year, in addition to 30 local families who shop and host our military families The event is attended by over 1,000 locals, who enjoy free barbeque and family entertainment We have a four member board of directors who meet once a month. We are in our 12th year. We are a well establishes non-profrt and everyone is blessed and touched by our special event every year Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) All From the Heart - Support Our Troops 11th Annual event, December 6, 2014 11:00 am - 2:00 pm Quaid Temecula Harley-Davidson, Old Town Temecula thirty active military families, each with a special circumstance, cancer, missing limbs, PTSD, special needs children, widows, suicide in the family and many other conditions. All families are chosen by the military Family Readiness Officers. We then get the family's Christmas wish list after which 30 local families shop for them. We all come together the moming of the event. There is a military fly -by, presentation of the colors, National Anthem is sung, moment of silence, and dignitaries share. Then Santa rides in on his Harley and the gift opening begins. There is live music, barbeque and vendors. The event is open to the public and there is no better way to kick off the holiday season! Come thank a hero! Application Page 3 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: Judy Harter, President PRESIDENT AUTHORIZED OFFICER: Judy Harter, President NAME and T TLE (Please Print or Type) NAME and TITLE (Please Print or Type) SIGNATUR -: ORGANIZ " ON AME: All " om the Hea MAILING 31 : '5 Temecula Parkway #121, Temecula, CA 92592 ADDRESS TELEPHONE: 951 -290 -VETS (8387) DATED THIS loth (Date) of August EMAIL ADDRESS: judykharter@gmail.com , 2014 (Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 STATE OF CALIFORNIA PRANCHM! TAX BOARi. PO BOX 1286 RANCHO CORDOVA CA 95741-1286 August 3, 2009 ALL FROM THE HEART INC NC LESLIE A DOHERTY 29970 TECHNOLOGY DR STE 220-H MURRIETASA CA 92563-2650 Purpose : Code Section s Form of Organization s Accounting Period Endings Organization Number s CHARITABLE 23701d Corporation December 31 2898008 In reply refer to 755:AFF:ARJ EXEMPT ACKNOWLEDGEMENT LETTER This letter acknowledges that the Franchise Tax Board (FTB) has received your federal determination letter that shows exemption under Internal Revenue Code (IRC) Section 501(c)(3). Under California law, Revenue and Taxation Cods (R&TC) Section 23701d(c)(1) provides that an organization is e xempt from taxes imposed under Part 11 upon submission of the federal determination letter approving the organization's tax-exempt status pursuant to Section 501(c)(3) of the IRC. The effective date of your organization's California tax-exempt status is 06/26/2006. R&TC Section 23701d(c)(1) further provides that the effective date of an o rganization's California tax-exempt status is the same date as the federal tax-exempt status under IRC Section 501(c)(3). Under R&TC Section 23701d(c), any change to your organization's operation, character, or purpose thst has occurred since the federal exemption was originally granted must be reported immediately to this office. Additionally, organizations are required to be organized and operating for August 5, 2009 ALL FROM THE HEART, INC.NC. ENTITY ID s 2898008 Page 2 nonprofit purposes to retain California tax-exempt status. For filing requirements, see FTB Pub. 1068, Exempt Organizations - Requirements for Filing Returns and Paying Filing Fees. Go to our website ■t ftb.ca.gov and search for 1068. Notes This exemption is for state franchise or income tax purposes only. For information regarding sales tax exemption, contact the State Board of Equalization at 800.400.7115, or go to their website at boe.ca.gov. A JENKINS EXEMPT ORGANIZATIONS BUSINESS ENTITIES SECTION TELEPHONE (916) 845-4605 FAX NUMBER (916) 845-9029 RTF: 006222 Department of the Treasury Internal Revenue /ervlee OGDEN UT 84201-0038 ALL FROM THE HEART INC X KELLY M DANIELS 27475 YNEZ RD STE 215 TEMECULA CA 92591-4612759 In reply refer to: 0437758652 Mar. 06, 2008 LTR 4180C E0 22-3953079 000000 00 000 00024588 BODC: TE Employer Identification Number: 22-3953079 Advance Ruling Period Ends: Dec. 31, 2010 Person to Contact: K. Wardleigh Toll Free Telephone Number: 1-877-829-5500 Dear Taxpayer: This is in response to your Feb. 26, 2008, request for information regarding your tax-exempt status. Our records indicate that a determination letter was issued in July 2007, that recognized you as exempt from Federal income tax, and reflect that you are currently exempt under section 501(c)(3) of the Internal Revenue Code. Our records also indicate that you are classified as a public charity under sections 509(a)(1) end 170(b)(1)(A)(vi) of the Code until the advance ruling period ending date shown above. Within 90 days from the end of the advance ruling period, you must submit Form 8734, Support Schedule for Advance Ruling Period, to enable the IRS to determine whether you meet the applicable public charity support tests and make a final determination of your public charity status. Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. Grantors and contributors may rely on the determination that you are not a private foundation until 90 days after the end of your advance ruling period. If you submit the required information within 90 days, grantors and contributors may continue to rely on the advance determination until the Service makes a final determination of your public charity status. 0437758652 Mar. 06, 2008 LTR 4180C EO 22-3933079 000000 00 000 00024589 ALL FROM THE HEART INC X KELLY M DANIELS 27475 YNEZ RD STE 215 TEMECULA CA 92591-4612759 If you have any questions, please call us at the telephone number shown in the heading of this letter. Sincerely yours, Q o41% Deborah Bingham Accounts Management I All From The Heart, Inc Balance Sheet As of December 31, 2013 ASSETS Current Assets Checking/Savings Commerce Bank - Operating Total Checking/Savings Dec 31,13 14,116.75 14,116.75 Total Current Assets 14,116.75 TOTAL ASSETS 14,116.76 LIABILITIES & EQUITY Equity Unrestrict (retained earnings) 29,472.95 Net Income -15,356.20 Total Equity 14,116.75 TOTAL LIABILITIES & EQUITY 14,116.75 Page 1 All From The Heart, Inc Profit & Loss January through December 2013 Jan - Dec 13 Ordinary Income/Expense Income Donations 15,967.47 Earned revenues Interest-savings/short-term Inv 52.01 Earned revenues - Other 0.02 Total Earned revenues 52.03 Total Income 16,019.50 Gross Profit 16,019.50 Expense Advertising expenses 242.68 Bank Charges 312.23 Business expenses Business expenses - Other 490.00 Total Business expenses 490.00 Fund Raising Expenses Wheels for Warriors Wheelchair Repairs 15,677.55 Total Wheels for Warriors 15,677.55 Fund Raising Expenses - Other 1,544.62 Total Fund Raising Expenses 17,222.17 Misc expenses Insurance • non-employee 935.00 Membership dues - organization 230.00 Other expenses 773.04 Total Misc expenses 1,938.04 Non -personnel expenses Automobile & Mileage 3,153.78 Equip rental & maintenance 480.00 Postage, shipping, delivery 388.50 Printing & copying 326.92 Supplies 1,184.27 Non -personnel expenses - Other 60.00 Total Non -personnel expenses 5,593.47 Other personnel expenses Accounting fees 240.00 Professional fees - other 5,750.00 Other personnel expenses - Other 66.98 Total Other personnel expenses 6,056.98 Veteran Services Equine Therapy 7,400.00 Veteran Services • Other 779.36 Total Veteran Services 8,179.36 Total Expense 40,034.93 Net Ordinary Income -24,015.43 Other Income/Expense Other Income Fundraising Income 26,923.58 Total Other Income 26,923.58 Page 1 All From The Heart, Inc Profit & Loss January through December 2013 Other Expense Fundraising Expense Total Other Expense Jan - Dec 13 18,264.35 18,264.35 Net Other Income 8,659.23 Net Income -15,356.20 Page 2 eff\PLL FROM THE H Honoring Military Families Support Our Troops Project Budget 2014 30 Families of 5 members @ $100 per person Kids Korner New Bicycles/Tricycles and Helmets for each child All other expenses paid for by sponsors $15,000 $2,500 $5,000 Total Budget for year: $22,500 31805 Temecula Parkway #121 . Temecula . CA . 92592. 951 -290 -VETS (8387) Tax -ID #22-3953079 www.allfromtheheart.org Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page 125 VII OK EIN: Legal Name (Doing Business As) City: 22-3953079 All From the Heart Inc. Temecula Return to Search State :Country CA United States « Prev 1 1-1 1 Next» Deductibility Status PC « Prev 11-1 1 Next» City of Temecula 2014-15 CS Funding Program APPLICATION NO. 2 CITY OF TEMECUTA - FISCAL YEAR 2014-1 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Tvpe) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 5,000 Project Name: Wheels for Warriors Project Start Date: 2010 (Maximum allowable $5,000) Project End Date: No end in sight - always needed ORGANIZATION INFORMATION Name of Organization: All From the Heart Contact Name: Judy Harter Title/Position: Founder/President Mailing Address: 31805 Temecula Parkway #121, Temecula, CA 92592 Telephone: 951 -290 -VETS (8387) Year Organization Founded: 2006 Number of Paid Staff: 0 Number of Volunteers: 10 Geographic Area(s) Served: Inland Empire Is this organization incorporated in Califomia as a non-profit organization? If "no": Yes X No Effective Date: 6/26/2006 If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: 6/26/2006 Federal identification number: 22-3953079 State identification number: C2898008 Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee Board of Directors X Application Page 1 Members -at -Large FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. To date, we have gifted 224 veterans with refurbished power scooters and wheelchairs. Currently we have 20 veterans waiting for chairs. We are able to serve all of the Inland Empire. We work with the local Veterans Center and the DAV (Disabled American Veterans Association) to identify the needs of our warriors. Most of them have either missing limbs, cancer from Agent Orange, diabetes and other debilitating diseases. Without our gift of independence they are trapped in manual chairs. Independence is a very powerful gift and Wheels for Warriors is a very needed service. Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) We will provide refurbished wheelchairs or scooters to assist any veteran in need of independence which in tum allows our Veterans the freedom to live life more fully. We do this by accepting and picking up used power wheelchairs and scooters. We refurbish them to their finiest quality including new batteries, working with a local vendor and then deliver them to the veterans and provide them with traiing on the use of the chair. To date we have gifted 229 veterans with independence. We currently have 20 veterans waiting for chairs. We get the chairs refurbished and in the hands of our warriors for under $300 each. A great value! $5,000 would allow us to provide a chair for 17 of our heroes. Application Page 3 FAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. We were able to refurbish 8 power chairs and gift our veterans a more independent lifestyle. Lives were changed forever. The need is growing as we identify more veterans. Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: Judy Harter, President SIGNATURE: PRESIDENT or AUTHORIZED OFFICER: Judy Harter, President NAME an • ITLE (Please Print or Type) NAME and TIT E (Please Print or Type) SIGNAT ORGANI TION AME: All From t art MAILING 05 Temecula Parkway #121, Temecula, CA 92592 ADORES TELEPHONE: 951 -290 -VETS (8387) EMAIL ADDRESS: judykharter@gmail.com DATED THIS 10th (Date) August (Month) 2014 BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 STATE OF CALIFORNIA ?RANCHO! TAX BOAR. PO BOX 1286 RANCHO CORDOVA CA 95741-1286 August 3, 2009 ALL FROM THE HEART INC NC LESLIE A DOHERTY 29970 TECHNOLOGY DR STE 220-H NURRIETASA CA 92563-2650 Purpose : Code Section s Form of Organization s Accounting Period Endings Organization Number s CHARITABLE 23701d Corporation December 31 2898008 In reply refer to 755:AFF:ARJ EXEMPT ACKNOWLEDGEMENT LETTER This letter acknowledges that the Franchise Tax Board (FTB) has received your federal determination letter that shows exemption under Internal Revenue Code (IRC) Section 501(c)(3). Under California law, Revenue and Taxation Code (R&&TC) Section 23701d(c)(1) provides that an organization is e xempt from taxes imposed under Part 11 upon submission of the federal determination letter approving the organization's tax-exempt status pursuant to Section 501(c)(3) of the IRC. The effective date of your organization's California tax-exempt status is 06/26/2006. R&TC Section 23701d(c)(1) further provides that the effective date of an o rganization's California tax-exempt status is the same date as the federal tax-exempt status under IRC Section 501(c)(3). Under RITC Section 23701d(c), any change to your organization's operation, character, or purpose that has occurred since the federal exemption was originally granted must be reported immediately to this office. Additionally, organizations are required to be organized and operating for August 3, 2009 ALL FROM THE HEART, INC.NC. ENTITY ID s 2898008 Page 2 nonprofit purposes to retain California tax-exempt status. For filing requirements, see FTB Pub. 1068, Exempt Organizations - Requirements for Filing Returns and Paying Filing Fees. Go to our website at ftb.ca.gov and search for 1068. Notes This exemption is for state franchise or income tax purposes only. For information regarding sales tax exemption, contact the State Board of Equalization at 800.400.7115, or go to their website at boe.ca.gov. A JENKINS EXEMPT ORGANIZATIONS BUSINESS ENTITIES SECTION TELEPHONE (916) 845-4605 FAX NUMBER (916) 845-9029 RTF3 001222 �t Deparlmenl oldie 'TreasuryIRS Mental Revenue Servile OGDEN UT 84201-0038 ALL FROM THE HEART INC X KELLY M DANIELS 27475 YNEZ RD STE 215 TEMECULA CA 92591-4612759 Employer Identification Numbers Advance Ruling Period Ends: Person to Contacts Toll Free Telephone Numbers Dear Taxpayers In reply refer tos 0437758652 Mar. 06, 2008 LTR 4180C EO 22-3953079 000000 00 000 00024588 BODC1 TE 22-3953079 Dec. 31, 2010 K. Wardleigh 1-877-829-5500 This is in response to your Feb. 26, 2008, request for information regarding your tax-exempt status. Our records indicate that a determination letter was issued in July 2007, that recognized you as exempt from Federal income tax, and reflect that you are currently exempt under section 501(c)(3) of the Internal Revenue Code. Our records also indicate that you are classified as a public charity under sections 509(a)(1) and 170(b)(1)(A)(vi) of the Code until the advance ruling period ending date shown above. Within 90 days from the end of the advance ruling period, you must submit Form 8734, Support Schedule for Advance Ruling Period, to enable the IRS to determine whether you meet the applicable public charity support tests end make a final determination of your public charity status. Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. Grantors and contributors may rely on the determination that you are not a private foundation until 90 days after the end of your advance ruling period. If you submit the required information within 90 days, grantors and contributors may continue to rely on the advance determination until the Service makes a final determination of your public charity status. •• 0437758652 Mar. 06, 2008 LTR 4180C EO 22-3953079 000000 00 000 00024559 ALL FROM THE HEART INC X KELLY M DANIELS 27475 YNEZ RD STE 215 TEMECULA CA 92591-4612759 If you have any questions, please call us at the telephone number shown in the heading of this letter. Sincerely yours, Doje01-A-a11 Deborah Bingham Accounts Management I All From The Heart, Inc Balance Sheet As of December 31, 2013 ASSETS Current Assets Checking/Savings Commerce Bank - Operating Total Checking/Savings Dec 31,13 14,116.75 14,116.75 Total Current Assets 14,116.75 TOTAL ASSETS LIABILITIES & EQUITY Equity Unrestrict (retained earnings) Net Income Total Equity 14,116.75 29,472.95 -15,356.20 14,116.75 TOTAL LIABILITIES & EQUITY 14,116.75 Page 1 All From The Heart, Inc Profit & Loss January through December 2013 Jan - Dec 13 Ordinary Income/Expense Income Donations 15,967.47 Earned revenues Interest-savings/short-term inv 52.01 Earned revenues - Other 0.02 Total Earned revenues 52.03 Total Income 16,019.50 Gross Profit 16,019.50 Expense Advertising expenses 242.68 Bank Charges 312.23 Business expenses Business expenses - Other 490.00 Total Business expenses 490.00 Fund Raising Expenses Wheels for Warriors Wheelchair Repairs 15,677.55 Total Wheels for Warriors 15,677.55 Fund Raising Expenses - Other 1,544.62 Total Fund Raising Expenses 17,222.17 Misc expenses Insurance - non-employee 935.00 Membership dues - organization 230.00 Other expenses 773.04 Total Misc expenses 1,938.04 Non -personnel expenses Automobile & Mileage 3,153.78 Equip rental & maintenance 480.00 Postage, shipping, delivery 388.50 Printing & copying 326.92 Supplies 1,184.27 Non -personnel expenses - Other 60.00 Total Non -personnel expenses 5,593.47 Other personnel expenses Accounting fees 240.00 Professional fees - other 5,750.00 Other personnel expenses - Other 66.98 Total Other personnel expenses 6,056.98 Veteran Services Equine Therapy 7,400.00 Veteran Services - Other 779.36 Total Veteran Services 8,179.36 Total Expense 40,034.93 Net Ordinary Income Other Income/Expense Other Income Fundraising Income Total Other Income -24,015.43 26,923.58 26,923.58 Page 1 All From The Heart, Inc Profit & Loss January through December 2013 Other Expense Fundraising Expense Total Other Expense Jan - Dec 13 18,264,35 18,264.35 Net Other Income 8,659.23 Net Income -16,356.20 Page 2 FROM THE HEART, R, Honoring Military Families Wheels For Warriors Project Budget 2014 Power Chair Repair Expense 66 © $300/each Mileage Expense Total Budget for year: $19,800 $200 $20, 000 31805 Temecula Parkway #121 • Temecula • CA • 92592 • 951 -290 -VETS (8387) Tax -ID #22-3953079 www.al Ifromtheheart.org IRS Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page C 25 vi r OK EIN : Legal Name (Doing Business As) City 22-3953079 All From the Heart Inc. Temecula Return to Search « Prev 1 1-1 I Next» State .Country : Deductibility Status CA United States PC « Prev 1-1 I Next » City of Temecula 2014-15 CS Funding Program APPLICATION NO. 3 CITY OF TEMECUTAA FISCAL YEAR 2014-15 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Tuve) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 5,000 Project Name: Divine Equine (Maximum allowable $5,000) Project Start Date: January 2011 Project End Date: No end in sight - always needed ORGANIZATION INFORMATION Name of Organization: All From the Heart Contact Name: Judy Harter Title/Position: Founder/President Mailing Address: 31805 Temecula Parkway#121, Temecula, CA 92592 Telephone: 951 -290 -VETS (8387) Year Organization Founded: 2006 Number of Paid Staff: 0 Number of Volunteers: 10 Geographic Area(s) Served: Inland Empire Is this organization incorporated in California as a non-profit organization? If "no": Yes X No Effective Date: 6/26/2006 If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: 6/26/2006 Federal identification number: 22-3953079 State identification number: C2898008 Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee Board of Directors x Members -at -Large Application Page 1 FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. Our Divine Equine mission is to help our PTSD (Post Traumatic Stress Disorder) veterans achieve wellness and peace after retuming from combat Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) Horse therapy for combat veterans with PTSD (Post Traumatic Stress Disorder). Our veterans are chosen by the Temecula Veterans Center where they are currently being counseled both in private and group therapy sessions. We at AFTH provide each veteran with five two hour private sessions with two horses, a therapist and at least on volunteer. Lives are forever changed. The positive results are amazing. This is cutting edge therapy. Please help us help those who served for our freedoms and are battling for their lives after being in combat So far 37 veterans have had their lives changed by the program and many more are waiting to experience the relief offered by Divine Equine. Application Page 3 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: Judy Harter, President SIGNATURE:, PRESIDEN AUTHORIZE OFFICER: Judy Harter, President NA and TITLE (Please Print or Type) SIGNATURE: ORGANIZA MAILING ADDRESS: NAME and TITLE (Please Print or Type) N N'ME: All or the ea 1805 Temecula Parkway #121, Temecula, CA 92592 TELEPHONE: 951 -290 -VETS (8387) EMAIL ADDRESS: judykharter©gmail.com DATED THIS loth August (Date) (Month) , 2014 BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 001222 ISS�t p.pulmagt of the Tr u uy [otunutl R,v,wu, servos OGDEN UT 84201-0038 ALL FROM THE HEART INC X KELLY M DANIELS 27475 YNEZ RD STE 215 TEMECULA CA 92591-4612759 Employer Identification Numbers Advance Ruling Period Ends: Person to Contacts Toll Free Telephone Numbers In reply refer to: 0437758652 Mar. 06, 2008 LTR 4180C E0 22-3953079 000000 00 000 00024588 BODCs TE 22-3953079 Dec. 31, 2010 K. Wardleigh 1-877-829-5500 Dear Taxpayers This is in response to your Feb. 26, 2008, request for information regarding your tax-exempt status. Our records indicate that a determination letter was issued in July 2007, that recognized you as exempt from Federal income tax, and reflect that you are currently exempt under section 501(c)(3) of the Internal Revenue Code. Our records also indicate that you are classified as a public charity under sections 509(2)(1) and 170(b)(1)(A)(vi) of the Code until the advance ruling period ending date shown above. Within 90 days from the end of the advance ruling period, you must submit Form 8734, Support Schedule for Advance Ruling Period, to enable the IRS to determine whether you meet the applicable public charity support tests and make a final determination of your public charity status. Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. Grantors and contributors may rely on the determination that you are not a private foundation until 90 days after the end of your advance ruling period. If You submit the required information within 90 days, grantors and contributors may continue to rely on the advance determination until the Service makes a final determination of your public charity status. • 0437758652 Mar. 06, 2008 LTR 4180C E0 22-3953079 000000 00 000 00024589 ALL FROM THE HEART INC X KELLY M DANIELS 27475 YNEZ RD STE 215 TEMECULA CA 92591-4612759 If you have any questions, please call us at the telephone number shown in the heading of this letter. Sincerely yours, D.o.�-o641% Deborah Bingham Accounts Management I STATE OF CALIFORNIA FRANCWE TAX BOARD PO BOX 1286 RANCHO CORDOVA CA 95741-1286 August 3, 2009 ALL FROM THE HEART INC NC LESLIE A DOHERTY 29970 TECHNOLOGY DR STE 220-H MURRIETASA CA 92563-2650 Purpose : Code Section s Form of Organization : Accounting Period Ending: Organization Number : CHARITABLE 23701d Corporation December 31 2898008 In reply refer to 755:AFF:ARJ EXEMPT ACKNOWLEDGEMENT LETTER This letter acknowledges that the Franchise Tax Board (FTB) has received your federal determination letter that shows exemption under Internal Revenue Code (IRC) Section 501(c)(3). Under California law, Revenue and Taxation Code (R&TC) Section 23701d(c)(1) provides that an organization is exempt from taxes imposed under Part 11 upon submission of the federal determination letter approving the organization's tax-exempt status pursuant to Section 501(c)(3) of the IRC. The effective date of your organization's California tax-exempt status is 06/26/2006. R&TC Section 23701d(c)(1) further provides that the effective date of an organization's California tax-exempt status is the same date as the federal tax-exempt status under IRC Section 501(c)(3). Under RSTC Section 23701d(c), any change to your organization's operation, character, or purpose that has occurred since the federal exemption was originally granted must be reported immediately to this office. Additionally, organizations are required to be organized and operating for August 3, 2009 ALL FROM THE HEART, INC.NC. ENTITY ID : 2898008 Pag• 2 nonprofit purposes to retain California tax-exempt status. For filing requirements, see FTB Pub. 1068, Exempt Organizations - Requirements for Filing Returns and Paying Filing Fees. Go to our website at ftb.ca.gov and search for 1068. Note: This exemption is for state franchise or income tax purposes only. For information regarding sales tax exemption, contact the State Board of Equalization at 800.400.7115, or go to their website at boe.ca.gov. A JENKINS EXEMPT ORGANIZATIONS BUSINESS ENTITIES SECTION TELEPHONE (916) 845-4605 FAX NUMBER (916) 845-9029 RTF: All From The Heart, Inc Balance Sheet As of December 31, 2013 ASSETS Current Assets Checking/Savings Commerce Bank - Operating Dec 31,13 14,116.75 Total Checking/Savings 14,116.75 Total Current Assets 14,116.75 TOTAL ASSETS LIABILITIES & EQUITY Equity Unrestrict (retained earnings) Net Income Total Equity 14,116.76 29,472.95 -15,356.20 14,116.75 TOTAL LIABILITIES & EQUITY 14,116.75 Page 1 All From The Heart, Inc Profit & Loss January through December 2013 Jan - Dec 13 Ordinary Income/Expense Income Donations 15,967.47 Earned revenues Interest-savings/short-term inv 52.01 Earned revenues - Other 0.02 Total Earned revenues 52.03 Total Income 16,019.50 Gross Profit 16,019.50 Expense Advertising expenses 242.68 Bank Charges 312.23 Business expenses Business expenses - Other 490.00 Total Business expenses 490.00 Fund Raising Expenses Wheels for Warriors Wheelchair Repairs 15,677.55 Total Wheels for Warriors 15,677.55 Fund Raising Expenses - Other 1,544.62 Total Fund Raising Expenses 17,222.17 Misc expenses Insurance - non-employee 935.00 Membership dues -organization 230.00 Other expenses 773.04 Total Misc expenses 1,938.04 Non -personnel expenses Automobile & Mileage 3,153.78 Equip rental & maintenance 480.00 Postage, shipping, delivery 388.50 Printing 8 copying 326.92 Supplies 1,184.27 Non -personnel expenses - Other 60.00 Total Non -personnel expenses 5,593.47 Other personnel expenses Accounting fees 240.00 Professional fees - other 5,750.00 Other personnel expenses - Other 66.98 Total Other personnel expenses 6,056.98 Veteran Services Equine Therapy Veteran Services - Other Total Veteran Services 7,400.00 779.36 8,179.36 Total Expense 40,034.93 Net Ordinary Income Other Income/Expense Other Income Fundraising Income Total Other Income -24,015.43 26,923.58 26,923.58 Page 1 All From The Heart, Inc Profit & Loss January through December 2013 Other Expense Fundraising Expense Total Other Expense Jan - Dec 13 18,264.35 18,264.35 Net Other Income 8,659.23 Net Income -16,356.20 Page 2 esCPLL FROM HTHE Honoring Military Families Divine Equine Project Budget 2014 24 Veterans @ $600 (2 veterans per month) This covers all expenses including board and care of horses $14,400 Total Budget for year: $14,400 31805 Temecula Parkway #121 • Temecula • CA • 92592 • 951 -290 -VETS (8387) Tax -ID #22-3953079 www.allfromtheheart.org Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page 25 v OK EIN Leval Name (Doing Business As) City 22-3953079 All From the Heart Inc, Temecula Return to Search' State :Country : CA United States « Prev11-1 Next» Deductibility Status: PC « Prev 1 1-1 1 Next» City of Temecula 2014-15 CS Funding Program APPLICATION NO. 4 CITY OF TEMECULA FISCAL YEAR 201 4.1 5 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Tyne) RECEIVED AUG a820%1 CITY MANAGIR'S OFFICE 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 5,000.00 (Maximum allowable $5,000) Project Name: ALTV Thrift Shop & Meeting Room Parking Lot Improvements & ADA Compliance Project Start Date: 18 Au ust 2014 Project End Date: 09 September, 2014 ORGANIZATION INFORMATION Name of Organization: Assistance League of Temecula Valley (ALTV) Contact Name: Dorcas Shaktman Title/Position. Vice -President. Finance Mailing Address: 28720 Via Montezuma, Temecula. California. 92590-2510 Telephone: (951) 694-8018 Year Organization Founded, 1989 Number of Paid Staff: zero Number of Volunteers: 190 Geographic Area(s) Served: Temecula & Southwest Riverside County Economic Development Region Is this organization incorporated in California as a non-profit organization? Yes X No Effective Date: 15 June, 1989 If "yes" (Must provide a copy of your statement profit status from the State of California): Date of incorporation as a non-profit: 15 June, 1989 Federal identification number: 33-0360419 State identification number: 1463456 If "no" - of non - Name of sponsoring organization: n/a Federal identification number: n/a State identification number: n/a This application has been authorized by the organization's: Executive Committee Board of Directors X Members -at -Large Application Page 1 FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. ALTV provides human services to disadvantaged families in Temecula and the Southwest Riverside County Economic Development Region. All programs are operated & staffed by ALTV (member) & community volunteers. ALTV's Operation School Bell (OSB) program provides clothing to low-income schoolchildren within the service area. Since 1989, OSB has clothed 25,323 children. ALTV's Operation Nonprofit Partnership program partners with other local community organizations to serve the basic needs of individuals and families in need of critical basic human services. A) ALTV is a 501(c)(3) nonprofit corporation headquartered in Temecula, California. B) ALTV offers essential basic services to any disadvantaged constituents within the local community. C) ALTV has operated continuously since 1989, grown its volunteer base and expanded its service offerings. D) ALTV is recognized in the community for its provision of services to disadvantaged persons, contributions to child welfare and education, and successful operation of its local thrift store. It has been publicly recognized by numerous local, regional and state organizations and governmental bodies each year for many years. E) ALTV engages rigorously in generally accepted accounting principles and prudent fiscal management. F) ALTV is well organized and endured for 25 years with an annually elected board of directors which governs, develops strategic plans and guides the organization and its programs forward within the scope of its mission. G) ALTV annually reports results related to the provision of its services within Temecula, other cities and within Riverside County. This is typically completed in relation to the CDBG grants funding for some ALTV programs. H) ALTV maintains and adheres to a comprehensive non-discrimination policy in all aspects of its efforts. I) ALTV does not require attendance or participation in any political, religious or social activity. J) Current financial statements are attached & independently audited financial statements are produced annually. K) Current annual budget demonstrating prudent use of financial resources is attached. L) ALTV provides services to all disadvantaged community members within the scope of its programs. M) ALTV continually assesses program efficiency, impact, outcome, and beneficiary satisfaction. Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) ALTV operates its offices, thrift shop and a public meeting room in a single 24,000 sq. ft. Temecula -based facility. That facility is served by a 41.000+ sg. ft. paved parking lot with over 100 parking spaces for customers, visitors and volunteers. The parking lot surface is damaged, cracking and crumbing due to weathering and aging. The parking lot was last slurry- sealed in October, 2006, and the need for maintenance (largely for safety) has reached a critical state. After having reviewed several bids, in late 2014, ALTV will spend nearly $50,000 to completely resurface the front and side parking lot areas and the back alley. This will extend the life of the parking lot surface for another three to five years and ensure safety. ALTV has opted to undertake this effort using the services of San Diego Asphalt (previously used for this same effort). Doing so simultaneously and in conjunction with the resurfacing of an adjoining parking lot maintained by another owner results in significant savings for ALTV. As part of this greater parking lot improvement project, ALTV has been advised that it must undertake efforts to bring the ADA (American with Disabilities Act of 1990) portion of the ALTVparking lot into compliance with current federal regulations in order to properly accommodate all ADA -reliant visitors to the facility and to avoid potential liability. ALTV has received a complete, detailed bid for all essential services necessary to enhance the ADA portion of the parking lot and adjoining appurtenances with the intent of ADA compliance. ALTV's Board has voted to undertake this project and seeks financial. support from the City of Temecula for this ADA compliance project. The completion of this project of will aid Temecula residents and others visiting the ALTV facility for shopping, meetings, events, and volunteering. Specifically, the ADA parking improvements will aid those persons requiring such facilities and ensure that those individuals are provided access to the building's facilities. Multiple written bids were obtained from regional businesses. The costs for each project facet are detailed in the attached PROJECT BUDGET and ESTIMATE. Additionally, a timeline, including services provided by the selected contractor, are detailed in the attached SCHEDULE OF SIGNIFICANT EVENTS. The cost of this project, in excess of the $5,000.00 grant amount, will be funded by ALTV from monies garnered through thrift store sales. Application Page 3 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. Last year, ALTV received $5,000.00 in City of Temecula Community Service funding. This grant amount was utilized in full to complete building and grounds improvements at ALTV's headquarters and public thrift store location, Those improvements enhanced both safety and aesthetics and ensured compliance with Temecula's Jefferson Avenue Redevelopment Project. The proiect's objectives were to enhance the exterior appearance of the building, provide improved street number signage to aid visitor and emeroencv responders, remove trees that have been determined to be a hazard to the structure andlor member and customer safety, and trim trees to eliminate damage to the structure. All the project tasks were completed prior to 31 March, 2014. and the results were positive and noticeable. Documentation of the expenditures and completed work were previously provided to the City of Temecula on 30 June 2014. Overall, these improvements to the grounds and building provide a safe and more aesthetically -pleasing environment to customers, visitors and volunteers and to the entire Temecula neighborhood. Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: Dan Somerston, Grant Writer, SIGNATURE: NA and tTLE (Please Print or Type) PRESIDENT or AUTHORIZED OFFICER: Dorcas Shaktman, Vice -President of Finance NAME and TITLE (Please Print or Type) SIGNATURE: ORGANIZATION NAME: Assistance League of Temecula Valley MAILING ADDRESS: 28720 Via Montezuma Temecula, California 92590-2510 TELEPHONE: 951-694-8018 / 951-304-2605 EMAIL ADDRESS: altvgrants@gmail.com DATED THIS 8th August , 2014 (Date) (Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 STATE OF CALIFORNIA • \ FRANCHISE TAX BOARD PO BOX 942857 1 SACRAMENTO CA 94257-0540 Entity Status Letter Date: 7/30/2014 ESL ID: 3825877906 According to our records, the following entity information is true and accurate as of the date of this letter. Entity ID: 1463456 Entity Name: ASSISTANCE LEAGUE OF TEMECULA VALLEY ® 1. The entity is in good standing with the Franchise Tax Board. ❑ 2. The entity is not in good standing with the Franchise Tax Board. 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d. ❑ 4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of California, or other government agency. • If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was not qualified or not registered to do business in California: o The status or voidability of any contracts made in California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). o For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. Internet and Telephone Assistance Website: ftb.ca.gov Telephone: 800.852.5711 from within the United States 916.845.6500 from outside the United States TTY/TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (NEW 02-2012) State ofifornia OFFICE OF THE SECRETARY OF STATE CORPORATION DIVISION A4t7175 D:'1;it piTi- 1, MARCH FOND EU, Secretary of State of the State of California, hereby certify: That the annexed transcript has been compared with the corporate record on file in this office, of which it purports to be a copy, and that same is full, true and correct. IN WITNESS WHEREOF, I execute this certificate and affix the Great Seal of the State of California this APR"sl, ?2 tAtivat Secretary of State 5e:c13TAT[ FO.M CE -1 07 CERTIFICATE OF AMENDMENT OF ARTICLES OF INCORPORATION 4417175 0.41 E m oxf0e P.: tv ;.,e<:s 4nry of Sala 71 Ott- :;IN of + �nP+i3I77:3 SPR 1 3 1992 iiFOG EU,I;teiallyofJ?1413 LA DONNA JIMENEZ AND BETTY THOMPSON certify that: 1. They are the president and the secretary, respectively, of Assistance Guild of Temecula Valley, a California Nonprofit Public Benefit Corporation. 2. Article I NAME of the articles of incorporation of this corporation is amended to read as follows: The name of the corporation is ASSISTANCE LEAGUE OF TEMECULA VALLEY. 3. The foregoing amendment of articles of incorporation has been duly approved by the board of directors. 4. The foregoing amendment of articles of incorporation has been duly approved by the required vote of members. We further declare under penalty of perjury under the laws of the State of California that the matters set forth in this certificate are true and correct of our own knowledge. DATE: April 8, 1992 NONPROFIT LA DONNA JIM !J! ... t/fid . * BEN', THOMPSO j, Secretary President x • mss,_ :1;., i:t: •1*'.#,k:: • .,_.�:-tsi.i•"_� LSA Statef California 17-f" AftrIf:APICKI.IVITtffit.'°;42'1 OFFICE OF THE SECRETARY OF STATE CORPORATION DIVISION 1, MARCH FONG EU, Secretary of State of the State of California, hereby certify: That the annexed transcript has been compared with the corporate record on file in this office, of which it purports to be a copy, and that same is full, true and correct. Sac.../STAT; FOI M GE -107 IN WITNESS WHEREOF, 1 execute this certificate and affix the Great Seal of the State of California this JUN 19 ises Secretary of State an .niklu 1 VALLEY. 1463456 ARTICLES OF INCORPORATION -OF- ASSISTANCE GUILD OF TEMECULA VALLEY A California Nonprofit Public Benefit Corporation I. NAME E.' 1 DORSE ;LED the of the Serre 7r of S of the Stain of California J U N 1 5 1989 MARCH FONG EU, Secretary of The name of the corporation is ASSISTANCE GUILD OF TEMECULA II. PURPOSES A. This corporation is a nonprofit public benefit corporation and is not organized for the private gain of any person. It is organized under the Nonprofit Public Benefit Corporation Law for charitable purposes. B. The specific purpose of this corporation is to carry on a program of philantropic work in the community and to control and administer at least one major philanthropic project. III. INITIAL AGENT FOR SERVICE OF PROCESS The name and address in the State of California of this corporation's initial agent of the corporation for service of process is: MARJORIE B. BARNUM, 46569 El Viento Seco Drive, Temecula, CA. 92390 IV. LIMITATION ON CORPORATE ACTIVITIES A. This corporation is organized and operated exclusively for charitable purposes within the meaning of Section 501 (c)(3) of the Internal Revenue Code or the corresponding provisions of any future United States Internal Revenue Law. Notwithstanding any other provision of these articles, this corporation shall not, except to an insubstantial degree, engage in any activities or exercise any powers that are not in furtherance of the purposes of this corporation, and the corporation shall not carry on any other activities not permitted to be carried (a) by a corporation exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code of 1986 or the corresponding provision of any future United States Internal Revenue Law, or (b) by a corporation, contributions to which are deductible under Section 170(c)(2) of the Internal Revenue Code of 1986 or the corresponding provision of any future United States Internal Revenue Law. B. No substantial part of the activities of this corporation shall consist of carrying on propaganda, or otherwise attempting to influence legislation, and the corporation shall not participate or 1 intervene in any political campaign (including the publishing or distribution of statements) on behalf of any candidate for public office. V. DEDICATION UD DISSOLUTION The property of this corporation is irrevocably dedicated to charitable purposes and no part of the net income or assets of this corporation shall ever inure to the benefit of any director, officer or member thereof or to the benefit of any private person_ Upon the dissolution or winding up of the corporation, its assets remaining after payment, or provision for payment, of all debts and liabilities of this corporation shall be distributed to a nonprofit fund, foundation or corporation which is organized and operated exclusively for charitable purposes and which has established its tax exempt status under Section 501 (c)(3) of the Internal Revenue Code (or the corresponding provision of any future United States Internal Revenue law). The organization shall be National Assistance League, if it qualifies as a distributee under the provisions of this Article. IN WITNESS WHEREOF, the undersigned, being the Incorporator of ASSISTANCE GUILD OF TEMECULA VALLEY has executed these Articles of Incorporation this j l' day of June, 1989. I ORPORATOR THOMAS S. HUNTINGTON I hereby declare that I am the person who executed the foregoing Articles of Incorporation, which execution is my act and deed. ,.r THOMAS S. • i INGTON 2 Internal Revenue Ser,.,,e Department of the Treasury District Director Dada: Jan. 8, 1990 Assistance Guild of Temecula Valley PO Box 1212 Temecula, CA 92390 Dear Applicant: ErnpSow Identiffcation Number. 33-0360419 AccououngPanwEnlifirtir May 31 Found -tion Status Classification: 509(a)(2) Advance Ruling Period Ends: Hay 31, 1994 Polon to Contact Julie Phelan Contact Tekphonf Number. (213) 725-6619 `Based on information supplied, and assuming your operations will be as stated in your application for recognition of exemption. we have determined you are exempt from Federal income tax under section 501(c)(3) of the Internal Revenue Code. Because you are a newly created organization. we are not now making a final determination of your foundation status under section 509(a) of the Code. However. we have determined -that you can reasonably be expected to be a publicly supported _ organization described in section 509(a)(2) ., Accordingly, g y, you will be treated -as a publicly supported organization, and not as a private foundation, during an advance ruling period. This advance ruling period begins on the date of your inception and ends on the date shown above. 4 Within 90 days after the end of your advance ruling period, you must submit to us information needed to determine whether you have met the requirements of the applicable support test during the advance ruling period. It you establish that you have been a publicly supported organization, you will be classified as a section 509(a).(1) or 509(a)(2) organization as long as you continue to meet the requirements of the applicable support test. If you do not meet the public support requirements during the advance ruling period, you will be classified as a private foundation for future periods. Also. if you are classified as a private foundation, you will betreated as a private foundation from the date of your inception for purposes of sections 507(d) and 4940. Grantors and donors may rely on the determination that you are not a private toundatlon,µntil 90 days after the end of your advance ruling period. It you submit the required information within the 90 days, grantors and donors May continue to rely on the advance determination until the Service makes a final determination of your foundation Status. However, if notice that you will no longer be treated as a section 509(a)(2) organization is published in the Internal Revenue Bulletin, grantors and donors may not rely on this determination after the date of such publication. Also, a grantor or donor may not rely on this determination if he or she was In part responsible for, or was aware of, the act or failure to act that resulted in your loss of section 509(a)(2) status, or acquired knowledge that the Internal Revenue Service had given notice that you would be removed from classification as.a section 509(a)(2) organization. o P.O. Box 2350, Los Angeles. CA 90052 or your purposes, cha- -.ter, or method of operation _ change, please let us ow so we can consider the effe of the change on your exempt status and founuation status. Also, you should inform us of all changes in your name or address. As of January 1, 1984, you are liable for taxes under the Federal Insurance Contributions Act (social security taxes) on remuneration of 4100 or more you pay to each of your employees during a calendar year. You are not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA). Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code. However, you are not automatically exempt from other Federal excise taxes. If you have any questions about excise, employment, or other Federal taxes, please let us know. Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2108, and, 2522 of the Code. You are required to file Form 990, Return of Organization Exempt from Income Tax, only if -your gross receipts each year are normally more than $25,000. If a return is required, it must be filed by the 15th day of the fifth month after the end of your annual accounting period. The law imposes a penalty of 410 a day, up to a maximum of $5,000, when a return is filed late, unless there is reasonable cause for the delay. You are not required to file Federal income tax returns unless you are subject to the tax on unrelated business income under section 511 of the Code. If you are subject to this tax, you must file an income tax return on Form 990-T, Exempt Organization Business Income Tax Return. In this letter, we are not determining whether any of, your present or proposed activities are unrelated trade or business as defined in section 513 of the Code. You need an employer identification number even if you have no employees. If an employer identification number was not entered on your' application, a number will be assigned to you and you will be advised of it. Please use that number on all returns you file and in all correspondence with the Internal Revenue Service. Because this letter could help resolve any' questions about your exempt status and foundation status, you should keep it in your permanent records. If you have any questions, please contact this -person whose name and telephone number are shown in the heading of this letter. Sincerely yours, 0 iry District Director Letter 1045(DO) (Rey. 10-8: Internal Revenue Service Department of the Treasury District Director (3'tc SEP 0 2 1992 ASSISTANCE LEAGUE OF TEMECULA VALLEY P.O. BOX 1212 TEMECULA, CA 92390-0014 — Dear Taxpayer: Empoym.nt Id.nmfc.eon Humb. 33-0360419 p4Aop to Contact Rose Avilez EOMF COORDINATOR Conhd T.I.pfan. Numbs (213)S4u. Coda. S 6Ray.n.coar saucX3 ) Thank you for submitting the information shown below or on the enclosure. We have made it a part of your file. The changes indicated do not adversely affect your exempt status and the exemption letter issued to you continues in effect. Please let us know about any future change in the character, purpose, method of operation, name or address of your organisation. This is a requirement for retaining your tempt status. Thank you for your cooperation. Sincerely yours, 1111(... '�J r Item Chanced From (NAME) P.O. Box 2350, Los Angeles, CA 90053 Assistance Guild of Temecula Valley To (SEE ABOVE) Letter 976(00) (Rev. 1-87) 1 J Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page 25 v OK « Prev 1 1-1 1 Next » EIN: Legal Name (Doing Business As): City: State :Country Deductibility Status: 33-0360419 Assistance League of Temecula Valley Temecula CA United States PC « Prev 1-1 1 Next» Return to Search City of Temecula 2014-15 CS Funding Program APPLICATION NO. 5 CITY OF TEMECULA RECEIVED FISCAL YEAR 2014-15 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type)CiTY MANAGE-i: CFFI 2014-15 Program Submission Deadline: Friday, August 30, 2013 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 5 000 Maximum allowable $5,000) Project Name: OUR HEROE'S CHILDREN — BOYS & GIRLS CLUB, TEMECULA Project Start Date: September 1, 2014 Project End Date: June 12, 2015 ORGANIZATION INFORMATION Name of Organization: Boys & Girls Clubs of Southwest County Contact Name: Sam Handley Title/Position: Director of O+erations Mailing Address: PO Box 892349, Temecula. CA 92589-2349 Telephone: 951-699-1526 xt 105 Year Organization Founded: 1991 (amended 1996) Number of Paid Staff: 16FTE, 45 PTE Number of Volunteers: 250 Geographic Area(s) Served: Temecula, Murrieta, Wildomar, Lake Elsinore, Corona, Canyon Lake, Menifee Is this organization incorporated in California as a non-profit organization? Yes X No Effective Date: 1991 If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: 1991 Federal identification number: 33-6475756 State identification number: If "no" Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee Board of Directors X Application Page 4 Members -at -Large Internal Revenue Service Date: November 22, 2002 Boys & Girls Club of Southwest County % Donald K. Engdahl 28790 Pujol Street Temecula, CA 92590-2828 Dear Sir or Madam: Department of the Treasury P. 0. Box 2508 Cincinnati, OH 45201 Person to Contact. Stephanie Broach -Camp 31-04022 Customer Service Specialist Toll Free Telephone Number: 8:00 a.m. to 6:30 p.m. EST 877-829-5500 Fax Number: 513-263-3756 Federal Identification Number: 33-0475756 This is in response to the amendment to your organization's Articles of Incorporation filed with the state on March 7, 2001. We have updated our records to reflect the name change as indicated above. Our records indicate that a determination letter issued in July 1996 granted your organization exemption from federal income tax under section 501(c)(3) of the Internal Revenue Code. That letter is still in effect. Based on information subsequently submitted, we classified your organization as one that is not a private foundation within the meaning of section 509(a) of the Code because -it is an organization described in sections 509(a)(1) and 170(b)(1)(A)(vi). This classification was based on the assumption that your organization's operations would continue as stated in the application. If your organization's sources of support, or its character, method of operations, or purposes have changed, please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization. Your organization is required to file Form 990, Return of Organization Exempt from Income Tax, only if its gross receipts each year are normally more than $25,000. If a return is required, it must be filed by the 15th day of the fifth month after the end of the organization's annual accounting period. The law imposes a penalty of $20 &day, up to a maximum of $10,000, when a return is filed late, unless there is reasonable cause for the delay. Al! exempt organizations (unless specifically excluded) are liable for taxes under the Federal Insurance Contributions Act (social security taxes) on remuneration of $100 or more paid to each employee during a calendar year. Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA). Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code. However, these organizations are not automatically exempt from other federal excise taxes. Donors may deduct contributions to your organization as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to your organization or for its use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. Boys & Girls Club of Southwest County 33-0475756 Your organization is not required to file federal income tax retums unless it is subject to the tax on unrelated business income under section 511 of the Code. If your organization is subject to this tax, it must file an income tax return on the Form 990-T. Exempt Organization Business Income Tax Return. In this letter. we aro not determining whether any of your organization's present or proposed activities are unrelated trade or business as defined in section 513 of the Code. The law requires you to make your organization's annual retum available for public inspection without charge for three years after the due date of the return. You are also required to make available for public inspection a copy of your organization's exemption application. any supporting documents and the exemption letter to any Individual who requests such documents in person or in writing. You can charge only a reasonable fee for reproduction and actual postage costs for the copied materials. The law does not require you to provide copies of public inspection documents that are widely available, such as by posting them on the Internet (World Wide Web). You may be liable for a penalty of S20 a day for each day you do not make these documents available for public inspection (up to a maximum of 510,000 in the case of an annual return). Because this letter could help resolve any questions about your organization's exempt status and foundation status, you shou:d keep it with the organization's permanent records. If you have any questions. please call us at the telephone number shown in the heading of this Jotter_ This letter affirms your organization's exempt status. Sincerely. s John E. Ricketts, Director. TE/GE Customer Account Services LFY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. (ATTACHMENT A — Monthly Ridership 2013-14 for Temecula to substantiate services to 150 low income youth.) FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. (ATTACHMENT B — 2014 Budget, Financials, 2012 Audit) MISSION STATEMENT The Mission of the Boys and Girls Clubs of Southwest County is to inspire and enable all youth to realize their full potential as productive, responsible, and caring citizens by providing stimulating and challenging programs through interaction with dedicated caring people." Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. The Goals and Objectives of the Boys & Girls Clubs of Southwest County are to provide an environment where ALL community youth, aged 6-18 can grow, learn, and become strong, competent, caring, and productive community members. Structured programs "hide the learning inside the fun" in core areas focusing on leadership, character, health & fitness, science/technology/engineering/math, the arts, and sports. Round trip transportation club -to -school -to -club is provided, unlimited scholarships are available, and children from active military families and children of U.S. veterans attend the Clubs Free of charge. The Boys & Girls Club of Southwest County was founded in 1991 as a 501c(3) non-profit corporation. Since its inception, The Club has grown into the largest youth development agency in Riverside County touching 10,000 youth each year through programs, classes, sports, and transportation. Additionally, BGCSWC is the county's largest non-government transportation provider, delivering Club Members round trip to/from more than 55 school sites every day in Southwest Riverside County. On a Typical Weekday, The Clubs are open 6:30am-6:30pm to provide great before- and after-school enrichment programs and activities as well as transportation to/from school for approximately 200 children. At least 56% of the children participating in programs and services fall within federal poverty limits. These children receive Club scholarships through a comprehensive application process. The Clubs provide unlimited scholarships for up to 50% of the total cost of fees to more than 50% of children participating in the program. In 2013, more than 40 jobs were sustained in Temecula, $1.7 million was returned to the community in the form of salaries, goods and services paid by the Boys & Girls Clubs, and more than 40,000 cars were eliminated from Temecula streets near TVUSD schools thanks to the Club's transportation program. Application Page 5 2014-15 Temecula Community Service Funding Exhibit A Boys & Girls Clubs of Southwest County AM/PM Temecula Transportation Services 2013 Month Total Temecula Riders January 13 February 218 March 203 April 213 May 269 June 126 July N/A - No School due to Summer Break August 269 September 347 October 406 November 250 December 260 Total 2574 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Be specific. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) OUR HEROES' CHILDRENTM Caring for the children of the Heroes who are caring for us. OUR HEROES' CHILDRENTM (OHC) is a scholarship program at the Boys & Girls Clubs of Southwest County that provides full scholarships for 500+ children, (150 from Temecula) ages 6-18, from Active Military Families and U.S. Military Veterans. Children in active military households with one or both parents deployed experience tremendous stress unique to their situation: fear of losing a parent; fear of a parent becoming disabled; household instability; fear of commitment to school, friends or loved ones, etc. The children of our military heroes (current and past) come to The Clubs daily, Monday — Friday, for an entire year, free of charge to participate in great club programs that boost their self-esteem, provide a strong adult role model, and provide needed structure and supervision. Daily programs include tutoring, computer lab, cooking in Little Gourmets, art school as Picasso's Peeps, Key Teen Club, music, sports leagues, community projects that build leadership & character, and interaction with great organizations like Rotary and Toastmasters — all free of charge. Active military families (families with at least one parent serving active duty) have shared with BGCSWC staff that having The Clubs as a daily home -away -from -home is critical to the overall well-being of the child and household when a parent is deployed. The Clubs provide a stable, daily routine in an environment of encouragement and fun with adult role models who care, listen, and encourage. Daily tutoring and academic support helps military children maintain or improve their GPA (grade point average.) Consistent Leadership at The Club provides a sense of permanence for military children and their families at a time when they need it most. An environment of enriching programs no longer available at school (art, music, karate, dance, writing, public speaking) allows OHC children the opportunity to express their feelings without using words. Application Page 6 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. 2013-14 AM/PM School Transportation and Enrichment Program In 2013-14 the Boys & Girls Clubs of Southwest County received $5,000 in matching funds for transportation and program scholarships for 150 low income Temecula children (ages 6-12) who participated in the Clubs' AM/PM School Transportation and Enrichment Program. Throughout the grant period, scholarship children were dropped off at The Club at 6:30am for daily early morning care and enrichment programs before school, along with round trip transportation to and from school on private Club buses. After school tutoring was provided along with fun academic, sports, arts and leadership programs that improved grades, boosted self-esteem, and built character through mentoring by caring adult role models. Hundreds of commuting Temecula parents love the affordability and convenience of the 6:30am Club drop-off, knowing their children travel safely to and from school, and are engaged in fun and challenging programs offered by trained professional Club staff. BGCSWC was once again recognized by Riverside Transit Agency (RTA), Riverside County Transportation Commission (RCTC), and in Riverside County's Transportation Coordinated Plan as the largest private transportation provider in Riverside County. In 2013, more than 40 jobs were sustained in Temecula at The Club. $1.7 million was returned to the community in the form of salaries, goods and services paid by the Boys & Girls Clubs, and more than 40,000 cars were eliminated from Temecula streets near TVUSD schools thanks to the Club's transportation program. Boys & Girls Clubs of Southwest County AM/PM Temecula Transportation Services 2013 Month January February March April Total Temecula Riders 13 218 203 May June 213 269 126 July N/A - No School due to Summer Break August September 269 October 347 406 November December Total 250 260 2574 Application Page 7 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: Sam Handley, Director of Operations SIGNATURE: NAME and TITLE (Please Print or Type) PRESIDENT or / AUTHORIZED OFFICER: Maryann Edwards, President SIGNATURE: 6eilial-- NAME and TITLE (Please Print or Type) ORGANIZATION NAME: Boys &`Girls Clubs of Southwest County MAILING ADDRESS: PO Box 892349, Temecula, CA 92589-2349 TELEPHONE: 951-699-1526 ext. 105 EMAIL ADDRESS: SamHCcD_becswc.orq DATED THIS 2nd of September , 2014 (date) (month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY AUGUST 30, 2013 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 END OF APPLICATION Application Page 8 RS Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page k5 v1' OK EIN Leval Name (Doing Business As): 33-0475756 Boys & Girls Club of Southwest County Return to Search City = Temecula State :Country CA United States « Prev I 1-1 I Next » Deductibility Status: PC « Prev 1 1-1 I Next » Internal Revenue Service Date: November 22, 2002 Boys & Girls Club of Southwest County °/o Donald K. Engdaht 28790 Pujol Street Temecula, CA 92590-2828 Dear Sir or Madam: Department of the Treasury P. O. Box 2508 Cincinnati, OH 45201 Person to Contact: Stephanie Broach -Camp 31-04022 Customer Service Specialist Toll Free Telephone Number: 0:00 a.m. to 6:30 p.m. EST 877-829-5500 Fax Number: 513-263-3756 Federal identification Number: 33-0475756 This is in response to the amendment to your organization's Articles of Incorporation filed with the state on March 7, 2001. We have updated our records to reflect the name change as indicated above. Our records indicate that a determination letter issued in July 1996 granted your organization exemption from federal income tax under section 501(c)(3) of the internal Revenue Code. That letter is still in effect. Based on information subsequently submitted, we classified your organization as one that is not a private foundation within the meaning of section 509(a) of the Code because: it is an organization described in sections 509(a)(1) and 170(b)(1)(A)(vi). This classification was based on the assumption that your organization's operations would continue as stated in the application. If your organization's sources of support, or its character, method of operations, or purposes have changed, please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization. Your organization is required to file Form 990, Return of Organization Exempt from Income Tax, only if its gross receipts each year are normally more than $25.000. If a return is required, it must be filed by the 15th day of the fifth month after the end of the organization's annual accounting period. The law imposes a penalty of $20 a day, up to a maximum of $10,000, when a return is filed late, unless there is reasonable cause for the delay. All exempt organizations (unless specifically excluded) are liable for taxes under the Federal insurance Contributions Act (social security taxes) on remuneration of $100 or more paid to each employee during a calendar year. Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA). Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code. However, these organizations are not automatically exempt from other federal excise taxes. Donors may deduct contributions to your organization as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to your organization or for its use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. Boys & Girls Club of Southwest County 33.0475758 Your organization is not required to fde federal income tax returns unless it is subject to the tax on unrelated business income under section 511 of the Code. If your organization is subject to this tax, it must file an income tax return on the Form 990-T. Exempt Organization Business Income Tax Return. In this fetter, we are not determining whether any of your organization's present or proposed activities are unrelated trade or business as defined in section 513 of the Code. The taw requires you to make your organization's annual return available for public inspecron without Charge for three years after the due date of the return. You are also required to make ave for public inspection a copy of your organizabon's exemption application. any suppon/ng documents and the exemption totter to any individual who requests such documents in person or in writing. You can charge only a reasonable fee for reproduction and actual postage costs for the copied materials. The taw does not require you to provide copies of public inspection documents that are widely available, such as by posting them on the Internet (Worms Wide Web), You may be liable for a penalty of $20 a day for each day you do not make these documents available for public inspection (up to a maximum of S10.000 in the case of an annual return). Because this letter could help resolve any questions about your organization's exempt status and foundation • status, you should keep it with the organtzation's permanent records_ if you have any questions. please call us at the telephone number shown in the heading of this letter_ This letter affirms your organization's exempt status_ Sincerely. r John E. 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A COD V COVN 000 co V O V A A N W V V A COOCND CO A O S CO 6 0 0 (n C 0 Co 0-• ACn CO 4, AAO N V V CO — Cn W N O N CO CO CO O W O CO O W 0 01 V O no 000 000000000000 000 0000000 0000000000000000 0 0 0 0 0 0 W V WM N bNF+ Vp0i p0 U ��11 wN 0)O0)V W N 01O& AW4.OpN00 NO C(0-101 NpO NN oy1(+n 4," pW p . A co J A !-4 L. A DOOV W O N A 10 p p w T O O NW p p N p JrA NpppO0b11 D g r W any 3WO3NI13N V �1 A—. 4W N N mmA 014' !1 pippp II+ m 4!J a A V G G Ct 1? o p S5 A Boys & Girls Clubs of Southwest County Balance Sheet As of December 31, 2013 ASSETS Current Assets ChecidngISavings Bank of America 2123 (LE) First Citizens 4221(MURR) Merrill Lynch 4105 (Stock) Pac Western OCTL 3894 Pac Western Operation Met 3878 Pac Western Payroll Acct 3449 Pac Wostorn Visa/MC 3886 Total Checking/Savings Accounts Recolvable Due From Capital Campaign Total Accounts Receivable Other Current Assets Prepaid Expense Total Other Current Assets Dec 31, 13 2,866.66 4,061.53 0.83 409.51 129,792.45 39,294.23 3,909.11 180,334.32 3,241.87 3,241.87 11,863.10 11,863.10 Total Current Assets 195,439.29 Fixed Assets Buildings 2,826,047.94 French Valley Land 1,230,000.00 Furniture, Fixtures, Equipment 175,200.88 Improvements 103,896.31 Office Equipment 213,313.15 Pujol Land 235,000.00 Vehicles 309,792.35 zAccumulated Depreciation -1,389,283.00 Total Fixed Aseets 3,703,967.63 TOTAL ASSETS 3,899,406.92 LIABILITIES & EQUITY Liabilities Current Liabilities Accounts Payable Accounts Payable 69,362.30 Total Accounts Payable 69,362.30 Credit Cards Credit Cards 9,968.30 Total Credit Cards 9,968.30 Other Current Liabilities Pacific Western LOC 7019 497,116.92 Payroll Liabilities 39,816.12 Total Other Current Liabilities 536,933.04 Total Current Liabilities Long Term Liabilities Key Equipment Finance Lease Payable - De Lege Total Long Term Liabriities 616,263.64 11,768.48 41,149.81 52,91829 Total Liabilities 669,181.93 Equity Capital Campaign Transfer Acct 293,092.59 Retained Earnings 5,028,012.67 Sustainability Transfer Acct 4,700.00 Net Income -95,580.27 Total Equity 3,230,224.09 TOTAL LIABILITIES & EQUITY 3,899,406.92 1 Capital Campaign Profit & Loss December 2013 Ordinary Income/Expense Income Pledge Income Total Income Dec13 Jan - Dec 13 0.00 -19,000.00 0.00 -19,000.00 Expense Bank Service Charges 15.00 180.00 Credit Card Fees 0.00 30.15 Payroll Expenses 3,079.20 39,029.08 Payroll Taxes 256.38 3,190.04 Taxes 5,866.82 11,118.41 Total Expense 9,217.40 53,547.68 Net Ordinary Income -9,217.40 -72,547.68 Other Income/Expense Other Income Interest income 35.57 500.29 Total Other Income 35.57 500.29 Net Other Income 35.57 500.29 Net Income -9,181.83 -72,047.39 1 Capital Campaign Balance Sheet As of December 31, 2013 ASSETS Current Assets Checking/Savings B of A Money Market 4531 First Citizens 4540 Mission Oaks Checking 1385 Mission Oaks Money Market 2198 Pacific Western (CC) 3852 Pacific Western (CCMM) 3837 Total Checking/Savings Accounts Receivable .Pledges Receivable Allowance for Bad Debt Total Accounts Receivable Other Current Assets Donated Stock Due from Sustainability Pacific Western CD 1894 Dec 31, 13 251,959.81 18,508.41 3,040.14 46,670.38 229.167.98 254,055.85 803,402.57 85,393.91 -50,000.00 35,393.91 6,315.79 500.00 529,937.78 Total Other Current Assets 536,753.57 Total Current Assets 1,375,550.05 Other Assets Construction In Progress Due from BGCSWC Total Other Assets TOTAL ASSETS LIABILITIES & EQUITY Liabilities Current Liabilities Accounts Payable Accounts Payable Total Accounts Payable Credit Cards Mission Oaks Nati Bank Total Credit Cards Other Current Liabilities Due to B&G Operating Funds Total Other Current Liabilities Total Current Liabilities Total Liabilities Equity B&G Transfer Acct Retained Eamings Net Income Total Equity TOTAL LIABILITIES & EQUITY 1,035,984.36 -5,240.81 1,030,743.55 2,406,293.60 520.00 520.00 126.72 126.72 3,335.58 3,335.58 3,982.30 3,982.30 -293,092.59 2,767,451.28 -72,047.39 2,402,311.30 2,406,293.60 1 BOYS AND GIRLS CLUBS OF SOUTHWEST COUNTY (A California Public Benefit Corporation) AUDIT REPORT For the Year Ended December 31, 2012 - Financial Section BOYS AND GIRLS CLUBS OF SOUTHWEST COUNTY :'` For the Year Ended December 31, 2012 Table of Contents FINANCIAL SECTION Page - Independent Auditors' Report •••••=•••••••11*.••=•=MMII•••=1.0.•••••••••m•••=10••••••••0•15•M•••••••••••• F.; Basic Financial Statements: • T.';• . Statementof Activities ••••=amsmommr.mam•mmasm•••••••••••••=mmoa•••=•••••••••••••••••••••••••=••••••••••••ne••••••••••••••••w•••••••••••••••••• 3 -;• • • StateMent Of CaSh MOWS •••••=smoss•••••••••••••••••••••••••mmmon••••••=•••••••=ams••••••••••••••••••••MOM.•••••••••••••••••••••••••••••••=••••••••••••=1=•••••••••••• $C40. 11- Statement of Functional Notes to Financial 6 • IGPO A PROFESSIONAL ACCOUNTANCY CORPORATION INDEPENDENT AUDITORS' REPORT Board of Directors Boys and Girls Clubs of Southwest County Temecula, California We have audited the accompanying financial statements of Boys and Girls Clubs of Southwest County (a nonprofit organization),which comprise the statement of financial position as of December 31, 2012 and the related statements of activities, cash flows, and functional expenses for the year then ended, and the related notes to the financial statements. Managements Responsibility for the Financial Statements Management is responsible for the preparation and fair presentation of these financial statements in accordance with accounting principles generally accepted in the United States of America; this includes the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of financial statements that are free from material misstatement whether due to fraud or error. Auditor's Responsibility Our responsibility is to express an opinion on these financial statements based on our audits. We conducted :.; our audits in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditor's judgment including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entity's preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circuinstances, but not for the purpose of expressing an opinion on the effectiveness of the entity's internal control. Accordingly, we express no such opinion. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. 'Opinion In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Boys and Girls Clubs of Southwest County as of December 31, 2012, and the changes in its net assets and its cash flows for the year then ended in accordance with accounting principles generally accepted in the United States of America. 1 November 14, 2013 1 JEFF NICRO, CPA, CFE • ELIZABETH NIGRO, CPA • CJ GAUNDER, CPA • KEVIN BREJNAK, CPA, CFE PH: 951-698-8783 1 FAX: 951-699-1064 1 25220 HANCOCK AVE., STE. 400, Mut mErA, CA 92562 1 WEB: www.nncpas.com MEMBERS: CALIFORNIA SOCIETY OF CPAs • AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS GOVERNMENT AUDIT QUALITY CENTER • CALIFORNIA ASSOCIATION OF SCHOOL BUSINESS OFFICIALS • COMMUNITY ASSOCIATIONS INSTITUTE Licensed by the California Beard of Accountancy BOYS AND GIRLS CLUBS OF SOUTHWEST COUNTY Statement of Financial Position December 31, 2012 ASSETS Current Assets: Cash $ 1,050,492 Investments 536,254 Pledges receivable net of uncollectible amounts 59,329 Grants receivable 53,987 Due from State of California 15,954 Prepaid expenses 41,606 Total Current Assets 1,757,622 Capital assets, net of accumulated depreciation 4,857,185 Total Assets $ 6,614,807 LIABILITIES AND NET ASSETS Liabilities Current Liabilities: Accounts payable $ 151,877 Accrued expenses 61,696 Credit cards payable 15,404 Line of credit 497,117 Capital leases, current portion 20,818 Total Current Liabilities 746,912 Long -Term Liabilities: Capital leases, less current portion Total Long -Term Liabilities 37,888 37,888 Total Liabilities 784,800 Net Assets Unrestricted 3,140,203 Temporarily restricted 2,689,804 Total Net Assets 5,830,007 Total Liabilities and Net Assets $ 6,614,807 ee accompanying notes to financial statements. 2 BOYS AND GIRLS CLUBS OF SOUTHWEST COUNTY Statement of Activities For the Year Ended December 31, 2012 Temporarily Unrestricted Restricted Total REVENUES, GAINS, AND OTHER SUPPORT Program service fees $ 929,574 $ - $ 929,574 Grant income 67,141 490,207 557,348 Fundraiser income 286,694 286,694 Membership income 70,402 70,402 Contribution income 102,489 - 102,489 Rental income 19,578 19,578 In-kind donations 105,590 - 105,590 Miscellaneous income 14,446 526 14,972 Unemployment settlement 41,250 41,250 Interest income 5,618 5,618 Pledge income 9,550 - 9,550 Net assets released from restrictions: Pledge income 551,268 (551,268) Total Revenues, Gains, and Other Support 2,197,982 (54,917) 2,143,065 EXPENSES Program services Supporting services Management and general Fundraising 1,554,913 579,515 175,577 1,554,913 579,515 175,577 Total Expenses 2,310,005 2,310,005 Change in Net Assets Before Extraordinary Item (112,023) (54,917) (166,940) Extraordinary Item (Note 8) (1,150,133) (1,150,133) Change in Net Assets (112,023) (1205,050) ` (1,317,073) Net Assets at January 1, 2012 3,252,226 3,894,854 7,147,080 Net Assets at December 31, 2012 $ 3,140,203 $ 2,689,804 $ 5,830,007 See accompanying notes to financial statements. 3 BOYS AND GIRLS CLUBS OF SOUTHWEST COUNTY Statement of Cash Flows For the Year Ended December 31, 2012 CASH FLOWS FROM OPERATING ACTIVITIES Change in net assets $ (1,317,073) Adjustments to reconcile increase (decrease) in net assets to net cash provided (used) by operating activities: Depredation expense 129,856 Net unrealized (gain)/loss on investments (527) (Increase) decrease in operating assets: Pledges receivable 1,161,133 Grants receivable 48,671 Due from State of California (15,954) Prepaid expenses 50 Increase (decrease) in operating liabilities: Accounts payable (131,085) Credit card payable 15,404 Accrued expenses (15,492) NET CASH USED BY OPERATING ACTIVITIES (125,017) CASH FLOWS FROM INVESTING ACTIVITIES Payments for construction in progress 2,104 Purchase of certificate of deposit (529,937n NET CASH USED BY INVESTING ACTIVITIES (527,833) CASH FLOWS FROM FINANCING ACTIVITIES Net proceeds from credit line 75,000 Payments on notes payable (17,905) Payments on capital leases (19,130) NET CASH PROVIDED BY FINANCING ACTIVITIES 37,965 NET INCREASE (DECREASE) IN CASH Cash balances, January 1, 2012 Cash balances, December 31, 2012 OTHER REQUIRED INFORMATION: Interest Paid See accompanying notes to financial statements. (614,885) 1,665,377 1,050,492 25,701 BOYS AND GIRLS CLUBS OF SOUTHWEST COUNTY Statement of Functional Expenses For the Year Ended December 31, 2012 EXPENSES Salaries Insurance Automobile expense Depreciation Fundraising events Program events Payroll taxes Donated supplies Utilities Rent Telephone Repairs and maintenance Interest expense Office supplies Seminars Travel and meetings Printing Dues and subscriptions Property taxes Credit card fees Professional fees Retirement plan Staff recruitment Miscellaneous Awards and recognition Community contribution Equipment Postage and delivery, Licenses and fees Totals Program Services Youth Services Supporting Services Management and General $ 808,767 134,629 133,295 118,800 91,954 73,784 59,094 1 22,587 41,632 21,426 1,407 10,108 19,007 2,583 2,076 1,742 6,714 601 3,870 836 Total Fundraising Expenses $ 282,384 $ 42,534 752 11,056 8 1,348 11,404 2,450 52,301 20,756 295 25,701 4,038 21,006 10,323 125 16,546 16,460 12,133 17,224 8,034 7,861 5,936 5,359 539 2,599 343 $ 1,091,151 177,163 134,047 129,856 108,058 108,066 93,302 85,188 63,590 63,590 61,544 52,302 43,343 41,927 25,701 25,464 22,413 20,431 19,132 19,129 18,536 3,777 17,652 17,224 8,034 7,861 6,714 152 6,689 5,359 4,409 2,599 1,179 $ 1,554,913 $ 579,515 $ 175,577 2,310,005 See accompanying notes to financial statements. 5 BOYS AND GIRLS CLUBS OF SOUTHWEST COUNTY Notes to Financial Statements December 31, 2012 NOTE 1 -NATURE OF ACTIVITIES AND SIGNIFICANT ACCOUNTING POLICIES A. Nature of Activities The Boys and Girls Clubs of Southwest County (the "Organization') was established in August 1990. The Organization is a member of the Boys and Girls Clubs of America chartering organization and provides services to youth, the objectives of which are to foster and to promote the physical„ social, and educational, vocational, and character development of boys and girls in or near Southwest Riverside County, California. Major classes of programs include after school care, day camp and•youth sports programs. The Organization operates facilities in Temecula, Murrieta and Lake Elsinore. The Organization is funded through membership dues, performance of services for the City of Temecula (the "City" and sponsorships from businesses and the general public in conjunction with its fundraising efforts. B. Accounting Policies The accounting policies of the Organization conform to generally accepted accounting principles as prescribed by the Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) and the American Institute of Certified Public Accountants (AICPA). C. Basis of Presentation The Organization's policy is to prepare its financial statements on the accrual basis of accounting. This means that revenues are recorded when earned, rather than when received, and expenses are recorded when incurred, not when they are paid. The Organization follows FASB ASC 958-210-45. Under paragraphs 9-11, the Organization is required to report information regarding its financial position and activities according to three classes of net assets: unrestricted net assets, temporarily restricted net assets, and permanently restricted net assets. As permitted by the statement, the Organization does not use fund accounting in its financial statement presentation. Unrestricted: These generally result from revenues generated by receiving unrestricted contributions, providing services, and receiving interest from investments less expenses incurred in providing program related services, and performing administrative functions. Temporarily Restricted: The Organization reports gifts of cash and other assets as temporarily restricted support when they are received with donor stipulations that limit the use of the donated assets. When the donor restriction expires, i.e. the stipulated time restriction ends or the purpose of the restriction is accomplished, temporarily restricted net assets are reclassified to unrestricted net assets and reported in the Statement of Activities as net assets released from restrictions. D. Recognition of Revenue The Organization has also adopted FASB ASC 958-605. The "Contributions Received" subsections of that standard provides guidance for contributions of cash and other assets received, including promises to give. Contributions received are recorded as unrestricted, temporarily restricted, or permanently restricted support depending on the existence and/or nature of any donor restrictions. The Organization has not received any contributions with donor -imposed restrictions that would result in permanently restricted net assets. Revenues are received primarily from pledge income, fundraising, before direct expenses, and program service fees. y, BOYS AND GIRLS CLUBS OF SOUTHWEST COUNTY Notes to Financial Statements December 31, 2012 NOTE 1- NATURE OF ACTIVITIES AND SIGNIFICANT ACCOUNTING POLICIES (continued) D. Recognition of Revenue (continued) Membership dues are recorded as revenue in the year received. Management believes that recognizing membership dues pro -rata on a monthly basis would have an immaterial effect an the Organization's financial statements. Program fees represent fees related to member participation in specific day camp, youth sports, before and after school and transportation programs are recorded as revenue in the year received. Fund raising revenues, which consist of the "Our Kids Rock' dinner, golf tournament and annual giving campaign are recorded when the event occurs. Contributions received are recorded as unrestricted, temporarily restricted, or permanently restricted support depending on the existence and/or nature of any donor restrictions. The Organization as not received any contributions with donor -imposed restrictions that would result in permanently restricted net assets. E. Donated Services The Organization's accounting policy for donated materials and equipment is to record these items as contributions at the estimated fair market value as stated by the donor at the date they are received. Contributions of donated services that create or enhance non financial assets or that require specialized skills, are provided by individuals possessing those skills, and would typically need to be purchased if not provided by donation, are recorded at the fair values in the period received. Numerous hours of volunteer services were performed on behalf of the Organization during the year ended December 31, 2012 in support of its programs. Since these services do not meet the criteria specified in Statement of Financial Accounting Standards No. 116, Accounting for Contributions Received and Contributions Made, 'for recognizing a monetary value of these services, no such value has been assigned to these services in the Organization's financial statements. F. Property and Equlpmernt Property with a cost of $1,000 or greater is capitAl#red and recorded as additions to property and equipment Donated property is recorded at the estimated fair value at the date of the gift Buildings and equipment are depreciated using the straight-line method over and estimated useful life of forty years and ten years, respectively. Maintenance and repair costs are charged to expense as incurred. G: Cash and Cash Equivalents The Organization considers cash on hand and certificates of deposit with maturity dates of three months or less at the date of investment to be cash and cash equivalents. N1 H. Investments Investments are recorded at fair value. Unrealized gains and losses are recorded as increases or decreases on the statement of activities. a Concentration of Risk The Organization maintains its cash in various accounts at several financial institutions. At various times during the year, the amount on deposit with a single financial institution may exceed federal depository insurance limits. At December 31, 2012, the Organization had balances on deposit approximating $1.0 million in excess of such limits. BOYS AND GIRLS CLUBS OF SOUTHWEST COUNTY Notes to Financial Statements December 31, 2012 NOTE 1- NATURE OF ACTIVITIES AND SIGNIFICANT ACCOUNTING POLICIES (continued) J. Estimates The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect certain reported amounts and disclosures. Accordingly. actual results could dimer from those estimates. K. Income Taxes The Organization is a non-profit public -benefit corporation and has been recognized as tax-exempt pursuant to Section 501(c)(3) of the Internal Revenue Cade and Section 23701d of the California Revenue and Taxation Code. Accordingly, no provision has been made for income taxes. Management has evaluated its tax positions and the certainty as to whether those positions will be sustained in the event of an audit by taxing authorities at the federal and state levels. The primary tax positions evaluated are related to the Organization's continued qualification as a tax-exempt organization and whether there are unrelated business income activities conducted that would be taxable. Management has determined that all income tax positions are more likely than not of being sustained upon potential audit or examination; therefore, no disclosures of uncertain income tax positions are required. The Organization files informational returns in the U.S. federal jurisdiction and the state of California. L. Fair Value of Financial Instruments The following methods and assumptions were used by the Organization in estimating its fair value disclosures for financial instruments: Cash and accounts payable as reported in the balance sheet approximate fair value because of the short maturities of those instruments. M. Functional Expenses The costs of providing the various programs and other activities have been summarized on a functional basis in the combining statement of activities. Accordingly, certain costs have been allocated among the programs and supporting services based on the benefits derived. NOTE 2 - INVESTMENTS Investments consist of stock donated to the Organization and certificates of deposit The following discloses the aggregate carrying amount of investments by major types at December 31, 2012. Estimated Market Price Fair Value Shares Per Share December 31, 2012 _ Stock- Biogold Fuels Corporation 1,052,632 0.0060 $ 6,316 Pacific Western COD 529,937 Merrill Lynch Cash & Money Funds 1 Total investments at fair value Investment Return: Net unrealized gain $ 527 536,254 BOYS AND GIRLS CLUBS OF SOUTHWEST COUNTY Notes to Financial Statements December 31, 2012 NOTE 3- CAPITAL ASSETS Land, building and equipment as of December 31, 2012 consisted of the following: Balance, Balance, January 1, 2012 Additions Decreases December 31, 2012 Capital assets not being depreciated: Land $ 1,465,000 $ - $ $ 1,465,000 Construction in progress 1,037 121 1,920 (4,0241. 1,035,017 Total capital assets not being depredated 2,502,121 1,920 (4,024) 2,500 017 Capital assets being depreciated: Buildings 2,826,048 2,1326,048 Furniture, equipment & improvements 492,410 492,410 Vehicles 309,793 309,793 Total capital assets being depreciated 3,628,251 3,628,251 Total accumulated depredation [1,141,227) (129,856) (1,271,083) Total capital assets being depredated, net 2,487,024 (129,856) 2,357 168 Total capital assets, net NOTE 4 —LINE OF CREDIT 4,989,145 $ (1.37,99 $ (4,024) $ 4,857,185 .e The Organization has a line of credit from Pacific Western Bank available for its use. The line of credit is as follows: •,- • • , NOTE 5 - LEASES The Organization began leasing the land for its Great Oak Facility under a 40 -year lease from the City of •Temecula. The term of this lease agreement extends through June 30, 2046 with an annual lease payment of ;.$1. Accounting standards require recognition at fair value of such discounted lease costs. Management estimated that the fair value of such discounted lease costs is approximately $42,000 per year. This amount is included in both revenues and expenses on the statement of activities. Pacific Western Bank December 31, 2012 Interest rate: 2.95% Credit limit: 500,000 Loan date: Apri117, 2011 Maturity date: Apri117, 2013 Balance at December 31, 2012 497,117 9 BOYS AND GIRLS CLUBS OF SOUTHWEST COUNTY Notes to Financial Statements December 31, 2012 NOTE 5- LEASES (continued) The Organization leases certain equipment under agreements that provide for title to pass upon expiration of the lease period. Future minimum lease payments are as follows: Capital Leases: December 31, 2012 Total loan balance 58,706 Less current portion (20,818) Long-term portion 37,888 Future Lease Payments: Year ending December 31, Payment 2013 $ 26,136 2014 26,136 2015 15,246 Total Less: Amount Representing Interest 67,518 (8,812) Present Value of Net Minimum Lease Payments 58,706 NOTE 6 - EMPLOYEE RETIREMENT PLAN The Organization maintains a defined contribution retirement plan conforming to the provisions of Section 401[k) of the Internal Revenue Code for its salaried employees. Such employees become eligible to .participate in the Plan after reaching age 21 and accumulating 1,000 hours of service during the year with the , Organization. The Organization matches employee contributions to a maximum of five percent of each employee's eligible compensation, as defined in the Plan, and may also make discretionary contributions. • Employee contributions are fullyvested at all times. Employer matching and discretionary contributions vest • 'ratably over a five-year period. If an employee terminates employment prior to age 65, the distribution from _,..:employer marching and discretionary account; is limited to the vested portion based upon years of eligible kokvice. The Organization's matching contributions were $8,034 for the year ended December 31, 2012. 'NOTE 7 - PLEDGE INCOME • Contributions are recognized when the donor makes a promise to give to the Organization that is, in , :subslance, unconditionaL In 2005, the Organization established a "Capital Campaign" which was created to ':,:nfatild a new facility in the City of Temecula. No pledges to the Capital Campaign were collected for the year 13. 1 • Nnded December 31, 2012. In 2009, the Organization established a "Sustainability Campaign" which was creited to fund another new facility in the City of Temecula. The pledges amounted to $9,550 for the year ended December 31, 2012. Pledges received were transferred from -the "sustainability campaign for general use as approved by board resolution. 41,1•.•••••••••9111.11-,31.1 10 BOYS AND GIRLS CLUBS OF SOUTHWEST COUNTY ;Notes to Financial Statements December 31, 2012 NOTE 8 - PLEDGES RECEIVABLE Pledges receivable are recorded when the donor makes a promise to give to the organization. The amount of thepledges receivable at December 31, 2012 amounted to $109,329. The Organization estimates an allowance for uncollectible pledges based on management's consideration of donors, historical activity and economic conditions. The allowance for uncollectible pledges amounted to $50,000 at December 31, 2012, bringing the net pledge receivable to $59,329. In 2012, it was determined that a number of previously recorded pledge receivables were no longer collectible. The Organization wrote off $1,150,133, which is reported as an extraordinary item on the Statement of Activities. NOTE 9 - CONTINGENCIES activities are subject to monitoring and review by the respective grantor. As a result of such review, costs may be questioned and subsequently disallowed. Management has not been notified of any such rdisallowance. NOTE 10 - TEMPORARILY RESTRICTED NET ASSETS Temporarily restricted net assets as of December 31, 2012 were comprised of the following: December 31, 2012 Capital campaign - use restriction $ 2,679,699 Sustainability 10,135 Total $ 2,689,804 NOTE 11 -FUNDRAISING EVENTS ,During the year ended December 31, 2012, the Organization conducted the following fundraising events: Revenues December 31, 2012 Expenses Net Auction $ 195,767 $ 142,566 $ 53,201 Golf Tournament 36,138 6,760 29,378 Field of Dreams 30,408 9,720 20,688 Other 24,381 16,531 7,850 Total $ 286,694 $ 175,577 $ 111,117 11 BOYS AND GIRLS CLUBS OF SOUTHWEST COUNTY Notes to Financial Statements December 31, 2012 NOTE 12 - NONCASH CONTRIBUTIONS During the year ended December 31, 2012, Boys and Girls Clubs of Southwest County received noncash contributions as follows: Donated Supplies for Auction $ 63,590 Use of Facilities 42,000 Total $ 105,590 inteency loans are reported as interagency receivables and payables as appropriate and are subject to ; limination upon consolidation of the Organization's general account, sustainability campaign, and capital 'ca�apaigtt. individual interagency receivable and payable balances as of December 31, 2012 were as follows: Due from other agency accounts Boys and Girls Club Southwest Capital Sustainability County Campaign Campaign Total :jmy's and Girls Club of Southwest County $ $ 39,442 $ 1,030 $ 40,472 ::°;;;daplfal Campaign 3,711 - - 3,711 SUstainabiiiiy Campaign 500 500 Total $ 3,711 $ 39,942 $ 1,030 $ 44,683 Boys and Girls Club to Capital Campaign for reimbursement of time worked on behalf of campaign $ 39,442 ryy.,, Payr and Girls Club to Sustainability for reimbursement of time worked on behalf of campaign 1,030 , Capital Campaign to Boys and Girls Club for payroll expenses 3,711 {' ,.5ustainaba`lityy to Capital Campaign to transfer pledges that were posted to the incorrect campaign account 500 Total $ 44,683 NOTE 14 -SUBSEQUENT EVENTS On September 24, 2013 a fire broke out in one of the buildings rooms at the Alberhill Ranch Community Park clubhouse. The cause of the fire was an appliance malfunction. The Riverside County Fire Department listed damages at $200,000. On November 14, 2013, the Organization received a payment of $271,698 from the • insurance carrierto cover the cost of restoration. Events subsequent to December 31, 2012 have been evaluated through November 14, 2013, the date at which the Organization's audited financial statements were available to be issued. No other events requiring disclosures, other than the one described above, have occurred through this date. 12 City of Temecula 2014-15 CS Funding Program APPLICATION NO. 6 CITY OF TEMECULA RECEIVED C#TY MANAGER'S OFFICE FISCAL YEAR 20 1 415 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Tvoe) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014.(original, plus one copy) PROJECT INFORMATION Amount Requested: $ 500.00 or what they can donate? Project Narne: Chaparral High School Grad Night (Maximum allowable $5,000) Project Start Date: June 13, 2014 Project End Date: June 5, 2015 ORGANIZATION INFORMATION Name of Organization: Chaparral High School Grad Night Contact Name: Lisa Solorzano Title/Position: Treasurer Mailing Address: 39466 Bainbridge Circle, Murrieta. Ca. 92563 Telephone: 951695-4200 Ex 152 Year Organization Founded: 5/15/1998 Number of Paid Staff: NONE Number of Volunteers: 50 Geographic Area(s) Served: Chaparral High School Riverside County Is this organization incorporated in California as a non-profit organization? If "no": Yes X No Effective Date: 5/15/1998 If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: 05/18/1998 Federal identification number: 33-0800705 State identification number: 2039208 Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee X Board of Directors Application Page 1 Members -at -Large 4 FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. The goal and objective of the CHS Grand Night committee is to provide a safe sober, drug free and memorable celebration for the 2015 Chaparral High School Graduates. Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) The Chaparral High School Grad Night Committee operates under the Chaparral High School Education Foundation a non-profit organization. The committee's goal is to provide a safe, alcohol,drug free, and memorable celebration for the 2014 Chaparral High (CHS) graduates after the commencement exercises. The Grad Night celebration begins at 9:00 pm and continues until 5:00 am. The evening provides CHS graduated seniors a night to celbrate and remember this milestone in their lives. The graduates enjoy, games, dancing, food, entertainment and many exciting activities. This night is much anticipated and a climatic event for our seniors to share a fun and memorable evening. We do not discriminate based on race, color, creed, nationality, ex, marital status, disability, religion or political affiliation We do not require attendance or participation in any political, religious, or social activity. We cater to the needs of our seniors whether it be wheelchair accessibility or allergies to latex. Donations help us provide free tickets for those students that cannot afford to attend the event. Over the past several year Grad Night has received an overwhelming positive feedback from both the graduates and parents. Many graduates return to help with the Grad Night event after their many years of high school. The planning for the 2015 Grad - Night celebration has already begun. The even requires hundreds of parents, faculty/staff, and community volunteers coming together for one common goal: saving the lives of our teenager on a night where so many might make the mistake to drink/party. At this time 2015 graduating class is approximately 725 seniors. Of course, the more donations we receive the more we pass on to the seniors. They may also enter drawings for door prizes such as computers, free dinners, compact refrigerators, dorm supplies and many, many more. All of the activities, entertainment varies from year to year but may include a rock climbing wall, hypnotist, magician, caricature artist, inflatable laser tag. Any help would greatly appreciated. Application Page 3 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. Yes, We have received funding in the past for the great city of Temecula the funds received help with giving students that could not afford to purchase a ticket to be able to attend CHS Grad Night. We were able to purchase more door prizes and add more events to our venue, like a DJ and food, all the food the kids wanted to eat. We would not be able to offer any of this to our seniors without the help from our City. Thank you and look forward to working again with the City of Temecula. Appticattcn Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: Lisa Solorzano Treasurer Grad Night SIGNATURE NAME and TITLE (Please Print or Type) PRESIDENT or AUTHORIZED OFFICER: Dina Fousto President CHS Grad Night NAME and TITLE (Please Print or Type) ORGANIZATION NAME: Chaparral High School Grad Night MAILING ADDRESS: 39466 Bainbridge Circle Murrieta, California 92563 TELEPHONE: 951-695-4200 ex 152 EMAIL ADDRESS: Isolorzano@tvusd.k12.ca.us DATED THIS August 28th of August , 2014 (Date) (Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 I IRS Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page 25 u ! OK « Prev 1 1-1 1 Next » EIN : Legal Name (Doing Business As) 33-0800705 Chaparral High School Education Foundation Return to Search City : Temecula State:Country : Deductibility Status: CA United States PC Prev 1 1-1 l Next » City of Temecula 2014-15 CS Funding Program APPLICATION NO. 7 09-02-14p02• 33 R -CND CITY OF TEMECULA FISCAL YEAR 2014.15 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Tyne) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ .."--Itc`t:':,C) , (Maximum allowable $5,000) Project Name: .,.•'(' LST ✓ yu1,r.u: Pletzli t- Li-), uJ ?el.x.:.g_i4----)$..._ Project Start Date: TVL74-ke----. at:44 Project End Date: i W ORGANIZATION INFORMATION Name of Organization: -Cni Contact Name: r Title/Position: 9ab1 •d'C Mailing Address: tL L r LL-WZ.c- C-?Ptwo f (1JA �I 4 Telephone: Cl e -->i . J/—)--'11 el, .PLS' 1 Year Organization Founded: v' Number of Paid Staff: Number of Volunteers: V --,AL, (. Geographic Area(s) Served: --171 14CLit.A. +.› ► i'fi -t"- i 4krk + L7►1,-44- Is this organization incorporated in California as a non-profit organization? Yes , No Effective Date: `� If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: /ii_ - , Federal identification number: `13— I Le1I State identification number: )- �-(,..0 l If "no": Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee Board of Directors L Members -at -Large Application Page 1 FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE .THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS 1 PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the' CS - Funding Policy. �" ,11 r k-146- 1 �. .,vk.+.,r Lc: L .I C i Jam. 7 [ C Gsk it ` �'3 t Ci -(c C -A- 1,1 c c-• LSC- L�i_I C �L� r�b[ I l ►t—' � [Z I �� [t3 k -L -Y k \A4w1t-c 51t L w� Lc�1;=�i'L 9 zap Lrul' I I Ee? T VC k ,r•A l- ` •1? ` Vt--) [ 0--1:17- Imo, 7 �► ,,�.► [td)0".,) (L -74)1- 0.-4.cp -30.2 i--)447 l Ism .� � �c .�C"'►-~ ��,�_ � 1h- t i.-�, `-► So x a E 1 � 1a /L L r = LAI -444 1,\Z -441t,1-417 404-4 tr5":7-..? , Application Page 2 God's Fan Club rganization Budget Overvie December 2013 through November 2014 Ordinary Income/Expense Income 43400 • Direct Public Support 43450 • Individ, Business Contributions Total 43400 • Direct Public Support 44000 • Program Service Revenue 44500 • Grants 44800 • Indirect Public Support 44820 • United Way, CFC Contributions Total 44800 • Indirect Public Support 49000 • Special Events Income- Fundrais 49015 • Special Events - Green Fees Total 49000 • Special Events Income- Fundrais Total Income Gross Profit TOTAL Dec '13 - Nov 14 125,000.00 125,000.00 450,000.00 42,000.00 1,200.00 1,200.00 57,000.00 57,000.00 675,200.00 675,200.00 Expense 60300 • Specific Assist to Individuals 60310 • Motel Stays 6,000.00 60320 • Food 1,200.00 60330 • Gas 2,400.00 60340 • Clothing 1,200.00 60350 • Hygiene 600.00 60360 • Misc 1,200.00 60370 • Automotive Expenses & Repairs 2,400.00 60380 • Utilities 60,000.00 60390 • Rental Assistance 417,000.00 60400 • Bus Pass & Transportation 1,200.00 60410 • Medical/Medication 1,200.00 60420 • Cash Assistance 600.00 60430 • Gift Cards 1,200.00 Total 60300 • Specific Assist to Individuals 496,200.00 60900 • Business Expenses 60910 • Bad Debts 60920 • Business Registration Fees Total 60900 • Business Expenses 62100 • Contract Services 62110 • Accounting Fees 62140 • Legal Fees 8,640.00 369.00 9,009.00 18,000.00 1,200.00 Page 1 of 3 God's Fan Club rganization Budget Overvie, December 2013 through November 2014 62150 • Outside Contract Services Total 62100 • Contract Services 62800 • Facilities and Equipment 62805 • 2007 Toyota Sienna 62810 • Gas 62815 • Maintenance Total 62805 •2007 Toyota Sienna 62840 • Repairs and Maintenance 62880 • Rent 62890 • Utilities Total 62800 • Facilities and Equipment TOTAL Dec 13 - Nov 14 11,000.00 30200.00 6,000.00 1,200.00 7,200.00 1,200.00 28,800.00 2,400.00 39,600.00 65000 • Operations 65010 • Books, Subscriptions, Reference 300.00 65020 • Postage, Mailing Service 432.00 65030 • Printing and Copying 1,800.00 65035 • Program Supplies 3,000.00 65040 • Office Supplies 4,800.00 65050 • Telephone, Telecommunications 5,400.00 65060 • Payment Processing Fee 2,400.00 65070 • Bank Service Fees 240.00 65080 • Website Hosting 160.00 Total 65000 • Operations 18,532.00 65100 • Other Types of Expenses 65110 • Advertising Expenses 300.00 65120 • Insurance - Liability, D and 0 6,000.00 65150 • Memberships and Dues 600.00 65160 • Other Costs 1,200.00 65170 • Staff Development 600.00 65180 • Charitable Donations 1,200.00 65190 • Gifts & Promotions 1,200.00 Total 65100 • Other Types of Expenses 11,100.00 66000 • Payroll Expenses 32,000.00 68300 • Travel and Meetings 68310 • Conference, Convention, Meeting 1,200.00 68325 • Mileage Reimburse- Volunteers 7,200.00 68330 • Business Meals 1,200.00 Total 68300 • Travel and Meetings 9,600.00 69000 • Fundraising Expenses Page 2 of 3 God's Fan Club rganization Budget Overvie December 2013 through November 2014 TOTAL Dec '13 - Nov 14 69010 • Banquet Expenses 3,500.00 69020 • Green Fees 12,000.00 69030 • Printing & Copying 150.00 69040 • Prizes 1,200.00 69050 • Supplies 2,500.00 69060. Other Expenses 500.00 69070 • Event Planning-M&E 400.00 Total 69000 • Fundraising Expenses 20,250.00 Total Expense Net Ordinary Income Net Income 666,491.00 8,709.00 8,709.00 Page 3of3 God's Fan Club tatement of Financial Posit As of July 31, 2014 ASSETS Current Assets Checking/Savings 10004 • US Bank - PT Checking 10005 • US Bank - PT Money Market 10006 • US Bank - The Brook 10200 • Petty Cash- Anne 10201 • Petty Cash- Office 10202 • Petty Cash- The Brook 10203 • Petty Cash -Events 10205 • Petty Cash -Apartments Total Checking/Savings Accounts Receivable 11000 • Accounts Receivable Total Accounts Receivable Other Current Assets 12000 • Undeposited Funds 12810 • Loans Receivable Total Other Current Assets Total Current Assets Fixed Assets 16000 • Fumiture and Equipment 15001 •2007 Toyota Sienna Van 15002 • 1991 Isuzu Box Truck 16000 • Accumulated Depreciation Total Fixed Assets Other Assets 18600 • Security Deposits Receivable Total Other Assets TOTAL ASSETS LIABILITIES & EQUITY Liabilities Current Liabilities Accounts Payable 20000 • Accounts Payable Total Accounts Payable Jul 31, 14 20,352.55 42,220.69 196.03 33.85 266.63 54.51 12.62 63,136.88 29,767.14 29,767.14 30,268.00 2,000.00 32,268.00 125,172.02 3,356.43 17,623.37 3,000.00 (13,920.00) 10,059.80 9,500.00 9,500.00 144,731.82 Jul 31, 13 38,731.39 17,637.01 1,150.51 189.41 103.16 74.51 200.00 58,085.99 $ Change (18,378.84) 24,583.68 (954.48) (155.56) 163.47 (20.00) (200.00) 12.62 5,050.89 13,017.69 16,749.45 13,017.69 2,961.11 16,749.45 27,306.89 2,000.00 2,961.11 29,306.89 74,064.79 2,688.39 17,623.37 3,000.00 (7,956.00) 15,355.76 9,500.00 9,500.00 98,920.55 4,788.77 1,582.43 4,788.77 1,582.43 51,107.23 668.04 (5,964.00) (5,295.96) 45,811.27 3,206.34 3,206.34 Page 1 of 2 God's Fan Club .atement of Financial Positik As of July 31, 2014 Credit Cards 21000 • Wells Fargo Business Card 9038 Total Credit Cards Other Current Liabilities 27150 • Security Deposits Payable Total Other Current Liabilities Jul 31, 14 Jul 31, 13 $ Change 6,948.35 6,948.35 623.70 6,324.65 623.70 6,324.65 1,000.00 1,000.00 1,000.00 1,000.00 Total Current Liabilities 12,737.12 Total Liabilities 12,737.12 Equity 31500 • Temp. Restricted Net Assets 48,262.13 32000 • Unrestricted Net Assets 73,178.02 Net Income 10,554.55 Total Equity 131,994.70 TOTAL LIABILITIES 8 EQUITY 144,731.82 3,206.13 9,530.99 3,206.13 9,530.99 48,262.13 103,240.23 (30,062.21) (7,525.81) 18,080.36 95,714.42 36,280.28 98,920.55 45,811.27 Page 2 of 2 God's Fan Club Statement of Activities December 2013 through July 2014 Dec '13 - Jul 14 Ordinary Income/Expense Income 43400 • Direct Public Support 43440 • Gifts in Kind - Goods 43450 • Individ, Business Contributions Total 43400 • Direct Public Support 678.93 100,042.00 100,720.93 44000 • Program Service Revenue 228,600.70 44500 • Grants 36,000.00 44800 • Indirect Public Support 44820 • United Way, CFC Contributions 263.00 Total 44800 • Indirect Public Support 263.00 45000• Investments 45030 • Interest -Savings, Short-term CD Total 45000 • Investments 49000 • Special Events Income- Fundrais 49010 • Special Events Sponsors 49015 • Special Events - Green Fees 49020 • Special Events Sales Total 49000 • Special Events Income- Fundrais Total Income Gross Profit 31.94 31.94 13,455.00 16,125.00 9,715.00 39,295.00 404,911.57 404,911.57 Expense 60300 • Specific Assist to Individuals 60310 • Motel Stays 10,112.31 60320 • Food 534.87 60330 • Gas 870.70 60340 • Clothing 5.00 60350 • Hygiene 2.85 60360 • Misc 441.37 60370 • Automotive Expenses & Repairs 69.37 60380 • Utilities 43,330.99 60390 • Rental Assistance 213,666.50 60400 • Bus Pass & Transportation 274.80 60410 • Medical/Medication 1,130.69 60420 • Cash Assistance 505.00 60430 • Gift Cards 310.00 60440 • Legal Fees 500.00 Total 60300 • Specific Assist to Individuals 271,754.45 60900 • Business Expenses Page 1 of 3 God's Fan Club Statement of Activities December 2013 through July 2014 Dec '13 - Jul 14 60920 • Business Registration Fees 60950 • Sales Tax-UBITaxes Total 60900 • Business Expenses 62100 • Contract Services 62110 • Accounting Fees 62140 • Legal Fees 62150 • Outside Contract Services Total 62100 • Contract Services 62800 • Facilities and Equipment 62805 • 2007 Toyota Sienna . 62810 • Gas . _ 62815 • Maintenance Total 62805 • 2007 Toyota Sienna 62840 • Repairs and Maintenance 62880 • Rent 62890 • Utilities Total 62800 • Facilities and Equipment 239.00 128.00 367.00 16,151.25 2,528.00 8,055.00 26,734.25 1,695.00 951.13 2,646.13 -276.52 23,447.32 1,772.48 27,589.41 65000 • Operations 65010 • Books, Subscriptions, Reference 1,004.15 65020 • Postage, Mailing Service 267.47 65030 • Printing and Copying 1,117.70 65035 • Program Supplies 1,917.12 65040 • Office Supplies 6,420.54 65050 • Telephone, Telecommunications 4;769.33 65060 • Payment Processing Fee 3,543.20 65070 • Bank Service Fees 63.00 65080 • Website Hosting 26.02 Total 65000 • Operations 19,128.53 65100 • Other Types of Expenses 65110 • Advertising Expenses 48.30 65115 • Cash Over/Short 481.80 65120 • Insurance - Liability, D and 0 4,473.30 65150 • Memberships and Dues 477.00 65160 • Other Costs 1,467.21 65170 • Staff Development 325.00 65190 • Gifts & Promotions 1,076.44 Total 65100 • Other Types of Expenses 8,349.05 66000 • Payroll Expenses 21,128.33 68300 • Travel and Meetings 68310 • Conference, Convention, Meeting 137.91 Page 2 of 3 God's Fan Club Statement of Activities December 2013 through July 2014 Dec '13 - Jul 14 68320 • Travel 68325 • Mileage Reimburse- Volunteers 68330 • Business Meals Total 68300 • Travel and Meetings 69000 • Fundraising Expenses 69010 • Banquet Expenses 69020 • Green Fees 69030 • Printing & Copying 69040 • Prizes 69050 • Supplies 69060.Other Expenses 69070 • Event Planning-M&E Total 69000 • Fundraising Expenses Total Expense Net Ordinary Income Net Income 111111111111 344.59 1,708.07 1,408.79 3,599.36 2,970.67 8,360.00 67.32 2,066.34 1,591.79 564.60 85.92 15,706.64 394,357.02 10,554.55 10,554.55 Page 3 of 3 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) Fv ,_)11 L (-:".1=3 ~ 1. c!) 3K11', ( )ktr-7. F-55 W6tc.,Kiarit. l 1ittif Leu); - Lc rLA 11 T<< `),.> b mac. +--L to 1- )l -IA -1 /4-7A74 17-1iS c y I n g 1 G- Lue L ti ►-(t 1L4 /t iit?- .1.W / 1_T -tom Jt --"u 12 14 r f tZT /tit 7 f -/J' i S,HELI li . m(2_ AID /4c 7' .. I A4-- ( u LLQ 1 a /1i) 5 `1 f r 7 \ r 2 LJ -L°7`3 St)t:_7(1(4 c_ ST Lax i)ekt,s,12 ! C:4 --i �f `� �f-V� FS ' � 44-4 o W1 ti- l � L� Application Page 3 G .'s Fan Club, A Non -Profit Organiz,..lon Project Budget Overview December 2013 through November 2014 Ordinary Income/Expense Income 43400 • Direct Public Support 43440 • Gifts in Kind - Goods 43450 • Individ, Business Contributions Total 43400 - Direct Public Support 44000 • Program Service Revenue 44500 • Grants Total Income Gross Profit Expense 60300 • Specific Assist to Individuals 60320 - Food 60330 • Gas 60350 • Hygiene 60380 • Utilities 60390 • Rental Assistance 60400 • Bus Pass & Transportation 60410 • Medical/Medication Total 60300 • Specific Assist to Individuals 62800 • Facilities and Equipment 62805 • 2007 Toyota Sienna 62810 • Gas 62815 • Maintenance Total 62805 • 2007 Toyota Sienna TOTAL Dec '13 - Nov 14 2,400.00 60,000.00 62,400.00 360,000.00 42,000.00 464,400.00 464,400.00 2,400.00 3,000.00 1,200.00 60,000.00 360,000.00 1,200.00 1,200.00 429,000.00 6,000.00 1,000.00 7,000.00 62880 • Rent 15,600.00 Total 62800 • Facilities and Equipment 22,600.00 Total Expense 451,600.00 Net Ordinary Income 12,800.00 Net Income 12,800.00 Page 1 of 1 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED 1 BY: 1, \-0141-C iib T L` L� k� i �'' MI, t,�.1 f )f-1 C-. / )1,4i -"LZ— NAME t ._NAME and TITLE (Please Print or Type) SIGNATURE: PRESIDENT or AUTHORIZED OFFICER: V1 til -.e UVA rn 0..,/ NAME and TITL�Please Print or Type) SIGNATURE.— L ( di Ac , ORGANIZATION NAME: MAILING ADDRESS:A ktk f L1s P L (1 z-) 1t TELEPHONE: i Le ».) iscp I EMAIL ADDRESS: VtA01--1, 6E-1-1-1) PPez-ext-tbLA DATED THIS S`of .- ,, 2014 (Date) (Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 IRS Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page ! 25 v°OK EIN: Leal Name (Doing Business As) City: 73-1681483 Gods Fan Club Menifee Return to Search State .Country CA United States « Prev 11-1 I Next» Deductibility Status. PC « Prev 1 1-1 1 Next» City of Temecula 2014-15 CS Funding Program APPLICATION NO. 8 CITY OF TEMECUTA FISCAL YEAR 20144 5 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 5.000 (Maximum allowable $5,000) Project Name: A Brush with Kindness Project Start Date: December 1, 2014 Project End Date: June 30, 2015 ORGANIZATION INFORMATION Name of Organization: Habitat for Humanity Inland Valley Contact Name: Tammy Marine Title/Position: Executive Director Mailing Address: 27475 Ynez Road, #390, Temecula, CA 92591 Telephone:_ 951-296-3362 Year Organization Founded: 1991 Number of Paid Staff: 10 Number of Volunteers: 200 Geographic Area(s) Served: City of Temecula Is this organization incorporated in California as a non-profit organization? Yes X No Effective Date: _ October 24, 2001 If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: October 21, 2001 If "no": Federal identification number: 330461804 State identification number: C1681922 Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee Board of Directors x Members -at -Large Application Page 1 FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. The mission of Habitat for Humanity Inland Valley is to facilitate the dream of homeownership as well as improve living conditions for those in the community. Founded in 1991, for the last 23 years, Habitat for Humanity Inland Valley has been furthering the worldwide Habitat goal of providing simple, affordable homes to qualified families in need. Our local affiliate is completely independent, and all resources help needy Inland Empire residents. Each year we work to plan and provide affordable housing. Some years, we complete a planned build; other years, we scout sites, focus on purchasing land, set up permits and plan the construction process. Every year, we use our two repair programs — A Brush with Kindness and Critical Home Repairs — to help low-income families afford and complete necessary repairs in their homes. In Temecula, there is strong need for this kind of repair support to keep neighborhoods affordable and well -manicured. Our home building program provides housing for carefully -selected, needy families. Through volunteer labor and donations of money and materials, simple, affordable houses are built or rehabilitated. These homes are sold to selected partner families at no profit with no -interest loans and affordable mortgage payments. In turn, Habitat uses the payments towards building still more houses. Our A Brush with Kindness Program provides minor home repairs for low-income families. In ABWK, Habitat provides materials and labor to make small, cosmetic improvements to homes. Generally, these are quick, external fixes like removing debris, mending broken fences, or exterior/window repairs. Our Critical Home Repairs and Maintenance Program expands our A Brush with Kindness Program by meeting even greater needs: significant, expensive repairs more extensive than ABWK's limits. Through CHRMP, we provide support, assistance, and financing for a wide variety of repairs and home improvements for low income residents and homeowners. The Critical Home Repair and Maintenance Program will continue to offer repair materials and labor. We will also offer zero -interest loans. By helping low-income families repair their homes, we improve the safety of living situations and reduce hazards in their homes. PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) Application Page 2 A Brush with Kindness Program provides materials and expertise necessary utilizing volunteers and staff to fix external defects in neighborhood homes. Homeowners are helped with vital repairs out of their affordability or ability range — or both. All participants are low-income homeowners or renters who are pre-screened for fmancial and/or physical need. This program serves senior citizens, those with physical disabilities, working families, veterans, and the unemployed — all population groups for whom regular upkeep of their homes presents challenges. With these funds, we will provide the basic supplies needed for Temecula home repairs, such as lumber, nails, paint, concrete, shingles, siding, etc. A Brush with Kindness is ongoing, and funds will be used within one calendar year of receipt. For this funding, we will serve any low-income homeowner within the City of Temecula with minor exterior home repair services. We will serve 10-15 individuals between January 1, 2015 and June 30, 2015 with 8-10 home repair projects. We estimate that 80-100 volunteers will be volunteering 400-500 hours to improve the neighborhood appearances of housing tracts within the City of Temecula. A typical type of repair under this program might include replacing a broken window, or fixing a dangerous stair. We have patched holes in floors that can lead to falls and helped with weed abatement. Replacing the first few boards of trim that are infested with termites can often stave off an infestation in the entire neighborhood. These important repairs not only eliminate the initial problem immediately, they send a message that someone cares for the homes and people in these struggling neighborhoods. Encouraging people to maintain their dwellings and to take responsibility for their homes and their neighborhood creates a positive momentum that is exactly the opposite of the "Broken Windows Effect" of urban blight. In helping families to help themselves improve their living environments, we make low- income neighborhoods a safer and more attractive place to live. Application Page 3 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. Habitat for Humanity Inland Valley did receive $5,000 from the City of Temecula Community Service Funding Program for 2013-2014. Through that funding we were able to serve 12 seniors, including one veteran, with minor home projects. Projects included whole house painting, minor home painting, yardwork, fence painting and minor repairs. The majority of repairs were performed for residents on General Kearney Road. Over 80 volunteers invested 441 hours of volunteer labor to these residents and the City of Temecula. Proof of expenses has been attached for your review. Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: Tammy Marine, Executive Director NA E and TITLE (Please Print or Type) SIGNATURE: J PRESIDENT or AUTHORIZED OFFICER: Estella Cline, President d TITLE (Please Print or Type) SIGNATURE: ORGANIZATION NAME: Habitat for Humanity Inland Valley MAILING ADDRESS: 27475 Ynez Road, #390 Temecula, CA 92591 TELEPHONE: 951-296-3362 EMAIL ADDRESS:_tammy@habitat4inlandvalley.org_ DATED THIS of , 2014 (Date) (Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 internal wv Iru= VG1 Y�VG Date: OCT 2 4 2001 Habitat for Humanity International, Inc. Inland Valley c/o Deborah Hollingsworth 27475 Ynez Road, #390 Temecula, CA 92591-4612 P. O. Box 2508 Cincinnati, OH 45201 Person to Contact: Brett Siereveld 31-02633 Customer Service Specialist Toll Free Telephone Number: 8:00 A.M. to 9:30 P.M. EST B77-829-5500 Fax Number: 5.'13-263-3756 ,. r gederal Identification Number: 33-0401 904 Group Exemption Number: 8545 Dear Madam: We have received your request for affirmation of your organization's tax exempt status. Please note that the Federal Identification Number you provided in your letter is not the correct one for your organization. The number shown in the heading of this letter is the one assigned to you and Is the only one you should use. Your organization is exempt under section 501(c)(3) of the Code because it is included in a group ruling issued to Habitat for Humanity International, Inc., located in Americus, Georgia, Individual exemption letter are not available to erganization3 includod In group rulings. The group exemption letter applies to all of the subordinate organizations on whose behalf Habitat for Humanity International, Inc. has applied for recognition of exemption. Jf you want a copy of the group exemption letter, please contact your parent organization. Your organization is required to file Form 990, Return of Organization Exempt from Income Tax, only If its gross receipts each year are normally mora than $26,000. If a return is required, it must be filed by the 15th day of the fifth month after the end of the organization's annual accounting period. The law irnposns a penalty of $20 a day, up to a maximum of $10,000, when a return Is filed late, unless there is reasonable cause for the delay. Donors may deduct contributions to your organization as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to your organization or for its use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2108, and 2522 of the Cods. The law requires you to make your organization's annual return available for public Inspection without charge for three years after the due date of the return. You can charge only a reasonable fee for reproduction and actual postage costs for the copiad materials. The law does not require you to provide copies of public inspection documents that are widely available, such as by posting them on the Internet (World Wide Web). You may be liable for a penalty of $20 a day for each clay you do not make these documents available for public inspection (up to a maximum of $10,000 in the case of an annual return). -2 - Habitat for Humanity International, Inc. Inland Valley 33-0481804 If you have any questions, please call us at the telephone number shown in the heading of this letter. Sincerely, John E. Ricketts, Director, TE/GE Customer Account Services IRS Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page 25 " i OK « Prev 1 1-1 1 Next» EIN: Leal Name (Doing Business As) : City: State:Country: Deductibility Status: 33-0288930 Habitat for Humanity- Riverside Inc. Riverside CA United States P.P. « Prev 1 1-1 1 Next » Return to Search HABITAT FOR HUMANITY INLAND VALLEY, INC. AUDIT REPORT JUNE 30, 2013 Habitat for Humanity Inland Valley, Inc. Table of Contents June 30, 2013 Page(s) Independent Audit Report 1 Financial Statements: Statement of Financial Condition 2 Statement of Activities 3, 4 Statement of Cash Flows 5 Notes to Financial Statements 6, 7 Thomas A. Ralston Certified Public Accountant 41874 Sixth Street Temecula, California 92590 January 5, 2014 The Board of Directors Habitat for Humanity Inland Valley, Inc. 27475 Ynez Road #390 Temecula, California 92591 Phone: 951-296-9030 Fax: 951-296-9033 Email: tomralstoncpa@yahoo.com INDEPENDENT AUDITOR'S REPORT We have audited the accompanying statement of financial position of Habitat for Humanity Inland Valley, Inc. (a nonprofit organization) as of June 30, 2013 and the related statements of activities, functional expense, and cash flows for the year then ended. These financial statements are the responsibility of the management of Habitat for Humanity Inland Valley, Inc. Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatements. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statements presentation. We believe that our audit provides a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects. The financial position of Habitat for Humanity Inland Valley, Inc., as of June 30, 2013 and the changes in its net assets and its cash flows for the year then ended in conformity with accounting principles generally accepted in the United States of America. Our audit was made for the purpose of forming an opinion on the basic financial statements of Habitat for Humanity Inland Valley, Inc. taken as whole. The accompanying schedule of direct agency support allocations is presented for the purpose of additional analysis and is not a required part of the financial statements. Such information has been subjected to the auditing procedures applied in the audit of the financial statements and, in our opinion, is fairly stated in all material respects in relation to the basic financial statements taken as whole. Sincerely, Thomas A. Ralston Certified Public Accountant INLAND VALLEY HABITAT FOR HUMANITY STATEMENT OF FINANCIAL POSITION JUNE 30, 2013 ASSETS Current Assets Cash and Cash Equivalents $ 300,871 Accounts Receivable 13,494 NSP Grant receivables 14,077 Supplies Inventory 1,287 Total Current Assets $ 329,729 Fixed Assets Property and Equipment 35,663 Less Accumulated Depreciation (Note 2) (20,202) Total Fixed Assets 15,461 Other Assets Security Deposit (Note 1) 12,045 First Trust Deeds (Note 3) 2,566,961 Second Trust Deeds (Note 3) 1,129,085 Total Other Assets 3,708,091 Total Assets $4,053,281 LIABILITIES AND NET ASSETS LIABILITIES Current Liabilities Accounts Payable $ 54,483 Credit Cards 683 Escrow Funds 9,712 Payroll Taxes 142 Sales Tax Payable 3,483 Total Current Liabilities $ 68,503 Long -Term Liabilities - Habitat Way Street Maintenance 2,910 Total Liabilities 71,413 NET ASSETS Net Assets Unrestricted 3,981,868 Total Liabilities and Net Assets $ 4,053,281 SEE ACCOUNTANT'S AUDIT REPORT INLAND VALLEY HABITAT FOR HUMANITY STATEMENT OF ACTIVITIES FOR THE YEAR ENDED JUNE 30, 2013 HABITAT RESTORE COMBINED INCOME Donations $ 29,022 $ $ 29,022 Developers Fees - 135,795 135,795 Fundraising -SCRIP 415,535 415,535 Grants 35,300 35,300 Fundraising 127,418 - 127,418 Earned Revenues 881,197 881,197 Home Sales Revenues 973,000 973,000 Other - Miscellaneous Income 17,204 - 17,204 TOTAL INCOME 1,597,479 1,016,992 2,614,471 RESTORE OPERATING EXPENSES Advertising/Marketing 37,826 23,978 61,804 Alarm/Inspections 1,344 1,344 Conference/Seminars 7,714 - 7,714 Debt Forgiveness 28,518 - 28,518 Depreciation Expense - 4,103 4,103 Dues/Subscriptions 376 127 503 E -Bay Expenses 157,292 157,292 Employee Expenses 199,202 194,128 393,330 Equipment Rents 719 719 Freight 288 288 Insurance 79,884 - 79,884 Landscape Expenses - 3,000 3,000 Merchant Account Fees - 11,267 11,267 Miscellaneus 4,825 3,748 8,573 Office Expense 16,920 2,068 18,988 Program Expenses 122,338 - 122,338 Rent - 160,772 160,772 Repair & Maintenance - 2,205 2,205 Resale Purchases 41,420 41,420 Scrip 400,191 400,191 Storage 708 708 Store Supplies 4,301 4,301 Telephone/Intemet - 9,865 9,865 Truck Expense 15,867 15,867 Utilities 19,616 19,616 INLAND VALLEY HABITAT FOR HUMANITY STATEMENT OF ACTIVITIES FOR THE YEAR ENDED JUNE 30, 2013 HABITAT HABITAT EXPENSES RESTORE COMBINED Bank Charges 2,049 2,049 Fundraising Expenses 55,129 55,129 Outside Services 67,071 - 67,071 Travel 2,896 2,896 Taxes 301 301 Tithes 20,000 - 20,000 TOTAL EXPENSES 1,045,240 656,816 1,702,056 NET INCREASE (DECREASE) IN NET ASSETS BEFORE OTHER INCOME 552,239 360,176 912,415 OTHER INCOME Interest Income 57 57 NET INCREASE (DECREASE) IN NET 552,239 360,233 912,472 ASSETS NET ASSETS BEGINNING OF YEAR 2,672,019 397,377 3,069,396 NET ASSETS END OF YEAR $ 3,224,258 $ 757,610 $ 3,981,868 SEE ACCOUNTANT'S AUDIT REPORT 4 INLAND VALLEY HABITAT FOR HUMANITY STATEMENT OF CASH FLOWS FOR THE YEAR ENDED JUNE 30, 2013 CASH FLOWS FROM OPERATING ACTIVITIES Increase in Net Assets $ 912,415 Net decrease in supplies inventory 1,392 Net increase in grants Receivable (14,077) Net dedrease in Accounts Receivable 22,845 Net Increase in Fixed Assets (7,349) Net Increase in Accumulated Depreciation 4,103 Net Increase in Section 125 (3,202) Net Increase Note Receivable (1st Deeds) (531,219) Net Increase in Note Receivable (2nd Deeds) (281,055) Net decrease in sSecurity Deposits 175 Net Decrease Assets 600 Net Increase payroll taxes 142 Net Increase in Escrow Account 3,004 Net Increase in Accounts Payable 26,312 Net Decrease in Sales Tax Payable (1,335) Net Increase in Credit Cards 683 Net Increase Long Term Liabilities 620 Net decrease in Undeposited Funds 7,843 141,897 Increase in Cash and Cash Equivalents 141,897 Cash and Cash Equivalents, Beginning of the Year 158,974 Cash and Cash Equivalents, End of the Year $ 300,871 SEE ACCOUNTANT'S AUDIT REPORT Habitat for Humanity Inland Valley, Inc. Notes to Financial Statements June 30, 2013 Habitat for Humanity Inland Valley is dedicated to serving families within southwest Riverside County. One of the many ways that the agency accomplishes that is through the building of affordable homes for worthy families. While that is the main focus, they also serve the entire community by participating in neighborhood revitalization and beautification projects, senior minor home repair and most recently rehabilitation of foreclosed homes creating affordable housing for families. In addition, the agency has opened two ReStore locations, one in Temecula and one in Lake Elsinore. Habitat ReStore is a unique retail facility, operated by Habitat for Humanity Inland Valley, which offers the community the opportunity to purchase new and used building materials, appliances and household items at greatly reduced prices. The materials and appliances sold are donated by local vendors, construction companies and individuals which are then resold to the public rather than being thrown away and filling up Landfills. Families that Habitat for Humanity Inland Valley serves are considered low-income by HUD standards. For families to be selected for a Habitat house, they must have income that cannot exceed 80% of the Riverside County median income and they cannot qualify for conventional financing. Additionally, families are selected on need, ability to pay and willingness to partner with Habitat for Humanity. Each family must contribute 300-500 "sweat -equity" hours in the construction of their home, or other Habitat projects. Habitat does not discriminate, nor are families chosen based on race, ethnicity or age. The agency chooses families who meet the criteria set in our selection process and who demonstrate the biggest need for assistance. Habitat for Humanity is dedicated to making affordable housing readily available within southwest Riverside County. The Habitat for Humanity Inland Valley, Inc. is a 501 (c)(3) nonprofit organization. The organization maintains its books on the accrual basis of accounting. NOTE 1: DEPOSITS Rental Deposits on two retail stores located at 27479 Enterprise Circle West, Temecula, California and 570-1 Central Avenue, Lake Elsinore, California. NOTE 2: FIXED ASSETS Fixed Assets are recorded at cost. Depreciation is calculated using MACR's method of depreciation, which is consistant with Internal Revenue Service calculations. Fixed Assets Consist of: Restore Truck $ 23,942 Tenant Improvements 4,372 Equipment 7,349 Total Fixed Assets 35,663 Less Accumulated Depreciation (20,202) Net Fixed Assets $ 15,461 6 Habitat for Humanity Inland Valley, Inc. Notes to Financial Statements (cont.) June 30, 2013 NOTE 3: NON-INTEREST BEARING NOTES Non -Interest bearing notes are securred by real property held by Habitat for Humanity. There are certain restrictions that apply to the notes with incentives for the homeowners to stay in the house for a minimum of 5 years. NOTE 3: MATCHING OF REVENUE AND EXPENSES Habitat for humanity inland valley received seven homes purchased by SPS, a federal government stimulus program, during the 2011 fiscal year. Title to this homes was received in fiscal year 2012 subsequent to this home sales. The program is over as of this statement date. All sales revenue was recognised in the 2012 fiscal year. City of Temecula 2014-15 CS Funding Program APPLICATION NO. 9 RECEIVED CITY OF TEMECIJI 4 CITY MANAGER'S FISCAL YEAR 20 141 5 OFFICE COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Tvoe) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ S, QV 0 Project Name: pc aO?Y\YV\14L1 ,jJ Project Start Date: q / 1 /2..!) 1 TProject End Date: OV 4D1 (Maximum allowable $5,000) ORGANIZATION INFORMATION Name of Organization: pe'S l ,o mm (,Ln i -f �I l AOSt/t Contact Name: i SS J p l Title/Position: ,X 'C t-{±1 UC. Ir G -V Mailing Address: 2(Ot f 1 pa )+-62-5, 2-5; U Jo , [ fi" q Z.S 9O Telephone: ( 4 S 1) 2- -A-39 Year Organization Founded: 20 13 Number of Paid Staff: 0 Number of Volunteers: 20 Geographic Area(s) Served: Ireinlec WA &L. Val t Is this organization incorporated in California as a non-profit organization? Yes ✓ No Effective Date: 9 12.3 / ZO 1 3 If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: 2)J / 2-0I Federal identification number: 41p -38)•i g3 3 State identification number: G vLiWd. If "no": Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee Board of Directors ✓ Members -at -Large Application Page 1 FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. -kb pe's Com rvi Lon i-11/ C1Ios-e-f is o, netoi Li -6-lined pito 1 i c} ati ►Y► to 5peci1C.cUhy7) S-ve (Q &/ i n ca V f, -1-ctinillies f VA .--1' Itkvrf-eer yr c rGu`l to Kay tioe, Q- n f vL-1---1 9 RSCor 00 i la. ,,cr, 5 Uric( be_0461(CiKS a#- no co & kt..° o 1 -a,.364 i i rk ( rcuc es 4-I2) fin m Ib c 0 --C(A-m i 1ie,s i h re -eat . We, hope, be Jiht, par o P Giflo i co - br --Faro' l i e5 in "`i m rnti oti - ckv-Dp O -Ci HI 6r- i k .ir3 o. r r a,( r ile'1tS aAela vve. w i 1 1 f vi Tlitifil btvr, -Thoscil+C/m3___ oti YecA-1— [roil[ckroil i n nr ec in --f` -e Ca m nA r r H We, OLv-1- h0Y1UYr 0SC, mi li es e_ gOlV n c; c- b€ Ati 1 S reg c6/1 ot '`5hop■ riLg li -e .p orice., 4 r HiAtm , 6owri atA Nots nexcit n c. D- cs ea r, -Fi,tr(s} , 010-1 5 ,4,in V a, ha' I v --``''1o. e- sit ii-6'kla. 0(14, rid We_ axe hvr - asp 6isb;( i + fliv4opvb p ay d i vl cbvf.ut 4 c.,l oilai vUe,t-r * SO . Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) rtis:e et,ft aif61. Application Page 3 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. l'odpp t (a_. i e .. Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED Ss 'i"[ ) EheCLi1 D) Y CV NAME and 11TLE (Please Print or Type) SIGNATUR PRESIDENT or AUTHOR ZED OFFICER: _ 144 S �7 6 J CL LG �� a� �'firC� �/' z/� NAMEd TITLE (Please Print or Type) SIGNATURE:_ Oug_„1.) ORGANIZATION NAME: �}-rope CO IIn. Irv1.LW\ I`h \ C'tosf" ADDRESS: t t 1 iii✓ .61 J. -4.E 25 MAILING —1 \-e ci/act, t CA, 0I o TELEPHONE: (Pi 0 2461 4i3 EMAIL ADDRESS: h e/PeS r VVOSO-c : wwwRopes f imuoi DATED THIS l sk of b'P ' , 2014 (Date) (Month) CfD ? Im a� BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 PROJECT DESCRIPTION We began as Crosspoint Community Outreach in 2009, collecting clothing door to door, as well as holding clothing drives at church and local schools. Businesses donated school supplies and backpacks. It has truly been a community effort. We contacted schools in the area that had a large percentage of students receiving free/reduced priced lunches and set up an event based program offering clothing, shoes, backpacks and school supplies in the schools' multi-purpose rooms prior to the start of the school year. We held these events at Vail Elementary in Temecula and Buchanan Elementary in Murrieta. The response from those who we were serving was overwhelming with lines wrapped around the schools well before doors opened. In the years that we offered these events, they grew each year. While we were thankful we were able to assist so many families, it was also difficult to know that we were only able to offer this program to a few schools, and only once a year. There were many families in need who were not benefiting from our events. This is where the dream of a year round program, Hope's Community Closet, was born. We took a hiatus in order to obtain our 501c(3) status, and develop a program that would be there for all who who needed us for many years to come. HCC is a volunteer run program, with approx. 20 volunteers currently. We are currently holding clothing drives and getting our space ready, but anticipate that we will open our doors in October, 2014. Families will make appointments to come in to "shop" up to three times each year for each child. Funds needed for this program are to be used for basic operating costs directly associated with the space that we are leasing to provide a location for families to drop off clothing donations, as well as for those in need to come in to receive clothing for each child. Any funds received will go towards covering our monthly rent. The rent for our 1,145 square foot space is $833/month, or $9,996/year. Thank you for your consideration of our program. Financial Statement Hope's Community Closet a 501(c)3 A Public Charity 26111 Ynez Road, #B25 Temecula, CA 92590 1/1/2014-12/31/2014 1/1/2015-12/31/2015 Assets Projected Account Balance(s) $2,049 Gifts/Grants/Contributions Received (Non - Designated) $4,570 Committed Donations (Non -Designated) $4,000 $12,000 Fundraising Receipts TOTAL ASSETS $8,570 $14,049 Liabilities Rental Expenses $3,752 (4.5 months) $9,996 Security Deposit/ Lease $911 Utilities $600 (4.5 months) $1,800 General Liability Insurance $146 $350 Expenses Initial Store Tenant Improvements $920 Advertising Expenses $192 $400 TOTAL LIABILITIES $6,521 $12,546 INTERNAL REVENUE SERVICE P. O. BOX 2508 CINCINNATI, OH 45201 Date: MAY 3 1 2014 HOPES COMMUNITY CLOSET C/O KRISTINA ALLEN 40236 ROSEWOOD ST MURRIETA, CA 92563-4060 DELnRTMENT OF THE TREASURY Employer Identification Number: 46-3823833 DLN: 17053346326013 Contact Person: CUSTOMER SERVICE Contact Telephone Number: (877) 829-5500 Accounting Period Ending: December 31 Public Charity Status: 509(a) (2) Form 990 Required:. Yes Effective Date of Exemption: Septermber 23, 2013 Contribution Deductibility: Yes Addendum Applies: No ID# 31954 Dear Applicant: We are pleased to inform you that upon review of your application for tax Yorra exempt -f em -Fe a-L-insome-tax exemgtstat: c -we have--derte�ti�s.ed-hat-�u-a under section.501(c)(3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 106 2 2 or 2522 of the Code. Because this letter could help resolve any regarding your exempt status, you should keep it in your permanent records. Organizations exempt under section 501(e)(3) of the Code are further classified as either public charities or private foundations. We determined that you are a public charity under the Code section(s) listed in the heading of this letter. Please see enclosed Publication 4221 -PC, Compliance Guide for 501(c)(3) Public Charities, for some helpful information about your responsibilities as an exempt organization. Enclosure: Publication 4221 -PC Sincerely, r-,11 Director, Exempt Organizations Letter 947 IRS Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page 25 v OK « Prev 1 1-1 1 Next » EIN: Leal Name (Doing Business As): City = State =Country Deductibility Status: 46-3823833 Hopes Community Closet Murrieta CA United States PC «Prev11-1 1 Next» IIReturn to Search City of Temecula 2014-15 CS Funding Program APPLICATION NO. 10 RECEIVED CITY OF TEMECUL4 CIT`t MANAGER'S FISCAL YEAR 201415 OFFICE COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Tyne) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 5,000.00 Project Name: Senior Assistance Program Project Start Date: 7/1/2014 (Maximum allowable $5,000) Project End Date: 6/30/2015 ORGANIZATION INFORMATION Name of Organization: Hospice of the Valleys Contact Name: I ynette Cvar Title/Position: CAO/CFO Mailing Address: 25240 Hancock Ave. Suite 120, Murrieta, CA 92562 Telephone: (951) 200-7800 Year Organization Founded: 1982 Number of Paid Staff: 60 FTE Number of Volunteers: 150 Geographic Area(s) Served: SW Riverside County Is this organization incorporated in California as a non-profit organization? Yes X No Effective Date: June 29, 1983 If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: 6/29/1983 Federal identification number: 95-3846314 State identification number: 308-7506-6 If "no": Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee Board of Directors X Members -at -Large Application Page 1 Ph: (951) 200-7800 25240 Hancock Avenue, Suite 120 • Murrieta, CA 92562-5991 Fx: (951) 973-7760 tIISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the critena listed on page 2 of the CS Funding Policy, The mission of Hospice of the Valleys is to provide comfort care and spiritual healing at the end -of -life. For over 30 years, Hospice of the Valleys has offered compassionate care to Southwest Riverside County residents with a life -limiting illness and support to their families. We believe no one should die alone or in pain, and provide patients with routine care, respite care, and continuous care. Our goal is to offer comprehensive hospice care to patients in the community seeking our services, regardless of their ability to pay. Our care is provided by corresponding members of the interdisciplinary team (physician, nurse, hospice aide, social worker, and spiritual care provider) who make house calls on a regular basis throughout the course of care. Many life -enriching, supportive activities are offered by Hospice of the Valleys' 150 active volunteers, such as companionship, emotional support, reading, singing, holding a hand, caregiver relief, running errands, shopping, meal preparation, and light housekeeping. Hospice of the Valleys helps people fulfill their dying wishes by helping them find closure, validating the deep meaning of their life's purpose, helping them to accomplish all they wish before they die, and assisting in preserving their dignity. www.hospiceofthevalleys.org Ph: (951) 200-7800 25240 Hancock Avenue, Suite 120 • Murrieta, CA 92562-5991 Fx: (951) 973-7760 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives. those served. area serviced. and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) Hospice of the Valleys is requesting a grant award to benefit the citizens of Temecula who are near the end of their life through the Senior Assistance Program. The program objectives are to 1) increase access to hospice care for those with limited or no funding source; 2) enhance the experience of patients and families at end -of -life by providing tangible support and assistance in meeting their unique needs, such as homemaker services and unreimbursed patient supplies; 3) provide bereavement services to patients, their families and community members, such as grief support groups and memorial service; 4) provide community education and outreach programs in the City of Temecula, such as our monthly Alzheimer's support group and our training sessions for eldercare facility directors; and 5) patient caregiver support. The funds provided by the Temecula Service Funding Program will also be used to extend our ability to pay for a greater number of patients to receive unreimbursed medications, durable medical equipment and medical supplies essential to provide the highest quality comfort care. The Senior Assistance program exemplifies our Tong -term commitment to meeting the needs of our community. As a responsible steward of public funds, we continue ongoing efforts to strategically fundraise, work to grow and nurture our donor base, build new funding relationships and raise awareness for meeting the vital needs of patients and families at end - of -life in the City of Temecula. www.hospiceofthevalleys.org Ph: (951) 200-7800 25240 Hancock Avenue, Suite 120 • Murrieta, CA 92562-5991 Fx: (951) 973-7760 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show hoed Temecula residents benefited. Hospice of the Valleys is honored to have received funding from the City of Temecula for the 2013-2014 fiscal year. During that period, Hospice of the Valleys cared for approximately 400 hospice patients residing in SW Riverside County, with 20% of those patients living in the City of Temecula. Funding awarded by this grant was used for direct hospice care, bereavement services such as grief support groups, mailings, memorial services, phone calls and visits; medical supplies for the under- and uninsured, and homemaker services for patients in need of additional care, who do not have the support of family or friends. The grant awarded to Hospice of the Valleys for 2013-2014 assisted us tremendously since many components of our care are not reimbursed by Medicare or other insurance. www.hospiceofthevalleys.org SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: SIGNATURE: )tiirxr f." C t'` . ,' C ALD) C NAME and TITLE (Please Print or Type) PRESIDENT or AUTHORIZED OFFICER: SIGNATURE: 501 C VA r- e ,-) d TITLE (Please Print or Type) ORGANIZATION NAME: MAILING ADDRESS: ' 5c 9° 47Z / IBJ 901, TELEPHONE: ) - - %f D9 EMAIL ADDRESS: L c_v4.r6 hy5c. DATED THIS a 9 of -, 2014 (Date) (M nth) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page 125 J, OK « Prev 1 1-1 1 Next» EIN = Leval Name (Doing Business As): City: State:c'ountry: Deductibility Status 95-3846314 Hospice of the Valleys Sc Murrieta CA United States PC « Prev I 1-1 I Next » Return to Search FROM A : int(i jai Revenue Service ;n ,bisfrict Director Gate: JUN '?383 Hospice of Sun City Incorporated 27851 Bradley Rd. Sun City, CA 92381 Dear Applicant: (PRI)OCT 15 2010 9 'ST. 9:271No.7529493803 P 1 Department of the Treasury rr ployar Iduntlff tion Number: Accounting d v December 31 Foundation Status Classification: 5091 (:-)-and-r-70-( Y(A) Advance Ruling Period Ends: December 31, 1984 Penson to Contact: I. Hill Contact. Teter hone Number.' (213) 688-4889 Based on inforiaation.$upplied, and assuming your operations will be as stated in your application for recognition we have determined you are exempt from Federal income tax under se on 501(c)(3) o the. Internal Revenue Code. Beoause you are a newly create• organization, we are not now making a final deterri-nation of your foundation status under section 509(a) of the Code; However, :we have determined that you can reasonably be expected to be a publicly supported organization described in section 509(a)(1)•and-170(b)(1)(A)(vi). Acoordingly, you will be treated as a publicly supported organization, and.'not as a private foundation, during an advance ruling period, This advance ruling.period begins on the date .of your inception and.ends on the date shown above. Within 90 days after the end of -your advance ruling period, you must submit to Us information needed to.de.termine whether you have met the requirements of the applicable support test du.ring.the- advance ruling period. If you.establish that ypu have been a -publicly supported organization,You will be classified as a section • - 509(a)(1) or 5094E0(2) organization as long as you oontinue to meet the requirements of the applicable support test. If you do not meet the public support requirements during the advance ruling period, you will be classified as a private foundation for future periods. Also, if you ire classified as'a private foundation, you will be treated as a private foundation from the date of your inception for purposes of sections 507(d) and 4940, Grantors and donors may rely on the determination that you are not a private foundation until 90 days after the end of your advance ruling period. If you submit the required information within the 90 days, grantors and donors may continue to• rely on the advance determination until -the Service makes a final determination of your foundation status. However, if notice that you will no longer be treated as a section 509(a)(1)** organization is published in the Internal Revenue Bulletin, grantors and donors may not -rely on this determination after the date of such publication. Also, a grantor or donor may not rely on -this determination if he or she was in part responsible for, or was aware of, the act or failure to act that resulted in your loss of section 509(a)(1)** status, or acquired knowledge that the Internal Revenue Service had given notice that you would be removed from classification as a -section '-509(a)(1)** organization. P.O. Box 2350, Los Angeles, CaUf. 90053 (over) Letter 1045(DO) (6-77) vi) FROM (FRI)OCT 15 2010 8:. aT. 8:21,No.7523483803 P. 2 * For tax years ending on and after December 31, 1902, organizations whose gross receipts are not normally more than $25,000 are excused from filing Form 990. Fo guidance in determining if your gross receipts are "normally"not more than ther $25,000 limit, see the instructions for the Fotr 990, FROM (FRI)OOT 15 2010 9 ,ST. 9:21/No"7523493203 P 3 CERTIFICATE OF AMENDMENT OF ARTICLES . OF INCORPORATION OF HOSPICE ° OF • SUN CITY, INCORPORATED A48'7635 gathtedfiCeatileSeCrataryai state rtf fha;Vs 4-r'arrlimi=, JAN 019)7 B111.10ESISectetalY01 State - DONNA A. CUMMING and FANNETTE " MCKEY certify that I. They are the President and Secretary, respectively of HOSPICE OF SUN. CITY INCORPORATED, a California nonprofit corporation. 2. Article I of the Articlesof incorporation of this corporation is amended to read: The -name of this corporation is "HOSPICE OF . THE VALLEYS .c 3. The directors are the only members of the corporation. 4. The Amendment of the Articles of Incorporation of HOSPICE. OF SUN CITY, INCORPORATED was authorized- by the board of directors of said Corporation: - DONNA A. CUMMING ci President FROM , • .. ;!,$,;.-!,;t ,,,,o) 4" .....>/ <PR I ) OCT 15 2010 9: ST T. a:21/No. 7523400003 P 4 VERIFICATION Each of the undersigned declares under penalty of perjury that the statements contained in the foregoing certificate .are true and correct of his or her own know/edge, and that this declaration was executed. on /-117/ ,-1997 at Sun City, California. Dated: jLidLq /4/ /99/7 Dated: a /614,1_7(3, g. DONNA A. CUMMING President /1 /fp/ ANNETTE M 2 Secretary <FRI)OCT 15 2010 i IST. 9:21/Ho. 7523463803 P 5 A48'7635 SECRETARY ()ESTATE 1, BILL JONES, Secretary of State of the State of California, hereby certify That the annexed transcript has been compared with the corporate record on file in this office, of which - it purports to be a : copy, and that same Is full, true . and correct. IN WI NESS WHEREOF, I execute this certificate and affix the Great Seal of the State of California this FEB 1 1 1997 Secretary of State Si 34018 FROM (FRI>OCT 15 2010 9:2 sT. 9:21/N..752345350a P 3 ARTICLES OF INCORPORATION ENDORSED FLED OF M fhe oleo of iha Saaetary of stale of Ihi Sloth of Califon*, . JAN7 1983 HOSPICE OF SUN CITY, INCORPORATED (WCH FOt G EU Sscrshly of stats Phyllis L ltaQ9l Deputy I The name of this corporation is HOSPICE OF SUN CITY, INCORPORATED. II A. This corporation is a nonprofit public benefit corporation and is not organized for the:private gain of 14• any person. Itis organized under the Nonprofit Public Benefit Corporation Law for Charitable purposes. B. The specific purpose of this.corporation is to provide educational, psychological, emotional, and medical assistance to terminally ill patients, and in addition: 1. To provide an ongoing educational program - for professionals and the lay public on the methods most effective in providing help to terminally ill patients and their families, and 2. To provide a program of home care and in- patient service conducted by a team of individuals skilled in working with terminal patients and their families at all stages of the terminal illness, as well as a program of support for survivors. III The name and address in the State of California of this corporation's initial agent for service of process FROM (FRI>OCT 15 2010 9 'ST. 9:21/N..752348380S P 7 { is FRED BISHOP, 28823 Thornhill Drive, Sun City, California 92381. Iv A. This corporation is organized and operated ex- clusively for charitable purposes within the meaning of Section -501/t)(31 of the Internal Revenue Carie. B. Notwithstanding any other provision of these Articles, the corporation shall not carry on any other activities not permitted to be carried on (a) by a corpora- tion exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code of 1954 (or the corresponding provision of any future United States Internal Revenue Law), or (b) by a corporation's contributions to which are deductible under Section 170(c)(2) of the Internal Revenue Code of 1954 (or the corresponding provision of any future United States Internal Revenue Law). C. No substantial part of the activities of this corporation shall consist of carrying on propaganda, or otherwise attempting to influence legislation, and the corporation shall not participate or intervene in any political campaign (including the publishing or distribution of statements on behalf of any candidate for public office. V The property of this corporation is irrevocably dedicated to charitable purposes and no part of the net income or assets of this corporation shall ever inure to the -2- FROM CFRI)OCT 15 2010 9: 3T. 9:21/No.7523483803 P 5 benefit of any director, officer or member thereof or to the benefit of any private person. Upon the dissolution or winding up .of the corporation, its assets remaining after payment, or provision for payment of debts and liabilities of this corporation, shall be distributed to a nonprofit fund, foundationorcorporation which is organized and operated exclusively for -Charitable purposes and which has established its tax exempt status under Section 501(c)(3) of the Internal Revenue Code. DATED: January 4 , I9.83. eltrile Hirsc ncorporator 2 I hereby declare that T am the person who executed the foregoing Articles of Incorporation, which execution is my act and deed. Admin 105 -3- r' L4 -01. H3 rsc FROl' (FRI )OCT 15 2010 /ST. 9: 211No. 7523463903 P 9 r T{w,;j a r.W.r:` '.!.`;:..rY%-; li,KrSF+'.ILF,1 178 M,fa l „;. iii Mil s_ State California OFFICE OF THE SECRETARY OF STATE 1, MARCH FONG EU, Secretary of State of the State of California, hereby certify: That the annexed transcript has been compared with the record on file in this office, of which it purports to be a copy, and that same is full, true and correct. SEC/STAT. FOCIAI CE -I°7 IN N WITNESS WHEREOF, I execute this certificate and affix the Great Seal of the State of California this JAN 7 1983 l/lcA.tc.e, secretary of State am air 12:55 PM 07/15/14 Accrual Basis Hospice of the Valleys Profit & Loss Budget Overview January through December 2014 Jan - Dec 14 Income 3610 • Physician Visit Revenue 60,000 3000 • Medicare -Ben Routine 4,687,801 3010 • MCD -Ben Routine 136,590 3020 • Commercial Benefit 123,200 Total Income 5,007,591 Gross Profit 5,007,591 Expense 4000-1 • Salaries, Benefits & Related Ex 3,524,503 5000-1 • Patient -Related Expenses 1,095,808 6000-1 • Facility -Related Expenses 137,037 6500-1 • Admin. Expenses 313,670 6950 • Depreciation Expense 70,000 Total Expense 5,141,018 Net Ordinary Income -133,427 Other Income 7000-2 • Support 31,485 7200-1 • Fundraising 102,000 7700-1 • Interest & Investment Income 300 Total Other Income 133,785 Net Income 358 Page 1 of 1 10:09 AM 02/20/14 Accrual Basis Hospice of the Valleys Balance Sheet As of December 31, 2013 ASSETS Current Assets Checking/Savings 1040 • WF Investment 1030 • Wells Fargo Relationship 1004 • Commerce Bank Relationship 1008 • Rabobank MMA 0500 • Petty Cash 1018 • PayPal 1700-1 • Investments Total Checking/Savings Other Current Assets 1303 • Bequests & Donations Receivable 1300 • AR Patient Accounts 1302 • AR Room & Board 1330 • Other Receivable 1550 • Deposits 1501 • Prepaid Insurance 1500 • Prepaid Expenses Dec 31, 13 2, 952.59 255, 968.40 13,289.54 27,465.47 350.00 2,621.95 507,269.71 809,917.66 11,750.00 421,177.07 33,247.89 10,290.50 11,390.00 8,046.09 61,931.60 Total Other Current Assets 557,833.15 Total Current Assets 1,367,750.81 Fixed Assets 1900-1 • Fixed Assets, Net Accum. Deprec 129,299.16 Total Fixed Assets 129,299.16 TOTAL ASSETS 1,497,049.97 LIABILITIES & EQUITY Liabilities Current Liabilities Accounts Payable 2000 • Accounts Payable 117.103.81 Total Accounts Payable 117,103.81 Credit Cards 2510 • WF Credit Card 2,614.25 2500 • Commerce Bank Visa -784.71 Total Credit Cards 1,829.54 Other Current Liabilities 2009 • Accounts Payable --Accrued 2110 • Accrued Payroll 2200 • Accrued Payroll Ben Liabilities 2400 • Deferred Rent Total Other Current Liabilities Total Current Liabilities Total Liabilities Equity 2920 • Temporarily Restricted 2901 • Retained Earnings—Undesignated Net Income 38,514.32 84,104.34 80,019.63 10,754.48 213.392.77 332, 326.12 332,326.12 11,275.00 1,608,138.68 -454,689.83 Total Equity 1,164,723.85 TOTAL LIABILITIES & EQUITY 1,497,049.97 Page 1 9:51 AM Hospice of the Valleys 02/20/14 Profit & Loss Accrual Basis January through December 2013 Ordinary Income/Expense Income 3610 • Physician Visit Revenue 3000 • Medicare -Ben Routine 3010 • MCD -Ben Routine 3020 • Commercial Benefit 3490 • Misc. Patient Revenue Jan - Dec 13 47,668.99 4,965,004.10 119, 903.37 121,085.51 178.44 Total Income 5,253,840.41 Gross Profit 5,253,840.41 Expense 4000-1 • Salaries, Benefits & Related Ex 4,077,297.55 5000-1 • Patient -Related Expenses 1,203,024.98 6000-1 • Facility -Related Expenses 137,466.46 6500-1 • Admin. Expenses 326,070.51 6950 • Depreciation Expense 105,892.00 Total Expense 5,849,751.50 Net Ordinary Income -595,911.09 Other Income/Expense Other Income 7040 • Bequests 10,000.00 7000-2 • Support 25,688.41 7200-1 • Fundraising 87,014.32 7700-1 • Interest & Investment Income 18,518.53 Total Other Income Net Other Income Net Income 141, 221.26 141,221.26 -454,689.83 Page 1 City of Temecula 2014-15 CS Funding Program APPLICATION NO. 11 09-02- ' - i 2:28 RLv1 CITY OF TEMECULA FISCAL YEAR 2014-15 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Tvoe) 2014=15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION dd Amount Requested: $ \-636 d d -` Jae' 01> 4- 13 LLSt�_ _ L 1 C_ . Project End Date: 0 -)1 -JO irj (Maximum allowable $5,000) Project Name: Project Start DateCc.)00-7) 1..o ca -f-, ow : I Z -24 -12.. ORGANIZATION INFORMATION Name of Organization: 0cQ6.5 - ou e.. G •(ielo5pi+a.1�` ..r, Title/Position: C 4/t1 Contact Name: J_U1 aGJ Mailing Address. 31SS2 ]'? oted f c r Telephone: l-fl4e..LLIa_ `7 \ Year Organization Founded: 200% Number of Paid Staff: .L Number of Volunteers: SZ) t Geographic Area(s) Served: I v r5 ;Cie) • @E-KVi nI C RSM Yes No Effective Date: in I 2--O7 '7 l� H Ridy's Wit 1, If 'yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: lb -1 Z - n -7 Federal identification number: 2.60 State identification number: 01— 6 7 7 y -'LJ 1 Is this organization incorporated in California as a non-profit organization? If "no": Name of sponsoring organization: Federal identification number: State identification num This application has been authorized by the organization's: Executive Committee Board of Directors Application Page 1 Members -at -Large House MISSION STATEMENT Jacob's House is a home of refuge where families and loved ones of those hospitalized in traumatic medical need can find hope, comfort, peace and inspiration. We are a community resource dedicated to serve families in crisis. We do this by providing a shelter for physical, emotional and spiritual support. Board of Directors of Jacob's House, Inc. Founded 2007 House VALUE STATEMENT We are committed to ensure that any family, regardless of race, creed or religion, will be openly accepted and lovingly embraced by Jacob's House. We will support all faiths and truly respect individual beliefs. This is our single most important core value. Jacob's House is a Christian faith -based non-profit organization, dedicated to helping families through the most traumatic time of their lives. With compassionate hearts, we dedicate ourselves to collectively demonstrating the Light of God's Love and to kindle Hope in their darkest hour. Board of Directors of Jacob's House, Inc. Founded 2007 FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the wayyssyyour organization meets the criteria listed on page 2 of the CS Funding Policy. en &., tel a ' r. c rt 1, e • s ar-3c3L L c/,ed. c Ososioi* • 11,0 pc ear air? [ n p Y -a J" . Wi2 [114-e... a.- a -Urn"? 1 t 7Le urc eS 6;4-e—di.6- ` -ems t 5e�r^-r1`►-j I m r If s 1;1 C.ti sr's 1.Gie do it r ✓s Li and- O pet -0,6 y -L5 • ifitJacive,ve_wt Dcsne-i zix,) • Application Page 2 (71y170A;t E PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) � • Lis C• —�' LJ-p4r r LIN) cif e..5 . �c gra) tT — e .(4-'- eL) . --s. k. e-5 . r76,,- Per Application Page 3 JACOB'S HOUSE, INC. Project Description: Jacob's House is a residential facility which takes every step to make it a home -away -from -home to families in crisis. Considering the needs of such families, emotionally, mentally, physically, and spiritually is a very expansive and broad responsibility. The needs are determined in collaboration with hospital Case Management and Social Work staff from 5 local hospitals in SW Riverside County: Loma Linda Medical Center, Inland Regional Medical Center, Temecula Valley Hospital, Rady Children's Hospital, and Rancho Springs Medical Center. We have also been receiving referrals from the American Cancer Society; the guest have been cancer patients from outside our area (Menifee Medical and Scripps). Criteria for referrals to Jacob's House has been established as: • Severity of care/diagnosis (life and death). • Distance from hospital serving the family. • Length of stay. • Referring facility. • Immediate family members only. Funds would be utilized to provide for ALL the needs a family may have during an emergency medical crisis; travel, pets, dissolution of personal goods, sleep, food, clothing, books, and resources for counseling, medical attention, vehicle/mechanical issues, and respite through entertainment, personal hygiene, and support in all areas of survival from the trauma, chaos, and confusion related to sudden change of crisis. We are in need of a children's play area/equipment, with possible needs for adult exercise items, rest benches in the yards for patient physical therapy (as directed by a physician) and various outdoor furniture for allowing guests or patients to take respite outdoors for health matters. PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: SIGNATURE: PRESIDENT or AUTHORIZED OFFICER: In• cl NAME and TITLE (Please Print c r Type) LJ ORGANIZATION NAME: MAILING ADDRESS: •haA.'n A etivi,e' Alehor� NAME and TITLE (Please Print or type) Fiun dem ,-1--ica,19164.---ilti a e., tarytz, ;IA ,cf-71f (�r- j/ TELEPHONE: ISI' '�r� Cd 435� EMAIL ADDRESS: f J'/iCi,4 d� L�42C4 24,.. G7 LT (si •-'r1-s�.d24=1 �'7� DATED THIS n Date) of Month) 2014 BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 3:10 PM 07/17/14 Accrual Basis Jacob's House, Inc. Statement of Financial Position As of June 30, 2014 Jun 30, 14 Jun 30, 13 $ Change % Change ASSETS Current Assets Checking/Savings 10110 • Pacific Western Bank 3379 0.00 1,539.68 -1,539.68 -100.0% 10120 • Mission Oaks Oper Acct -1517218 49,989.99 36,583.30 13,406.69 36.7% 10121 • Mission Oaks MM 166,363.38 74,528.79 91,834.59 123.2% 10122 • Mission Oaks Ckg -1517226 1,290.00 1,410.00 -120.00 -8.5% Total Checking/Savings 217,643.37 114,061.77 103,581.60 90.8% Total Current Assets Fixed Assets 15000 • Furniture and Equipment 15001 • Model of Jacob's House 15002 • Jedediah Property 15003 • Jedediah Property -Land 16000 • Accumulated Depreciation 16001 • Accumulated Amortization Total Fixed Assets TOTAL ASSETS 217,643.37 114,061.77 103,581.60 90.8% 27,500.26 3,847.13 23,653.13 614.8% 396.00 600.00 -204.00 -34.0% 632,000.00 632,000.00 0.00 0.0% 158,000.00 158,000.00 0.00 0.0% -871.00 -871.00 0.00 0.0% -1,530.00 -1,530.00 0.00 0.0% 815,495.26 792,046.13 23,449.13 3.0% 1,033,138.63 906,107.90 127,030.73 14.0% LIABILITIES & EQUITY Liabilities Long Term Liabilities 27100 • Mission Oaks Bank Loan 511,961.57 547,200.89 -35,239.32 -6.4% Total Long Term Liabilities 511,961.57 547,200.89 -35,239.32 -6.4% Total Liabilities 511,961.57 547,200.89 -35,239.32 -6.4% Equity 32000 • Unrestricted Net Assets Net Income Total Equity 480,344.79 272,649.57 207,695.22 76.2% 40,832.27 86,257.44 -45,425.17 -52.7% 521,177.06 358,907.01 162,270.05 45.2% TOTAL LIABILITIES & EQUITY 1,033,138.63 906,107.90 127,030.73 14.0% Page 1 3:14 PM Jacob's House, Inc. 07/17/14 Profit & Loss Cash Basis January through June 2014 Ordinary Income/Expense Income 43400 • Direct Public Support 43450 • Individ, Business Contributions 43400 • Direct Public Support - Other Total 43400 • Direct Public Support 43500 • Key Partners Contributions 44800 • Indirect Public Support 45000 • Investments 45030 • Interest -Savings MM Total 45000 • Investments 46400 • Other Types of Income 46430 • Miscellaneous Revenue Total 46400 • Other Types of Income 49000 • Special Events Income Total Income Jan - Jun 14 163.97 26,246.00 26,409.97 49,457.47 3,101.27 418.60 418.60 19.27 19.27 857.00 80,263.58 Gross Profit 80,263.58 Expense 60900 • Business Expenses 60920 • Business Registration Fees 60940 • Taxes - Not UBIT 60960 • Memberships Total 60900 • Business Expenses 62100 • Contract Services 62110 • Accounting Fees 62150 • Outside Contract Services Total 62100 • Contract Services 62200 • Payroll Expense 62600 • Fund Raising Events 62603 • Printing for Fund Raiser 62605 • Entertainment for Fundraiser 62608 • T -Shirts for Fundraising 62610 • Miscellaneous - Fundraising Exp Total 62600 • Fund Raising Events 62800 • Facilities and Equipment 62840 • Equip Rental and Maintenance 62860 • Mortgage Interest Total 62800 • Facilities and Equipment 65000 • Operations 65010 • Books, Subscriptions, Reference 65020 • Postage, Mailing Service 65030 • Printing and Copying 65040 • Supplies 65050 • Telephone, Telecommunications 65055 • Utilities 65000 • Operations - Other Total 65000 • Operations 65100 • Other Types of Expenses 65160 • Other Costs 65165 • Merchant and Bank Fees Total 65100 • Other Types of Expenses 95.00 4,445.73 263.00 4,803.73 840.00 540.00 1,380.00 19,622.00 243.00 924.47 162.00 3,081.58 4,411.05 665.16 0.00 665.16 1,525.00 -20.07 1,125.75 4,295.52 953.23 3,568.74 11.88 11,460.05 601.50 492.82 1,094.32 Page 1 3:14 PM 07/17/14 Cash Basis Jacob's House, Inc. Profit & Loss January through June 2014 Jan - Jun 14 69000 • Charitable Contributions 75.00 Total Expense 43,511.31 Net Ordinary Income 36,752.27 Other Income/Expense Other Income 43600 • Room Generated Contributions 4,080.00 Total Other Income 4,080.00 Net Other Income 4,080.00 Net Income 40,832.27 Page 2 E W • ti 0 in O a) w ti N 11)N M N cu szL Wcr o 0 ccu ctri OU 00000000 N 0 01 VD 00 0 VO VD 4D V0 4D VD VD H �II••II®• 3:20 PM 07/17/14 Cash Basis Jacob's House, Inc. Balance Sheet As of June 30, 2014 ASSETS Current Assets Checking/Savings 10120 • Mission Oaks Oper Acct -1517218 10121 • Mission Oaks MM 10122 • Mission Oaks Ckg -1517226 Jun 30, 14 49,989.99 166,363.38 1,290.00 Total Checking/Savings 217,643.37 Total Current Assets 217,643.37 Fixed Assets 15000 • Furniture and Equipment 15001 • Model of Jacob's House 15002 • Jedediah Property 15003 • Jedediah Property -Land 16000 • Accumulated Depreciation 16001 • Accumulated Amortization Total Fixed Assets 27,500.26 396.00 632,000.00 158,000.00 -871.00 -1,530.00 815,495.26 TOTAL ASSETS 1,033,138.63 LIABILITIES & EQUITY Liabilities Long Term Liabilities 27100 • Mission Oaks Bank Loan Total Long Term Liabilities Total Liabilities Equity 32000 • Unrestricted Net Assets Net Income 511,961.57 511,961.57 511,961.57 480,344.79 40,832.27 Total Equity 521,177.06 TOTAL LIABILITIES & EQUITY 1,033,138.63 Page 1 INTERNAL REVENUE SERVICE P. O. BOX 2508 CINCINNATI, OH 45201 Date: NOV 0 3 2008 JACOB'S HOUSE, INC. C/O MARTIN A WEISS. ONE BETTERWORLD CIRCLE, SUITE 300 TEMECULA, CA 92590 Dear Applicant: Employer Iden 26-1183832 DLN: 170531063100 Contact Perso JOANNA YAWNE Contact Telep (877) 829-55 Accounting Pe December 31 Public Charit 170 (b) (1) (A Form 990 Requ Yes Effective Dat August 16, Contribution Yes Addendum Appl No We are pleased to inform you that upon review of ye exempt status we have determined that you are exemt under section 501(c)(3) of the Internal Revenue Cod deductible under section 170 of the Code. You are tax deductible bequests, devises, transfers or gift or 2522 of the Code. Because this letter could hel regarding your exempt status, you should keep it ir. Organizations exempt under section 501(c)(3) of the as either public charities or private foundations. a public charity under the Code section(s) listed i letter. Please see enclosed Publication 4221 -PC, Compliance Charities, for some helpful information—about your exempt organization. City of Temecula 2014-15 CS Funding Program APPLICATION NO. 12 j CITY OF TEMECULA FISCAL YEAR 201415 COMMUNITY SERVICE FUNDING PROGRAM API .iMN (Please Print or Tvpe) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) RECEIVED PROJECT INFORMATION Amount Requested: $ 5,000.00 (Maximum allowable $5,000) Project Name: Equipment needs for the Visual & Performing Arts programs Project Start Date: August 25, 2014 Project End Date: June 5, 2015 ORGANIZATION INFORMATION Name of Organization: JDS Creative Academy Contact Name: Diane Strand Title/Position: Founder Mailing Address: 39870 Camden Court Temecula, CA 92591 Telephone: 951-296-6715 Year Organization Founded: 2014 Number of Paid Staff: 0 Number of Volunteers: 6 Geographic Area(s) Served: Temecula Valley Is this organization incorporated in California as a non-profit organization? Yes No X Effective Date: TBD: so-'zadays r�„aaw'�� If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: We are an organized association as of 4/11/14 Federal identification number: 45-5293183 - IRS nonprofit EIN, awaiting 501c3 status determination letter State identification number: We are in the process of incorporating our organization If "no": Name of sponsoring organization: JDS Video & Media Productions, Inc./dba JDS Actors Studio Federal identification number: 80-0219207 State identification number: 3124941 This application has been authorized by the organization's: Executive Committee X Board of Directors X Application Page 1 Members -at -Large FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. The mission of JDS Creative Academy is to advance education and training in the arts: theatre arts, vocal and instrumental arts, production and creative writing pertaining to gaining knowledge in the creative and collaborative art industry. To fulfilling the visual and performing arts (VAPA) requirement per the K-12 California core education code to home school, online school and the trade school population. JDS Creative Academy purpose is to enhance the future of the Southwest California region, our youth and young adults through the leaming of the arts. Providing training skills in the arts industry, to develop future engineering and technology majors in higher education. Creating a strong foundation for our communities' driving workforce development in the Temecula Valley, State of Califomia and throughout the United States through education, training, pre apprenticeships and apprenticeship programs. JDSCA is a legally organized nonprofit association with an applied for 501 c3 IRS status. On August 21st we received a letter requesting more information stating we are favorable to receive our 501 c3 determination. JDS Creative Academy creates a safe, collective, and creative environment for youth and young adults to leam the arts by providing education, knowledge, hands on training and Skill development to advance into higher education or the workforce and prosper in a competitive marketplace. The motivation behind establishing JDS Creative Academy is to help anyone who needs or wants education and training in the arts fields as well as continue to developing programs based on the community needs. JDSCA provides an opportunity for gaining creative enrichment, self confidence, leadership, and collaboration skills through hard work, dedication, training, and competition. Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) Education is falling short in preparing our youth and young adults for today's workforce. Tomorrow's workers are today's students of the Arts. International Rectifier, one of Temecula's largest employers said, "When we hire engineers they have to have a background in the arts to be considered for the position." Those with a foundation in the arts are the out of the box thinkers, the problem solvers, and the employees who work well with others. With a collaborative arts background one is well rounded in their knowledge and is able to blend in with any company's culture. At JDS Creative Academy we are suppling that foundation. Our daytime visual and performing arts programs provide home school and online school youth a place to go to leam collaborative and competitive arts in a variety of disciplines. We have programs in Acting, Theatre, Music (Vocal and Instrumental ensembles), Creative Writing, Screen Writing, Real World writing as well as our after school Acting programs. We service the entire Southwest California Temecula Valley region. Our programs are open to anyone who would like training and education in visual and performing arts. Should the City of Temecula award JDS Creative Academy the money it will be used to purchase some much needed equipment to support the current programs launched, August 2014, as well as future programs we are looking to launch in, January 2015, such as video production and digital arts. JDS Creative Academy officially launched April 2014, and our programs began August 25, 2014. While the nonprofit visual and performing arts education academy is new, it is built on the strong foundation of JDS Video & Media Productions, Inc./dba JDS Actors Studio, which is 11 1/2 years strong, and been teaching the craft of acting to the community for 5 years. The public's reaction has been overwhelmingly positive. At our ribbon cutting we had over 150 people there, and our initial classes launched successfully. We are able to measure our success by those who retum to take additional classes, those who find successful employment employment in the arts, those that find employment because of the arts, or those that move on to Application Page 3 JDS CREATIVE ACADEMY 28069 DIAz ROAD SUITE D TEMECULA, CA 92590 Community Service funding application continuation of page 3 higher education focused on one of the disciplines of visual and performing arts. The items we are looking to purchase with the Community Service funds would be equipment needs for the actual classes to enhance the student's learning experience and to allow JDS Creative Academy to expand its program offerings with new classes/programs being requested by the community. Large White Board on wheels $315.00 Large Music White Board on wheels $790.00 25 Music Stands @ $35.00 ea. = $875.00 Digital Projector $550.00 Accessories for projector $150.00 Retractable Screen for projection $525.00 2 Lap Top Computers w/software $800.00 ea. = $1,600.00 5 Practice Mats @ $25.00 ea. = $125.00 These items will directly impact each of the visual and performing arts programs enhancing them and making the class a better learning environment for each student who takes any of the visual and performing arts classes offered through JDS Creative Academy. Page 3 continuation JDS CREATIVE ACADEMY 951-296-6715 www.1 DSCA.ottc LJDS CREATIVE ACADEMY 28069 DIAZ ROAD SUITE D TEMECULA, CA 92590 2014 — 2015 Start up budget Original funding source from JDS Video & Media Productions, Inc. Part donation $2,000.00 part credit line of $4,000.00 Income 2014/2015 Grand launch fundraiser: Enrollment August 2014: Enrollment September 2014: Enrollment October 2014 Enrollment November 2014 Rock Around the Clock for the Arts Fundraiser Enrollment December 2014 Enrollment January 2015 Enrollment February 2015 Enrollment March 2015 Spring Fundraiser Spring Performances Enrollment April 2015 Enrollment May 2015 June 2015 summer program Enrollment Total Revenue Expenses2014/2014 Rent & Utilities (9 months @ 796. Teachers September October November December January February March April May Program Administration ($900.00 Program Expansion Employee ($1,200.00 per month, 20 hrs. 6 months) Materials & Equipment Marketing and Advertising ($450.00 per month) Total Expenses * Employee hrs. & additional employees will be hired as revenue rises. 50 per month) $240.00 $660.00 $840.00 $840.00 $1,500.00 $1,800.00 $2,050.00 $2,175.00 $2,175.00 per month) $585.00 $1,590.00 $2,075.00 (7 new students) $2,450.00 (3 new students) $ 2,575.00 (1 new student) $3,500.00 (100 tickets) $2,575.00 (0 new students) $3,825.00 (10 new students) $4,450.00 (5 new students) $4,700.00 (2 new students) $4,500.00 (100 tickets) $1,500.00 (75 tickets) $4,825.00 (1 new students) $4,825.00 (0 new students) $3,500.00 Total 25 Students $47,475.00 plus any additional Grants & Donations received, applying for $25,000.00 - $100,000.00 $ 7,168.50 $12,280.00 $8,100.00 $10,000.00 $7,200.00* $7,800.00 $4,050.00 $56,598.50 JDS CREATIVE ACADEMY 951-296-6715 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. Non applicable Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED Diane Strand, JDSCA founder SIGNATURE: NAME and TITLE (Please Print or Type) e'u-Q �n(L 359/07clzK PRESIDENT OFFICER: or AUTHORIZEDDiane Strand, Founder SIGNATURE: NAME and TITLE (Please Print or Type) ORGANIZATION NAME: JDS Creative Academy MAILING 39870 Camden Court ADDRESS: Temecula, CA 9251 TELEPHONE: 951-296-6715 EMAIL ADDRESS: diane@jds-productions.com DATED THIS 29th day of August , 2014 (Date) (Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 LJDS CREATIVE ACADEMY 28069 DIAZ ROAD SUITE D TEMECULA, CA 92590 2014 — 2015 Start up budget Original funding source from JDS Video & Media Productions, Inc. Part donation $2,000.00 part credit line of $4,000.00 Income 2014/2015 Grand launch fundraiser: Enrollment August 2014: Enrollment September 2014: Enrollment October 2014 Enrollment November 2014 Rock Around the Clock for the Arts Fundraiser Enrollment December 2014 Enrollment January 2015 Enrollment February 2015 Enrollment March 2015 Spring Fundraiser Spring Performances Enrollment April 2015 Enrollment May 2015 June 2015 summer program Enrollment Total Revenue Expenses2014/2014 Rent & Utilities (9 months @ 796.50 per month) Teachers September $240.00 October $660.00 November $840.00 December $840.00 January $1,500.00 February $1,800.00 March $2,050.00 April $2,175.00 May $2,175.00 Program Administration ($900.00 per month) Program Expansion Employee ($1,200.00 per month, 20 hrs. 6 months) Materials & Equipment Marketing and Advertising ($450.00 per month) Total Expenses * Employee hrs. & additional employees will be hired as revenue rises. $585.00 $1,590.00 $2,075.00 (7 new students) $2,450.00 (3 new students) $ 2,575.00 (1 new student) $3,500.00 (100 tickets) $2,575.00 (0 new students) $3,825.00 (10 new students) $4,450.00 (5 new students) $4,700.00 (2 new students) $4,500.00 (100 tickets) $1,500.00 (75 tickets) $4,825.00 (1 new students) $4,825.00 (0 new students) $3,500.00 Total 25 Students $47,475.00 plus any additional Grants & Donations received, applying for $25,000.00 - $100,000.00 $ 7,168.50 $12,280.00 $8,100.00 $10,000.00 $7,200.00* $7,800.00 $4,050.00 $56,598.50 JDS CREATIVE ACADEMY 951-296-6715 www.JDSCA.oRG City of Temecula 2014-15 CS Funding Program APPLICATION NO. 13 „y -JL -14A11:08 RCVD CITY OF TEMECULA •,r kCVD FISCAL YEAR 2014.15 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Tvoe) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 3 ()DU v v (Maximum allowable $5,000) Project Name: Project Start Date: i 0 J i Project End Date: 1 4 y ORGANIZATION INFORMATION Name of Organization: l— i 11, - 141i 0 S Contact Name: c.',.,) \ Irk c),,,C ITC Title/Position: D l' C '°: (- Mailing Address::15C) 3 yr \O\. ').li -ki_2, fak) rel. ekek, 0,,A4 cj 1510 2, Telephone: -L 1 {-1 (-tQ 51-Vlic Year Organization Founded: fR 012 - Number of Paid Staff: D Number of Volunteers: [ 0 :30 Geographic Area(s) Served: CA..?TvrYWQS ' 11) Q_ Is this organization incorporated in California as a non-profit organization? Yes No Effective Date: I .\\1Z— If "yes” (Must provide a copy of your statement of non- profit status from the State of California): 11\_FDate of incorporation as a non-profit: 03,11\2 - Federal ederal identification number (nci State identification number: 2slg7k-f) If "no": Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee Board of Directors Application Page 1 Members -at -Large FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. Y\ r - L Nie, 1 OSQ � oon - pc[ . rke it`, ._ -erA C%.vyrw e :rm ,fAn {�l`r+fi li�C' : l,tiJf ErAy''t''1, y • 1ki 1" T1 ,_PJ x it T e cis,, ht Id c£ n . L 111 4`� k -lac-, ' ce i r • C4_ Ixrvipr.in,K AY1 e(?V`-. nr---4- (\Cd -Chi c I Y\\f k ' \ G4h'r",poctA,1 er.rds /N \ Etx+I iY\ C t3 fl f f o 'ls 's ' - P C 'k (74 1 Y 1 ' 0 Ck %� �V`l k � 1 P i,+�; ,, 1 0) 4e 'o .��; r cc 0\ VI Ci e S C .v s 1 5, -)(7( ),_\<_' 1-r1C ticrleo sV( * Arc_ ranf-- �. r :x -Q_. 1 U iir\S t e Vc \/(2 Yl e,4 c� ym�1 \9\L nr c'J — V rn1\1 Ci t ■ /An& c ��: 4 ` } c r .v l C' Ern ,�]r;�. (-Lo-r\\e' Application Page 2 e,xchancy.,,Gnd d one*-�A N h \r crc0 m Ctv mkND 'wh 1 c��c�� ` \ 1 le oo l_s . e2 S �0 � U p 0Don` Nannk-s \nc.baGkS.. C)\lvA-c(\ -Pree coo I-v3o\ e..ko cs , dV'oco,e. 4-cam `)‘:-1 .y ,-30c-i- f-oL los Vic- _mllqs uQ\ \\neS5 ire \K.S -oc 10c 0 bus\yness - 0411 \ LI, -Wie d'i abi e c 'n 4irle woc`l---C-occQ aid a s\16\\1\;3 of erte,k0,71-\rn Ani L1 `. ` W) \i l `'' -+ C' �} e d On p.mu vc \n ' In t I US 1 o-n 0 cC' .\ s coo-n,\\\e ,C-I' e-.1 1 so VAI-eck- Cy--orn °A-Ine c 0rrym \_44AA, f- fi p co 'ams se m to .. 1 \J ‘c oodoc ' i s 4he'tom v tr .4 °kind p Lt s rr1.,'i6-) c,- . 1 0'b])e C c LU r, o he S oc n Uu' p.Q5‘,lv . c-\ \-,3L, c; -, �S rtunG c vvv �i - to \ '° \ s C Li '�� x7 rk 4 11--ie S ',nd 0m ill_ r n ix\- pc-44s . .\\1\.., t- 'k,)(,e. i -dee Q rn dksciwmviAccilkm, d g n co\ t' c e__O r i a- oc0-k()-r\C\\ ‘ k - c _r err ) (rGf ed 6 ` 's ot !,- a (1 I it, [1 } Q rI Or )+ ! e ,' t f 11 se has c . h )<6(,o_ / a. o i -eratJ `ietA e Cal cJI+ OLfl { e krcute fiV'?euy)Cf& ( 6 -�� -o r .c-s. We are l001 ru'r i,7u1 voiun yrs a nk Mei e r76 pet Id 61- ''. 1 001 or al . lonteL o.fit . are u5rid +0 3uppor i aird aladi tt e pr 6 rei ngs and even i3 6.r // s Mi u 5 p 0 4L, r5 . /0 d Our& - r �"'7� U� G� GUS r,._.�, ,�V � � -� �{.�' � �. G� woL ciur an 3 h`iO54- e feeCA 1 ken essv PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) Ic_o ,cpm C2wlo CY�1 t0r4 : u \.)`CiAi 1(3t C_. (X \ t f r .) d r ID'S 4r e„,cc T -fleet\ \,6\r c\r- 1)11 nr;' , ., c c \ to, c''' r\.2'.1\(T e .:. 1 ' e fAIIV1 r t le41 )cv e \car, , ■d Th ti 1 [ 1 01eeA -0.e. pgir rrlOfl-l4h In prA(ic 1,. f --)E as'w X \ n ` .r(-- ickC�''I , r rriCid +Q.Y1 0e 1 41 w!'Q 1-- t+i) of nCk ) f 't nlr `1l 1t ili1)nl(uQ 1,-r- try -14- .3 IS roco c`Ec l; erAc'' u k \ \ 00 (1, e cN.,- 3 43 rr 1 \1 e aka+w1 r Ac kA i r �,lf-00,1,0,‘ \ 1 Y'1 lc -,,y--6.. LI i yn a0 c� ion0: \ick 1 LI vy,l 46.nd1 i i c rnQ C -1 t r .tcke S _.l � i 1 t k`1 Ci kN)r \ Yv.�1 i rc , `riAV-11 Y1G-� of r4--PL lea( €, 1 be or kx f otQ.ko.1t`- i hex. t re oL) r r` A icliA,( 4y\ ex'S .Cb - ii --h ii--hc r tike 11i e p rf r --1 L ‘ pe:, iacii +hF eT,--T crwn1 \A', �1 ', }iC ‘,_ c 1 r, Qt AS k0 4-f \(- 5c)L1O'1 115 uk3ort 00-1C 411( urS 4 -he TcorilJn,k‘Lo Application Page 3 lf\ \ oky-vX tvhe vn 1 eye 1 ovM' ps 'ro liTko •o\rrrn-T\ry Son \cc Q Zoon Che - cc Zcrle of Pack_ \oV 6\ The pcoo.m w‘1 \o cc �d e_ *V e C 06* Co 9 `e �i 'L �r \d u (A CLQ*\v \-\--\es rRe.rn\JVCS o 4be crOV ) rCcrQShrne_r Cckn Q \i * Y GC ' ' :Yi5 or1-Mon to Q1- e y l o\ rode eiJe nS sWI,e n6c(-6, d corap'n -1- Ce c f�\ �t i tree c c ' `\ e \I&\ v o \ 1 y- \ OY\►, -cor c 11 *re cornrr\u nt PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: J11/1 ') CCNAME and TITLEaase Print or Type) SIGNATURE: L� l PRESIDENT or AUTHORIZED OFFICER: k_ ] \)\ 1% ( fCycr re ('I C NAME and TITLE lease Print or Type) SIGNATURE: ORGANIZATION NAME: Ll \ 1 ''+1i11�� MAILINGa ADDRESS: .. �! LCk Yl*k'P I IUr Q. CAf 9z1/73 TELEPHONE: /57 Li(D :c1-1 I EMAIL ADDRESS: our -I/11 fvs iiovseg jahoo, cor .1 DATED THIS / 7 o (Da ) r,. , 2014 Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 01 Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results EIN: 46-0526920 Results Per Page 25 V OK « Prev 1 1-11 Next» Legal Name (Doing Business As) : City : State =Country = Deductibility Status: Lillys House Murrieta CA United States PC « Prev 1-1 1 Next » Return to Search INTERNAL REVENUE SEkvJCE P. O. BOX 2508 CINCINNATI, OH 45201 Date : J " ` 0 2 2014 LILLYS HOUSE 25053 VIA SANTEE MURNETA, CA 92563 Dear Applicant: _F,PARTMENT OF THE TREASURY Employer Identification Number: 46-0526920 DLN: 17053088301043 Contact Person: CUSTOMER SERVICE ID# 31954 Contact Telephone Number: (877) 829-5500 Accounting Period Ending: June 30 Public Charity Status: 170(b) (1) (A) (vi) Farm 990 Required: Yes Effective Date of Exemption: October 8, 2012 Contribution Deductibility: Yes Addendum Applies: No We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501(c) (3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records. Organizations exempt under section 501(c)(3) of the Code are further classified as either public charities or private foundations. We determined that you are a public charity under the Code section(s) listed in the heading of this letter. Please see enclosed Publication 4221 -PC, Compliance Guide for 501(c)(3) Public Charities, for some helpful information about your responsibilities as an exempt organization. Enclosure: Publication 4221 -PC Sincerely, 7#74&40,01 -140•4-14-' Director, Exempt Organizations Letter 947 LILLYS HOUSE INCOME/EXPENSE FISCAL YEAR ENDING 07/02/2014 INCOME FUNDRAISERS LAKE ELSINORE POKER TOURNAMENT $1200 GARAGE SALES $1695 SPRING FLING $330. WALK THROUGH THE VINES $174. COOKBOOK SALES $900 PRIVATE DONATIONS $450. TESOROS $525 TOTAL INCOME $5274 EXPENSES WELLNESS FAIR SUPPLIES $50 COUNSELOR . SUPPORT GROUPS _$50 WEBSITE $100 CHRISTMAS PARTY $450 IHSS SEMINAR SUPPLIES $130 COOKBOOKS $978 SPRING FLING $400 ANNUAL BBQ $220 EASY UP PURCHASE $97. COOLER PURCHASE $50. CHAMBER OF COMMERCE MEMBERSHIP $200 RIBBON CUTTING $80 TEEN BOWLING EVENTS $100 PRINTER INK $60 BOARD MEETING REFRESHMENTS $75 BALANCE $2234 TOTAL EXPENSES $3040 City of Temecula 2014-15 CS Funding Program APPLICATION NO. 14 )9-02-14P CITY OF TEMECULA. FISCAL YEAR 201 4. 15 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Tvve) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ ' (Maximum allowable $5,000) It Project Name: N t , w' kl , 1 Project Start Date: i / - 1 ; LA k 3 11 Project End Date: Ti)r;,-, znt�� ' ORGANIZATION INFORMATION Name of Organization: 1'! Contact Name: i'` i .: l4 . t l r� t: t. Title/Position: .�.-i Mailing Address: # r f i r; ;r r . Telephone: !fir'+i }. -ii ; 1c L Year Organization Founded: Number of Paid Staff: Number of Volunteers: v !I 1 i Geographic Area(s) Served: T-PALi Is this organization incorporated in California as a non-profit organization? ++ Yes v' No Effective Date: i t z, I I 1 I If "no": If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: i" j 3-t1(1 Federal identification number: 11 (=. ? 3141 14 (4 State identification number: t- 3') Name of sponsoring organization: A�'''' Federal identification number: ii0- - State identification number: This application has been authorized by the organization's: Executive Committee / Board of Directors Members -at -Large Application Page 1 Please fill out each section to the best of your ability. 1. Organization Income: $500.00 2. Cost of Project (required) $ 25,000 1) Project 1— Motivating the youth in the area through Mentoring workshops (Lifting as you Rise (Mentor Program); and Plan for success (Road map for Youth participant's) as we increase our funding for interactive web -site; Project 2 —Interactive Web -site, Project 3 — Launch the site, Project 4 - Fundraising ongoing. 3. MENTORING FOR EXCELLENCE BUDGET Organization Income Enter amount in this column Catalogue & Gift Shop Fees $ Community Charities $ Foundations/Corporate Funding $ DATE: 8/30/2014 Captain Gerald L. Davis C.E.O. and Founder Mentoring For Excellence (501-c-3) P.O. Box 1846 Temecula, CA 92586 Reference: Community Service Funding Program Application — FY' 2014 -2015. *Note —The Budget and financial statements will be updated by 9/14/2014; we just completed our First Annual Jazz and Soul Food Fundraiser on 8/30/2014. We are planning additional fundraisers and applying for state and federal grants to raise the funds needed to fully implement our programs. We are receiving more funds daily. Our C.F.O has over 15 years of experience; and is an experienced Director/Manager and Fiscal Accountant that works daily with state and federal grant accounting for the Cal State Educational System. Financial Statements 1 Fundraisers Projected after 8/30/2014 = $2,100.00 (Less expenses) ($900.00) Government Funding $ Individual Contributions $ Sponsorships $ Other $ Total Organizational Income AS OF: 9/1/2014 $1,200.00 Total Support for Project 1,200.00 Consulting $ _ Marketing/Advertising/Public Relations $200.00 Other Costs Specific to Project Printing/Publication Costs $ $400.00 Project Management (staff) Contractors $ Research and Evaluation $ Scholarships $ Supplies/Support Materials $ 200.00 Technology (hardware & software) $200.00 Tech. Application/Development/Hosting $,200.00 Training/Professional Development (Mentoring Process) $TBD Travel & Lodging $ Total Funded Budget $1,200.00 Mission Statement: Our missions is to provide all youth ages 11-18, the opportunity to build mentor/protege relationships through a structured program allowing them to receive life -skills: training, coaching, career planning, internships, and community service opportunities that will add value to their lives, and the communities they serve; all which will assist them to reach their full potential, and allow them to grow and develop into responsible citizens, role models, and leaders. 2 Our plan after we complete the security screening of potential Mentor's is to connect youth participants with Mentor's who are working in a career they would like to learn more about and, or move into as they progress through high school and through college. The key component of our overall program the Big picture is to use the Interactive Website to manage all the relationship and administrative activities for the organization to include the most important the LIVE SCAN connection to our independent server; so we can expeditiously submit finger prints for back ground checks. Safety, Privacy, and personal security will be one of our keys to success, and our program and processes focus on these during our development of our interactive website. Our program will not just set high expectations for the youth participants, but also, the guardians and parents. This is a program that will take a village to run successfully; we all have a vested interest in complete community and youth participant's engagement. We are proud to have as our C.F.O an experienced Director of Financial and Accounting Services — who has over 15 years of experience in the management of Financial and Accounting Services at one of the California State Universities; to include working with Foundations, federal and state grants and contracts. We have an amazing team of committed volunteers that want to provide an effective and modern approach to the mentor- protege process. We are focused on results; positive results; and we are flexible in seeking the best practices and suggestions for all who would like to share, so we can provide one of the best youth mentoring programs in Southern California and eventually in the country. Leadership Team: CEO — CPT Gerald Davis — Disabled Veteran (USMC and Army) -100%; Postal Supervisor, MPA, Master Certificate Organizational Management, ACB —Toastmaster, writer and Speaker with the Folds of Honor Foundation. CFO- TBD (acting) CFO — Deborah Davis (20 years + Foundation management and accounting) COO — CPT Alex Santiago, Army (Retired), MBA and (acting secretary), and Real Estate Investor. Director of Training and Development—Star Bourgoyne, Navy (Disabled Veteran),MBA, Realtor Share list of Board of Advisors: > Al Nyman — Retired LT Sheriff San Deigo & Senior faculty Instructor at Mira Mesa College, USMC ➢ Doris Nyman — Retired Public School teacher — Oceanside CA. ➢ Michael Bourgoyne — Military Contractor and Navy Veteran > James Williams — Research Consultant, Series 56 License holder ➢ Jason Broussard — MBA student, Combat Veteran USMC, Experience with youth Programs > Adhoc Member — Mekia De Sanchez -Davis — Senior Social worker — Retired/Contractor 3 Project Description: Our Project initially has three components: 1) Promote the Mentoring Process 2) Connect Qualified Mentors (Security screened and other criteria) with willing youth participants with guardian and parental involvement (Life Skill training and workshops to include all the keys needed to be a successful student and citizen, and 3) our focus is on excellence; excellence in education. We plan to coordinate presentations all over the Temecula Valley with our team of volunteers; and begin the process of promoting and informing the youth about the Mentoring Process; and then connect them to the process; and provide as many opportunities we can to allow the youth to serve the public in some way. Currently, we have 15 volunteers. We plan to utilize public facilities: churches and schools and other facilities owned by local non -profits to promote and administer the first phase of our program; upon receiving funding the interactive web -site will be utilize as the main tool to measure the growth and development of the youth participants and the program. We do not plan on leasing or renting a space at this time in order to keep our cost down. Past Project Benefits: This is a new program for FY 2015. We are excited about the endless possibilities and we all look forward to making a positive difference in the lives of the people we serve. Thank you for the consideration! 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: SIGNATURE: NAME and TITLE (Please Print or Type) PRESIDENT or AUTHORIZED OFFICER: ±4 th i r 7 f', i r i_,l'a. tz • moi• ,,, '`ti 1 _ ,i•I NAME and TITLE (Please Print or Type) SIGNATURE: ORGANIZATION NAME: i l ►) (,) t )(ell 1C MAILING ADDRESS: TELEPHONE: EMAIL ADDRESS: ill si1 N r I / i 10L- 1`1.t DATED THIS , 2014 (Date) (Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 Or Deliver in Person to. City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page (25 v'F OK 1 EIN: Legal Nanie (Doing Business As) City 45-3341445 Mentoring for Excellence Temecula Return to Search State .Country CA United States « Prey 11-1 1 Next » Deductibility Status: PC « Prev 1 1-1 1 Next» City of Temecula 2014-15 CS Funding Program APPLICATION NO. 15 RECEIVED CITY OF TEMECULA AUG 2 2 2014 FISCAL YEAR 2014-15 CITY MANAGER'S COMMUNITYSERVICE FUNDING PROGRAMAPPIMTION (Please Print or Type) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 5,000 Project Name: Breast Health Assistance (Maximum allowable $5,000) Project Start Date: January 1, 2015 Project End Date: June 30, 2015 ORGANIZATION INFORMATION Name of Organization: Michelle's Place, Breast Cancer Resource Center Contact Name: Kim Goodnough Title/Position: Executive Director Mailing Address: 27645 Jefferson Ave. #117, Temecula 92590 Telephone: 951-699-5455 Year Organization Founded: 2001 Number of Paid Staff:6 Number of Volunteers: 65 Geographic Area(s) Served: Riverside County Is this organization incorporated in California as a non-profit organization? Yes x No Effective Date: November 4, 2000 If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as non-profit: November 4, 2000 Federal identification number: 33-0951216 State identification number: 2267780 If "no": Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee Board of Directors x Application Page 1 Members -at -Large FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. -4SLQ Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibI .) ,A)2-(2 L Application Page 3 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited, Application Page 4 Mission Statement Michelle's Place is a non-profit organization located in Temecula, providing breast health services, support and resources to women. As the only non-profit organization serving women's breast health needs in southern Riverside County, Michelle's Place serves any women needing access to quality screenings, treatment and support. Our mission statement is to provide emotional and educational support to those touched with breast cancer and facilitate breast health care services. As a non-profit agency, our organization relies on donations, grants and sponsorships to provide our services at no cost to our clients. Local support from individual private donors, businesses and local governments has historically funded our programs, indicating a high level of public support. Michelle's Place is a fiscally sound organization with conservative business practices designed for long-term program and agency sustainability. Our agency is governed by a Board of Directors made up of business professionals, community leaders, educators, health professionals and cancer survivors. Their breadth of experience, community involvement and guidance has developed Michelle's Place into an agency that is prepared and able to serve women needing breast health services. In addition, our Executive Director, Kim Goodnough, manages the day to day operations as well as secures partnerships, funding and relationships to steer the agency towards the future. Our program staff, which includes Jamie Goebel, Cheryl Lebowitz , Jess Young , Dina Duran, Lucy Dominguez and Judee Smith implements our programs, directly serve our clients and handle the administrative tasks necessary to make our agency run smoothly. Michelle's Place has grown significantly over the past few years, demonstrating both our community's need for quality breast health services and our community's positive response to our agency. In 2013, Michelle's Place provided over 8,043 services to nearly 1,800 women. Each year more women and families are seeking services through Michelle's Place because they have no other option. We expect the number of women needing services to continue to rise, and our agency is committed to ensuring that every woman who has been touched by breast cancer, or who suspects breast cancer has access to breast health services, regardless of her ability to pay. Michelle's Place does not discriminate based on race, color, creed, nationality, sex, marital status, disability, religion or political affiliate, nor does our agency require attendance or participation in any political, religious or social activity. Project Description The Breast Health Assistance program began in April of 2004, when Michelle's Place, The Breast Cancer Resource Center received grant funding from the Inland Empire Affiliate of the Susan G. Komen Foundation. Almost 10 years later, more than 10,000 women have been accepted into the Breast Health Assistance program. We have facilitated in the diagnosis of over 50 cases of breast cancer. The Breast Health Assistance program provides breast health resources, navigation, financial assistance and support to women and their families in Riverside County. One component of the Breast Health Assistance program is free and low-cost mammograms, ultrasounds and other diagnostic breast health services. Women who are uninsured, have a symptom of breast cancer and have a prescription for a diagnostic breast health service can apply for the program. Once accepted into the program a woman will receive guidance from one of our patient navigators who will ensure timely appointments and support through the process. As Michelle's Place continues to be one of the Inland Empire's solo providers for diagnostic services to uninsured women less than 40 years old, it is important for Michelle's Place to continue in administering this program. A primary objective of the Breast Health Assistance program is to be available to all clients of any age who need breast health services. The diagnostic program targets women who would otherwise fall through the cracks. These women include uninsured, underinsured women who are less than 40 years old and have a symptom of breast cancer. Although breast cancer is a disease affecting women primarily over the age of 40, a significant number of women under age 40 are affected in this region. At least 60 women will receive diagnostic services directly related to breast health. An additional 2,500 women will receive support resources by directly visiting the Center or calling the Center for resources. Funding from the City of Temecula will directly benefit the residents of Temecula. A minimum of 60 women will receive diagnostic breast health services, navigation and support through our Patient Navigator. There is currently no resource available to uninsured, low-income women of Temecula Valley to receive breast health services. Michelle's Place is meeting that need. Through the generous support of our local practitioners and imaging facilities, Michelle's Place receives a significant discount on all services provided to the participants of the Breast Health Assistance Program. All fees are reimbursable at Medi -Cal rates or a 40% discount, whichever is lower. If any of the participants who receive a screening or diagnostic service are in need of additional tests, surgeon consult or biopsy, they will receive these services free through the Breast Health Assistance program. Past Project Benefits Michelle's Place received $5,000 last year which served 60 women through our Breast Health Assistance program providing life-saving diagnostic imagining services (mammograms, ultrasounds, etc.). Early detection can be the determining factor in survival, and these women would not have otherwise had access to diagnostic services. As a service provider based in Temecula, the majority of women seeking services through Michelle's Place are local residents, however we do not limit services based on geographical location. Any woman seeking services at Michelle's Place receives advice and services, when needed. SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: Kim Goodnough, Executive Director NAME and TITLE (Please Print or Type) PRESIDENT or AUTHORIZED OFFICER: Ginger Koontz, Executive Board Member NAME and TITLE (Please Print or Type) if SIGNATURE: ORGANIZATION NAME: ichelle's Place, reast Cancer Resource Center MAILING ADDRESS: 27645 Jefferson Ave. #117, Temecula CA 92590 TELEPHONE: 951-699-5455 EMAIL ADDRESS: info(a)_michellesplace.org DATED THIS 19 of August , 2014 (Date) (Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 ` IRS Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results EIN: Leal Name (Doing Business As) 33-0951216 Womens Breast Cancer Resource Center Return to Search Results Per Page 25 v OK « Prev 1 1-1 l Next » City : State :Country : Deductibility Status: Temecula CA United States PC « Prev I 1-1 I Next» 2:12 PM Michelle's Place • 18/19/14 Profit & Loss %ccrual Basis January through December 2013 • • Ordinary Income/Expense Income 4001 • Donations - General 4002 • Donation - Newsletter Envelope 4003 • Donation - Wings of Hope 4004 • Donations - Restricted 4006 • Donations - Large Gifts 4001 • Donations - General - Other Total 4001 • Donations - General 4010 • Endowment 4020 • Golf Tournament 4021 • Event Day Income 4022 • Golf - Sponsorships 4023 • Golfers and Banquet Guests 4020 • Golf Tournament - Other Total 4020 • Golf Tournament 4050 • Grant Income - Current 4051 • Bank of America 4052 • City of Murrieta - CDBG 4053 • City of Temecula - Comm. Grant 4055 • Stater Bros Charities 4056 • Susan G. Komen 4059 • Kaiser Permanente 4061 • Jeff Stone CID Funds 4062 • Target 4063 • Lafferty Foundation 4064 • TE Connectivity 8137 • Community Foundation Total 4050 • Grant Income - Current 4065 • Michelle's Place Boutique 4071 • Other Events - Income 4072 • GO PINK 4073 • Halloween Bash 4074 • MX for the Cause 4076 • 5k 4071 • Other Events - Income - Other Total 4071 • Other Events - Income 4081 • Pink Ribbon Assistance Program 4091 • Reality Rally 4101 • Spring Fundraiser 4102 • Event Day Income 4103 • Tickets/Tables 4104 • Vendors/Sponsors 4105 • Mammograms and Ultrasound Total 4101 • Spring Fundraiser Total Income Gross Profit Expense 5000 • Administration Expenses 5001 • Auto Expenses 5002 • Executive Budget 5003 • Miscellaneous 5004 • Office Printing 5005 • Office Supplies 5006 • Other Expense 5008 • Staff Development 5009 • Volunteer Expense 5000 • Administration Expenses - Other Total 5000 • Administration Expenses 5018 • Bank Charges 5021 • Community Outreach Ja 1 - Dec 13 6,130.25 21,120.30 1,455.00 20, 000.00 87,024.68 135,730.23 42, 000.00 7,208.00 15,800.00 14,175.00 70.00 37,253.00 5,000.00 6,021.00 10, 000.00 25, 000.00 34, 920.00 24,000.00 8,000.00 3,500.00 19,100.00 5,000.00 9,000.00 149, 541.00 36,532.73 22,325.55 3,223.00 7,754.00 3,837.00 27,375.53 64, 515.08 8,025.00 28, 327.75 14,747.29 14,705.00 11,062.97 3,212.00 43, 727.26 545.652.05 545,652.05 5,000.95 959.41 5,523.22 6,732.03 4,162.72 880.31 1,067.34 428.54 1,545.13 26,299.65 787.78 11,801.12 Page 2:12 PM Michelle's Place 18/19/14 Profit & Loss 1ccrual Basis January through December 2013 5031 • Computers/Software/Internet 5032 • Hardware and Software 5033 • Web Development 5031 • Computers/Softwarellnternet - Other Total 5031 • Computers/Softwarellnternet 5041 • Dues and Subscriptions 5042 • Depreciation 5051 • Golf Tournament Expense 5052 • Golf Banquet 5053 • Golf Course 5051 • Golf Tournament Expense - Other Total 5051 • Golf Tournament Expense 5060 • Insurance, Business 5062 • Insurance - Directors/Officer 5063 • Insurance - Liability 5064 • Insurance - Workers' Comp 5060 • Insurance, Business - Other Total 5060 • Insurance, Business 5071• Interest Expense 5075 • Merchant Fees 5076 • Meals & Entertainment 5101 • Michelle's Beauty Boutique 5102 • Display 5104 • Product 5105 • Shipping 5106 • Supplies 5101 • Michelle's Beauty Boutique - Other Ja 1 - Dec 13 397.08 473.99 573.20 1,444.27 4,552.04 5,638.00 1,690.20 12,526 45 1,184.04 15,400.69 1,263.25 1,588.00 4,009.79 369.96 7,231.00 3,562.01 5,218.93 24.83 83.40 6,201.35 113.39 286.64 24, 549.30 Total 5101 • Michelle's Beauty Boutique 31,234.08 5151 • Other Events 5152 • Halloween Bash 5153 • MX for the Cause 5154 • Back On Track 5156• GO PINK 5151 • Other Events - Other Total 5151 • Other Events 5201 • Payroll Expenses 5202 • Postage and Delivery 5221 • Professional Fees 5222 • Accounting Services 5224 • Navigation Asstistant Total 5221 • Professional Fees 5231 • Reality Rally Expenses 5251 • Rent Expense 5260 • Resource Center 5262 • Community/Patient Education 5263 • Educational Seminars/Wellness 5264 • Healthy Steps 5265 • Lymphedema Sleeves 5266 • Patient Care - Mammogram/Tests 5275 • Pink Ribbon Assistance Program 5268 • Pink Gift Cards 5269 • PRA Holiday 5275 • Pink Ribbon Assistance Program - Other Total 5275 • Pink Ribbon Assistance Program 5260 • Resource Center - Other Total 5260 • Resource Center 2,599.00 4,764.54 2,470.00 1,182.33 8,868.59 19,884.46 544.95 1,632.91 6,901.00 14,378.25 21,279.25 4,529.37 38.028.00 1,826.41 382.41 4,244.12 1,576 71 22,079.49 31,320.00 1,546.49 2,3 20.57 35,187.06 25.00 65, 321.20 Page • • • • 2:12 PM Michelle's Place '8/19/14 Profit & Loss ►ccrual Basis January through December 2013 5281 • Salaries 5282 • Admin & Volunteer Coordinator 5283 • Executive Director 5284• Intern 5285 • Patient Navigator 5286 • Program/Fundraising Coordinator 5281 • Salaries - Other Jal-Dec 13 36,600.00 62,526.00 3,060.00 43,600.08 33,600.00 000 Total 5281 • Salaries 179,386.08 5301 • Spring Event 5302 • Advertising and Promotion 747.18 5303 • Entertainment 2,745 00 5304 • Food and Venue 11,130.50 5301 • Spring Event - Other 561.40 Total 5301 • Spring Event 5322 • Taxes - Payroll 5325 • Telecommunications 5327 • Travel and Lodging 5332 • Utilities Total Expense Net Ordinary Income Other Income/Expense Other Income 7001 • Interest Income 7101 • Unrealized Gain/(Loss) Total Other Income Net Other Income Net Income 15,184.08 14,731.82 6,593.27 103.74 3,810.37 484,223.90 61,428.15 1,557.17 6,686.79 8,243.96 8,243.96 69,672.11 Page • 2:13 PM Michelle's Place 18/19/14 t- rofit & Loss Budget Overview 1ccrual Basis January through December 2014 Ordinary Income/Expense Income 4001 • Donations - General 4002 • Donation - Newsletter Envelope 4003 • Donation - Wings of Hope 4001 • Donations - General - Other Total 4001 • Donations - General Jai - Dec 14 9,500.00 36,000.00 105, 000.00 150,500.00 4010 • Endowment 20,000.00 4020 • Golf Tournament 4021 • Event Day Income 10,000.00 4022 • Golf - Sponsorships 20,000.00 4023 • Golfers and Banquet Guests 11,700.00 • Total 4020 • Golf Tournament 41,700.00 4050 • Grant Income - Current 4051 • Bank of America 5,000.00 4052 • City of Murrieta - CDBG 5,000.00 4053 • City of Temecula - Comm. Grant 5,000.00 4055 • Stater Bros Charities 25,000.00 4056 • Susan G. Komen 64,765.00 4059 • Kaiser Permanente 25,000.00 4061 • Jeff Stone CID Funds 5,000.00 4062 • Target 3,000.00 8137 • Community Foundation 0.00 Total 4050 • Grant Income - Current 4071 • Other Events - Income 4072 • GO PINK 4071 • Other Events - Income - Other Total 4071 • Other Events - Income 4081 • Pink Ribbon Assistance Program 4091 • Reality Rally 4101 • Spring Fundraiser 4102 • Event Day Income 4103 • Tickets/Tables 4104 • Vendors/Sponsors 4105 • Mammograms and Ultrasound Total 4101 • Spring Fundraiser Total Income Gross Profit Expense 5000 • Administration Expenses 5001 • Auto Expenses 5002 • Executive Budget 5003 • Miscellaneous 5004 • Office Printing 5005 • Office Supplies 5008 • Staff Development 5009 • Volunteer Expense Total 5000 • Administration Expenses 5016 • Advertising and Promotions 5017 • Wings of Hope Total 5016 • Advertising and Promotions 5018 • Bank Charges 5031 • Computers/Software/Internet 5032 • Hardware and Software Total 5031 • Computers/Software/Internet 5041 • Dues and Subscriptions 137,765.00 25, 000.00 40, 000.00 65,000.00 3,600.00 20,000.00 10,000.00 20,000.00 15,000.00 5,000.00 50,000.00 488,565.00 488, 565.00 2,952.00 600.00 2,100.00 6,000.00 3,000.00 900.00 500.00 16, 052.00 250.00 250.00 300.00 1,000.00 1,000.00 1,220.00 Page 2:13 PM Michelle's Place 18/19/14 I g ofit & Loss Budget Overview kccrual Basis January through December 2014 5051 • Golf Tournament Expense 5052 • Golf Banquet 5053 • Golf Course 5051 • Golf Tournament Expense - Other Total 5051 • Golf Tournament Expense 5060 • Insurance, Business 5062 • Insurance - Directors/Officer 5063 • Insurance - Liability 5064 • Insurance - Workers' Comp Total 5060 • Insurance, Business 5071• Interest Expense 5075 • Merchant Fees 5151 • Other Events 5156 • GO PINK 5151 • Other Events - Other Total 5151 • Other Events 5201 • Payroll Expenses 5202 • Postage and Delivery 5221 • Professional Fees 5222 • Accounting Services 5224 • Navigation Asstistant 5225 • Consultant 5226 • IT Services Jai i - Dec 14 1,500.00 12,000.00 1,500.00 15,000.00 3,662.00 1,288.00 1,857.00 6,807.00 1,860.00 2,500.00 7,000.00 7,000.00 14,000.00 660.00 1,320.00 6,000.00 4,800.00 5,000.00 4,200.00 Total 5221 • Professional Fees 20,000.00 5251 • Rent Expense 5260 • Resource Center 5261 • Back on Track 5262 • Community/Patient Education 5265 • Lymphedema Sleeves 5266 • Patient Care - Mammogram/Tests 5267 • Library 5275 • Pink Ribbon Assistance Program 5268 • Pink Gift Cards 5269 • PRA Holiday 5275 • Pink Ribbon Assistance Program - Other 42,320.00 20,000.00 4,500.00 8,500.00 60,000.00 1,000.00 35,0 )0.00 2,0 )0.00 2,4 )0.00 Total 5275 • Pink Ribbon Assistance Program 39,400.00 Total 5260 • Resource Center 133,400.00 5281 • Salaries 5282 • Admin & Volunteer Coordinator 38,910.00 5283 • Executive Director 65,472.00 5285 • Patient Navigator 44,400.00 5286 • Program/Fundraising Coordinator 33,600.00 5287 • Pt. Navigation Asst. 13,600.00 5288 • Service Award 2,050.00 Total 5281 • Salaries 198.032.00 5301 • Spring Event 5302 • Advertising and Promotion 400.00 5303 • Entertainment 2,000.00 5304 • Food and Venue 12,000.00 Total 5301 • Spring Event 5322 • Taxes - Payroll 5325 • Telecommunications 5327 • Travel and Lodging 5332 • Utilities 14,400.00 14, 052.00 3,240.00 800.00 3,300.00 Total Expense 490,513.00 Net Ordinary Income (1,948.00) Net Income (1,948.00) Page fh IRS DeparUInternal ueuRt of the Treasury ereasury evenue P.O. Box 2508 Cincinnati OFI 45201 WOMENS BREAST CANCER RESOURCE CENTER 27645 JEFFERSON AVE ;St TEMECULA CA 92590 ,07351 In repl„ refer to: 0752256968 June 10, 2014 LTR 4168C 0 33-0951216 000000 00 00033970 BODC: TE Employer Identification Number: 33-0951216 Person to Contact: CUSTOMER SERVICE Toil Free Telephone Number: 1-877-829-5500 Dear Taxpayer: This is in response to your May 30, 2014, request for information regarding your tax-exempt status. Our records indicate that you were recognized as exempt under section 501(c)(3) of the Internal Revenue Code in a determination letter issued in December 2001. Our records also indicate that you are not a private foundation within the meaning of section 509(a) of the Code because you are described in section 509(a)(2). Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. Please refer to our website www.irs.gov/eo for information regarding filing requirements. Specifically, section 6033(j) of the Code provides that failure to file an annual information return for three consecutive years results in revocation of tax-exempt status as of the filing due date of the third return for organizations required to file. We will publish a list of organizations whose tax-exempt status was revoked under section 6033(j) of the Code on our website beginning in early 2011. STATEMENT DATE: MAY 12, 2014 RADNET MANAGEMENT PO BOX 240086 LOS ANGELES, CA 90024 O 0 O o o N W 0 0 0 0 0 0 '0 O 0 0 N N v O 00 O0' N N vl VS VI) CO V1 R/! 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VT 0 0 tri V V0 $ 850.00 1 0 0 0 ✓1 00 VT 0 0 V 00 VT 0 0 10 00 VT 0 0 N cr. V} 0 o ' ✓1 n VT N • 0 0 to 00 V} 0 0 00 n M N VT LOCATION BEV RAD-BRST CTR TEMECULA VLY BEV RAD-BRST CTR TEMECULA VLY BEV RAD-BRST CTR TEMECULA VLY BEV RAD-BRST CTR TEMECULA VLY__ BEV RAD-BRSTCTRTEMECULAVLY _ 'BEV RAD-BRST CTR TEMECULA VLY !BEV RAD-BRST CTR TEMECULA VLY !SAN JACINTO IMAGING CENTER IBEV RAD-BRST CTR TEMECULA VLY BEV RAD-BRST CTR TEMECULA VLY BEV RAD-BRST CTRTEMECULAVLY BEV RAD-BRST CTR TEMECULA VLY 1¢- O I - PROCEDURE !US BREAST ,DIAG MAMMOGRAPHY, DIGITAL US BREAST R-2 AIDED DETECTION DIAGN BIOPSY, BREAST, W/PLACEME 'BIOPSY, BREAST, W/PLACEME ;MAMMOGRAM DIAG DIGIT IUS BREAST 'DIAG MAMMOGRAPHY, DIGITAL IUS BREAST R-2 AIDED DETECTION DIAGN US BREAST CODES ! 76645 v N O 00 ' 76645 H 0 00 n 00 O rn H m 0 m H 0 00 0 l) LO 10 LO n G0204 76645 .-+ 0 00 IN In ID ID r-. CO03 0 IN Dl N ✓1 00) m 01 n 01 m In 00 01 ' M 00 CON H (") HI n 00 m n V 0 00 00 Ol 01 HIOrl 00 V N. I N D^1 HI N00 • Cl^1 " I • V .moi H PATIENT'S NAME J 11111111111 _ —97y 4.- S= �p \C3 .i' .n f 0 it O- I 1/15/2014 0 V1 H H 0 \ lll H H H \ 00 H I N - 0 N H .moi 00 N I rt .HI V H \ 00 00 IN L.41 H r.4 2/27/2014 1 .moi \ 00 N N 00 O 00 N N HI 00 NI 0 H M _..„ i ACCOUNT# 00 Tr ' V' lnil 0�1 Lel 6083586 ID CO m 0 0 6083586 N H I(fl 001 0) m V 0) 03 0 0 6019843 6040185 11 V m VD 011 0 0 V m Ol D 0 0 6089634 SI - H n f0i ID V O ID 00000000.000 O ID O ID O IO O l0 O LI) O O ID ID O ID O ID ID LID RADNET MANAGEMENT PO BOX 240086 LOS ANGELES, CA 90024 MICHELLES PLACE -OUTSTANDING CHARGES F- 0 2 0 CO • 01 N in in. O O 0 0 LO Li) N N N i/} z 0 0 J 55 U U u LU w w 2 w w cc y� I -- F- cccc co co m m O o- Q LU w M m ❑ w U z ❑ ❑ J w W' m w cC 0 0 U 0 0 d 0 0 z 0 0 F- aa� 47 01 1- < , - w' 1/10 V) W 0 0 U 01 00 001 r1 0 01 0 0 O1. N O 01 00 01 10 m 0 O CO CO N 01 m ami H rn CO PATIENT'S NAME 0 0 O 10 N 11 O 0 N N iJ 0 N N 01 M rl 0 cP r1 a CNN 1 O 01 1/1 z 0 U U 10 00 10 N O LID. 4 4- IN N IN N m. m r1 O 10 �LO 01 V 10 N O 1 0 N 0 m O J U 0 O CO0 O M 0 fi 0 w E 6 0 0 City of Temecula 2014-15 CS Funding Program APPLICATION NO. 16 RECEIVED CITY MANAGER'S CITY OF TEMECULA. FISCAL YEAR 2014-15 OFFICE COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Tvoe) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ �+ OO (Maximum allowable $5,000) c1 ‘C kko L&S/)Pr iJ 1_ --cc % DoL cp672 Project Name: Project Start Date: E KV- °D Project End Date: O r-' &0/ F - ORGANIZATION INFORMATION Name of Organization: box ‘c-k-'roj Contact Name: `_`/ L.- PV s ----1--)'‘-O Title/Position call-3910(2-- Mailing aa'l-39 0(2 -- Mailing Address: 1 3aC-L-4-0 0-0 aas Telephone: cl S �� Coe Year Organization Founded: ICA 2005 - Number of Paid Staff: w Number of Volunteers: 1 3r) Geographic Area(s) Served: Is this organization incorporated in California as a non-profit organization? Yes i1.-- No Effective Date: 1D13 1/11 If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: (J/ 3' / < I Federal identification number: Lic1) 15 0 (00 8 State identification number If "no": Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee Board of Directors Application Page 1 Members -at -Large FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. 40/1",./ (AL �C� 5 c '`51� Loca1 Q S Cam 0,44-- vl e C a_hn0"et, l,(r- c- f S CPQ c- wt v �P SZ-Ano,mak t. I DA C c, ✓� Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) rc. Aeee, 524-1/4t (c, 8 0 G,r-•� ; t ( CC- c'�-e •e✓"a-� c�� lam, V''� v-te c ----Pea 5', Vol. O� PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. 11 k.))-N4sA^- gD,0)" f2 a. --A to," A--5, Cc' to—LQ-4 kV, [y� Dc..06, e �• - � k t 1Lr4- 'S e 1 J\ ‘2 Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: SIGNATURE: (G C� - ,�C� r� Yz- NAME and—fF t. ease Print or Type) PRESIDENT or AUTHORIZED OFFICER: C NAME and TITLE (Please Print or Type) SIGNATURE: 10 4. ORGANIZATION NAME: Coo- og-D>-TZ-rte MAILING ADDRESS: C .196P1:73 a <-4 TELEPHONE: C:Kt Cr -1'69 3 EMAIL ADDRESS: 1 >\ M4F6A L1-- DATED THIS of (Date) (Month) , 2014 BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 INTERNAL REVENUE SERVICE P. 0. BOX 2508 CINCINNATI, OH 45201 Date :OCT 31 2011 ONF FOR AUTISM INC C/O KATHRYN ANSELMO 31493 RANCHO PUEBLO RD STE 205 TEMECULA, CA 92592 Dear Applicant: DEPARTMENT OF THE TREASURY Employer Identification Number: 45-0950668 DLN: 17053269321011 Contact Person: SHAWNTEL R SANDERS Contact Telephone Number: (877) 829-5500 Accounting Period Ending: December 31 Public Charity Status: 170-(b) (1) (A) (vi) Form 990 Required: Yes Effective Date of Exemption: February 17, 2011 Contribution Deductibility: Yes Addendum Applies: No ID# 31456 We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501(c) (3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your peralanent records. Organizations exempt under section 501(c)(3) of the Code are further classified as either public charities or private foundations. We determined that you are a public charity under the Code section(s) listed in the heading of this letter: Please see enclosed Publication 4221 -PC, Compliance Guide for 501(c)(3) Public Charities, for some helpful information about your responsibilities as an exempt organization. Enclosure: Publication 4221 -PC Sincerely, . rJ Lois G. Lerner Director, Exempt Organizations Letter 947 (DO/CG) Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page 25 VMI OK EIN Leal Nanie (Doing Business As): 45-0950668 Onf for Autism Inc. Return to Search) City : Temecula State :Country CA United States « Prev 11-11 Next » Dedu__ctibilib ty Status: PC « Prev 1 1-11 Next » City of Temecula 2014-15 CS Funding Program APPLICATION NO. 17 1zCEIVEL CITY OF TEMECULA FISCAL YEAR 2014.1 S CITY MANAGER'S COMMUNITY SERVICE FUNDING PROGRAM APP IiraTION (Please Print or Type) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 1, 00 Project NameTe Project Start Date: Ma/ 1 p20/6' Project End Date: Ce-iffl tarn be' -r 20/5 (Maximum allowable $5,000) ORGANIZATION INFORMATION Name of Organization: k05 5 Contact Name: Gf?iv Foccnnea -h. n %�C �t O ri dCr JC L I I� C Mailing Address:8 3353 7 /71 C L e Title/Position: (fit I^ eeu// rk ,Si 164 PMS r qts 9 a. Telephone: 7Q/9 70-..2,67,g/Year Organization Founded: 020/3 Number of Paid Staff: Number of Volunteers: c2/ 'F Geographic Area(s) Served: 7&'a /. '? JG -1' Is this organization incorporated in California as a non-profit organization? If "no": Yes No Effective Date: If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: +-72.1// /6, 20/// 172/ Federal identification number: fib -.34c: State identification number: Q/ 7 3 Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee Board of Directors X Application Page 1 Members -at -Large FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. rozina(a7L/r) ipr,/ ry rese. /5 .1r72 .4L7vr1 e fr /e s 0-F local 'r Aaried c nd ---c.. -er oil 1 I ifre_n_ and +he_ --Fay/AM-es es r adopt op ern i.owu>.ose_ 1(R9ai nFounOa_-E- or9 Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) ,2 ar� FO1t a1.G�7Z-1'611 w j f f re v r er cJ app// - A9--71If6/'2 5 re a l Vel u>-Ao .,,v) eed / ass /s/cage e, / orae r c a_ e aUa,//a k71 -0' -Meir 5 e d/e ms' . c Ick71-1/' ar 36W74aci;I . r7/.1/ 7/i S Z(///// / e/ 'dJ n 07' ;7_,K ze t re 6 n. i z Ed ' =-i ..197)r teaques //z)(1a I 5 frb re,?,/ ,S d -f /-e c/r /-ea/�� r0197 aye 4) I Via. r • /,,4e e`, (`/r l 5 e)f 5 • 7 / !' e '"heiFle--1;74•5 GZ C 4--/ir6e /c /4'A: 5 d/75 a i/2 e /: re, -? a,/) 4,49,,arhmhz, 7Lohsedd reith'mdAii2s rc/ 5 if, 4 s5ccd -47)r by air ( n 7/Y2 hPth/ ff9r a // s -- o r --712 kr ail 'aciip / c �/cam . - a mI joi;fi id121,,t2 or ()(e)r-/-- -Ma/ 544.6y .11 / T ,f to, o / e ahk 7Lef) be par7t. 5e./7,sr o e/m�' /S K'r7 i c.� /t. 1eir AFp/e s and W// beff?3, /har.eou l. Application Page 3 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: 7/' 1 on,+l Re i n k e, Boa r a 5s c r. et ry NAME and TITLE (Please Print or Type) 1 ,r / PRESIDENT or AUTHORIZED lie S ar_ lej rt9un6(er-�/ de/2f NAME TITLE (Please Int or Type) ORGANIZAT N NAME: 1'� � S E L: I f F- u n ci+ l O rt SIGNATURE: 111:IDVINE2s:,:333 e /a r/ 2 , Site I A' pfl + o��4 TELEPHONE: 967-7.(9-237 EMAIL ADDRESS: r o S ctga !14 U fl CQ -+1 NI @ Ana , corn DATED THIS of ,42GC Gl S f , 2014 (Date) /(Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 ARTS -PB- Articles of Incorporation of a 501(c)(3) Nonprofit Public Benefit Corporation To form a nonprofit public benefit corporation in California, you can fill out this form or prepare your own document, and submit for filing along with: — A $30 filing fee. — A separate, non-refundable $15 service fee also must be included, if you drop off the completed form or document. Important! California nonprofit corporations are not automatically exempt from paying California franchise tax or income tax each year. A separate application is required in order to obtain tax exempt status. For more information, go to https;/lwww.ftb.ca.gov/businesses/exempt_organizations or call the California Franchise Tax Board at (916) 845-4171. Note: Before submitting this form, you should consult with a private attorney for advice about your specific business needs. 3590173 FILED 1' Secretary of State State of Califomia JUL 18 2013 This Space For Office Use Only For questions about this form, go to www.sos.ca.gov/business/be/filing-tips.htm Corporate Name (List the proposed corporate name Go to www sos.ca.govlbusiness/be/name-availability.htm for general corporate name requirements and restrictions.) Q The name of the corporation is Rose Again Foundation Corporate Purpose (Item 2a: Check one or both boxes. Item 2b: The specific purpose of the corporation must be listed If you are organizing for "public" purposes, or if you intend to apply for tax-exempt status in California.) 0 a. This corporation is a nonprofit Public Benefit Corporation and is not organized for the private gain of any person. It is organized under the Nonprofit Public Benefit Corporation Law for: 0 public purposes. 0 charitable purposes b. The specific purpose of this corporation is to nurture and educate orphaned and foster children Service of Process (List a Califomia resident or an active 1505 corporation in Califomia that agrees to be your initial agent to accept service of process in case your corporation is sued. You may list any adult who lives in California You may not list your own corporation as the agent. Do not list an address it the agent is a 1505 corporation as the address for service of process is already on file.) O a. Rhonda Reinke Agent's Name b. 34046 Galleron St, Temecula Agents Street Address (if agent is not a corporation) - Do not list a P.O. Box Corporate Addresses ® a. 34046 Galleron St, Temecula, CA 92592 Initial Street Address of Corporation- Do not list a P.0. Box City (no abbreviations) CA 92592 State zip City (no abbreviations) State Zip b. Initial Mailing Address of Corporation, if different from 48 Cily (no abbreviations) State Zip Additional Statements (The following statements are required to obtain tax exemption from the Internal Revenue Service or the California Franchise Tax Board under internal Revenue Code section 501(c)(3). Note: Corporations seeking other types of tax exemptions should not use this form.) a. This corporation is organized and operated exclusively for the purposes set forth in Article 2a hereof within the meaning of Internal Revenue Code section 501(c)(3). b. No substantial part of the activities of this corporation shall consist of carrying on propaganda, or otherwise attempting to influence legislation, and this corporation shall not participate or intervene in any political campaign (including the publishing or distribution of statements) on behalf of any candidate for public office. c. The property of this corporation is irrevocably dedicated to the purposes in Article 2a hereof and no part of the net income or assets of this corporation shall ever inure to the benefit of any director, officer or member thereof or to the benefit of any private person. d. Upon the dissolution or winding up of this corporation, its assets remaining after payment, or provision for payment, of all debts and liabilities of this corporation shall be distributed to a nonprofit fund, foundation or corporation which is organized and operated exclusively for charitable, educational and/or religious purposes and which has established its tax-exempt status under Internal Revenue Code section 501(c)(3). This form must be signed by each incorporator. If you need more space, attach extra pages that are 1 -sided and on standard letter -sized paper (8 1/2".x 11"). All attachments are made part of these articles of incorporation. Incorporator - Sign here Natalie Shadle Print your name here Make check/money order payable to: Secretary of State Upon filing, we will return one (1) uncertified copy of your filed document for free, and will certify the copy upon request and payment of a $5 certification fee. By Mail Secretary of Slate Business Entities, P.O. Box 944260 Sacramento, CA 94244-2600 Drop -Off Secretary of State 1500 11th Street, 3rd Floor Sacramento, CA 95814 Corporations Code §§5130-5132 et seq., Revenue and Taxation Code §§ 23151 et seq. and 23701 et seq. ARTS-PB.501(c)(3) (REV 06/2013) 2013 California Secretary of State www.sos.ca.gov/businessibe INTERNAL REVENUE SERVICE P. 0. BOX 2508 CINCINNATI, OH 45201 Date: JUN032014 ROSE AGAIN FOUNDATION C/O NATALIE ROSE SHADLE 34046 GALLERON ST TEMECULA, CA 92592 Dear Applicant: DEPARTMENT OF THE TREASURY Employer Identification Number: 46-3224116 DLN: 17053351322023 Contact Person: CUSTOMER SERVICE Contact Telephone Number: (877) 829-5500 Accounting Period Ending: June 30 Public Charity Status: 170 (b) (1) (A) (vi) Form .990 Required: Yes Effective Date of Exemption: July 18, 2013 Contribution Deductibility: Yes Addendum Applies: No ID# 31954 We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501(c)(3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records. Organizations exempt under as either public charities a public charity under the letter. section 501(c)(3) of the Code are further classified or private foundations. We determined that you are Code section(s) listed in the heading of this Please see enclosed Publication 4221 -PC, Compliance Guide for 501(c)(3) Public Charities, for some helpful information about your responsibilities as an exempt organization. Enclosure: Publication 4221 -PC Sincerely, -91,42•44•4) Director, Exempt Organizations Letter 947 Attachment 1" page 6 of 6 Rose Again Foundation EIN: 46-3224116 ert5C:: GI -WV 77041 Name of Organization EIN of Organization .4/6-z o .? '// Projected Budget enter dates cow Support and Revenue Contribution Income Grants Dues Fees for Services Fundraisers Interest Sales Other Other First year Total Expenses Accounting/Bookkeeping Assistance to Individuals Donations Made to Other Organizations Fundraising Expenses Insurance Legal Fees Postage Printing Rent Salaries if Ii�lr�� • Supplies Tax & License Telephone Travel Training Other Other Total Nej Revenue Over ueq 0 4/47;00;c:0 ocr, 4-32 1 Sio i 4.0o /7i (1) 46i a-96 ['D Second Year .7u1I 1'l it) e3c,.2D/ — r .3z9 Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page EIN: Legal Name (Doing Business As) 46-3224116 Rose Again Foundation Return to Search 25 v OK Cate Temecula State Country CA United States « Prev 1 1-1 1 Next Deductibility status: « Prev 1 1-1 1 Next» City of Temecula 2014-15 CS Funding Program APPLICATION NO. 18 RECEIVED CITY OF TEMECUTA "' `� CITY MANAGER'S FISCAL YEAR 20 'I 4•4 5 OFFICE COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Tvoe) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 5,000 Project Name: Holiday Food Baskets (Maximum allowable $5,000) Project Start Date: 11/25/2014 Project End Date: 12/24/2014 ORGANIZATION INFORMATION Name of Organization: Rotary Club of Temecula Foundation Contact Name: Rachel Mason Mailing Address: P.O. Box 64, Temecula, CA 92593 Telephone: 909.838.8071 Title/Position: Volunteer/Past President Year Organization Founded: 1999 Number of Paid Staff: 0 Number of Volunteers: 150 Geographic Area(s) Served: Temecula City and unincorporated horse/wine country areas Is this organization incorporated in California as a non-profit organization? Yes X No Effective Date: 6/30/1999 If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: 5/4/1999 Federal identification number: 33-0856109 State identification number: 2163211 If "no": Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee X Board of Directors Members -at -Large Application Page 1 FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. Each year the members of the Rotary Club of Temecula provide services to our community in many ways; however, the list below are those programs or services that were sponsored or coordinated by the club. Thanksgiving and Christmas Baskets: This program celebrated its 15th year last fall. At Thanksgiving we work with the TVUSD, Michelle's Place, the Boys & Girls Club, SAFE, and Oak Grove to identify families with financial needs. We then collect and deliver ail the makings of a traditional Thanksgiving meal (frozen turkey, canned goods, boxed stuffing mix, potatoes, flour & sugar); in 2013 we delivered this meal to 208 families. At Christmas we partner with Temecula Valley People Helping People and place the names of all the children from our selected families, as described above, on the "giving" trees in local businesses. We also collect toys and gift cards from our members, local businesses, and other donors. Then we deliver the gifts to the families, so that each child can celebrate the holiday. Last year our program served 375 children and provided hams to each family. Bike Giveaway: This program gathers used bicycles and refurbishes them, solicits the donation of new bicycles, and purchases helmets. Then the bicycles are distributed to children identified by the Boys & Girls Club and on our own holiday basket program that request a bicycle. Our club members clean, repair and organize this project. Last year we delivered 75 bicycles. Military Family Support Program: We use the funds collected from our coin funnel in the mall to provide resources for local military families. Some of this support has been direct living help to military families with financial challenges, while other support has been to provide babysitting so that military parents can enjoy the Marine Corp. Bali, and we have been able to personally select and provide specialized care items for wounded returning veterans as well. Last Christmas we were able to support an additional 25 local military families in the holiday basket program because of the funds we were awarded from the City of Temecula Community Service Funding Program. InterActfRYL IPRYDE: These 3 programs involve local middle school and high school students, and are designed to teach children the value of service to others, leadership skills and community involvement. We currently host 4 Interact clubs: Temecula Valley High School, James Day Middle School, Linfield Christian School, and at Oak Grove Center for Treatment and the Arts. These school programs are open to any student and are not just for children of Rotarians. Scholarships: Each year Rotary works with our local school district and identifies students who receive a $1,000 scholarship, in 2014 we gave away over $10,000 to local high school students. Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) If awarded, we would use the entire $5,000 to pay for additional foods to supplement our donated food items that are distributed through our Thanksgiving and Christmas Holiday Basket program. Unfortunately, our Thanksgiving baskets have gotten smaller as the number of families we serve has increased. While our Rotary Club has always been able to donate or secure donations to meet the basic needs of these families, the "extras" have been cut; such as, pies, marshmallows, and smaller turkeys. Also, in the last few years, we have had to discontinue providing food during our Christmas toy deliveries for lack of funding. Funding from this program last year allowed us to provide a Christmas ham and made each basket, just a bit fuller as well. Each year we partner with the Temecula Valley Unified School District and several local non -profits; such as Michelle's Place, SAFE, Oak Grove, and the Boys and Girls Club, to identify those families that are in need of support. We ask our partners to identify those families that are on the edge, and who are not likely to already be in the system (i.e., food stamps, public assistance). We feel that our support of these families will make the biggest impact. All families are located within the city limits of Temecula, along the Murrieta and Winchester borders, or fall within the unincorporated areas of Temecula's horse and wine country community. During our Thanksgiving program, the bulk of the food is donated by Rotarians, their business partners, and collected at some of the school food drives. It is then stored and organized by a Rotary club member until the Tuesday before Thanksgiving. During the collection period (late September through November) all families are contacted by our volunteers to ensure that they will be home to accept the delivery. The baskets are then delivered by Rotarians and other volunteers directly to the recipients' homes or work places. Typically, we have about 75 to 90 volunteers help on each of the packing and delivery days. With another several hundred who assist in identifying families, calling families, printing maps, and gathering donations. We encourage all members of the community to come and assist in the packing and delivery of these baskets, this is not a Rotarian specific program. Distribution of the Christmas baskets utilize the same process. However, as mentioned above we have had to eliminate the food component for lack of funds and donations. Instead. we Identifv each child under the age of 18 (or school age) and bring Christmas gifts to the families' homes. Again, through our partnership with TV People Helping People we are able to sutgJecagut toy.en gift.0nations from Rotarians to ensure that all children receive holiday gifts. Funding from the City of Temecula Community Services Funding program would allow us to include a ham or turkey for Christmas as well as the full meal at Thanksgiving. This is onr 16th year running this program and we are very good at getting donations of food and toys for young children; however, each year we must say no to people in need hecause of lank of hinds this year we rnuld say yes With this funding we cnuld arr.Ppt 950 familias fnr Thanksgiving and still provide a Christmas meal along with the gifts. Application Page 3 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. The Rotary Club of Temecula Foundation was honored to have been awarded funding last year for this same program. We used all of the funds as outlined in the proposal. Which meant that we provided large Thanksgiving boxed meals to 208 local families. Please note that this number is the number of households that were able to accept the donation; however, we did deliver an additional 25 "double boxes" to some of these households where families split a residence (e.g., some of the equestrian properties may have as many as 4-5 "homes" listed at one address). These families were all able to receive large frozen turkeys, all the traditional canned goods, boxed goods, and a 5 pound bag of fresh potatoes. Then we were able to use funds to supplement the Christmas program with a large ham to each household. Funds allowed us to provide the hams and provide a Christmas gift to the teenage (still in high school) members in each family. While it is difficult to quantitatively express the impact that these gifts of food and holiday cheer make upon any given family we do receive thank you notes from the families and hear story after story about how this bit of charity made a family's year. On a larger scale we also know that the reason the residents of Temecula rate their quality of life as high as they do is because this is concerned that all of its residents, not just the wealthy have access to and opportunity. Thus, we know that Temecula's residents who benefitted from the Community Service Funding Program through the Rotary Club of Temecula were able to celebrate the Thanksgiving and Christmas holidays with full bellies, toys from Santa, and the knowledge that their community cares about them. Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: Rachel Mason, Past President SIGNATURE: NAME and TITLE (Please Print or Type) PRESIDENT or AUTHORIZED OFFICER: Chad Harris, President NAME and TITLE (Please Print or Type) ORGANIZATION NAME: Rotary Club of Temecula Foundation MAILING ADDRESS: p O. Box 64, Temecula, CA 92593909.838.8071 TELEPHONE: 909.838.8071 EMAIL ADDRESS: racheltrc2012@yahoo.com DATED THIS 25 of August (Date) (Month) 2014 BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 STATE OF CALIFORNIA FRANCHISE TAX BOARD PO BOX 942857 1 SACRAMENTO CA 94257-0540 Entity Status Letter Date: 8/20/2013 ESL ID: 6615065718 According to our records, the following entity information is true and accurate as of the date of this letter. Entity ID: 2163211 Entity Name: ROTARY CLUB OF TEMECULA FOUNDATION ® 1. The entity is in good standing with the Franchise Tax Board. 2. The entity is not in good standing with the Franchise Tax Board. O 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d. 0 4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of California, or other government agency. • If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was not qualified or not registered to do business in California: o The status or voidability of any contracts made in California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). o For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. Internet and Telephone Assistance Website: ftb.ca.gov Telephone: 800.852.5711 from within the United States 916.845.6500 from outside the United States TTY/TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (NEW 02-2012) 3:15 PM 08125/14 Accrual Basis Rotary Club of Temecula Foundation Transaction Detail By Account July 2013 through June 2014 Type Date Num Name Memo Amount Balance 4270 • Holiday Basket Donations Deposit 11/12/2013 161409 City of Temecula -Holiday Basket Donation 5,000.00 5,000.00 Deposit 11/20/2013 161519 City of Temecula 750.00 5,750.00 Deposit 11/20/2013 3413 Victoria Giese -Holiday Basket 50.00 5,800.00 Deposit 11/20/2013 3799 Cheryle Steddom-Holiday Basket 200.00 6,000.00 Deposit 11/20/2013 187352 American West Bank -Monique Lambert 2,000.00 8,000.00 Deposit 11/20/2013 Cash Donation 20.00 8,020.00 Deposit 11/27/2013 5615 Darcy M. Burke -Holiday Basket Donations 50.00 8,070.00 Deposit 12/04/2013 209461 Pacific Westem Bank-Soledad Escobeda 1,000.00 9,070.00 Deposit 12/11/2013 2887 Al Tanner -Holiday Baskets (Richard Smith's friend) 100.00 9,170.00 Deposit 12/11/2013 4823 Stephen & Maureen McKown-Holiday Baskets 100.00 9,270.00 Check 12/12/2013 2090 Marie Callenders Pies for Christmas Dinner (680.00) 8,590.00 Deposit 12/17/2013 2898 Al Tanner (Richard Smith's Friend) 100.00 8,690.00 Deposit 12/17/2013 5648 David R. Powers DDS, PC 250.00 8,940.00 Deposit 12/17/2013 2481 Rotary Club of Temecula -Pies -Donations from Members 680.00 9,620.00 Deposit 12/17/2013 2478 Rotary Club of Temecula -Billed Donations from Members 1,465.00 11,085.00 Total 4270 - Holiday Basket Donations 11,085.00 11,085 00 TOTAL 11,085.00 11,085.00 Page 1 3:18 PM 00/25114 Accrual Basis Type Date Num 6100 • COMMUNITY SERVICE EXPENSE 6105 • HUMANITARIAN PROJECTS 6160 • Holiday Baskets 4Gener... 11/20/2013 City Grant Check 11/20/2013 2079 Check 11/25/2013 2080 Bill 12/04/2013 Holiday Bask... Check 12/11/2013 2088 Check 12/11/2013 2089 Total 6160 - Holiday Baskets Total 6105 - HUMANITARIAN PROJECTS Total 6100 - COMMUNITY SERVICE EXPENSE TOTAL Rotary Club of Temecula Foundation Transaction Detail By Account July 2013 through June 2014 Name Denny Mighell Winco Foods -Bob Brown- Wnco Foods Peaceful Endeavors 400 A th&V-4--Fo.AAAW,A,L Memo Part of $5,000 Grant from City of Temecula 220 Turkeys 150 Bags of Potatoes Turkey Delivery -Gas & Tip for Vail Ranch Steakhouse Hams Reimburse to Rachel Mason Amount Balance 1,000.00 1,000.00 2,900.00 3,900.00 222.00 4,122.00 145.00 4,267.00 2,490.03 6,757.03 3,543.79 10, 300.82 10,300.82 10,300.82 10,300.82 10,300.82 10,300.82 10,300.82 10,300.82 10,300.82 Page 1 3:19 PM 08/25/14 Accrual Basis Rotary Club of Temecula Foundation Transaction Detail By Account July 2013 through June 2014 T... Date Num Name Memo Amount Balance 6100 • COMMUNITY SERVICE EXPENSE 6105 • HUMANITARIAN PROJECTS 6125 • Bike Giveaway Bill 11/06/2013 Bikes Paul Manning Bike Giveaway-Tubes/Helmets 266.75 266.75 Bill 11/20/2013 Bikes Paul Manning Bike Giveaway-Tubes/Helmets 313.20 579.95 Bill 01/29/2014 Bike Giveaway Paul Manning Bike Giveaway-Tubes/Helmets 468.39 1,048.34 Total 6125 • Bike Giveaway 1,048.34 1,048.34 Total 6105 • HUMANITARIAN PROJECTS 1,048.34 1,048.34 Total 6100 • COMMUNITY SERVICE EXPENSE 1,048.34 1,048.34 TOTAL 1,048.34 1,048.34 Page 1 ROTARY CLUB OF TEMECULA FOUNDATION - 2014/2015 BUDGET Ordinary Income/Expense Income 4010 • Rotary Taste of the World 4016. Opportunity Drawing 3,000.00 4010 • Rotary Taste of the World - Other 52,000.00 Total 4010 • Rotary Taste of the World 55,000.00 4200 • Polio Fundraiser 500.00 4260 • Bike Giveaway Donations 200.00 4270 • Holiday Basket Donations 2,500.00 4280 • Literacy Donations 2,000.00 4286 • Literacy - Fundraiser 500.00 4290 • Misc. Fundraising 2,000.00 4306 • Military Families 7,500.00 Total Income 70,200.00 Expense 6000 • WAYS & MEANS Fundraising 6020 • Literacy Fundraiser Expenses 250.00 6030 • Taste of the World -Expenses 10,000.00 6040 • Other Fundraising Expenses 500.00 Total 6000 • WAYS & MEANS Fundraising 10,750.00 6100 • COMMUNITY SERVICE EXPENSE 6106 • HUMANITARIAN PROJECTS 6110 • Literacy 2,800.00 6116 • Boy Scout Program 1,000.00 6126 • Bike Giveaway 900.00 6145 • Special Project 500.00 6160 • Hbllday Baskets 2,500.00 6166 • Military Project -Expenses 8.500.00 Total 6106 • HUMANITARIAN PROJECTS 16,200.00 6206 • YOUTH SERVICES EXPENSE 6210 • RYLA 5,850.00 6215 • PRYDE 3,500.00 6225 • Interact Linfield 400.00 6227 - Interact Oak Grove 400.00 6230 • Interact TVHS 400.00 6232 • Interact Day Middle Schoc 200.00 6240 • Youth Exchange (Inbound 2,000.00 6241 • Youth Exchange (Oumour 600.00 6246 • Student of the Month Spo 1,500.00 6260 • Scholarships 9,000.00 6265 • Live Scans 200.00 Total 6206 • YOUTH SERVICES EXPENSE 24,050.00 6305 • VOCATIONAL 6310 • Vocational Service Award 200.00 6315 • Music Contest Awards 1,300.00 6320.4 -Way Speech Contest AN 200.00 Total 6306 - VOCATIONAL 1,700.00 Total 6100 • COMMUNITY SERVICE EXPENSE 41,950.00 6400 • FOUNDATION EXPENSES 6410 • RI Foundation 100.00 6420 • Polio 500.00 6430 • Paul Harris Plaques, Pins, etc. 100.00 6440 • GSE Hosting (Inbound) 500.00 Total 6400 • FOUNDATION EXPENSES 1,200.00 6500 • INTERNATIONAL SERVICES 6500 • INTERNATIONAL SERVICES - Other 5,000.00 Total 6500 • INTERNATIONAL SERVICES 5,000.00 6700 • President's Discretion 6710 • Misc. Opportunities 6700 • President's Discretion - Other Total 6700 • President's Discretion 900.00 900.00 6750 • Administration 6766 • Admin/Management Fees 5,400.00 6760 • Bank Fees/Misc Service Fees 50.00 6766 • Tax Filing Fees 50.00 Total 6760 • Administration 5,500.00 Total Expense 65,300.00 Net Ordinary Income Other Income/Expense Other Income 7900 • Interest Income Total Other Income 4,900.00 100.00 100.00 Other Expense 7920 * Unallocated Expense 5,000.00 Total Other Expense 5,000.00 Net Income 0.00 55855 SI 015808 O O O O O 88888 O O O O 88888 8 88838 888$8 0000 0 0 0 0 F. 80'888 s O O O O 8888 oIS$S t.0 888 00800000000 888888888885 e OI 0 0 0 0 8 0 0 0 0 0 0 188588858888 J + 8555808 00000000 8888888 O O o o n °:888 g....8...... 2 8 o 0 o p o 0 8888 op p0 8188888888888 O, 8888888 oopp N ! p 8888 e gl 5-8S m m 0 8888888pppo 8158858555588 g 080000 8888888 mo0 0l00000- 0000 o a Ie 885 oi888-88853888 0 8888 p e p 10000 0f 8888 808 g, !,585 p 818888 8 O O pO pO 5800 pl 8 p O ;p O p 0 p O 8 0 0 0 0 0 0 18852-8SS855o Flu 0000500 850-8550 oiv + S O O o p 0 8 -8888888 1 I 005 5 oS oo ^>080o 0p8 888 518888888888s gi88808 888 -8 U O O S Sep O A Soo. 8 8 5885 8 O 8.8888 l pp pp 6-80 0 88888 S 8888 8 Nib 888 1.80000000000 pp opppoaopopo 88888888888 N N A A P 8 8888.88 g 88888888888 0800 8888 N`�soof o 0 N J -8 8888 8 o o o o 8 o o o O o o , S S S o 0 SSS 5 5 0 8 5 8 8 8 o8o 888 N 0ouJ. 888 0800 o0w 8888 888 000 SSS O O 888 n88S 0oU 8• 5. 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Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page EIN: Legal Name (Doing Business As) 33-0856109 Rotary Club of Temecula Foundation Return to Search 25 v OK « Prev 1-1 I Next» City: State :Country: DeductibilitLStatus: Temecula CA United States PC « Prev 1 1-1 1 Next » City of Temecula 2014-15 CS Funding Prram APPLICATION NO. 19 RECEIVED pg -22-14F01:26 RCVb- CITY OF TEMECULA. AUG 2 5 2014 FISCAL YEAR 2014.1 5 CITY NIANACIERa COMMUON SERVICE FUNDING PROGRAM APPLICATION (Please Print or Time) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 5,000 Project Name: SQninr Citi7ans Rarvica Cantor Fnnd Rank Project Start Date: February 2, 1978 Project End Date: On going (Maximum allowable $5,000) ORGANIZATION INFORMATION Name of Organization:Senior Citizens Service Center of the Temecula Rancho Areailnc. Contact Name: Mia Hope Title/Position: Senior Grant Writer Mailing Address: 41538 Eastman Driv- Unit C Murrieta, Ca 99569 Telephone: 951-600-9557 Year Organization Founded: 1978 Number of Paid Staff: 0 Number of Volunteers: 40 Geographic Area(s) Served: Temecula and surrounding areas Is this organization incorporated in California as a non-profit organization? Yes X No Effective Date: 02/02/1978 If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: February 2, 1978 If "no Federal identification number: 95-1214774 State identification number: C0838119 Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee Board of Directors X Members -at -Large Application Page 1 FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. The current goal for the Senior Center Food Bank is to continue serving Temecula residents who are on fixed income. seniors with and without disabilities that are struggling financially. veterans on fixed income, disabled or not, single parent homes, homeless and those at risk of homelessness. The Senior Center Food bank brinos over 32 years of history and experience to Temecula residents who are in need of assistance and aid. We supply not only emergency food supplies but resources on how to obtain emergency assistance in various areas and help inbecoming self-sufficient. We strive to educate. empower and train recipients in our program by offering on the job training through volunteer positions in our warehouse, office and online distant data -entry and research. Our organization meets all the criteria listed in the Funding Policy: A) Our organization is a non-profit B) Our organization provides service to the overall community C)Our organization size and make-up is equipped to provide program/services to the overall community D) For over 32 years the general publics reaction has been favorable and supportive E) Our organization has a high quality level of fiscal management F) Our organization has a reputable 32 year history in Temecula and is well organized to ensure longevity G) There is strong evidence of satisfactory service provided to the city's citizens. Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) Our organization will use 100% of the funding to purchase food for the recipients. Our project and project objective has and always will be to maintain a high level of good, healthy and nutritious food to On disstrihtiterl to the rnromiinity The community that is served consists of the senior citizens on a fixed income, disabled, veterans struggling financially . single family homes. and those who do not meet the income restriction requirements for the Dept. of Social Services (Food Stamps). The communities we cover are Temecula and surrounding areas. We have 40 volunteers who serve on a part time basis. The significant activities related to this project will be the distribution of foods and commodities A detailed budget will be attached. Application Page 3 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. In the past our organization has used 100% of funding for the purchase of food to be distributed to the community Monday -Friday Barn to 11 am and once a month, for those who qualify for Commodit Since 1978 our organization has provided food and nourishment on a consistent basis. We have had our doors open to the qualifying public for over 30 years. Our organizational experience has a Ion standing and reputable history among the community. We have a successful productive program that allows recipients to participate in a work re-entry program by volunteering in our warehouse and or office WP have a successful training program and allow thocP in nciPd of community cervicP to nhtain hours naariarl fnr varificatinn TPmPcula resiriants have henPfitari frnm our spnricps since 1978 and we will continue to offer these services and more. Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: Mia Hope SIGNATURE: Mia tfope NAME and TITLE (Please Print or Type) PRESIDENT or AUTHORIZED OFFICER: Allan Kaplan NAME and TITLE (Please Print or Type) kavta SIGNATURE: MY. ,4t%vi t1 ORGANIZATION NAME: Senior Citizen Service Center of Temecula Rancho Area MAILING ADDRESS: 41538 Eastman Drive Unit C Murrieta, Ca 92562 TELEPHONE: 951-600-9557 EMAIL ADDRESS: scsc11@verizon.net DATED THIS 15 August , 2014 (Date) (Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 IRS Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page 25 v I OK «Prey 1 1-1 1 Next » EIN: Leval Name (Doing Business As): City: State :County : Deductibility Status: 95-3214774 Senior Citizens Service Center of the Temecula Rancho Area Inc. Murrieta CA United States PC Return to Search « Prev 1 1-11 Next » Internal Revenue Service Date: June 29, 2007 SENIOR CITIZENS SERVICE CENTER OF THE TEMECULA RANCHO AREA INC PO BOX 987 TEMECULA CA 92593-0987 Department of the Treasury P. 0. Box 2508 Cincinnati, OH 45201 Person to Contact: Geoffrey T. Rash 17-19328 Customer Service Representative Toll Free Telephone Number: 877-829-5500 Federal Identification Number: 95-3214774 Dear Sir or Madam: This is in response to your request of June 29, 2007, regarding your organization's tax- exempt status. In September 1978 we issued a determination letter that recognized your organization as exempt from federal income tax. Our records indicate that your organization is currently exempt under section 501(c)(3) of the Internal Revenue Code. Our records indicate that your organization is also classified as a public charity under sections 509(a)(1) and 170(b)(1)(A)(vi) of the Internal Revenue Code. Our records indicate that contributions to your organization are deductible under section 170 of the Code, and that you are qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2105 or 2522 of the Internal Rsvenue Code. If you have any questions, please call us at the telephone number shown in the heading this letter. of Sincerely, 'Mluwl b( Michele M. Sullivan, Oper. Mgr. Accounts Management Operations 1 A tat 1,J lif OFFICE OF THE SECRETARY OF STATE CERTIFICATE OF STATUS DOMESTIC CORPORATION 1, MARCH FONG EU, Secretary of State of the State of California, hereby certify: That on the 2nd day of February _19 78 , SENIOR CITIZENS SERVICE CENTER OF THE TEMECULA RANCHO AREA became incorporated under the laws of the State of California by filing its Articles of In- corporation in this office; and That no record exists in this office of a certificate of dissolution of said corporation nor of a court order declaring dissolution thereof, nor of a merger or consolidation which terminated its existence; and That said corporation's corporate powers, rights and privileges are not suspended on the records of this office; and That according to.the records of this office, the said corporation is authorized to exer- cise all its corporate powers, rights and privileges and is in good legal standing in the State of California; and That no information is available in this office on the financial condition, business ac- tivity or practices of this corporation. That said corporation is organized under the General Nonprofit Corporation Law. IN WITNESS WHEREOF, I execute this certificate and affix the Great Seal of the State of California this 29th day of July, 1993 Wet/lilt Secretary of State SENIOR CITIZENS SERVICE CENTER OF THE TEMECULA RANCHO AREA, INC. PROPOSED PROJECT BUDGET FOR THE FISCAL YEAR ENDED JUNE 30, 2015 ASSETS: Refrigeration Units Total Assets Cost PERSONNEL EXPENSE Salaries Fringe Benefits Consultants & Contract Services Total Personnel Expense TOTAL ACTIVITY BUDGET OPERATING EXPENSE Emergency Food and Supplies 969 Insurance 1,253 Office Expense and Miscellaneous 9,026 Rent, Utilities 27,300 Refuse Service 1,245 Repairs and Maintenance 184 Communications 2,015 Travel & Auto Expense Other Expense 1,050 Total Operating Expense 43,041 Total $ 43,041 City of Temecula 2014-15 CS Funding Program APPLICATION NO. 20 CITY OF TE.MECULA. RECEIVED FISCAL YEAR 201 4.15 COMMUNITY SERVICE FUNDING PROGRAM ,$SRP "ON (Please Print or Tvoe) OFFICE 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ S -S , 98 (Maximum allowable $5,000) Project Name: Project Start Date: /—...20/1-77 Project End Date: ORGANIZATION INFORMATION Name of Organization: S'Oe_t r 3T 14.0 'HJT c,1 /7#9 (.4-- Contact .4LContact Name: E1) N 14 Z Y Title/Position: it P Mailing Address: / ' C �5 1 ,e 4 Telephone: x'9,7 3 Year Organization Founded: Number of Paid Staff: -~ Number of Volunteers: Geographic Area(s) Served: A Is this organization incorporated in California as a non-profit organization? If"no": Yes No Effective Date: If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: Federal identification number: State identification number: Name of sponsoring organization: C!i ©F S i i/,)C F - c] V"Pir�L Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee Board of Directors Members -at -Large Application Page 1 FY 2013-14 COMPLIANCE REQUIREMENT A / / 40,e/.3 IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) Application Page 3 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: SIGNATURE: �l 7- NAME and TITLE 42 9 fi -.0eJ int or Type) PRESIDENT or ' r AUTHORIZED OFFICER: 1 i�+' r y� Li./)* R sP c,'4 12;z),,T'P 2 AME and TITLE (Please_ Print or Type) SIGNATURE: ,sem ,r� ORGANIZATION NAME: Lt�611/ f" z', '�'.°�' c!! i -` -A MAILING ADDRESS: JGr,7c- TELEPHONE: --f15%7c3 EMAIL ADDRESS: '57C4-`1i51/.b P DATED THIS (329 of A..) Ls s r , 2014 (Date) (Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 MISSION STATEMENT St Vincent de Paul 2014 Grant Application The Society of St. Vincent de Paul is a non-profit organization staffed by volunteers from St. Catherine's Catholic Church and Temecula United Methodist Church who are committed to providing food and other assistance to residents of Temecula with limited resources. Our Food Pantry provides food and clothing for families in need on a weekly basis. We also minister to those in prison, maintain dialogue with distressed individuals, and promote human dignity through community recourse awareness. We are accessible to the public through our helpline which is monitored by volunteers seven days a week. Although The Society of St Vincent de Paul is a Catholic organization and our conference is attached to St Catherine of Alexandria Catholic Church our program is available to all without regard to race, color, creed, nationality, sex, marital status, disability, religion or political affiliation. No one is required to participate in any activity of any kind. PROJECT DESCRIPTION St Vincent de Paul 2014 Grant Application We currently have 50 volunteers whose duties include food pick up, food sorting and storage, clothing collection and sorting, client interviews, as well as data and financial collection and recording and special projects. The total number of clients served in fiscal year 2012 (Oct 1, 2012 — Sept 30, 2013) was 16,275 and this year to date we have served 15,060. We collect donated perishable food from local supermarkets within the city of Temecula on a daily basis. Additionally, we purchase perishable and non-perishable foods and toiletries using funds donated by parishioners and those funds raised by special projects. Distribution is conducted every Friday morning. Perishable foods are stored in commercial refrigerators and freezers maintained on the St. Catherine Church property. Last year, through the generosity of the Temecula grant program, we were able to upgrade our refrigerators and increase our refrigerated storage capacity. This enabled us to provide more food and more nutritional food to meet the needs of increasing demand. This year we would like to increase our ability to store more frozen foods. 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PAST PROJECTS BENEFITS St Vincent de Paul 2014 Grant Application As described previously in this application, last year we received $3261.99 from the City of Temecula. These funds, plus additional funds from the Society, were used to purchase two, two door commercial refrigerators which are used in our community food pantry. This enabled us to increase our refrigerated food capacity by approximately 30% and assure that no food would be lost due to antiquated, unreliable equipment. It is essential that we provide a quantity of food that is adequate for the number of people we serve and that this food satisfy their nutritional needs. By increasing the refrigerated storage capacity by 30% we have been able to provide more dairy, eggs, chicken and meat to our clients and their children. It is a great comfort to our volunteers that we continue to improve on this important service to our community of California ,.- anchise Tax Board PO Box 1286 Rancho Cordova CA 95741-1286 THE SOCIETY OF ST VINCENT DE PAUL, ST CATHERINE OF ALEXANDRIA CONFEREN ATTN: SKIP LANGELLIER 41875 C. STREET TEMECULA CA 92592 Regarding Organization's Name CCN Purpose RUC § Form of organization Accounting Period Ending Tax -Exempt Status Effective Date: 04.16.12 Case: 25420465142856253 Case Unit: 25420465142856256 In reply refer to: 760:KTT:F120 Tax -Exempt -Status - : The Society of St Vincent De Paul, St Catherine of Alexandria Conferen 8053182 : Charitable :23701d : Unincorporated Association :09/30 :10/01/2011 Exempt Determination Letter We have determined the organization is tax-exempt from California franchise or income tax as stated in the above Revenue and Taxation Code (R&TC) section (g). To retain tax-exempt status, the organization must be organized and operating for nonprofit purposes within the provisions of the above R&TC section. An inactive organization is not entitled to tax-exempt status. We have based our decision on the information submitted and the assumption that the organization's present operations will continue unchanged or conform to those proposed In the organization's application. In order for us to determine any affect on the tax-exempt status, the - -organization must irnlrtedietely report te- us any change in: • Operation • Character • Purpose • Name • Address Our determination may no longer be applicable, if these changes occur: • Material facts or circumstances relating to the organization application. • Relevant statutory, administrative, or judicial case law. Fr8 9941 PASS (REV 11-2011) Exempt Application\Correspondence \ LTR 002 - EDL Page 2 of 2 • Federal interpretation of federal law in cases where our decision was based on such interpretation. It is the organization's •responsibility to be aware of these changes should they occur. This paragraph constitutes written advice, other than a chief counsel ruling, within the meaning of R&TC §21O12(a)(2). For filing requirements, get Pub. 1068, Exempt Organizations - Filing Requirements and Filing Fees. Go to ftb.ca.gov and search for 1068. This exemption is for state franchise or income tax purposes only. For Information ° regarding sales tax exemption, contact the State Board of Equalization at 800.400.7115, or go to their website at boe.ca.gov. Kent T. Tran Telephone: (916) 845-4171 Fax: (916) 843-1038 FTS 9941. PASS (REV 112019,) Exempt Application\Correspondence \ LTR 002 - EDL. NATIONAL COUNCIL OF THE UNITED STATES SOCIETY OF ST. VINCENT DE PAUL, INC. July 28, 2013 To whom it may concern: This is to certify that the Society of St. Vincent de Paul National Council, Inc. has obtained a 501 (c) (3) group tax exemption #5496 from the Internal Revenue Service. The Councils and Conferences included on the attached National Society of St. Vincent de Paul Group Exemption Directory are included in this group exemption. If you have any questions, you may contact me at 314-576-3993, extension 204, or via email at rplaywin c�ir.svdpusa.org. RTP/sab 58 Progress Parkway e-mail: usacouneiF svdpusa.org Sincerely, Roger Playwin National Executive Director St. Louis, MO 63043-3706 Phone: 314-576-3993 Web site: www.svdpusa.org Fax: 314-576-6755 Serving in Hope Print 501(c)(3) Reports Page 1 of 67 National Council of the United States Society of St. Vincent de Paul, Inc. National Council Group 501(c)(3) Report (NSGED Part I) National Council Group 501(c)(3) Report (NSGED Part 1) 28 Jul 2013: Currently Qualified National Council Group 501(c)(3) Report (NSGED Part I). Legal Name Diocese District Street City State Christ the King [g: 6071] Holy Name of Jesus [g: 6340] Archdiocese of Mobile Archdiocese of Mobile District Council of Mobile P 0 Box 459 District Council of Mobile 2275 Snow Road N. Daphne AL Semmes AL Immaculate Conception Conference [g: 6073] Archdiocese of Mobile District Council of Mobile 400 Government Street Little Flower [g: 939] Archdiocese of Mobile Most Pure Heart of Mary [g: 955] Our Lady of Lourdes [g: 940] Archdiocese of Mobile District Council of Mobile District Council of Mobile Mobile 2053 Government St. 304 Sengstak St. Mobile AL Mobile AL Archdiocese of Mobile Our Savior [g: 941] Society of St. Vincent de Paul District Council of Mobile, Alabama [g: 192] Society of St. Vincent de Paul St. Pius X Conference of Mobile AL [g: 945] Society of SVDP St Thomas the Apostle Conference [g: 7126] Archdiocese of Mobile Archdiocese of Mobile District Council of Mobile District Council of Mobile 1621 Boykin Blvd. Mobile AL 1801 Cody Rd. S. Mobile AL District Council of Mobile P.O. Box 161488 Mobile AL Archdiocese of Mobile Archdiocese of Mobile St. Bede [g: 1020] St. Dominic [g: 942] St. James Major [g: 943] St. Lawrence [g: 6074] St. Mary [g: 944] St. Vincent de Paul [g: 946] St. Vincent de Paul Society St. Joseph [g: 1021] Archdiocese of Mobile Archdiocese of Mobile Archdiocese of Mobile Archdiocese of Mobile Archdiocese of Mobile Archdiocese of Mobile Archdiocese of Mobile District Council of Mobile District Council of Mobile District Council of Mobile District Council of Mobile District Council of Mobile District Council of Mobile 217 S. Sage Ave. 251 N. Craft Hwy Mobile Chickasaw 3870 Atlanta Highway Montgomery AL AL 4156 Burma Rd. 714 College Street P. 0.Box 254 Mobile Prichard Fairhope AL AL AL District Council of Mobile 106 Providence St. District Council of Mobile Mobile AL 5023 Camelot Dr. District Council of Mobile Holy Spirit SVDP Conference [g: 3229] Huntsville District Council [g: 191] Diocese of Birmingham Diocese of Birmingham District Council of Huntsville (Birmingham Diocese) District Council of Huntsville (Birmingham Diocese) Resurrection Chapel [g: 6974] Sacred Heart Conference SVDP Cullman [g: 3230] Diocese of Birmingham Diocese of Birmingham District Council of Huntsville (Birmingham Diocese) 32590 U.S. Hwy 98 625 Airport Rd. SW Mobile Lillian AL c/o St. John's Catholic Church, 1055 Hughes Road 4826 County Road 217 217 2nd St. SE http://svdpusa.net/membership_live/c3report.printreports.php?publicvievv=nsged 1 Huntsville Madison AL Hillsboro AL j. Cullman AL 7/28/2013 Print 501(c)(3) Reports National Council Group 501(c)(3) Report (NSGED Part I) 28 Jul 2013: Currently Qualified National Council Group 501(c)(3) Report (NSGED Part I). Legal Name Diocese District St. Vincent de Paul Conference of St. John the Evangelist [g: 4735] St. Vincent de Paul St. Joseph of Elk Grove [g: 669] 5t. Vincent de Paul, St. Anthony [g: 6949] St. Vincent Ferrer Conference, Vallejo, CA [g: 4730] SVDP Society Conference Cathedral of the Blessed Sacrament [g: 4778] Blessed John XXIII Conference of Society of St. Vincent de Paul [g: 6238] Diocese of Sacramento Diocese of Sacramento Conference of Our Lady of the Snows/Blessed Junipero Serra Catholic Community [g: 6241] Society of St Vincent de Paul Conference of St. Peter and Paul [g: 6242] Diocese of Sacramento Diocese of Sacramento Diocese of Sacramento Diocese of San Bernardino Diocese of San Bernardino Diocese of San Bernardino Society of St. Vincent de Paul, St. Diocese of San Catherine of Alexandria - Temecula [g: Bernardino 2796] St. Catherine of Alexandria, Riverside [g: 6712] St. Joan of Arc Conference of St. Vincent de Paul [g: 1008] Society of St. Vincent de Paul Diocesan Council of San Diego [g: 226] Society of St De Paul Conference at Our Lady of Fatima Parish [g: 7097] Society of St. Vincent de Paul -Sacred Heart, Patterson [g: 1032] St. Vincent de Paul Society of St. Bridget [g: 5054] St. Vincent de Paul, New Britain Conference [g: 5055] District Council of Sacramento District Council of Sacramento District Council of Sacramento District Council of Sacramento Diocese of San Bernardino Diocese of San Bernardino St. Vincent de Paul Society (District Council of Prnce Georges County) [g: 239] Church of the Incarnation Society of St. Vincent de Paul [g: 1375] Our Lady Queen of Peace St. Vincent de Paul Society [g: 1374] District Council of Sacramento District Council of San Bernardino Diocese of San Diego District Council of San Bernardino Diocese of Stockton Diocese of Stockton Saint Francis Xavier Society of St. Vincent de Paul [g: 7014] Society of St. Vincent de Paul Holy Name Church [g: 6448] Society of St. Vincent de Paul St. Benedict the Moor [g: 1372] St. Vincent de Paul/ OLV Conference [g: 6449] Archdiocese of Hartford 5751 Locust Ave. 9961 Elk Grove Florin Rd. 660 Florin Road 816 Santa Clara Street 1017 11th Street District Council of San Bernardino 222 E Easton Street Page 6 of 67 - Carmichael 8820 Sheep Creek Road Elk Grove Sacramento P. 0. Box 8192 District Council of San 41875 C St. Bernardino District Council of San Bernardino District Council of San Bernardino Diocesan Council of San 1 Diego Archdiocese of Hartford Archdiocese of Washington Archdiocese of Washington Archdiocese of Washington Isolated Archdiocese of Washington All Saints (Prison Special Work [sw: 895] Christ Our King [g: 5203] Corpus Christi [g: 5204] Archdiocese of Washington Archdiocese of Washington Archdiocese of Washington Isolated District Council of Hartford District Council of Hartford District Council of Prince Georges County Vallejo 7005 Brockton Ave P. 0. Box 933 (875 E. Chanslor Way) 5163 El Secrito District Council of Washington District Council of Washington I District Council of Washington Diocese of Wilmington Diocese of Wilmington District Council of Washington Sacramento Rialto 505 W. Granger Ave Phelan 529 I St. 80 Main St. Alta Loma 544 Main Street Riverside CA CA CA Blythe Oceanside Modesto Patterson CA CA CA CA Manchester New Britain District Council of Washington District Council of Washington District Council of Wilmington District Council of Wilmington 880 Eastern Ave. NE 3800 Ely P1. SE 2800 Pennsylvania Avenue SE 920 11th Street NE 320 21st St. NE 4835 MacArthur Blvd NW 660 Baylor Blvd. Washington Washington 2810 N. Monroe 905 New Road httn://svdnusa.net/membership live/c3report.printreports.php?publicview nsgedl Washington Washington Washington Washington New Castle Wilmington Wilmington CA DC DE 7/28/2013 City of Temecula 2014-15 CS Funding Program APPLICATION NO. 21 RECEIVED J CITY OF TEMECULA CITY MANAGER'S OFFICE FISCAL YEAR 201415 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Tvoe) 2014-15 ProgramSubmission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 5,000 (Maximum allowable $5,000) Project Name: Sports Training and Competition Programs in the City of Temecula. Project Start Date: September 1, 2014 Project End Date: June 30. 2015 ORGANIZATION INFORMATION Name of Organization: Special Olympics Southern California -Temecula Valley Area Contact Name: Abbey Leffler Title/Position: Inland Empire Regional Director Mailing Address: 41880 Kalmia Street, #155, Murrieta, CA 92562 Telephone: (951) 703-6502 Year Organization Founded 1969 Number of Paid Staff: 0 Number of Volunteers: 250 Geographic Area(s) Served: Temecula Valley Is this organization incorporated in California as a non-profit organization? Yes V No Effective Date: 1995 If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit Federal identification number: 954538450 State identification number: 189240 If "no": Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee X Board of Directors X Members -at -Large X Application Page 1 FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. Special Olympics Temecula Valley provides year-round sports training and athletic competition in a variety of Olympic -type sports for children and adults with intellectual disabilities, giving them continuing opportunities to develop physical fitness, demonstrate courage, experience joy, and participate in a sharing of gifts, skills and friendships with their families, other Special Olympics athletes. and the community. Athletes train for 16 weeks with their teams during each of our two seasons, spring and fall, to prepare for Ivcal, regional and state levels of competition. Practices are led by volunteer coaches who instill healthy fitness and nutrition habits along with the development of sports specific skills. For over 40 years, Special Olympics has benefitted from a strong relationship with the City of Temecula. Many of our athletes have been active participants in our programs for many years. In addition, we are the only organization in the Inland Empire to serve individuals with intellectual disabilities of all ages and ability levels through the power of sports. Our movement is a grassroots one, making volunteer and community support incredibly valuable to achieving our mission. We could not operate our programs without the support from the City of Temecula, Temecula Unified School District, Temecula Police Department, and many other organizations who provide volunteers and in-kind support for our programs in the Temecula Valley. Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) A grant from the City of Temecula will be used to provide year-round sports training and competition programs to mgre than 230 athletes with intellectul disabilities in the Temecula area. Funds will be directly spent on program expenses, including sports equipment, facility rental within the City of Temecula, uniforms, and transportation. The largest on-going expenses in our programs are transportation to competitions and rental of practice facilities. Special Olympics programs are provided free of charge to all athletes. Over 80% of those with intellectual disabilities live at or below the poverty level, working part-time jobs in addition to government assistance to subsidize living expenses including rent, food, and transportation. Because of this, the overwhelming majority of our athletes would not be able to afford sports related costs such as equipment, uniforms, and travel, were these costs incurred. Special Olympics is committed to providing all necessary resources and costs to our athletes, ensuring that income is not a barrier to developing physical fitness and valuable life skills through sports. Special Olympics could not successfully put on ourprograms year after year without the support of our more than 200 volunteers in the community. We are dependent on the passionate volunteers. who all ensure that our athletes have a quality sports training and competition experience each season. All coaches are volunteers, but volunteers are involved in all other areas of our programs from tournament planning, regional leadership, and fundraising. Application Page 3 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. The past year, more athletes have been able to develop life skills and physical fitness through their participation in Special Olympics programs in the City of Temecula. It is through the generous support from organizations like the City of Temecula that our programs are able to grow and thrive. Support from the City of Temecula was able to provide a practice facility for our Temecula based golf team, made up of 17 passionate local athletes practicing at Legends Golf Club. Funds also provided new uniforms to our Track and Swimming teams. Uniforms are an important piece of Special Olympics participation because it helps athletes feel part of a team. From Temecula, a delegation of 31 athletes and 13 coaches were selected to play at this year's Southern California Summer Games Invitational, a culmination competition during which athletes from all over Southern California compete against one another. This year, the event was larger, taking place on the campus of University of Southern California and taking up three dans in June. 8 Temecula swimmers and 5 Track and Field athletes competed at their highest level, many reaching new records or receiving medals for their performance. In the past year, our Temecula programs have grown from 200 athletes in 2013 to include 230 this year. This growth is great for new athletes and more seasoned athletes alike, broadening the experience for all and opening up new opportunities for local programs and new teams. It is our hope that through Special Olympics all athletes will develop physical fitness through sports while also developing character qualities such as teamwork, perseverance, and self-confidence. Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED By: Abbey Leffler, Regional Director, Inland Empire SIGNATURE: WC`J\C )1/4 )4(:‘,) NAM and TITLE (Please Print or Type) PRESIDENT or AUTHORIZED OFFICER: Bill Shumard, President and CEO, Special Olympics Southern California NAME and TITLE (Please Print or Type) SIGNATURE: ORGANIZATION NAME: Special Oiyrhpics Southern California -Temecula Valley Area MAILING ADDRESS: 41880 Kalmia Street, #155, Murrieta, CA 92562 TELEPHONE: (951) 703-6502 EMAIL ADDRESS: aleffler@sosc.ora DATED THIS of , 2014 (Date) (Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 1RS Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page 125 v1f OK « Prey 11-11 Next» EIN: Leal Name (Doing Business As): City: State Country Deductibility Status 95-4538450 Special Olympics Southern Califomia Inc. Long Beach CA United States PC « PrevI 1-11 Next» Return to Search SPECIAL OLYMPICS SOUTHERN CALIFORNIA AREA: TEMECULA --+, ys 1r .. i - •� a 's s , .. ORIGINAL 2014 BUDGET Contributions 2,360 Cause Related 5,000 Grants 2,500 LETR Revenue 34,000 Total Revenue 43,860 ,rt Program Expenses 38,639 Fundraising Expenses 12,097 General Expenses 1,104 Total Expenses 51,840 SPECIAL OLYMPICS SOUTHERN CALIFORNIA, INC. (A California Nonprofit Corporation) FINANCIAL STATEMENTS YEAR ENDED DECEMBER 31, 2013 SPECIAL OLYMPICS SOUTHERN CALIFORNIA, INC. (A California Nonprofit Corporation) FINANCIAL STATEMENTS YEAR ENDED DECEMBER 31, 2013 CONTENTS Page Independent Auditor's Report 1 Statement of Financial Position 3 Statement of Activities 4 Statement of Functional Expenses 5 Statement of Cash Flows 6 Notes to Financial Statements 7 Green Hasson Janks 10990 Wilshire Boulevard 16th Floor Los Angeles, CA 90024 310.873.1600 T 310.873.6600 F www.greenhassonjanks.com INDEPENDENT AUDITOR'S REPORT To the Board of Directors Special Olympics Southern California, Inc. Report on the Financial Statements We have audited the accompanying financial statements of Special Olympics Southern California, Inc. (SOSC), a nonprofit organization, which comprise the statement of financial position as of December 31, 2013, and the related statements of activities, functional expenses and cash flows for the year then ended, and the related notes to the financial statements. Management's Responsibility for the Financial Statements Management is responsible for the preparation and fair presentation of these financial statements in accordance with accounting principles generally accepted in the United States of America; this includes the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of financial statements that are free from material misstatement, whether due to fraud or error. Auditor's Responsibility Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with auditing standards generally accepted in the United States of America and the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free from material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditor's judgment, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entity's preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity's internal control. Accordingly, we express no such opinion. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. Opinion In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of SOSC as of December 31, 2013, and the changes in its net assets and its cash flows for the year then ended in accordance with accounting principles generally accepted in the United States of America. Report on Summarized Comparative Information We have previously audited SOSC's 2012 financial statements, and we expressed an unmodified audit opinion on those audited financial statements in our report dated May 20, 2013. In our opinion, the summarized comparative information presented herein as of and for the year ended December 31, 2012, is consistent, in all material respects, with the audited financial statements from which it has been derived. An independent member of HLB International, a worldwide network of accounting firms and business advisors. To the Board of Directors Special Olympics Southern California, Inc. Page 2 Other Reporting Required by Government Auditing Standards In accordance with Government Auditing Standards, we have also issued our report dated May 22, 2014 on our consideration of SOSC's internal control over financial reporting and on our tests of its compliance with certain provisions of laws, regulations, contracts, and grant agreements and other matters. The purpose of that report is to describe the scope of our testing of internal control over financial reporting and compliance and the results of that testing and not to provide an opinion on internal control over financial reporting or on compliance. That report is an integral part of an audit performed in accordance with Government Auditing Standards in considering SOSC's internal control over financial reporting and compliance. 92e,e.s-t, Na44,ort. y , May 22, 2014 Los Angeles, California SPECIAL OLYMPICS SOUTHERN CALIFORNIA, INC. (A California Nonprofit Corporation) STATEMENT OF FINANCIAL POSITION December 31, 2013 With Summarized Totals at December 31, 2012 ASSETS Cash and Cash Equivalents Investments Contributions and Pledges Receivable Related Party Receivable Prepaid Expenses and Deposits Property and Equipment (Net) TOTAL ASSETS LIABILITIES AND NET ASSETS LIABILITIES: Accounts Payable Accrued Liabilities TOTAL LIABILITIES NET ASSETS: Unrestricted Temporarily Restricted TOTAL NET ASSETS TOTAL LIABILITIES AND NET ASSETS 2013 Unrestricted Temporarily Restricted Total $ 498,355 3,902,075 618,281 507,593 494,263 168,906 $ 380,103 $ 878,458 3,902,075 618,281 507,593 494,263 168,906 2012 Total $ 1,106,163 3,117,844 357,319 500,072 346,290 218,404 $ 6,189,473 $ 380,103 $ 6,569,576 $ 5,646,092 $ 443,476 $ 311,079 $ 443,476 $ 311,079 307,028 391,974 754,555 5,434,918 380,103 754,555 5,434,918 380,103 699,002 4,707,352 239,738 5,434,918 380,103 5,815.021 4.947,090 $ 6,189,473 $ 380,103 $ 6,569 576 $ 5,646,092 The Accompanying Notes are an Integral Part of These Financial Statements -3- SPECIAL OLYMPICS SOUTHERN CALIFORNIA, INC. (A California Nonprofit Corporation) STATEMENT OF ACTIVITIES Year Ended December 31, 2013 With Summarized Totals for the Year Ended December 31, 2012 SPECIAL EVENTS: Special Events Less: Cost of Direct Benefits to Donors House Raffle Less: Cost of Direct Benefits to Donors NET REVENUES FROM SPECIAL EVENTS REVENUES AND SUPPORT: Contributed Goods and Services Contributions Direct Marketing TOTAL REVENUES AND SUPPORT OTHER INCOME: Dividends and Interest Income Program and Other Income Realized and Unrealized Gains on Investments Loss on Disposal of Assets (Net) Net Assets Released from: Purpose Restrictions Time Restrictions TOTAL OTHER INCOME TOTAL REVENUES, SUPPORT, AND OTHER INCOME EXPENSES: Program Services Management and General Fundraising TOTAL EXPENSES CHANGE IN NET ASSETS Net Assets - Beginning of Year NET ASSETS - END OF YEAR 2013 Temporarily Permanently Unrestricted Restricted Restricted Total 2012 Total $ 3,583,637 (918,886) 5,649,100 (1,559,069) $ 50,000 $ $ 3,633,637 $ 3,256,$25 (918,886) (853,556) 5,649,100 3,480,000 (1,559,069) (729,379) 6,754,782 6,636,291 3,327,030 946,369 10,909,690 126,988 55,690 56,142 (18,651) 50,000 161,985 161,985 3,630 6,804,782 35,250 (35,250) 40,000 (40,000) 6,636,291 3,489,015 946,369 11,071,675 130,618 55,690 56,142 5,153,890 5,830,548 3,194,566 1,084,771 (18,651) 10,109,885 126,419 66,315 171,815 295,419 (71,620) 17,959,891 140,365 13,370,074 416,006 3,446,245 17,232,325 727,566 4,707,352 $ 5,434,918 140,365 239,738 $ 380,103 $ 223,799 364,549 18,100,256 15,628,324 - 13,370, 074 11, 222,737 416,006 482,392 3,446,245 3,277,700 17,232,325 14, 982,829 867,931 645,495 - 4,947,090 4,301,595 - $ 5,815,021 $ 4,947,090 The Accompanying Notes are an Integral Part of These Financial Statements -4- SPECIAL OLYMPICS SOUTHERN CALIFORNIA, INC. (A California Nonprofit Corporation) STATEMENT OF FUNCTIONAL EXPENSES Year Ended December 31, 2013 With Summarized Totals for the Year Ended December 31, 2012 Salaries Payroll Taxes Employee Benefits TOTAL PERSONNEL COSTS Contributed Goods and Services (Note lo) Professional Services Transportation Rent Facilities Rental Lodging Meals Grants Made (Note 12) Event Supplies Uniforms Equipment Rental Accreditation Fees (Note 12) Insurance Office Supplies Depreciation Telephone Bank Charges Equipment Service Printing Contract Services Awards and Recognition Event Fees Postage and Delivery Photography Utilities Dues and Publications Taxes and Licenses Miscellaneous Expense FUNCTIONAL EXPENSES BEFORE RAFFLE EXPENSE Raffle Expense TOTAL 2013 FUNCTIONAL EXPENSES TOTAL 2012 FUNCTIONAL EXPENSES 2013 Program Services Management and General Fundraising Total $ 2,828,276 206,024 359,435 3,393,735 6,636,216 331,775 325,393 229,232 299,966 267,717 229,754 250,000 218,879 189,627 176,291 170,336 152,114 88,467 108,792 71,624 54,475 24,364 38,949 40,138 15,322 20,912 14,121 12,736 7,453 981 705 $ 283,948 20,684 35,335 339,967 75 17,634 948 23,014 76 445 46 75 209 2,108 7,746 6,999 3,765 5,469 286 3,354 67 432 1,657 26 1,279 231 98 $ 623,939 45,451 77,643 747,033 118,986 120,387 40,055 50,570 2,671 20,936 27,172 12,698 36,417 12,082 9,718 17,866 17,451 81,283 12,018 30,160 7,370 3,654 27,075 11,033 5,979 2,810 1,890 458 $ 3,736,163 272,159 472,413 4,480,735 6,755,277 469,796 366,396 302,816 302,637 288,729 257,371 250,000 231,623 226,119 188,582 170,336 163,940 114,079 108,792 96,074 85,048 71,962 54,810 49,673 43,859 42,829 33,602 20,126 16,825 9,574 1,537 705 2012 Total $ 3,355,460 238,474 353,669 3,947,603 6,022,447 463,881 288,369 X85,745 269,507 232,474 141,379 181,458 184,147 144,409 159,600 157,475 61,097 131,458 110,305 91,615 70,467 34,914 44,543 58,737 61,248 28,925 505 15,469 8,181 2,797 16,880 13,370,074 88% 416,006 3% 1,417,772 9% 2,028,473 15,203,852 13,115,636 100% 2,028,473 1,867,193 $ 13,370,074 $ 78% $ 11,222,737 $ 416,006 $ 3,446,245 $ 17,232,325 2% 20% 100% 482,392 $ 3,277,700 75% 3% 22% The Accompanying Notes are an Integral Part of These Financial Statements -5- $ 14,982,829 100% SPECIAL OLYMPICS SOUTHERN CALIFORNIA, INC. (A California Nonprofit Corporation) STATEMENT OF CASH FLOWS Year Ended December 31, 2013 With Summarized Totals for the Year Ended December 31, 2012 CASH FLOWS FROM OPERATING ACTIVITIES: Change in Net Assets Adjustments to Reconcile Change in Net Assets to Cash Provided by Operating Activities: Depreciation Reinvested Dividends and Interest Realized and Unrealized Gains on Investments Donated Stock Proceeds from Sale of Donated Stock Loss on Disposal of Assets (Net) (Increase) Decrease in: Contributions and Pledges Receivable Related Party Receivable Prepaid Expenses and Deposits Increase (Decrease) in: Accounts Payable Accrued Liabilities NET CASH PROVIDED BY OPERATING ACTIVITIES CASH FLOWS FROM INVESTING ACTIVITIES: Proceeds from Sale of Investments Purchase of Investments Proceeds from Sale of Property and Equipment Purchase of Property and Equipment NET CASH PROVIDED BY (USED IN) INVESTING ACTIVITIES NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS Cash and Cash Equivalents - Beginning of Year CASH AND CASH EQUIVALENTS - END OF YEAR 2013 2012 $ 867,931 $ 645,495 108,792 (91,749) (56,142) (18,078) 18,078 18,651 (260,962) (7,521) (147,973) 131,458 (100,752) (171,$15) (118,613) 122,140 85,076 (231,520) (i63,230) 136,448 (18,960) (80,895) (51,399) 486,580 (636,340) 3,000 (80,945) (46,609) 127,880 198,907 (114,602) (714,285) 37,696 (227,705) 165,576 1,106,163 940,587 $ 878,458 $ 1,106,163 The Accompanying Notes are an Integral Part of These Financial Statements -6- SPECIAL OLYMPICS SOUTHERN CALIFORNIA, INC. (A California Nonprofit Corporation) NOTES TO FINANCIAL STATEMENTS December 31, 2013 NOTE 1- ORGANIZATION Special Olympics Southern California's mission is to provide year-round sports training and athletic competition in a variety of Olympic -type sports for children and adults with intellectual disabilities, giving them continuing opportunities to develop physical fitness, demonstrate courage, experience joy and participate in a sharing of gifts, skills and friendship with their families, other Special Olympics athletes and the community. For nearly 45 years, the positive effect of Special Olympics Southern California (SOSC) has had an impact not only on the lives of SOSC athletes, but those of their families, its volunteers and the communities in which they live. It is the goal of SOSC to assist all individuals with intellectual disabilities to be accepted, respected and given a chance to become productive citizens. SOSC is an independent, non-profit public benefit corporation that is accredited by Special Olympics, Inc. (SOI). Olympic gold medalist Rafer Johnson established a California chapter of Special Olympics in 1969, which evolved into northern and southern California chapters in 1995. SOSC currently serves nearly 17,500 individuals with intellectual disabilities with the help of nearly 15,000 volunteers. Athletes train during two six-month seasons and can choose from 12 year-round sports at no cost. The program exists through the work of staff and volunteers in nine regional offices. Those regions hold more than 100 sports and training events throughout the year, in addition to many fundraisers supporting those events. Fifty-seven percent of SOSC's athletes are currently participating through the School Partnership Program, moving the average age of SOSC athletes from 37 to 22 years old. The program continues to gain momentum throughout school districts in Southern California as SOSC currently works with 296 schools in their footprint. As it strives to grow its athlete numbers, SOSC has continued to expand the Young Athletes Program, which now has 131 youth joining in this unique program for children ages 21/2 to 7 with intellectual disabilities. This program is an early introduction to sports and the world of Special Olympics while focusing on fun activities important to mental and physical growth. Children enjoy games and activities that develop motor skills and hand -eye coordination. Through participation in SOSC, athletes improve their overall physical health and develop valuable life skills that are critical for people with intellectual disabilities to learn to live a healthier, more independent life. Although sports are the main vehicle to achieve that vision, SOSC's programs are about much more than sports training and competition. The Athlete Leadership Program provides training and support for athletes who desire to expand their participation in Special Olympics beyond sports training and competition. SOSC now has more than 80 Global Messenger athletes who help spread the word about Special Olympics to civic and community groups, corporations and volunteers. In addition, the Healthy Athletes ProgramTM offers health care screenings, exams and education to improve each athlete's ability to train and compete in Special Olympics. Medical professionals work with athletes in six disciplines; Fit Feet, Fun Fitness, Health Promotion, Healthy Hearing, Opening Eyes® and Special Smiles® SOSC is proud that it has exceeded its net surplus goal and protected cash reserves. This will assist SOSC in preparing itself for the anticipated increase in athlete and volunteer participation in the forthcoming years. -7- SPECIAL OLYMPICS SOUTHERN CALIFORNIA, INC. (A California Nonprofit Corporation) NOTES TO FINANCIAL STATEMENTS December 31, 2013 NOTE 1 — ORGANIZATION (continued) SOSC is honored that Los Angeles won the bid to host the 2015 Special Olympics World Summer Games right in its own backyard. The event will be the largest sports and humanitarian event in the world. More than 7,000 athletes from 170 countries will visit Los Angeles and surrounding areas for competition in 21 sports. More than 40,000 volunteers are needed to help carry out the Games, while 500,000 spectators are expected to make a $415 million economic impact on Los Angeles County. The Special Olympics World Games is an international sporting competition similar to the Olympic Games, where summer and winter versions are held every two years alternately. Sporting events will be free and open to the public with a number of ticketed events available as well. NOTE 2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (a) BASIS OF PRESENTATION The accompanying financial statements have been prepared on the accrual basis of accounting. (b) ACCOUNTING To ensure observance of certain constraints and restrictions placed on the use of resources, the accounts of SOSC are maintained in accordance with the principles of net assets accounting. This is the procedure by which resources for various purposes are classified for accounting and reporting purposes into net asset classes that are in accordance with specified activities or objectives. Accordingly, all financial transactions have been recorded and reported by net asset class as follows: Unrestricted Net Assets. These generally result from revenues generated by receiving unrestricted contributions, providing services, and receiving income from investments less expenses incurred in providing program related services, raising contributions, and performing administrative functions. Temporarily Restricted Net Assets. SOSC reports gifts of cash and other assets as temporarily restricted support if they are received with donor stipulations that limit the use of the donated assets. When a donor restriction expires, that is, when a stipulated time restriction ends or the purpose of the restriction is accomplished, temporarily restricted net assets are reclassified to unrestricted net assets and reported in the statement of activities as net assets released from purpose or time restrictions. SOSC has $380,103 of temporarily restricted net assets at December 31, 2013. Restricted contributions received and spent in the same year are treated by SOSC as unrestricted for reporting purposes. Permanently Restricted Net Assets. These net assets are received from donors who stipulate that resources are to be maintained permanently, but permit SOSC to expend all of the income (or other economic benefits) derived from the donated assets. SOSC does not have permanently restricted net assets at December 31, 2013. -8- SPECIAL OLYMPICS SOUTHERN CALIFORNIA, INC. (A California Nonprofit Corporation) NOTES TO FINANCIAL STATEMENTS December 31, 2013 NOTE 2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued) (c) CASH AND CASH EQUIVALENTS SOSC has defined cash and cash equivalents as cash in banks, money market funds and certificates of deposits with original maturities of less than three months. The carrying value of cash and cash equivalents at December 31, 2013 approximates its fair value. (d) INVESTMENTS Investments in marketable securities with readily determinable values and all investments in debt securities are reported at fair value. Interest and dividend income and gains and losses on investments are reported on the statement of activities as increases or decreases in unrestricted net assets unless their use is temporarily or permanently restricted by donor stipulations or by law. (e) CONTRIBUTIONS AND PLEDGES RECEIVABLE Unconditional contributions, including pledges recorded at estimated fair value, are recognized as revenues in the period received. SOSC reports unconditional contributions as restricted support if they are received with donor stipulations that limit the use of the donated assets. (f) PROPERTY AND EQUIPMENT (g) Property and equipment are recorded at cost if purchased or at fair value at the date of donation if donated. Depreciation is computed on the straight-line basis over the estimated useful lives of the related assets. Maintenance and repair costs are charged to expense as incurred while renewals and betterments are capitalized. The estimated useful lives of property and equipment are as follows: Computer Equipment 5 Years Vehicles 5 Years Furniture and Equipment 5 Years Property and equipment are capitalized if the cost of an asset is greater than one thousand dollars and the useful life is greater than one year. LONG-LIVED ASSETS SOSC reviews long-lived assets for impairment whenever events or changes in circumstances indicate that the book value of the assets may not be recoverable. No impairment losses were recognized during the year ended December 31, 2013. -9- SPECIAL OLYMPICS SOUTHERN CALIFORNIA, INC. (A California Nonprofit Corporation) NOTES TO FINANCIAL STATEMENTS December 31, 2013 NOTE 2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued) (h) SELF INSURANCE SOSC has retained a portion of the risks relating to its employee unemployment claims. The exposure of unpaid claims and associated expenses, including incurred but not reported losses, is estimated based on prior claims history and analysis of current outstanding claims. The gross estimated liability associated with settling unpaid claims, if any, is included in accrued liabilities. (i) CONCENTRATION OF CREDIT RISK SOSC places its cash investments with high -credit, quality financial institutions. At times, such investments may be in excess of the Federal Deposit Insurance Corporation insurance limit. SOSC has not incurred losses related to these investments. (j) SOSC holds investments in the form of mutual funds. Market values of such investments and credit ratings of bond issuers are routinely reviewed by the Board of Directors. CONTRIBUTED GOODS AND SERVICES Contributions of donated non-cash assets are recorded at fair value in the period received. Contributions of donated services that create or enhance non-financial assets or that require specialized skills are recorded at fair value in the period received. Volunteer services that met the reporting criteria were valued at $24.75 per hour based on the most recent published "Dollar Value of a Volunteer Hour" for the State of California according to the Independent Sector, a leadership forum for charities, foundations and corporate giving programs. SOSC received donated services from unpaid volunteers who made significant contributions of their time providing a broad range of support at all of the competitions and fundraising events. However, the value of these services is not reflected in the financial statements because the criteria for recognition were not met. (k) ADVERTISING COSTS Advertising costs were expensed as incurred. Advertising costs for the year ended December 31, 2013 were $438,441. (1) INCOME TAXES SOSC is exempt from taxation under Internal Revenue Code Section 5o1(c)(3) and California Revenue and Taxation Code Section 23701d. (m) FUNCTIONAL ALLOCATION OF EXPENSES The costs of providing SOSC's programs and other activities have been presented in the statement of functional expenses. During the year, such costs are accumulated into separate groupings as either direct or indirect. Indirect or shared costs are allocated among program and support services by a method that best measures the relative degree of benefit. SOSC uses salary dollars to allocate indirect costs. -10- SPECIAL OLYMPICS SOUTHERN CALIFORNIA, INC. (A California Nonprofit Corporation) NOTES TO FINANCIAL STATEMENTS December 31, 2013 NOTE 2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued) (n) USE OF ESTIMATES The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect reported amounts of assets, liabilities, revenues and expenses as of the date and for the period presented. Actual results could differ from those estimates. (o) COMPARATIVE TOTALS The financial statements include certain prior -year summarized comparative information in total but not by net asset class. Such information does not include sufficient detail to constitute a presentation in conformity with accounting principles generally accepted in the United States of America. Accordingly, such information should be read in conjunction with SOSC's financial statements for the year ended December 31, 2012 from which the summarized information was derived. (p) SUBSEQUENT EVENTS SOSC has evaluated events and transactions occurring subsequent to the statement of financial position date of December 31, 2013 for items that should potentially be recognized or disclosed in these financial statements. The evaluation was conducted through May 22, 2014, the date these financial statements were available to be issued. No such material events or transactions were noted to have occurred. NOTE 3 - FAIR VALUE MEASUREMENTS SOSC has implemented the accounting standard which defines fair value for those assets and liabilities that are re -measured and reported at fair value at each reporting period. This standard establishes a single authoritative definition of fair value, sets out a framework for measuring fair value based on inputs used, and requires additional disclosures about fair value measurements. This standard applies to fair value measurements already required or permitted by existing standards. In general, fair values determined by Level 1 inputs utilize quoted prices (unadjusted) in active markets for identical assets (and liabilities). Fair values determined by Level 2 inputs utilize data points that are observable such as quoted prices, interest rates and yield curves. Fair values determined by Level 3 inputs use unobservable data points for the assets (and liabilities) and include situations where there is little, if any, market activity for the asset (or liability). The following table presents information about SOSC's assets that are measured at fair value on a recurring basis at December 31, 2013 and indicates the fair value hierarchy of the valuation techniques utilized to determine such fair value: -11- SPECIAL OLYMPICS SOUTHERN CALIFORNIA, INC. (A California Nonprofit Corporation) NOTES TO FINANCIAL STATEMENTS December 31, 2013 NOTE 3 - FAIR VALUE MEASUREMENTS (continued) Fair Value Measurements Using Quoted Prices in Active Significant Markets for Other Significant Year Ended Identical Observable Unobservable December 31, Assets Inputs Inputs 2013 (Level 1) (Level 2) (Level 3) Mutual Fund Investments: Money Market $ 410,988 $ 410,988 $ Fixed Income 2,658,207 2,658,207 International 299,136 299,136 Large Cap Growth 533,744 533.744 TOTAL MUTUAL FUND INVESTMENTS $ 3,902,075 S 3,902,075 The fair values of marketable securities within Level 1 inputs are obtained based on quoted market prices at the closing of the last business day of the fiscal year. NOTE 4 - CONTRIBUTIONS AND PLEDGES RECEIVABLE All contributions and pledges receivable are deemed to be fully collectible at December 31, 2013; therefore, no allowance for doubtful pledges has been recorded. The total amount of contributions and pledges receivable at December 31, 2013 is $618,281, all of which are expected to be collected within one year. Refer to Note 8 for conditional contributions and pledges receivable that have not met the criteria to be recognized as support. NOTE 5 - PROPERTY AND EQUIPMENT Property and equipment at December 31, 2013 consist of the following: Computer Equipment $ 447,758 Vehicles 124,891 Furniture and Equipment 45,669 TOTAL 618,318 Less: Accumulated Depreciation (449,412) PROPERTY AND EQUIPMENT (NET) $ 168,906 Depreciation expense for the year ended December 31, 2013 was $108,792. -12- SPECIAL OLYMPICS SOUTHERN CALIFORNIA, INC. (A California Nonprofit Corporation) NOTES TO FINANCIAL STATEMENTS December 31, 2013 NOTE 6 - ACCRUED LIABILITIES Accrued liabilities at December 31, 2013 consist of the following: Accrued Vacation $ 245,396 Accrued Unemployment 18,745 Other 46.938 TOTAL ACCRUED LIABILITIES $ 311,079 NOTE 7 - ACCRUED UNEMPLOYMENT LIABILITY SOSC has elected to be self-insured for the purposes of employee unemployment claims. The reserve for unemployment liability at December 31, 2013 of $18,745, included in accrued liabilities, represents estimated future claims arising from current and past employees. Unemployment expense for the year ended December 31, 2013 was $39,222. Estimated Gross Claims Insurance Net Claims Liability Recoveries Liability Balance at January 1, 2013 $ 25,639 $ $ 25,639 Self -Insurance Expenses Incurred, net (39,222) - (39,222) Payments Made to Fund Related Liabilities 32,328 - 32,328 BALANCE AT DECEMBER 31, 2013 $ 18,745 $ - $ 18,745 Additionally, SOSC holds an unemployment insurance deposit amount of $100,893, to be used against future claims, as of December 31, 2013. NOTE 8 - LEGACY GIFTS SOSC has been named a beneficiary in a number of bequests and trusts. The bequests and trusts are not recognized as support until all of the following conditions are met: the demise of testator; the amount of the bequest or trust is known; SOSC is certain that, based on the estate's net assets, the amount bequeathed is realizable and the probate court has declared the will valid. Certain bequests and trusts have not been recorded in the accompanying financial statements because the donors' wills have not yet been declared valid by the probate court and/or the value of the amounts to be received is not yet determinable. -13- SPECIAL OLYMPICS SOUTHERN CALIFORNIA, INC. (A California Nonprofit Corporation) NOTES TO FINANCIAL STATEMENTS December 31, 2013 NOTE 9 - COMMITMENTS SOSC leases equipment and office space and equipment under various operating leases expiring through April 2017. Future minimum payments under these leases, with initial or remaining terms of one year or more, consist of the following by year and in the aggregate: Years Ending December 31 2014 $ 319,261 2015 285,927 2016 250,496 2017 17,908 TOTAL $ 873,592 The rent and equipment rental expense under these leases for the year ended December 31, 2013 was $341,272. NOTE 10 - CONTRIBUTED GOODS AND SERVICES Contributed goods, services, and use of facilities and equipment during the year ended December 31, 2013 are as follows: Program Management Fundraising Related and General (Special Events) Total Contributed: Services $ 6,091,221 $ - $ 60,547 $ 6,151,768 Goods 265,529 75 233,635 499,239 Use of Facilities and Equipment 279,466 - 23,996 303,462 TOTAL CONTRIBUTED GOODS AND SERVICES 6,636,216 75 318,178 6,954,469 Less: Cost of Direct Benefits to Donors - (199,192) (199,192) CONTRIBUTED GOODS AND SERVICES (NET) $ 6,636,216 $ 75 $ 118,986 8 6,755,277 The fundraising contributed goods and services are recorded as special event revenue. NOTE 11- TEMPORARILY RESTRICTED NET ASSETS Temporarily restricted net assets are restricted as follows at December 31, 2013: Time Restricted $ 125,000 Games and Championships 185,725 Other Program Uses 65,552 Volunteer Activities 3,826 TOTAL TEMPORARILY RESTRICTED NET ASSETS $ 380,103 -14- SPECIAL OLYMPICS SOUTHERN CALIFORNIA, INC. (A California Nonprofit Corporation) NOTES TO FINANCIAL STATEMENTS December 31, 2013 NOTE 12 - RELATED PARTY TRANSACTIONS As an accredited chapter of SOI (See Note 1), SOSC remits accreditation fees and shares in percentages of contributions for nationwide SOI fundraising programs. SOSC incurred accreditation fees totaling $170,336 for the year ended December 31, 2013. These fees are reported as program costs in the accompanying statement of functional expenses. In addition, SOSC received $1,7o2,143 in contributions relating to direct mail and other fundraising campaigns from SOI during the year ended December 31, 2013. SOSC issued a revolving line of credit to the 2015 Special Olympics World Summer Games Organizing Committee, Inc. (GOC), with a maximum limit of $500,000. The advances are to be used for purposes of enabling the Borrower to pay its necessary payroll and other operating expenses in connection with the planning and preparation for the Special Olympics World Games to be held in 2015. Simple interest shall accrue on the outstanding principal balance at a per annum rate of 6%. At December 31, 2013, the outstanding balance on the revolving line of credit is $500,031 and the related interest receivable is $7,562. Subsequent to year end the due date for the principal and unpaid interest was extended to December 31, 2014. During 2013, SOSC awarded a $250,000 grant to the GOC for the Host Town Program. During the year, SOSC and GOC entered into a memorandum of understanding which sets forth the principles of coordination between the organizations with respect to the 2015 Special Olympics World Summer Games that will take place in and around Los Angeles, California in 2015. NOTE 13 - EMPLOYEE BENEFIT PLAN SOSC has a 403(b) defined contribution plan covering substantially all employees. After one year of service, SOSC matches 5o% of the employee's contribution up to a maximum of 6% of the employee's salary annually. SOSC contributed $61,o69 to the plan for the year ended December 31, 2013. -15- S IRS Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order Click on a column heading for an explanation of information in that column. 1-1 of 1 results EIN : Leal Name (Doing Business As): 95-4538450 Special Olympics Southern California Inc Return to Search Results Per Page 25 v OK City Long Beach State :Country CA United States « Prey 11-1 1 Next» Deductibility Status: PC « Prev 11-1 I Next » City of Temecula 2014-15 CS Funding Program APPLICATION NO. 22 08-20-14P03:42 RCVD EcETVED CITY OF TEMECULI AUG 2 1 ? XO14 FISCAL YEAR 201415 CITY MANAGER'S COMMUNITY SERVICE FUNDING PROGRAM APPLICWN (Please Print or Tyne) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested $ 0.670.6,/ (Maaxximum allowable $5,000) Project Name: e. cs, /4 ,7r� y Project Start Date: 7 /— / Project End Date: e -- 30 -- ORGANIZATION INFORMATION •941. K / C'4 5` i.$ 7 f •tJ Ce 5-7-7 -/'S Name of Organization:D44 : 42 IL.1" cx, Contact Name: Mailing Address: .4,ary 7-07xoeto_ Title/Position: Telephone: 74 -�.-- /4 Year Organization Founded: f 9 77 Number of Paid Staff: $— Number of Volunteers: "O Geographic Area(s) Served: , i ezie ,c1 11:4:" %•e / ,4 /9,4) Z--/9 Is this organization incorporated in California as a non-profit organization? -0' Yes 2( No Effective Date: If 'yes' (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: 02 — e'l� - / %7 7 Federal identification number: 3-9--- a/ e 7p State identification number: /5 9' / 9 Q If "no": Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee Board of Directors Members -at -Large Application Page 1 FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. Application Page 2 MISSION STATEMENT TEAM Evangelical Assistance Ministries, DBA Temecula Community Pantry, is a non-profit organization located in Old Town Temecula since 1987. We provide assistance to the homeless and low-income families in Temecula and Murrieta. 90% of the families we serve live in Temecula. 75% of our clients are families, singles or seniors who have housing but need assistance with food. We are open Monday, Wednesday and Friday for the distribution of donated food from food drives, surplus foods from local markets, donated clothing and household goods. We are supported by local churches, schools, businesses, individuals and government grants. 4 to 5 members of the Board of Directors are on the premises every day to supervise our volunteers. Our goal is to help our clients with their immediate needs in all areas. We try to reunite the homeless with their families and we are partners in this endeavor with Community Mission of Hope who provide counseling for the homeless and help find them jobs and lodging. We also refer those who need long term assistance to facilities such as Victory Outreach, Salvation Army Rehabilitation, and Valley Restart. We can refer any of our clients for free eyeglasses, and we assist with low-cost dental and medical help. We refer new clients to government agencies for help and we provide assistance until they receive benefits. If a family needs housing, we have landlords who work with us to find them affordable rentals. The Pantry welcomes all who come to our door, regardless of race, sex, marital status, disability, religion or political affiliation. Clients are required to produce a picture I.D. showing they live in Temecula or Murrieta, proof of income and proof of ages of their children. PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) Application Page 3 PROJECT DESCRIPTION If the Pantry receives this funding we will use the money to purchase food and supplies. We currently have 1135 families registered with the Pantry. From 7/1/2013 to 6/30/2014, 531 families received food boxes at least once. These boxes contained 21 meals for each family member. For that year, 1001 individuals received 22,497 meals. These families can also come to the Pantry every Monday, Wednesday and Friday and receive fresh food items donated to us. From 7/1/2013 to 6/30/2014, 6827 repeat families, 15,586 individuals, received food bags with a value of $290,267.00. At Thanksgiving, Christmas and Easter 768 families, 1820 individuals, received 5,460 meals. The total value of food and misc. items distributed in 2013/14 was $419,106.00. We have to purchase items that we do not receive in food drives or from the local markets, restaurants, bakeries and growers who support us with fresh items each week. Many of our clients, like our senior neighbors on Pujol St., count on us to supplement their food needs. The average income of our families is $15,000.00 a year. The demographic breakdown of our client base consists of 20% seniors, 25% homeless, and 55% families averaging 3.2 members. 50% are White, 30 % Hispanic, 5% African American. 5% Asian, and 10% are other. With the funding we hope to restart our "Milk & Eggs Friday" program. On Fridays we average 80 families who come to us for food for the weekend. We have to purchase about $300.00 worth of food a week for our daily distributions. We work together with other organizations and our 40 active volunteers represent many of the churches in the Valley. Community Mission of Hope furnishes volunteers to help with our client intake and counseling services. PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. 7' A -/ /---i Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: IT (Please Print or Type) PRESIDENT or AUTHORIZED OFFICER: SIGNATURE: ORGANIZATI MAILING ADDRESS: 10444, NAM nd TITLE (PI • . se Print or Type) ON NAME: � 'fit /6414 e 7 '. 4/1 ,e9pc? h i (-4 TELEPHONE: 9s7- .0ir© ._ EMAIL ADDRESS: ADD f , ,c,0,,, DATED THIS Jf of , 2014 (Date) (Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 tate .L . Qlalifartha cgtarril CimES 11 Sacramento.a P.O. Box Sacramento. GA 95812 0 Secretary of 'Mate Phone: (918) 445-2020 STATEMENT BY DOMESTIC NONPROFIT CORPORATION 1. THIS STATEMENT MUST BE FLED WITH CALIFORNIA SECRETARY OF STATE (SECTIONS 6210. 82/0. 9660 CORPORATIONS COOE) 1391980 DUE DATE: 2-19-87 TEAM EVANGELICAL ASSISTANCE MINISTRIES OF RANCHO-TEMECULA-MURRIETA VALLEYS 00 Nor ALTER PR PRINTED NAME. IF 1TE01 t IS BLANlL. PLEASE ENTER CORPORATE NAME DO NOT WRITE IN THIS SPACE PLEASE READ INSTRUCTIONS ON BACK OF FORM. PLEASE TYPE CR BLACK ;NK ='rOULD BE SUITABLE FOR :"ICROFILt:'iNC. FEE FOR FILING THIS STATEMENT - S2.50. THE CORPORATION NAIAD HEREIN, ORGANIZED UNDER THE LAWS OF THE STATE OF C ALIFORHfA. MAKES THE FOLLOWING STATEMENT: STREET ADDRESS OM PRRiC1PAL OPPSGE 11F NONE. c0& LF!E 3-3e1 41945 Fifth St. (DO NOT use r.0. Dox NO.) 3. SWUNG ADDRESa ftc.1NALj 1. 41945 Fifth St. NAMES OF THE FOU.OwjNS OFFICERS ARE John A. Stanley CHIEF SCIECUTvE OFFICER T.J. Mercer SECRETARY Roger Brewer CHEF IRRANCIAI, OPPICOI AGENT FOR SERVICE OF PRO( AMTS OR ROoa earr>t on ROOM 3A. Temecula, CA cm, AND "TATE Temecula, CA 4.- 27895-L Diaz Rd. sessaiESS OR RESIDES ADDRESS 00 NOT USE P.O. D070 S A. 28030 Del Rio Rd. D USWESS OR RESD1ENCE ADDRESS (UO NOT USE P.O. a0K) SA. 29141 Vallejo Ave. U U NESS OR RESIDENCE ADDRESS (DO NOT USE P.O. E0x John H. Stanley 27895-L Diaz Rd. C.1TY AND STATE 4E. Temecula, CA CITY AND STATE Temecula, CA ENV AND STATE BA Temecula, CA CITY ANO STATE xa. 92390 z CODE 92390 SP COD 4C.9239C x. ZIP COOS 9239C ZIP CODE 9239C Tr CODE Temecula, CA 92390 AA CORPORATOR. 9R RESIDENCE ADDRESS IF AN INDIVIDUAL DL IDO NOT USE P.O. SOTONLY ONE AGENT CAN DE NAMEO. DO NOT INCLUDE ADDRESS IP AGER . 1 DECLARE THAT 1 HAVE E (AWNED Tete sTATEmoiT AND TO THE DEBT OP MY ShDOW'l£05E AND SF ' F 1T LS TRUE. CORK ,ANT. COLI _ +_ TEMECULA-MURRIETA COMMUNITY PANTRY 2014 BUDGET INCOME: CHURCHES $14,000.00 BUSINESSES 5,000.00 GRANTS 20,000.00 INDIVIDUALS 15.000.00 TOTAL ALL INCOME $54,000.00 EXPENSES: FACILITIES: INSURANCE -LIABILITY $ 2,500.00 TELEPHONE 4,000.00 UTILITIES 6,000.00 MAINTENANCE 1,500.00 OFFICE EXPENSES 2,500.00 AUTO & GAS 2,500.00 $19,000.00 MINISTRY: FOOD $ 25,000.00 SUPPLIES 3,000.00 LODGING 1,000.00 TRANSPORTATION 1,000.00 SPECIAL NEEDS 5.000.00 $ 35,000.00 TOTAL ALL EXPENSES $ 54,000.00 9:03 AM 08/18/14 Accrual Basis TEAnn EVANGELICAL ASSISTANCE MINISTRY Balance Sheet As of June 30, 2014 ASSETS Current Assets Checking/Savings Bank of America Jun 30, 14 3, 524.69 Total Checking/Savings 3,524.69 Total Current Assets 3,524.69 Fixed Assets 1640 • Furniture, fixtures, & equip 8,672.00 1745 • Accum deprec- furn,fix,equip -2,323.00 Total Fixed Assets 6,349.00 TOTAL ASSETS 9,873.69 LIABILITIES & EQUITY Liabilities Current Liabilities Other Current Liabilities 2112 • Accrued Payroll -State 80.53 2130 • Accrued payroll taxes 978.61 2132 • Accrued FIT 484.28 Total Other Current Liabilities Total Current Liabilities Total Liabilities Equity 3001 • Opening Bal Equity 3010 • Unrestrict (retained earnings) Net Income 1,543.42 1,543.42 1,543.42 6,701.28 15, 051.22 -13,422.23 Total Equity 8,330.27 TOTAL LIABILITIES & EQUITY 9,873.69 Page 1 9:02 AM TEAM EVANGELICAL ASSISTANCE MINISTRY 08/18/14 Profit & Loss Accrual Basis July 2013 through June 2014 Ordinary Income/Expense Income 4 • Contributed support 4010 • Indiividuals 4140 • Donated art, etc 4210 • Business Donation 4230 • Grants 4420 • Churches Total 4 • Contributed support 5 • Earned revenues 5310 • Interest-savings/short-term inv Jul '13 -Jun 14 22,843 34 1,116.00 7,795.96 9,077.66 10, 677.00 51, 509.96 7.37 Total 5 • Earned revenues 7.37 Total Income 51,517.33 Expense 7000 • Grant & contract expense 7050 • Specific assistance - ind 170.10 Total 7000 • Grant & contract expense 170.10 7200 • Salaries & related expenses 7210 • Officers & directors salaries 26,350.00 7250 • Payroll taxes 2,015.72 Total 7200 • Salaries & related expenses 28,365.72 7500 • Other personnel expenses 7520 • Accounting fees 7.50 7540 • Professional fees - other 1.00 7580 • Insurance-Workmans's Comp 701.21 Total 7500 • Other personnel expenses 709.71 7582 • Insurance -Medical 1,663.00 8100 • Non -personnel expenses 8110 • Office Supplies 1,020.80 8120 • Groceries 5,539.07 8130 • Telephone & telecommunications 3,431.14 8140 • Postage, shipping, delivery 49.00 8150 • Supplies 4,331.77 8160 • Equip rental & maintenance 95 00 8170 • Backpack Ministry 1,550 00 8100 • Non -personnel expenses - Other 23 00 Total 8100 • Non -personnel expenses 16,039.78 8200. Occupancy expenses 8220 • Utilities 6,304.81 8230 • Real estate taxes 232.72 Total 8200 • Occupancy expenses 6,537.53 8300 • Travel & meetings expenses 8310 • Gasoline 2,632.59 8320 • Conference,convention,meeting 226.89 Total 8300 • Travel & meetings expenses 2,859.48 8500 • Misc expenses 8520 • Insurance 2,011.65 8560 • Outside computer services 1,017.85 8590 • Other expenses 84.00 8500 • Misc expenses - Other 0 00 Total 8500 • Misc expenses 3,113.50 Page 1 9:02 AM TEAM EVANGELICAL ASSISTANCE MINISTRY 08/18/14 Profit & Loss Accrual Basis July 2013 through June 2014 8600 • Business expenses 8650 • Taxes - other Total 8600 • Business expenses Total Expense Net Ordinary Income Net Income Jul '13 -Jun 14 25.00 25, 00 59,483, 82 -7,966.49 -7,966.49 Page 2 RS Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page 25 V OK « Prev 1 1-1 1 Next » EIN: Legal Name (Doing Business As): City: State Country Deductibility Status. 33-0210704 Team Evangelical Assistance Ministries of Rancho- Temecula Temecula CA United States PC « Prev 1-1 1 Next » Return to Search ; City of Temecula 2014-15 CS Funding Program APPLICATION NO. 23 RECEIVED CITY OF TEMECULA. CITY MANAGER'S FISCAL YEAR 201415 OFFICE COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 4,000.00 Project Name: Temecula Dollars for Scholars Administrative Funds Project Start Date: September 2014 (Maximum allowable $5,000) Project End Date: June 2014 ORGANIZATION INFORMATION Temecula Name of Organization: Dollars for Scholars Contact Name: Catherine Swetavage Title/Position: President Mailing Address: 31350 Rancho Vista Road, Temecula 92592. Telephone: 951-505-5923 Year Organization Founded:1987 Number of Paid Staff: -0- Number of Volunteers: 16 Geographic Area(s) Served: City of Temecula Is this organization incorporated in California as a non-profit organization? Yes x No Effective Date: 9/5/2013 If "no": If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: September 5, 2013 Federal ident ication number: 46-4604647 State identification number: Name of sponsoring organization: Federal identlication number: State identification number: This application has been authorized by the organization's: Executive Committee Board of Directors x Members -at -Large Application Page 1 FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. The mission of Temecula Dollars for Scholars is to expand educational opportunities for resident high school students. Our purpose is to provide local funding for financial aid to the students of Chaparral, Temecula Valley, Great Oak and Rancho Vista/Susan H Nelson and Temecula Advantage Virtual High Schools who aspire to higher education without regard to race, creed, color, sex or national origin. Our organization is unique in that students who apply through Temecula Dollars for Scholars can be matched to national scholarships as well multiple scholarships contributed by local donors giving the students an even greater opportunity to obtain financial assistance for their education Temecula Dollars for Scholars is a non-profit, tax-exempt 501(c)3 status organization chartered in 1987 with Scholarship America as Citizens' Scholarship Foundation of Temecula Valley. The organization's membership is op( to any person, firm, corporation, or organization subscribing to the purpose of the foundation and making voluntary contributions of funds. The board of directors manages the funds. All financial reports are filed with Scholarship America and audits are conducted biannually. High school seniors with a minimum GPA of 3.0 are encouraged to apply. Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) Project — Adminstrative Funding for Temecula Dollars for Scholars. We requesting in this project funding for "administrative costs" (Print and copy costs for marketing brochures, paper, envelopes, labels, ink, general office supplies, computers, software). These administrative costs are used for advertisement to reach potential donors via banners, letters, and notices in order obtain scholarship funds for students. In addition the funds are used to produce marketing advertisements and award certificates for recipients and students in the Temecula Valley Unified School District. Our organization has existed in Temecula for over 27 years (formerly know as Citizens' Scholarship Foundation of Temecula Valley). We are the only organization in Temecula that seeks local financial support, in the form of scholarships, for local students seeking higher education. 100% of funds given to us for scholarships are awarded to the student's school for tuition. Due to the failing economy, we have had a reduction in the ability of businesses and community members to assist or contribute towards the administrative cost of running our organization. In recent years, our board members have had to shoulder the majority of the financial burden of these expenses. Such financial hardship has made it difficult for our members to continue volunteering and our volunteer base has been downsized. The loss of those members and the potential Toss of future members will have a negative impact upon our organization because we will not be able to provide these services to the students. Our small band of volunteers which at one point was up to 20 is now had dropped down to 16 over the last two years. Our organization in 100% staffed by volunteers. We do not pay salaries or benefits to any of our board members. We do not have any paid staff. Application Page 3 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. Our organization has enjoyed the support of the City of Temecula for many years. Unfortunately, for the last several years, the city council decided to support only non-profit organizations that offer community wide services such as food, shelter and medical care. As trustees of Temecula Dollars for Scholars we were disappointed not to receive funds from the city , but as citizens of the City of Temecula we admired the difficult decision that the council had to make. We hope that funds are available this year to continue to support our organization as we assist our college bound youth in obtaining the financial help they need to pursue higher education. In the past, the City of Temecula has donated as much as $30,000.00 a year for scholarships. That amount decreased substantially in the las few years due to budget and economic constraints. The students and families served by Temecula Dollars for Scholars have felt the same economic constraints and also have been hit by skyrocketing college tuition costs. While we understand the City's choice not to contribute monies toward scholarships as that only serves to support a minority population, we do feel strongly that our community would indeed benefit financially by the city's support of our organization because students who are recognized locally with financial support benefit our community by coming back to Temecula highly educated and enthusiastic about giving back to their community! Temecula Dollars for Scholars is hopeful that the City of Temecula will be able to support us in our efforts to provide a service to TVUSD students and match them with donors who wish to help them with the college expenses. Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED Catherine Swetavage, President BY: NAME and TITLE (Please Print or Type) SIGNATURE:A/U'% AA, - -14"/t. i!✓� PRESIDENT or Catherine Swetavage, President AUTHORIZED OFFICER: NAME and TITLE (Please Print or Type) SIGNATURE: i ORGANIZATION NAME: Temecula Dollars for ' olars MAILING ADDRESS:31350 Rancho Vista Drive, Temecula, CA 92592 TELEPHONE: 951-505-5923 EMA1LADDRESS: Temeculadfs@gmail.com DATED THIS 29 of August , 2014 (Date) (Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 Temecula Dollars for SCHOLARS® A Program of Scholarship America° Administrative Expenses Printed Material (cost of paper and printing of our organization's logo on $2,000.00 Letters, Pledge Sheets, Brochures, Envelopes) Advertisement and Event Planning Material (banners, decorations $1,000.00 Office Supplies (Printer Ink, Certificates, Envelopes, etc.) $500.00 Mailing Costs $500.00 Total Expenses: $4,000.00 Scholarship AMERICA July 12, 2013 One Scholarship Way, Saint Peter, MN 56082 507.931.1682 1800.537 4180 tf 1507.931.9168 fax ScholarshipAmerica.org To Whom It May Concern: This letter verifies that Temecula Dollars for Scholars, located in Temecula, California, is an affiliate member in good standing of Scholarship America® parent company of Dollars for Scholars®. Through its affiliation with Scholarship America, Temecula Dollars for Scholars is a tax-exempt charitable organization under IRS ruling 501(c)(3) and is a publicly supported charity under IRS ruling 170(b)(1)(A)(vi). Temecula Dollars for Scholars became an affiliate of Scholarship America on July 21, 1987. Temecula Dollars for Scholars's Employer Identification Number is 06-1209452. Scholarship America includes Temecula Dollars for Scholars on its Group Exemption Roster filed annually with the IRS. Scholarship America claims responsibility as the fiscal agent for Temecula Dollars for Scholars. Please note that the Internal Revenue Service will not list Temecula Dollars for Scholars on their web site database of charitable organizations. Only those charities that have an exclusive ruling on their individual status are afforded the opportunity to be listed in the IRS database. Temecula Dollars for Scholars is an affiliate chapter and has been given their exempt status based upon an IRS ruling given to Scholarship America. Please accept this letter, plus the enclosed supporting documentation on the national organization, as proof of the Temecula Dollars for Scholars chapter's 501(c)(3) status. Sincerely, Deborah I. Fichtner National Director of Operations Scholarship America Dollars for Scholars City of Temecula 2014-15 CS Funding Program APPLICATION NO. 24 j CI'T'Y OF TEMECULA. i!! 'i!er'A I Ni '� l= �^ r CITY MANAGER'S 1 v Vl7�1 sra-fr1 �.IM ! �- i V COMMUNITY SERVICE FUNDING PROGRAM APPLJCAS hS 1 (Please Print or Tvoe) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 3,300.00 Project Name: Temecula Valley Garden Club Flower ShQw Project Start Date: May 9, 2015 (Maximum allowable $5,000) Project End Date: May 9, 2015 ORGANIZATION INFORMATION Name of Organization: Temecula Valley Garden Club Contact Name: Betty Castaneda Title/Position: Treasurer Mailing Address; P.O. Box 1526, Temecula, CA 92593-1526 ^g4 ^..^A ')4 AA4riGA Telephone: ' .T.T Year organization Founded: I mo`* Number of Paid Staff: zero Number of Volunteers: 165 members/volunteers flovsnranhir .",rpt/s„ S .rd' ..y. ter,..... ��..t Tem_r_!a Vey Is this organization incorporated in California as a non-profit organization? Yes X No Effective Date: 2002 If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: 1984 Federal identification number: 71-0869568 State identification number: 9801734 if "no": Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee Board of Directors X Application Page 1 Members -at -Large FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH CQP!E- OF JNvn'CES, RECEJPTS AN!_l CANreae a Fr) ^NECKS TQ ! U&STA l: 1ATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. 1 Orfr 7r1 Eli Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. To empower every generation to lead healthier lives, build stronger communities, and encourage environmental stewardship through Educational Gardening Programs. We fulfill our mission by pry :d r n it f ,rrn zhr r, unr irararirts,- , ste i vvi r r J Gardening Programs and Home Garrieners. The Temecula Valley Garden Club is open to all residents of the Temecula Valley, currently we have 165 members. Meetings are held the second Tuesday of each month with the exception of July and August at Temecula Community Recreation Center. At meetings, home gardeners are given valuable information to make home and community gardens greener and more productive. Gardening programs encourage an appreciation of nature and a sense of environmental stewardship. For many children growing up in an urban environment, a School Gardening Program may be their y, vtEIJI 1' V 1. tAJ111I 1Jt1U11 it) tt 1 I t tU1 C 1 W'J! IU. For the pest several years. T en f cu Valley Garden. 11_ ' lub has assisted local schools in the development and planting of vegetable gardens. This year we will continue to provide support and provide instruction to elementary teachers and students for their school gardens. Home gardeners receive information they need to get started in the world of gardening and grow and maintain thriving sustainable, and environmentally responsible food gardens and landscapes. The Flower Show is our year-end project and we can expect 750 to 1,000 members of our community will attend the event that is FREE to the public. We are encouraged by th' rnmm' jr:ity" pastir'.ipatinn And "a ernnrt n 1:'v' r'r.'iv'ti during the pact 3n yw'rq of the Temecula Valley Garden Club's existence. Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. include equipment or services that would be purchased and why. include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please typeIor print legibly.) The RFi33:A4{ i ii$31f;; grant will be used& i help fund Th Temecula tla algesi, Garden f!i f I Flower 'Qho,tpi il'3 l/ ttll', t iMl flkr grant ••111 /..tVW •IIJ fJ Il.tl ll.l 110 14I 11vvu1G va.iSAy Var 14'14 1.41I,A '3 4 IIJ••QI '4Jl Ill M•. It will be held Saturday, May 9, 2015, from 9:OOam to 4:OOpm at the Temecula Community Recredation Center. Prior to the Flower Show volunteers will spend countless hours planning, budgeting, publicity, growing plant entries, grooming plant entries, securing supplies and funds for the Flower Show. 50 plus volunteers will participate in the set-up the day prior to the Flower Show, take-down after the show, staging, directing, hospitality, assisting judges, intake of entries, and counting of awards. You will notice on the attached budget, our biggest expense items are for s;..,, ss..., CRC F;... G Program .... ... ,: renting tables 4 ..s.,.:.,,.. 3f for ientttitej. the .,r ..r room, liYiittin the i7lowe Show i-rog atft arid reflting tables and olfairs, all necessary for producing the Flower Show. The Flower Show is judged by accredited judges and feature horticulture: artistic divisions, youth gardening, and educational exhibits. It provides the community with gardening knowledge from the Temecula Valley Garden Club and lots of aroma, floral design. conservation of natural resources and knowledge of which plants arow well in the Temecula Valley, and, which plants are water -wise. The awards and accolades youth gardeners as well as adult gardeners receive, excite, encourage and inspire them, fulfilling our goals of passing our knowledge and love of gardening to a new generation of gardeners. The Temecula Valley Garden Club has been helping to support the home gardener and youth school gardening groups 11! I1p T el11 uIQ W 01107 L•Vltl1 10 "bare ` `1;.%, 111 CVrl1Ol 0, J.ayf..1o., R44d We' V4 V V ( f4 VP,•V401 70040. tAta ••v are building a program that introduces the home gardener and youth gardener to greener gardens, conservation, recognition of plants and a love and appreciation of nature. I would also like to add we keep our financial records using the general accepted accounting principals, and, we hold annual audits of our financial records. We look forward to hearing from you and look forward to seeing you at the Flower Show May 9, 2015. Application Page 3 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show haw Tn i cula r€isdgnt ha; gfltar;. Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and be ief. PREPARED BY: Betty Castaneda, Treasurer NAME and TITLE (Please Print or Type) SIGNATURE: PRESIDENT or Cheryl Torres, President AUTHORIZED OFFICER: NAME and TITLE (Please Print or Type) SIGNATURE: 84 d_#''�-LY ORGANIZATION NAME: Temecula Valley Garden Club AB SI Mr rV ADDRESS: P.O. Box 1526, Temecula, CA 92593-1526 ADDR TELEPHONE: 951-304-2144 DATED THIS 22nd EMAIL ADDRESS: bcastaneda00@hotmail.com August 2014 (Date) (Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 ��.r��..f� �A 92689-9033 i GrrrealiCi, CA City of Temecula Community Service Funding Program Attn: Fva Phi = / nit, Man_3Er'c ff#irE 41000 Main Street Temecula, CA 92590 Application Page 5 6:09 PM 08(17114 Cash Basis Temecula Valley Garden Club Balance Sheet As of dune 30, 2014 ASSETS Current Assets Checking/Savings 5005 • Chase Jun 30, 14 12,209.00 Total Checking/Savings 12,209.00 Total Current Assets 12,209.00 TOTAL ASSETS 124209.00 Equity 3000.Opening Bal Equity 6,223.25 3900 • Retained Earnings 7,476.58 Net Income -1,490.83 Teel Eve 1-" ^?g.ag TOTAL LIABILITIES & EQUITY 12,209.00 Page 1 6:08 PM 08/17/14 Cash Basis Temecula Valley Garden Club Profit & Loss July 2013 through June 2014 Income 100 • Membership 120 • Flower Show Income 130 • Program Income 170 •'ways & Means income 180 • CGCI Income Total Income Expense 1000 • Newsletter Expense 1020 • Ways & Means Expense 1075 • Membership Expense 2000.Operating Expense 4000 • Flower Show Expense 4050 • Community Service Expense 8050 • Hospitality Expense 6075 • CGCI Expense 8000 • Programs Expense 8078 . Sunshine 8090 • Horticulture Scholarships Total Expense Jul '13 - Jun 14 5,032.20 2,499.64 450.00 4,9771.30 1,231.19 14,184.33 102.29 767.59 1,101.36 3,378,50 4,025.29 1,900.00 295.45 2,091.50 956.23 56.95 1,000.00 15,675.16 Net Income -1,490.83 Page 1 Temecula Valley Garden Club Budget Fiscal Year 2014-2015 2014-2015 Category Income Expense Over/Under, 1 Membership Name Badges $400.00 $300.00 Membership Dues $4,600.00 Membership Book $20.00 Membership - Other $5.00 Office Supplies $100.00 Book Printing $825.00 New Members Annual Brunch $100.00 Total Membership $5,025.00 $1,325.00 $3,700.00 Flower Show Donation $200.00 $0.00 Hospitality $150.00 $300.00 Opportunity Raffle 5800.00 $0.00 Plant Sale 51,300.00 $100.00 White Elephant Sale $0.00 Other income $150.00 $0.00 Facility Rental 51,500.00 Insurance $25.00 Award Ribbons 5400.00 Banners and Signs $200,00 Office Supplies $100.00 Judges Travel Expenses $200.00 Publicty 5175.00 Permit_ far csarmerS/Slgrts $' 00- Youth Division $200.00 Printing $800.00 Hospitality Judges $400,00 Staging ,L-,,,,,cw Table/Chair Rental $1,000.00 Labor $200.00 Flower Show Total $2,600.00 $5,90000 4$3,3O0.00) Programs Tours $500.00 5500.00 Speaker Fees $750.00 Installation 5125.00 Program Expense - Other 545.00 Total Programs $500.00 51,420.00 ($920.00) Workshops Workshops - $300.00 $300.00 - Workshops Total $300.00 $300.00 $0.00 P. 1 0f 3 Temecula Valley Garden Club Budget Fiscal Year 2014-2015 2014-2015 Category Income Expense Over Untied Ways and Means Cookbooks $100.00 $0.00 Holiday Botique/Bake Sale $225.00 50.00 Plant and Garden Sale $400.00 $100.00 Wh:tP J 1aPhant Sale 52nn n0 Opportunity Drawing $3,000.00 5700.00 Ways and Means - Other Income $20.00 $0.00 Ways and Means Total $3,945.00 $800.00 $3,145,00 CGCI Penny Pines $850.00 $850.00 CGCI Income - Other $5011DD raiossiar iii"serict Dues 350:00 CGCI Membership Dues $394.00 Palomar District Meeting Lunch $1,950.00 52,000.00 Palomar District Mtg. Expense $260.00 CGC1 Mandatory Meeting $0.00 $300.00 Luncheon $100.00 $100.00 CGCI Expense - Other $0-00 CGC' 'Total 5 40n,nn 54,1nano ($794.irifl Newsletter Postage $100.00 Office Supplies Newsletter Total $0.00 $150.00 ($150.00) Operating Expense insurance SSU'J,VLi Storage 51,260.00 Meeting Facility $1,300.00 PO Box Rental $125.00 Misc. $50 , Website $200.00 Historian Supplies $50.00 Operating Expense Total $O -OO $3,935.00 ($3,935.00) Community Service Community Service Projects $1,000.00 Donations SW Botanical $500.00 Petals for raCients1_ �U%.UU Community Service Total $0.00 $2,300.00 ($2,300.00) P. 2 Of 3 Temecula Valley Garden Club Budget Fiscal Year 2014-2015 2014-2015 Category income Expense Over/Under Hospitality Monthly Meetings . $400.00 VIP Expense $0.00 Hospitality Total $0.00 $400.00 ($400.00) Sunshine $225.00 ($225.00) Horticulture Scholarships _ Sti1DitYSfl3rs $1,0013.00 Scholarship Recipient Luncheon $100.00 Office Supplies $25.00 S rl.;rol arsh"rps ict& _ - $1,125.00 ($1,125.0€) Sub -Total Income and Expense $15,770.00 $22,074.00 ($6,304.00) Revenue from Grants & Donations $6,304.00 - Total Income and Expense $22,075.00 $22,074.00 P.30f3 STATE OF CALIFORNIA FRAME TAX BOARD PO sox 1206 RANCHO CORDOVA CA +1574I-Iz86 December 23, 2004 TEMECULA VALLEY GARDEN CLUB PO BOX 1526 TEMECULA CA 92593-1526 Purpose Code section Form of Organization Accounting Period Ending: Organization Number . : • • EDUCATIONAL 23701d Association June 30 9801734 atelif - ,, 7a r In reply refer to 755:6 :SIK You are exempt from state franchise or income tax under the section of the Revenue and Taxation Code indicated above. This decision is based *n information you submitted and assumes that your present operations continue unchanged or conform to those proposed in your application. Any change in operation, character, or purpose of the organization must be reported immediately to this office so that we may determine the effect an your exempt status. Any change of name or address must also be reported, In the event of a change in relevant statutory, administrative, judicial case law, a change in federal interpretation of federal law in cases where our opinion is based upon such an interpretation, or a change in the material facts or circumstances relating to your application upon which this opinion is based, this opinion may no longer be applicable. It is your responsibility to be share of these changes should they occur. This paragraph constitutes written advice, other than a chief counsel ruling, within the meaning of Revenue and Taxation Code Section 21012(a)(2). You mmy be required to file Fora 199 (Exempt Organization Annual Information Return) on or before the 15th day of the Sth Month (4 1/2 months) after the close of your accounting period. Please see annual instructions with forms for requirements. You are not required to file state franchise or income tax returns E INTERNAL REVENUE SERVICE P. O. BOX 2508 CINCINNATI, OH 45201 Date: N. is au TBMECULA VALLEY GARDEN CLUB C/O CAROL J HUDSON 31492 CORTE SALINAS TEMECULA, CA 92592 Dear Applicant: DEPARTMENT OF THE TREASURY Employer Identification Number: 71-0869568 DLN: 17053126033042 Contact Person: DENNIS SAYERS Contact Telephone NUmber: (877) 829-5500 Accounting Period Boding: August 31 Form 990 Required: Igo Applies: FIWeeA sin 4WfdrS.WWAA dawinomm74.1,4, .Ind sg'j i g ID# 52486 your a opeerations will he. as stated in your application for recognition of exemption, we have determined you are exempt from federal income tax under section 501(a) of the Internal Revenue Code as an organization described in section 501(c)(3). WO ,'s_e_ a further deterriiii E met y, -y_ Tra un__ r. ar4uaka €&md.. _3 rsi .1, the meaning of section 509(a) of the Code, because you are an organization described in section 509(a)(2). If your sources of support, or your purposes, character, or method of o oration change, please lar sus know so we oan :Ldsr the effect of the change on your exempt status and foundation status. In the case of an amend- ment to your organizational document or bylaws, please send us a copy of the amended document or bylaws. Also, you should inform us of all changes in your name or address. As of January 1, 1984, you are liable for taxes under the Federal Insurance Contributions Act (social security taxes} on remuneration of $100 or more you pay to each of your employees during a calendar year. You are not liable for the tax imposed tinder the Federal Unemployment Tax Act (FUTA) . Since you are not a private foundation, you are not subject to the excise taxes under Chapter 42 of the Code. However, if you are involved in an excess benefit transaction, that transaction might be subject to the excise taxes of section 4958. Additionally, you are not automatically exempt from other federal excise taxes. If you have any questions about excise, employment, or other federal texas, aerie contact your key district office. __Orantora a 4 cgatributore may rely on this determination unless the Internal Revenue Service publishes notice to the contrary. However, if you lose your section 509 (a) (2) status, a grantor or contributor may not rely on th;adea tion if or a reb for, ...a..�.. .�. ..� ..�� in pd` iai�i+vam avi, vi vas aware of, the act or failure to act, or the substantial or material change on the Letter 947 (D0/03) Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page j 25 V OK « Prev 1 1-1 1 Next » EIN: Legal Name (Doing Business As) City: State Count Deductibility Status: 71-0869568 Temecula Valley Garden Club Temecula CA United States PC « Prev 11-1 1 Next » Return to Search City of Temecula 2014-15 CS Funding Program APPLICATION NO. 25 CITY OF TEME CULA FISCAL YEAR 20 'I 4.1 5 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Tyne) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 5000 (Maximum allowable $5,000) Project Name: CARE TO SHARE HOLIDAY PROGRAM Project Start Date: 12/1/2014 Project End Date: 12/30/2014 ORGANIZATION INFORMATION Name of Organization: Temecula Valley People Helping People Contact Name: Denny Mighell Titi a/Posits on: President/CEO 36/215? S Pkzusc )1 4 dole-- , Ci Year Organization Founded: 1992 Number of Paid Staff: 0 Number of Volunteers 100-200 Geographic Area(s) Served: City of Temecula Is this organization incorporated in California as a non-profit organization? Yes x No Effective Date: May 1997 If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: May 1997 Federal identification number: 33-0754195 State identification number: 197608 If "no": Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee X Board of Directors X Members -at -Large Application Page 1 FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. Mission Statement: to actively meet the needs of men, women and children in the community of Temecula in addition to enhancing their holiday spirit. History: TVPHP has been serving the families of Riverside County for over 20 years. Through collaboration with other service organizations, city and government officials, and other caring individuals, TVPHP continues to unite resources, experience and effort, to work towards a mutual goal in assisting those in need in the community. Accomplishments: TVPHP has worked with Fire and Police Departments to help with special events and memorial services; TVPHP has been given responsibility by the City of Temecula, City Fire Department (Spark of Love) and Riverside Department of Social Services to conduct the annual "Care to Share" holiday gift sharing program for children, totaling 22,000 gifts given in 2013; 25,000 in 2012 and 33,000 in 2011. es, TVPHP is currently a nonprofit organization- please see attached 501c letter. cies the organization provide a service to the overall community? Yes, currently TVPHP assist clients with obtaining permanent housing, direct assistance services, counseling and enhanced holiday joy and gifts. 1s the size and make-up of the organization equipped to provide the program/service to the overall community? TVPHP has built relationships and networked with over 60 organizations, groups, government entities, schools, business sponsors and volunteers to provide all that is needed for the "Care to Share" holiday program. D6What is the public reaction to the group? Everywhere you walk, people know Denny Mighell and the great work he does. He is well liked, accountable and has compassion for others. TVPHP is an organization that many business sponsors, city and government officials, neighbors and organizations, respect TVPHP work and count on to carry out necessary services.toes the organization )eve a high quality level of fiscal management? Yes, TVPHP retains both an accountant and an attorney. the group well organized to ensure longevity in the City of Temecula? Yes, TVPHP has been in existence for over 20 years and always has an active Board of Directors. s there evidence of satisfactory service provided to the City's citizens? Yes, there are newspaper articles, otography and other media evidence collected over the past years to show TVPHP accomplishments. es, the organization is free from discrimination based on race, color, creed, nationality, sex, marital Otus, disability, religion, and/or political affiliation. o, the organization does not require attendance or participation in any political, religious or social tivity, ].Yes, the organization can provide financial statements- please see attached. es, the organization can provide a budget for the fiscal year of request that demonstrates cost- effectivenesses, the organization makes its services available to all? oes the organization possess ongoing program evaluation tools? Yes, in 2014 with the start of new programs mentioned later in this grant application, we have set-up evaluation tools such as a client service evaluation form and a data collection worksheet to track client info, activities and outcomes for analysis. Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) Project Description:Program 2014 CARE TO SHARE HOLIDAY Programs TVPHP was asked by a local group in 1992 to help out with a toy drive and share the gifts with children in need of holiday joy and spirit. For the last 20 years, TVPHP has been running this program for Department of Social Services, Riverside County, City of Temecula, Riverside County Sheriff Department, Temecula Police Department, California Highway Patrol, Riverside City Fire Department, just to name a few, providing Christmas gifts for children, seniors and veterans, and other items for those in need. The amount of gifts, toys and other distributed totaled 16,000 in (2010); 30,000 in (2011); 25,000 in (2012) and 22,000 in (2013). In addition, a warehouse was temporarily made available to TVPHP from the City of Temecula for storage of goods for the holiday period. Project Objectives: (1) to provide a holiday gift for children, seniors and veterans who cannot afford it over the holidays; (2) to demonstrate community spirit and impact and (3) to allow community residents, other civic organizations, corporations and volunteers to enjoy the philanthropic experience and give and share of themselves. Budget Target Group Quantity Cost Each Gifts Total Cost Children 152 $25.00 152 $3800 Seniors 16 $25.00 16 $400 Veterans 16 $25.00 16 $400 Other 16 $25.00 16 $400 Denny Mighell, Director of TVPHP, will be starting the Care to Share Holiday Program on September 1, 2014. Businesses and corporations will be contacted to set-up employee giving programs (wherein each employee picks makes a decision to either give to a child, senior or veteran and then donates money or a wrapped gift. Flyers will be put at specific locations in the community of Temecula, for people to sign up their children to receive gifts. The opportunity also is on the website, to not only sign up a child or family to receive gifts, but for donors to make monetary gifts and designate a specific gift (such as bike). Many civic organizations participate in this program also, for example the Rotary of Temecula, selects 300 children to give gifts too. Application Page 3 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. Yes, Temecula Valley People Helping People received funding of $5,000 in 2013 and turned in all receipts for the Care to Share Holiday Program in Feb 2014. Christmas gifts were purchased, enough to distribute over 22,000 gifts to children, seniors and veterans. In addition, Temecula City Council leased a warehouse to TVPHP free of charge to house all the gifts donated by local businesses, corporations, civic organizations, government entities and donors. The happiness of the children being allowed to pick out gifts, or a parent being able to go pick out gifts to put under the tree is priceless. Another touching testimonial, some children learn how to give of themselves by coming to the warehouse and dropping off a gift for a less fortunate child. TVPHP has helped make thousands of individuals have a happy holiday season over the past 21 years in the City of Temecula and we are happy to be able to do so again this year. Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: SIGNATURE: Cheryl Peterson, Grantwriter NAME and TITLE (Please Print or Type) PRESIDENT or AUTHORIZED OFFICER: Denny Mighell, President and CEO of TVPHP NAME and TITLE (Please Print or Type) SIGNATURE: C -4 /2770L-'' ORGANIZATION NAME: Temecula Valley People Helping People MAILING ADDRESS: 39708 School House Way, Murrieta, CA 92563 (Mailing address ONLY) _ TELEPHONE: 951-757-5212 EMAIL ADDRESS:tvpeoplehelpingpeople@gmail.com DATED THIS 21 of August, 2014 (Date) (Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 008626 IRSDepartment of the Treasury Internal Revenue Service P.O. Box 2506 Cincinnati OH 45201 TEMECULA VALLEY PEOPLE HELPING PEOPLE PEOPLE HELPING PEOPLE 39708 SCHOOLHOUSE WAY MURRIETA CA 92563-4784 In reply refer to: 0752857589 July 30, 2014 LTR 4168C 0 33-0754195 000000 00 00027841 BODC: TE Employer Identification Number: 33-0754195 Person to Contact: CUSTOMER SERVICE Toll Free Telephone Number: 1-877-829-5500 Dear TEMECULA VALLEY PEOPLE HELPING: This is in response to your July 21, 2014, request for information regarding your tax-exempt status. Our records indicate that you were recognized as exempt under section 501(c)(3) of the Internal Revenue Code in a determination letter issued in MAY 1997. Our records also indicate that you are not a private foundation within the meaning of section 509(a) of the Code because you are described in section(s) 509(a)(1) and 170(b)(1)(A)(vi). Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. Please refer to our website www.irs.gov/eo for information regarding filing requirements. Specifically, section 6033(j) of the Code provides that failure to file an annual information return for three consecutive years results in revocation of tax-exempt status as of the filing due date of the third return for organizations required to file. We will publish a list of organizations whose tax-exempt status was revoked under section 6033(j) of the Code on our website beginning in early 2011. Form 990 Department of the Treasury Infernal Revenue Service Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(aX1) of the Internal Revenue Code (except black lung benefit trust or private foundation) ► The organization may have to use a copy of this return to satisfy state reporting requirements_ GMB No 1545 0047 2012 Open to Public Inspection A 8 For the 2012 calendar year, or tax year beginning . 2012, and ending Check if applicable: Address change Nein ehame r vial return Tarminel.ed Artier_ led return Appllcat,cn pending C Temecula Valley People Helping People 37887 Spur Drive Murrieta, CA 92563 F Name and address of principal officer: Same As C Above XI 501(c)(3) Tax-exempt status J Website: ► WWW . tvphp .. orr K Form of organ2dtton: l 10).p -oration Parti 1 Summary 501(c) ( ) .4 (insert no.) 4947(a)(1) or 527 ?Trust Association Other ► D Employer identification Number 33-0754195 E Teler,hane number 951-757-5212 G Grass receipts $ 2 516,571 . }t(a) is Ors a group return for affiliates? Yes Id No Imo) Are all affiliates included? Ycs No If'No.' attach a list. (see insuucgon,) Frio) Groupextdipuces number L year of Forma ion' ! M State of feral domicile: CA to 8 0 qet o to }4 1 Briefly describe the organization's mission or most significant activities: Assist underrpriveleged families during, the holidu_season and throughout the_year. 2 Check this box D. E if the organization discontinued its operations or disposed of more than 25% of its 3 Number of vohng members of the governing body (Part VI, line la) ......... ... . net assets. 3 or indigent 7 4 Number of independent voting members of the governing body (Part VI, line lb) ... . 4 7 5 Total number of individuals employed in calendar year 2012 (Part V, line 2a) .... 5 0 6 Total number of volunteers estimate if necessary).. 7 0 7 a Total unrelated business revenue from Part VIII, column (C), line 12 7a 0. b Net unrelated business taxable income from Form 990-T, line 34 ... 7b 0 , Revenue 8 Contributions and grants (Part VIII, line lh). 9 Program service revenue (Part VIII, line 2g) .. ... . 10 investment income (Part WI, column (A), lines 3, 4, and 7c1)... ... ...... ..... . . 11 Other revenue (Part VIII, column (A), lines 5, 6d, $c, 9c, 10c, and 11e). .. _ , . 12 Total revenue - add lines 8 through 11 (,trust equal Part ViII, column (A), line 12) Prior Year Current Year 1, 691, 048. 2, 516, 571. 1, 691, 048. 2,516,571. I 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) . 14 Benefits paid to or for members (Part iX, column (A), line 4) ... ..... . .. . 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5.10) 16a Professional fundraising fees (Part IX, column (A), line 11e)... b Total fundraising expenses (Part IX, column (D), line 25) ' 1, 530, 086. 2,300,Q00.. 166,178. 205,761. 17 Other expenses (Par t IX, column (A), lines 1 l a -1 1d, l lf-24e).. 18 Total expenses, Add lines 13-17 (must equal Part iX, column (A), tine 25) .. 19 Revenue less expenses. Subtract line 18 from line 12 ......................-5, 1, 696, 264. 2,505,761. 216. 10,810. 3 20 Total assets (Part X, fine 16) .. 21 Total Ilabilittes (Pati X. line 26) . , . 22 Net assets or fund balances. Subtract line 21 from Ime 20 Beginning of Current Year End of Year 8, 092. 11, 687. 28,276. 21, Q61. -20,184. -9, 374. Part 11 1 Signature Block Under penalties of perjury. I declare that I have examined ties return, including accompanying schedules and statements.. and la the best of my knowledge and belief, it is true, correct, and complete. Decla,ahon of preparer (ethee than officer) is based an all information of which prepare, has any knowledge. Sign Here ricer Denny Mighell Type or print name and tele President & CEO Paid Preparer Use Only PnntiType preparer's name Prepares srgnatute Non -Paid Preparer Date Check L_i if selr•ernployed Pt%N Finn's name Firm`s address Firm's EIN ' Prone no. May the IRS discuss this return with the preparer shown above? (see instructions). BAA For Paperwork Reduction Act Notice, see the separate instructions. TEEA0113L 12/18/12 No Form 990 (2012) Yes Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results EIN: Leval Name (Doing Business As) 33-0754195 Temecula Valley People Helping People Return to Search Results Per Page 25 V OK Cittxa Murrieta State Country CA United States « Prev 1 1-1 1 Next » Deductibilit Status PC « Prev 1 1-1 1 Next » City of Temecula 2014-15 CS Funding Program APPLICATION NO. 26 CITY OF TEMECULA FISCAL YEAR 201415 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Tvoe) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 5000 (Maximum allowable $5,000) Project Name: EMERGENCY FOOD ASSISTANCE Project Start Date: 9/1/2014 Project End Date: 9/1/2015 ORGANIZATION INFORMATION California VFW Motorcycle Club -Empire Name of Organization: Contact Name: Kevin Bussdieker Title/Position: Community Outreach Director Mailing Address: 39843 Amberly Circle, Temecula, CA 92591 Telephone: 760-207-2280 Number of Paid Staff: 0 Year Organization Founded: 2004 Number of Volunteers: 1 fnr prnjert Geographic Area(s) Served: Temecula Valley Is this organization incorporated in California as a non-profit organization? Yes X No Effective Date: If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: 2004 Federal identification number: 20-3086841 State identification number: If "no": Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee X Board of Directors X Members -at -Large Application Page 1 FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOS FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. Covvii CA)" .~y Vr 1Jt.l'` .sem 4/6 FINANCIAL STATEMENTS / PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. Goals & Objectives: VFW/MC-Empire Chapter requests funds to help us continue the "emergency food assistance" program in started in 2008. Since 2011 there has been a 233% increase in veterans, troops, families, widows and shut-in seniors requesting emergency food assistance from the VFW -MC -Empire. Our goal is meet the demand of those clients in need by increasing the number of food boxes delivered each month from 25 to 100, serving over 300 clients a month. In order to accomplish that, we will holding fundraising events, seeking club member donations, applying for funding from other districts, corporations and foundations. Our objectives are to support our clients; (1) by lessening their food insecurity knowing that they have a source of food assistance they can count on; (2) by helping seniors stay healthy who can no longer drive and (3) by providing supplemental food for clients who need to stretch their dollars. A. Is the organization currently non-profit? Yes B. Does the organization provide a service to the overall community? Yes, not only to veterans, military families, shut-in seniors, but also vouchers are given to the Temecula Vet Center to be handed out monthly. C. Is the size and make-up of the organization equipped to provide the program/service to the community? Yes, Kevin Bussdieker is the team leader and has a volunteer team of 12 fellow motorcycle riders who pack and distribute the food boxes monthly. D. What is the public reaction to the group? The clients and receipients of the "emergency food box project" for the past 5 years, has been nothing but thankful and gracious. It is a chance for the clients to be visited each month, their health and well-being verified and food cupboards stocked. In addition to the biker volunteers, several high school students help out and earn community hours. E. Does the organization have a high quality level of fiscal management? Yes, there is a Treasurer who must submit the proper documentation and records (each month) in order to keep the non-profit number. F. Is the group well organized to ensure longevity in the City of Temecula? Yes, the team and several volunteers have been doing this project for the last 5 years, live in the City of Temecula and plan to in the future. G. Is there evidence of satisfactory service provided to the City's citizens? Yes, some of the clients require special dietary needs other than standard foods provided in food boxes, so the team shops for the special needs of the shut-in seniors and works hard to accomodate the needs of our clients. H. Yes, free from discrimination I. No, does not require attendance or participation in any political, religious or social activity. J. Yes, financial statement provided. K. Yes, budget provided. L. No client is turned away, no fee is charged. We provide food boxes to as many as we can serve. M. Yes, a questionnaire is passed at to our clients (quarterly basis) to not only evaluate the service but to track the needs of our clients. Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of signcant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) Project Description: Funding will be used to purchase food boxes at a cost of $25.00 each. Our project goal for 2014-2015 is to feed 300 clients once a month with a food box that contains enough staples for 2 weeks. Our clients include veterans, families, widows ,shut-in seniors, and now we are serving lunch at the Temecula Senior Center once a month to show our community support and caring. Project Description: The Community Outreach Director is always in communication and collaborates with several entities, such as veteran service centers and senior centers within district Temecula. A list of clients needing emergency food assistance is kept updated and added to daily via email and/or phone call. There are no eligibility requirements. No one is refused. No fees are charged. Once a month, Kevin and the team of volunteers will be issued a check from the VFW/MC Empire Treasurer, Larry Schatz, and then go grocery shopping for the clients listed in the each city and community. Food box shopping is done either at discount food banks, grocery stores and/or large food marts. Meals are selected per the dietary requirements of the clients served. Meals, which include vegetables and fresh fruit are then boxed and delivered to the homes of shut-in clients and/or dropped off at a center location where clients may come and pick up the boxes. Activities and outcomes are recorded in a monthly excel spreadsheet. Project objectives: (1) provide food to shut-in seniors and disabled clients who do not have stable transportation to food stores and/or cannot drive; (2) help clients on fixed incomes who have to make tough choices between shelter and utilities or food; (3) provide food that will enable clients to keep taking their medication, thereby contributing to the positive health of our clients. Evaluation: A client survey is printed and delivered to clients in order to measure impacts of service as well as their personal opinions/comments of the impact of receiving meals to their health and well-being. Statement of Need: In an article dated September 19, 2013, The Press Enterprise stated how the Inland area gets poorer. "While incomes in California and the nation stabilized in 2012 after several years of decline, they continue to drop in the Inland area, new US Census Bureau estimates show. Nearly one inland resident in five now lives in poverty, the highest rate of any of the nation's 25 -largest metropolitan areas, the data revealed." The California Health Interview Survey "indicated that roughly 279,000 low-income Riverside County residents were classified as food insecure in 2013 and 27% of children are living in food insecure households". According to the Riverside County 2013 Community Indicators Report, the overall veteran population (124,000) living in Riverside is declining, yet the number of veterans returning home from active duty is increasing. Demand for veteran's services is increasing from the soldiers returning home from Iraq and Afghanistan, to an increase in the number of aging Korean and Vietnam veterans who are seeking more health services and benefits. In addition, Riverside's older population is projected to grow by 210% between now and 2060, placing more demands on health, transportation and support services for this population. Congregate and in-home meals served to older adults by the Riverside County Office on Aging increased in 2012/13, rising 9% in one year, to an average of 45,921 meals served each month". Application Page 3 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. Emergency Food Assistance: began in 2011 by Kevin Bussdieker, Sergeant of Arms/Community Outreach Coordinator started delivering monthly food boxes to veterans, families, widows and seniors in the Inland Empire totaling 2,478 meals in 2011, 4,956 meals in 2012, 5,796 meals in 2013 and as of April 2014 Kevin and his team of 15 volunteers have already delivered 3,450 meals. Monies have been raised or grants awarded to subsidize the purchase of food from grocery stores and food banks. Weekly food boxes are then made up to fit the family or senior and their dietary requirements and delivered on a monthly basis. Kevin Bussdieker is the leader of the nine member volunteer team who utilize their own vehicles to deliver the meals and visit with the clients. In addition several members have high school students that volunteer in order to meet their community hour (s) requirement. Administratively, a list of those in need is kept confidential along with their names and addresses; receipts for purchases made and a tally sheet of boxes and meals delivered. PREVIOUSLY THIS PROJECT WAS FUNDED FOR THE LAST 5 YEARS BY BOTH RIVERSIDE COUNTY AND CITY OF TEMECULA under the VFW Post 4089 organization. Retired Marine Kevin Bussdieker has now transferred this project to the California VFW Motorcylce Club -Empire chapter, because he needed better fiscal management of the program, volunteers who wanted to help with the project and the ability to expand the geographic regional distribution of the program due to increasing need. 80% of the volunteers reside in Temecula. Unfortunately we have not seen our client numbers decrease in Temecula, instead they have increased and we continue to serve a huge number of veterans, families and retired shut-in seniors in Temecula, in addition to the Temecula Vet Center which needs food box vouchers every month for returning troops registering for benefits, medical aid, housing and direct assistance. This project has been sustainable for over 5 years and we hope will continue to do so and that we will be able to reach all those in need of supplemental food boxes in Temecula. Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: SIGNATURE: Cheryl Peterson, Grantwriter NAME and TITLE (Please Print or Type) PRESIDENT or AUTHORIZED OFFICER: Kevin Bussdieker, Community Outreach Dir. CAVFW/MC-Empire NAME and TITLE (Please Print or Type SIGNATURE: k� ORGANIZATION NAME: California Veterans Foreign Wars Motorcycle Club -Empire Chapter MAILING ADDRESS: 39843 Amberly Circle, Temecula, CA 92591 TELEPHONE: 760-207-2280 EMAIL ADDRESS:kbussusmc@verizon.net DATED THIS 11th of August, 2014 (Date) (Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 :CEIVED CITY MANAGER'S VETERANS of FOREIGN WARS MOTOROLE CLUB Date: August 11, 2014 City of Temecula Community Service Funding Program Attn: Eva Pharis/City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 08-26-14P03:13 RCVD Re: Request for Community Funds -$s,000 -Emergency Food Assistance for Veterans, Active Military Troops, Widows and Shut-in Seniors -City of Temecula Attachments Enclosed: Community Service Funding Program Application, Project Budget, Board of Officers, 5oic3Letter, 990 2013. The Veterans of Foreign Wars Motorcycle Club (Empire Chapter) is requesting funds in the amount of $5,000.00 for their Emergency Food Assistance program that serves veterans, active military families, widows and shut-in seniors in the city of Temecula. Program History: VFW/MC ( Empire Chapter) is dedicated to meeting the unmet needs of underserved low-income populations of Temecula such as veterans, troops, families, widows and seniors through the following programs: (1) Emergency Food Assistance: Kevin Bussdieker, Sergeant of Arms/Community Outreach Coordinator started delivering monthly food boxes to veterans, families, widows and seniors in Temecula, totaling 2,478 meals in 2011, 4,956 meals in 2012, 5,796 meals in 2013 and as of April 2014, Kevin and his team of 9 volunteers have already delivered 2,002 meals. Monies have been raised or grants awarded to subsidize the purchase of food from grocery stores and food banks. Food boxes that feed a family for a week or a single household for two weeks are purchased and customized to fit the family or senior and their dietary requirements. Kevin Bussdieker is the leader of the nine member volunteer team who utilize their own vehicles to deliver the meals and visit with the clients. In addition high school students volunteer in order to meet their community hour (s) requirement. Special group: (a) Shut-in Seniors: several seniors needing supplemental food assistance can no longer drive and have special dietary requirements. For those seniors, items are purchased at grocery store prices. Activities and outcomes are recorded and entered into a monthly spreadsheet. Organization Description: Mission: To foster camaraderie among United States veterans of overseas conflicts while serving our veterans, the military and our communities for educational and charitable purposes under section 5o1©(3) of the Internal Revenue Code or corresponding sections of any future federal tax codes. History: The VFW -MC was formally recognized by the National Department of the VFW on January 29th, 2004 and has been in continuous service since. The Inland Empire Chapter of the VFW - MC was originally founded on October 9th, 2005 and has been in continuous service since. There was a formal name change from Inland Empire to Empire on January 18th, 2014 but the makeup of the chapter has remained the same. VFW/MC Empire Chapter has an active board of seven officers held accountable for raising funds for the programs and services that the chapter supports. Jodie Christopher - President, VFW/MC Empire Chapter; Troy Simon - Vice President, VFW/MC Empire Chapter; Kevin Bussdieker - Sergeant at Arms/Community Outreach Coordinator, VFW/MC Empire Chapter; and Lawrence Schatz - Treasurer, VFW/MC Empire Chapter. http://www.vfwmotorcycleclub.org/ Statement of Need: In an article dated September 19, 2013, The Press Enterprise stated how the Inland area gets poorer. "While incomes in California and the nation stabilized in 2012 after several years of decline, they continue to drop in the Inland area, new US Census Bureau estimates show. Nearly one inland resident in five now lives in poverty, the highest rate of any of the nation's 25 -largest metropolitan areas, the data revealed." The California Health Interview Survey "indicated that roughly 279,000 low-income Riverside County residents were classified as food insecure in 2013 and 27% of children are living in food insecure households". According to the Riverside County 2013 Community Indicators Report, the overall veteran population (124,000) living in Riverside is declining, yet the number of veterans returning home from active duty is increasing. Demand for veteran's services is increasing from the soldiers returning home from Iraq and Afghanistan, to an increase in the number of aging Korean and Vietnam veterans who are seeking more health services and benefits. In addition, Riverside's older population is projected to grow by 210% between now and 2060, placing more demands on health, transportation and support services for this population. Congregate and in-home meals served to older adults by the Riverside County Office on Aging increased in 2012/13, rising 9% in one year, to an average of 45,921 meals served each month': VFW/MC requests funds to help us continue the current "emergency food assistance" program. Since 2011 there has been a 233% increase in veterans, troops, families, widows and seniors requesting emergency food assistance from the VFW/MC (Empire Chapter). We expect this need to again double in 2014-2015. Project Methodology: The Community Outreach Director is always in communication and collaborates with several veteran service organizations such as Veteran Service Centers, VFW Posts, VFW Motorcycle Chapters and Senior Centers in Temecula. A list of veterans, troops, widows, families and shut-in seniors needing emergency food assistance is kept updated and added to daily for each city. There are no eligibility requirements. No one is refused. No fees are charged. Once a month, Kevin and volunteers will be issued a check from the VFW/MC (Empire) Treasurer, Larry Schatz, then the team will go grocery shopping for the clients listed in each city or community. Food shopping is done either at discount food banks, grocery stores and/ or large food marts. Meals are selected per the dietary requirements of the clients served. Meals, which include vegetables and fresh fruit are then boxed and delivered to the homes of shut-in clients and/or dropped off at a center location where clients may come and pick up the food boxes. Activities and outcomes are recorded in a monthly excel spreadsheet. Objectives: (1) provide food to shut-in seniors and disabled clients who do not have stable transportation to food stores and/or cannot drive; (2) help clients on fixed incomes who have to make tough choices between shelter and utilities or food; (3) help improve their health. A client survey is printed and delivered to clients in order to measure impacts of service as well as their personal opinions/comments of the impact of receiving meals to their health and well-being. VFW/MC (Empire Chapter) is dedicated to meeting the unmet needs of underserved low- income populations of Riverside County such as veterans, troops, families, widows and seniors and requests permission to apply for additional funding, answer any questions and thanks you for your consideration in this matter. Sincerely, 6 Cheryl P rson On behalf of VFW/MC-Empire Email: nonprofitgrowthandgrants@gmail.com Cell: (951) 719-0213 41743 Enterprise Circle N., Suite 206 Temecula, CA 92590 Appox.Clicnls Served per month aill a iCt31 a , ._, • SC'osl pont Sept 100 25 625 8 Oct 100 25 625 8 Nov 100 25 625 8 Dec 100 25 625 8 Jan 100 25 625 8 Feb 100 25 625 8 Mar 100 25 625 8 April 100 25 625 8 May 100 25 625 8 June 100 25 625 8 July 100 25 625 8 August 100 25 625 8 _ Jodie Christopher - President, VFW/MC Empire Chapter. Responsible for the Functionality of the Chapter/Protocol Officer responsible for the Chapters Compliance with The Organizational By-laws and Not for Profit Status Compliance. Past Vice President of the Empire Chapter, Has been the VFW Post 4089 (Temecula) Chaplain for 3 years. United States Submarine Veterans Inc. Trieste Base Past Commander (4 Years) He is retired Navy Chief Petty Officer who spent 20 years on Active Duty. Troy Simon - Vice President, VFW/MC Empire Chapter. Responsible for the Functionality of the Chapter/Protocol Officer responsible for the Chapters Compliance with The Organizational By-laws and Not for Profit Status Compliance when President needs assistance. A member of the VFW since 2004, served as JR Vice Commander, Quartermaster, Adjutant, House Committee for Post 2266 of Hemet/San Jacinto Habour- Record Post. Served in United States Marine Corps from 1987 until 2004. Kevin Bussdieker - Sergeant at Arms/Community Outreach Coordinator, VFW/MC Empire Chapter. Responsible for interactions between the VFW/MC and outside organizations. Has been in charge of the VFW-VFW/MC Food Box program for the past 4 years and has been a life -time VFW member since 1993. Has held the following positions within the VFW: House Committee Chairman, Surgeon, Chaplain and Adjutant. He is a retired Marine who spent 22 years on Active Duty. Lawrence Schatz - Treasurer, VFW/MC Empire Chapter. Responsible for monitoring and recording all financial transactions between the VFW MC Empire and its members and vendors. Participated as a member of the VFW since 2001 and a member of the VFW MC 2002. Served 4 years in to USMC 1969 to 1973. Retired from the USPS after 27 Years. Brian Harman - Secretary, VFW/MC Empire Chapter; Quartermaster, VFW Post 2266; Adjutant, VFW District 3. Responsible for all minutes and correspondence of the VFW Empire MC along with any event Coordination. Involved with VFW Post 2266 since 2005 and am currently serving a 3 year elected term as Post Quartermaster. Recently appointed as District 3 Adjutant this job ensures all District Commanders, Quartermaster and Men's Auxiliary are kept up to date on Community Outreach programs and Patriotic programs hosted by the VFW. Retired 23 year+ Boiler Technician Senior Chief of the USN. Currently employed by the Dept of Defense at Naval Base 32nd Street as a Engineering Technician /technical advisor. INTERNAL REVENUE SERVICE P. O. BOX 2508 IIIINCINNATI, OH 45201 Date: FEB 0 8 2001 THE CALIFORNIA VETERANS OF FOREIGN WAR MOTORCYCLE CLUB C/O MARILYN MAXWELL 1041 CONNECTICUT ST IMPERIAL BEACH, CA 91932 DEPARTMENT OF THE TREASURY Employer Identification Number: 20-3086841 DLN: 606313089 Contact Person: WAYNE WHITE Contact Telephone Number: (877) 829-5500 Accounting Period Ending: December 31 Public Charity Status: 170 (b) (1) (A) (vi) Form 990 Required: Yes Effective Date of Exemption: October 24, 2006 Contribution Deductibility: Yes Advance Ruling Ending Date: December 31, 2010 ID# 75907 410 ear Applicant: e are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501(c)(3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records. Organizations exempt under section 501(c)(3) of the Code are further classified as either public charities or private foundations. During your advance ruling period, you will be treated as a public charity. Your advance ruling period begins with the effective date of your exemption and ends with advance ruling ending date shown in the heading of the letter. Shortly before the end of your advance ruling period, we will send you Form 8734, Support Schedule for Advance Ruling Period. You will have 90 days after the end of your advance ruling period to return the completed form. We will then notify you, in writing, about your public charity status. Please see enclosed Information for Exempt Organizations Under Section 501(c)(3) for some helpful information about your responsibilities as an exempt organization. Letter 1045 (DO/CG) -2 - HE CALIFORNIA VETERANS OF FOREIGN Sincerely, (2)40 r (6:;1411644414141 Lois G. Lerfier Director, Exempt Organizations Rulings and Agreements Enclosures: Information for Organizations Exempt Under Section 501(c)(3) Statute Extension Form 99O EZ Department of the Treasury internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947{a)(1) of the Internal Revenue Gode (except private foundations) ► Do not enter Social Security numbers on this form as it may be made public. ► Information about Form 990 -EZ and its instructions is at www.irs.gov/form9g0. A For the 2013 calendar year, or tax year beginning 13 Check if applicable: C Name of orgentzat 01 Jan , 2013, and ending Q Address change California Veterans of Foreign War Motorcycle Club 0 Name change Number and street (or P.0. box, if mail is not def vered to street address] ❑ Initial Tatum 8622 Argent St, O remwrated Cityor town, state or province, country, and ZIP or foreign postal code 0 mended return Api a tJee pending iantee, CA 92071 G Accounting Method: in Cash ❑ Accrual Other (specify) ► 1 Website: ► www:vfwmotorcycleclub.org J Tat -exempt status (check only one) — ❑w 601(03) 0 501(c) ( )1 (insert nolD 4947(a)(1) or 0527 K Form of organization: 0 Corporation 0 Trust lJ Association Q Other L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts, If gross receipts are $200,000 or more, or if total assets (Part II, column (13) below) are $500,000 or more, file Form 990 Instead of Form 990 -EZ ► $ Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part 1) Check if the organization used Schedule 0 to res•ond to an • uestion in this Part I [] 1 Contributions, gifts, grants, and similar amounts received 1 31,270 2 Program service revenue including government fees and contracts 0 3 Membership dues and assessments 4 Investment income 5a Gross amount from sale of assets other than inventory 5a f b Less: cost or other basis and sales expenses 5b c Gain or (foss) from sale of assets other than inventory (Subtract line 5b from line 5a 6 Gaming and fundraising events a Gross income from gaming (attach Schedule G if greater than $15,000) 11T'oc—misuite Suite D Open to Public inspection 31 Dec , 20 13 t) Employer ldentiflcetion number 20.3086841 E Telephone number 619-701-0787 F Group Exemption Number ► 606313089 H Check ► ❑rf the organization is not required to attach Schedule 6 (Form 990, 990 -EZ, or 994 -PF). Part 1 66,749 0 4 6256 16a 1 b Gross income from fundraising events (not including $ 31270 of contributions from fundraising events reported on line 1) (attach Schedule G if the sum of such gross income and contributions exceeds $15,000) . . 6b 14500 c Less: direct expenses from gaming and fundraising events . . . 6c 8192 d Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) 7a Gross sales of inventory, less returns and allowances 7a b Less: cost of goods sold c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) 8 Other revenue (describe in Schedule 0) 9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ► 7b 14723 6d 0 6308 16083 8 9 a 10 Grants and similar amounts paid Oist in Schedule 0) 11 Benefits paid to or for members 12 Salaries, other compensation, and employee benefits 13 Professional fees and other payments to independent contractors 14 Occupancy, rent, utilities, and maintenance 15 Printing, publications, postage, and shipping 16 Other expenses (describe in Schedule 0) 17 Total expenses_ Add lines 10 through 16 .5 18 Excess or (deficit) for the year (Subtract line 17 from line 9) , a 19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with 4 end -of -year figure reported on prior year's return) j 19 rii 20 Other changes in net assets or fund balances (explain in Schedule 0) f 20 • 21 Net assets or fund balances at end of year. Combine lines 18 through 20 ► 21 l 10 11 12 13 -360 0 43,474 19,712 0 0 0 14 15 16 17 18 24,762 596 0 45,070 -1596 For Paperwork Reduction Act Notice, see the separate Instructions. Cat. No. 16642i 13,170 0 11,574 Form 990 -EZ (2013) Form 990 -EZ (2013) Part 0 Page 2 Balance Sheets (see the instructions for Part iI) Check if the organization used Schedule 0 to respond to any question in this Part II Check if the organization used Schedule 0 to res•ond to anquestion in this Part W. . , ly (a) Name and title (b) Average (c) Reportable (d) Health benerrls, hours per week compensation contributions to employee (e) Estimated amount of devoted to position (Forms W-2/1099-MISC) benefit plans, and other compensation (if not paid, enter -0-) deferred compensation Terry Longworth 13301 Laurel St, Lakeside, CA 92040 President (5) Chester McGuire 3239 S. Granada Ave, Spring Valley, CA 91977 Miguel Pereira 1217 Nolan Ave, Chula Vista, CA 91911 Vice -Pres dent (5) Treasurer (10) 0 Form 990 -EZ (2013) (A) Beginning of year (8) End of year 22 Cash, savings, and investments 13,170 22 11,574 23 Land and buildings 0 23 0 24 Other assets (describe in Schedule 0) 0 24 0 25 Total assets 13,170 25 11,574 26 Total liabilities (describe in Schedule 0) 0 26 0 27 Net assets or fund balances (Pine 27 of column (B) must agree with line 21) 13,170 27 11,574 Part III Statement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule 0 to respond to any question in this Part IIi , 0 Expenses (Required forsection What is the organization's primary exempt purpose? Quality of Life issues for Veteran Charities 501(03) and 501(04) Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title. organizations and section 4947(a)(1) trusts; optional for others.) 28 Chula Vista Veterans Home: Promote welfare and recreation and increase the quality of life for 375 residents with a cash contribution, (Grants $ 10,000) If this amount includes foreign grants, check here . . , . ► 0 28a 10,000 29 Wheelchair Foundation Games, Veterans Alliance of Souther California, Warrior Foundation Freedom Station: Cash contribution to support these veteran's charities mission statements (Grants $ 4,196) If this amount includes foreign grants, check here . . . . ► 0 29a 4,196 30 Care Packages for the Troops, Boy Scouts of America, American Cancer Society, American Legion, Veterans Home Golf tournament sponsorship, LaMesa Veterans Student Fund: Cash contributions to assist these Charities In carrying out their missions. (Grants $ 5516) If this amount includes foreign grants, check here . . . < ► • 30a 5516 31 Other program services (describe in Schedule 0) (Grants $ ) If this amount includes foreign grants, check here . . ► El 31 a 0 32 Total program service expenses (add lines 2$a through 31a) to 32 19,712 Part IV List of Officers, Directors, Trustees, and Key Employees (list each one even if not compensated—see the instructions for Part M Check if the organization used Schedule 0 to res•ond to anquestion in this Part W. . , ly (a) Name and title (b) Average (c) Reportable (d) Health benerrls, hours per week compensation contributions to employee (e) Estimated amount of devoted to position (Forms W-2/1099-MISC) benefit plans, and other compensation (if not paid, enter -0-) deferred compensation Terry Longworth 13301 Laurel St, Lakeside, CA 92040 President (5) Chester McGuire 3239 S. Granada Ave, Spring Valley, CA 91977 Miguel Pereira 1217 Nolan Ave, Chula Vista, CA 91911 Vice -Pres dent (5) Treasurer (10) 0 Form 990 -EZ (2013) Forth 990 -EZ (2013) Page 3 Part Other Information (Note the Schedule A and personal benefit contract Statement requirements in the instructions for Part V) Check if the organization used Schedule 0 to rend to any question in this Part V p Yes No 33 Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a detailed description of each activity in Schedule 0 34 Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organizations name. Otherwise, explain the change on Schedule 0 (see instructions) 35a Did the organization have unrelated business gross income of $1,000 or more during the year from business activities (such as those reported on lines 2, 6a, and 7a, among others)? b If "Yes," to line 35a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Schedule 0 c Was the organization a section 501(c)(4), 501(c)(5), or 501(0)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part IiI 36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If "Yes," complete applicable parts of Schedule N 37a Enter amount of political expenditures, direct or indirect, as described in the instructions Ile[ 37a b Did the organization file Form 1120-POL for this year? 38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? . b If "Yes," complete Schedule L, Part 1I and enter the total amount involved . 39 Section 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on line 9 b Gross receipts, included on line 9, for public use of club facilities L� 40a Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under: section 4911 ► ; section 4912 ► ; section 4955 ► b Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990 -EZ? If "Yes," complete Schedule L, Part I c Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 ► d Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization ► e All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T 41 List the states with which a copy of this return is filed ► ealifornta 42a The organization's books are in care of le Miguel Pertera Telephone no, le 619-701-0787 Located at ► 8622 Argent Sl, Suite!), Santee, CA ZIP + 4 ► 92071 b At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)? If "Yes," enter the name of the foreign country: ► See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts. c At any time during the calendar year, did the organization maintain an office outside the U.S ? If "Yes," enter the name of the foreign country: ► 43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 -EZ in lieu of Form 1041—Check here and enter the amount of tax-exempt interest received or accrued during the tax year ► 43 44a Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must be completed instead of Forrn 990 -EZ b Did the organization operate one or more hospital facilities during the year'? If "Yes," Form 990 must be completed instead of Form 990 -EZ c Did the organization receive any payments for indoor tanning services during the year's d If "Yes" to line 44c, has the organization filed a Form 720 to report these payments? If "No,' provide an explanation in Schedule 0 45a Did the organization have a controlled entity within the meaning of section 512(b)(13)? 45b Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," Form 990 and Schedule R may need to be completed instead of 45b */Form 990 -EZ (see instructions) Fon 990 -EZ E2E7 i 3) 39a 42c 44b 44c 44di 45a1 Form 990 -EZ (2013) Page 4 No 46 Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I Part VI Yes 46 ✓ Section 501(c)(3) organizations only All section 501(c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50 and 51 Check if the organization used Schedule 0 to respond to any question in this Part VI 0 47 Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II 48 Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E 49a Did the organization make any transfers to an exempt non -charitable related organization? b If "Yes," was the related organization a section 527 organization? 50 Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None." Yes No 47 48 49a 49b (a) Name and title of each employee (b) Average hours per week devoted to position (c) Reportable compensation (Forms w-2/1099-MISC) (d) Haan benefits, contributions to employee benefit plans, and deferred compensation (e) Estimated amount of other compensation N/A Total number of other employees paid over $100,000 . . . ► 0 51 Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None." N/A (a) Name and business address of each independent contractor Ib) Type of service fel Compensation d Total number of other independent contractors each receiving over $100,000 . . ► 52 Did the organization complete Schedule A? Note. All section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A ► 0 Yes 0 No Under penalties of perjury, I • : , e I have exarnIned thts return, including accompanying schedules arid staternents, and to the best of my knowledge and brief. it is true, correct, and complete, r .: alio of yreparat loftier than officer) is based an sfl informationof which preparer has any knowledge. Sign Here kTerry Longworth, President Type or print name and tate Oate Paid Preparer Use Only Print/Type preparer's name Preperer's signature Date Check (J if aelf•emplcyed FMN Finn's name Fltm's EIN Finn's address ► Phone no, May the IRS discuss this return with the preparer shown above? See instructions ► 0 Yes 0 No Form 990 -EZ (2013) IRS Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page 25 V OK EIN : Legal Name (Doing Business As) = City = 20-3086841 California VFW Motorcycle Club Return to Search Santee « Prev 1 1-1 1 Next » State Country Deductibility Status: CA United States PC « Prev 1 1-1 1 Next» City of Temecula 2014-15 CS Funding Program APPLICATION NO. 27 CITY OF TEMECULA RECEIVED FISCAL YEAR 201 4-1 5 CITY MANAGER'S COMMUNITY SERVICE FUNDING PROGRAM APPL°ftckTION (Please Print or Type) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 4800.00 (Maximum allowable $5,000) Project Name: Waves Project Inc Project Start Date: March 2015 Project End Date: Oct 2015 ORGANIZATION INFORMATION Name of Organization: Waves Project Inc Contact Name: Steve Rubin Title/Position: President Mailing Address: 45250 El Prado Rd Temecula CA 92590 Telephone: 951-308-0049 Year Organization Founded: 2013 Number of Paid Staff: 0 Number of Volunteers: 81 Geographic Area(s) Served: Southern California with focus in the Temecula Valley Is this organization incorporated in California as a non-profit organization? Yes X No Effective Date: Sept 25 2013 If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: Sept 25, 2013 Federal identification number: 46-3805961 State identification number: 3606862 If "no Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee Board of Directors X Members -at -Large Application Page 4 FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. N/A FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. The WAVES Project, is a nonprofit organization working with combat wounded veterans using the platform of scuba diving to assist them in with their rehabilitation of wounds and injuries received while serving their country. In an aquatic environment, the ocean provides the disabled veterans with relief and comfort as they become equals to their able body dive buddies. However, our greatest achievements have been, the positive effects Scuba Diving provides with veteran's as it relates with Post Traumatic Stress Disorder, which plagues most as they return from war. Our goal for fiscal year 2014-2015 is to bring this experience and issue 84 certifications PADI Open Water Certifications to United Servicemen who have been wounded or injured in combat. PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) In order for the combat wounded veteran to benefit from scuba diving there is initial training that must take place. The veteran will learn foundational SCUBA diving skills along with learning how to use basic scuba gear including Regulators, buoyancy compensators, dive computer, and other basic standard scuba and snorkeling accessories. Our Instructional staff works with each student, adapting to the specific needs of each veteran, so the diver candidate can complete the requirements of the, "Open Water Driver Course" and receive an Open Water Diver certification. Learning to scuba dive is an incredible experience. The veteran breathes underwater for the first time (something they'll never forget) and learn what you need to know to become a certified diver. During the course, they'll participate in at least five pool dives and four open water dives at local dive sites under the supervision of Waves Project Instructors. Application Page 5 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. The funds we received have been used to provide classroom and in water training for combat wounded Temecula residents. They are trained in a swimming pool first then taken to the ocean for the "open water" SCUBA experience. Some participants require much more time and training to be physically able to make a SCUBA dive underwater so our instructors assist those individuals to perform skills on the surface, learning to swim and snorkel without the use of one or more limbs. Purchase of specialized SCUBA equipment suited to each individual's injury and physical needs have been made; for example webbed gloves for those suffering loss of legs to be able to pull themselves through the water using only their hands. In addition, modifications are necessary to wetsuits for those who have suffered amputations of their limbs. In addition we have worked with several veterans who suffer from PTSD but have not lost limbs. Our program benefits those veterans by providing the camaraderie many are missing since leaving the service. SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: Steve Rubin President NAME and TITLE (Please Print or Type) PRESIDENT or AUTHORIZED OFFICER: Steve Rubin President NAME and TITLE (Please Print or Type) SIGNATURE: ORGANIZATION NAME:: WAVES Project Inc MAILING ADDRESS: 45250 EL Prado Rd Temecula CA 92590 TELEPHONE: 951-308-0049 EMAIL ADDRESS: steve@wavesproject.com DATED THIS of , 2014 (Date) (Month Application Page 6 Waves Project REVENUE BUDGET FISCAL YEAR 2015 FY 2015 FY 2015 FY 2015 FY 2015 Fundraisers and Events Donations Interest income 50000.00 27010.00 0.00 (50000.00) 0.00 0.00 (27010.00) 0.00 0.00 0.00 TOTAL PROJECTED REVENUES $77,010.00 $0.00 ($71,;! i .; t j $0.00 FY 2015 FY 2015 FY 2015 FY 2015 EXPENSES Salaries Benefits Rent Utilities Boat and Travel Expense Academics, Certifications and Padi Supplies Professional fees (contracted instrutors) Office Supplies Marketing/Advertising Insurance (includes liability) Telephone Web fees (website hosting, email addresses, Equipment (Scuba Gear for student use) Equipment Maintence Supplies (donor appreciation gifts) Postage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1,200.00 0.00 1,200.00 0.00 20,832.00 0.00 (1,200.00) 0.00 (1,200.00) (20,832.00) 0.00 0.00 3,948.00 0.00 (3,948.00) 0.00 5,250.00 0.00 (5,250.00) 0.00 2,000.00 0.00 (2,000.00) 0.00 3,000.00 0.00 5,000.00 0.00 480.00 0.00 500.00 0.00 30,000.00 0.00 2,000.00 1,000.00 600.00 (3,000.00) 0.00 (5,000.00) 0.00 (480.00) 0.00 (500.00) 0.00 (30,000.00) 0.00 0.00 (2,000.00) 0.00 0.00 0.00 (1,000.00) 0.00 (600.00) 0.00 TOTAL PROJECTED EXPENSES $77,010.00 $0.00 $0.00 ARTS -PB• 501(c)(3) At -tidos of Incorporation of a Nonprofit Puhiic Dentrfit Corporation To form a nonprofit public benefit corporation in California, you can flit out this form ler pr'opara your own document, and submit for filing along with: — A $30 Piling fee, -- A Separate, non•refundtble $'iii sarvloe tee also must be Included, If you drop off the completed form Or etcsournent. Important/ Califorrlte nonprofit corporations Arg not automatically tt)cOliipt from paying Ceflfornia franchise tax or income taX aitch year. A.aaperate application Is required in order to ofsieln tax exempt status, For more Information, se to hitp::.//Wv zilb.ra.gavibusineo;ee/exempt sargenlzailone Or Call the California Franchise; Tox Eloord at (816) 845-4171. Note: Before submltffng this form, you ahead consult with a private attorney for advice about Your spesriflc business needs. ;3606862 FILED •Z - Secretary of State )Ir t State of California rc SEP 2 5 2013 This Space For Orli Wei Gal For questions 2130 u this form, go to 1,vww-sos-oa.gov/busfness/bBIf1ifnp4ifps.httn Corporate Naini (Lint the prapoeed corpare.to name, Go h Nwnw,sos,cd.9ov/bus(nessMe lname•evatlablllly.litm for genet. cdrpnrote mama rtqulremanta end reetr2It ns.) 0 The name of the corporation Is WAVES PROJECT, INC. Corporate Purpose ((tem tat Chalk On* M both b0xee. Item 2h: The spealfo purpose of the corporation must be listed if you ere organizing) for"publie purpoeee, ar if you tetanal to apply for tax-exempt emitie In Cefifotnia-) Q cr. This corporation is a nonprofit Public BenefitCorporationand Is nest organized for the Or N le gain of any person, It is organized under the Nonprofit Public geneI1 Corporation Law for, El public purposes. IN charitable purposes. b. Thg specific purpose of Ulla corporation t5 to take erre neatly hand1caOped veterans and train them to scuba diva, whereiy a roan with no ability to feel flix lags (for instance) has txioyanoyln the Water (etc) Sc+MOO Of Proco$S (1.1e1Catlrarria racld;nt or eh solive 1000 e:nrpordGon In California hat agrees to bti your rttt41 tigers to satrap' evrica of rocaw, in nada your t orparadon is sued. You fray 4.5't Any adult WHA Wes bt rialiromb. You may not net your own corpomtten as the Agent Do not lint eel eddmav tr rho agent's a 1500 aolrrefisdon ss the sd]roee fat aarvIco of Pneeoe,i atregrry en flee,) (D a Corporation Service Company_WhIIch WIN DO 3usfness In California AS CSC -Lawyers Incorporating Service Ano Noma b. Agene 5r S rvol Address (if eoetnl Ls r1 of a oirporal2n) - bo war Dat a Ra Box Corporate Addresses • $ 45250 E! Prado Road Temecula CA 92590 ;OW arra at R ddroaa of Corporation. Oe rrer rima RP AD. e0X b mmfy rro abprev)ar,ons) r::t/r (no sbbrewlaU ?1±) lnillaf Mi11lnQ Aodn;s or corporan'on. if dltfvronr Prom a Ow (no abbralatrons) Sly ie 2/p Additional statements (The following ctaoments art required to obtain Fat exemption from ttie Internet Revenue a wise or the GaliFornio Franchlso Tex guard under Internet Revenue Cod election 501(c43). Note: Corporollonff eecking other typos of laK exeriptioner ehould not uoe thea form,) O a. Thifi corporation is organized and operated eXelUSIVBiy for tho purposes Set forth In Article 2s hereof within the meaning of Interna] Revenue Cod section 6)1(o)(3). b. Ido substantial part of the activities of this corporation shell coftlst of Carrying on propaganda, or Otherwise attempting to lnliuence legislation. and this corporation Shall not participate or intervene In any pr.t tical campaign (including the ptlo4lening or diatr-butio-i of stetaments) on behaff of any candidata for public office. c. The property of thio corporation to IrreVooebly dadioeted to the purposes in Article 2a hereof and no part of the net income or assets of this corporation shall ever inure 14 tinea bsneill of any director, officer or member (hereof or to the benefit of any privets pamon. d Upon the dlssotutlon or winding up of this corporation, Its essats rom2Ining after payment, or provision for payment, of ell debts arid liabilities of this corporation shell be distributed to a nonprofit fiend, foundation or corporation which is organized stud operated e,e uslvelyfor charitable, edtieetiorlaf Find/or religious purposes and which has establlehed its fax,exempt status under Internal Revenue Code section 8]0' (0X3). This Lfe must he signsd by Bath Incorporator. Ff you need mom span, oltoah extra pages (hot are 1-stded and on etenderd letter pt r (8112" x 4 Al attachments are mode part of theme -tICleo of incorporation. ,tv - Sin h Steven P Rubin Pellet your name Fara Make. aho..k/money order peyebla to; secret ry of Sfate Upon filing, we wRl return oras (1) unnortified copy of your filed document for fano, end MI sentry the copy upon request end payment ala $5 certification tea• sy nrerr prop. orf Secrewry oratale secretary of s rete ['wino* Eti1 a 4, f.c . #3p1C 9442GO 1500 11th Street, 2rd Floor Beatntnento, CA P4244-2800 Sacramento, CA 06814 Corporations Code gf 6130.5132 at sag., Revenue andTrntIon Coda §§23151 at leq.and arm etseq. ARTS•PB 501(4)(x) (REV sew T0/Ta 30Vc1 2013 Oegcmia Seetelsry of Slate VATII.BOB.041W4U5h055/be 1N314139VNbW 1t7IDNdNI3 9179L8L9T56 6E:0Z ETOZ/aT/aT INTERNAL REVENUE bl:PVICE P. O. 13OX 2508 +CINCINNATI, OH 45201 Date, J u t, z i n14 WAVES PROJECT INC 45240 FIS PRADO RD TEMECULA, CA 92590 Dear Applicant: DEPARTMENT OF THE 'TR ASU t'( Employer identification Number: 46-3805961 DLN: 17053076323004 Contact Person: CUSTOMER SERVICE 1D)( 31954 Contact Telephone Number: ((877) 829-5500 Accounting Period rEndiiac; September 30 Effective Date of Exemption: September 25,2073 Addendum Applies: Yes We are pleased to inform you that upon review of your appl ication for tax exempt status we have determined that you are exempt from Federal income Lax under section 501(c) (3) of the Internal Revenue Code. Contributions to you are deductible under. section 170 of the Code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records. Based on the information you submitted with your application, we have determined you are likely to qualify as a .private operating foundation described .in section 4942(j) (3) of the Code. Accordingly, you are treated as a private operating foundat:ion for your first year. After that, you will be treated as a private operating foundation as .long as you continue to meet the requirements of section 4942(j)(3). You are required. to file Form 990 FF annually. For important information about:. your responsibilities as e tax-exempt organization, go to www..i.rs.govjchariti.es, Enter "4221 PF" in the search bar to view Publication 4221 -PF, Compliance Guide for 501(c)(3) Private Foundations, which describes your rec_ordkeeping, reporting, and disclosure requirements. Since. Director, ,""'.;.xemut C.;r=aan.a'zat:.ions Letter "1075 3:34 PM 08/27/14 Accrual Basis WAVES Project Balance Sheet All Transactions ASSETS Current Assets Checking/Savings Checking 4433 MERCHANT 2875 Jul 31, 14 7,271.89 1,314.30 Total Checking/Savings 8,586.19 Total Current Assets 8,586.19 TOTAL ASSETS LIABILITIES & EQUITY Equity Net Income Total Equity 8,586.19 8,586.19 8,586.19 TOTAL LIABILITIES & EQUITY 8,586.19 Page 1 3:33 PM 08/27/14 Accrual Basis WAVES Project Profit & Loss October 2013 through July 2014 Oct '13 - Jul 14 Ordinary Income/Expense Income Donations 16,141.54 Total Income 16,141.54 Expense Bank Fee 158.90 Business Expenses Business Registration Fees Merchant fee Total Business Expenses Contract Services Outside Contract Services Total Contract Services Dues and subscriptions Meals Operations Advertising Student Gear Supplies Donor Appreciation Gifts Office supplies Student Academics Supplies - Other Total Supplies Total Operations SCUBA class expenses Service charge refund Total Expense 850.00 32.63 882.63 800.00 800.00 736.01 2,809.68 364 08 101.43 695.96 375.19 1,536.66 9.99 12.29 5,082.35 639.14 -29.95 7,555.35 Net Ordinary Income 8,586.19 Net Income 8,586.19 Page 1 RS Exempt Organizations Select Check Exempt Organizations Select Check Horne Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page 25 u OK « Prev 1-1 1 Next » EIN : LeAal Name (Doing Business As): City . State :Country : Deductibiliy Status_ : 46-3805961 Waves Project Inc. Temecula CA United States POF « Prev 1 1-1 1 Next » Return to Search City of Temecula 2014-15 CS Funding Program APPLICATION NO. 28 CITY OF TE ECUI.4 RECEIVED FISCAL YEAR 201 4 t 5 CITY MANAGER'S COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type) 2014-15 Program Submission Deadline: Tuesday, September 2, 2014 (original, plus one copy) PROJECT INFORMATION Amount Requested: $ 5,000 (Maximum allowable $5,000) Project Name: Temecula Valley Visual and Performing Arts Mentorship Project Start Date: ongoing Project End Date: ongoing ORGANIZATION INFORMATION Name of Organization: Women Organizing Women) Contact Name: Robin McCoy Title/Position: Executive Director Mailing Address: PO Box 1382 Temecula Ca 92593 Telephone: 855.612.7500 Number of Paid Staff: Year Organization Founded: Number of Volunteers: /fit 2013 Geographic Area(s) Served: Temecula/Murrieta and South Riverside Is this organization incorporated in California as a non-profit organization? Yes X No Effective Date: 10/2013 If "yes" (Must provide a copy of your statement of non- profit status from the State of California): Date of incorporation as a non-profit: / 0 /A0 a✓ Federal identification number: 'Y-& {VRSP e State identification number: CJ If "no": Name of sponsoring organization: Federal identification number: State identification number: This application has been authorized by the organization's: Executive Committee X Board of Directors X Members -at -Large Application Page 1 FY 2013-14 COMPLIANCE REQUIREMENT IF YOUR ORGANIZATION WAS A RECIPIENT OF FUNDING FOR FY 2013-14, PLEASE ATTACH COPIES OF INVOICES, RECEIPTS AND CANCELLED CHECKS TO SUBSTANTIATE THOSE FUNDS RECEIVED AND EXPENDED BY YOUR ORGANIZATION. FINANCIAL STATEMENTS PLEASE ATTACH COPIES OF THE CURRENT BUDGET OF THE ORGANIZATION AND FINANCIAL STATEMENTS (BALANCE STATEMENT AND INCOME STATEMENT). It does not require a CPA's audit, but please submit if available. MISSION STATEMENT Briefly describe the goals and objectives of your organization and community services it provides. Describe the ways your organization meets the criteria listed on page 2 of the CS Funding Policy. (See attached word document) Application Page 2 PROJECT DESCRIPTION How will your organization use the funding awarded? Describe the project, project objectives, those served, area serviced, and number of volunteers involved. Include equipment or services that would be purchased and why. Include a detailed budget and a schedule of significant activities related to this project. You may attach a maximum of one double-spaced typewritten page of information. (Please type or print legibly.) (See attached word document) Application Page 3 PAST PROJECT BENEFITS If your organization received City of Temecula funding in the previous year, please explain and show how Temecula residents benefited. n/a Application Page 4 SIGNATURE PAGE We hereby certify the information contained in this application is true to the best of our knowledge and belief. PREPARED BY: Carmen Hall, Executive Assistant SIGNATURE: NAME and TITLE (Please Print or Type) PRESIDENT or AUTHORIZED OFFICER: Robin McCoy, Executive Director NAME and TITLE (Please Print or Type) SIGNATURE: ORGANIZATION NAME: Women Organizing Women MAILING ADDRESS: PO Box 1382 Temecula Ca 92593 TELEPHONE: 855.612.7500 DATED THIS 25 EMAIL ADDRESS: womenar anizin mail.com 9 g�9 of August , 2014 (Date) (Month) BE SURE TO INCLUDE THE ORIGINAL PLUS ONE COPY AND SUBMIT BY SEPTEMBER 2, 2014 TO: Mail Completed Applications to: Or Deliver in Person to: City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office Post Office Box 9033 Temecula, CA 92589-9033 City of Temecula Community Service Funding Program Attn: Eva Pharis / City Manager's Office 41000 Main Street Temecula, CA 92590 Application Page 5 MISSION STATEMENT BRIEFLY DESCRIBE THE GOAL OF THIS THIS MINISTRY IS TO PARTNER WITH OTHER NON -PROFITS FOR THE BETTERMENT OF OUR LOCAL COMMUNITY. WE CURRENTLY FUNCTION AS A FUNDRAISING AUXILIARY FOR OTHER NONPROFITS AND MINISTRIES THAT STRIVE TO IMPROVE THE LIVES OF AT RISK YOUTH AGES 1625 YEARS THROUGH EDUCATION AND MENTORING PROGRAMS THAT EMPHASIZE LITERACY AND PERFORMING ARTS AS WELL AS WORKING WITH AGENCIES AND ORGANIZATIONS THAT ARE ASSISTING CHILDREN AND FAMILIES THAT ARE EXISTING AT POVERTY LINE AND LIVING IN SUBS STANDARD OR POOR CONDITIONS. OUR GOAL IN THE NEAR FUTURE IS TO ESTABLISH OUR OWN MENTORING PROGRAMS FOR AT RISK YOUTH AGES 16.25 YEARS OF AGE IN THE TEMECULA, CA AREA IN THE NEXT COUPLE OF YEARS. DESCRIBE THE WAYS YOUR ORGANIZATION MEETS THE CRITERIA LISTED ON PAGE 2 OF THE CS FUNDING POLICY: In making funding determinations, the City's Community Service Funding Ad Hoc Committee will consider the following criteria: A. Is the organization currently non-profit? Yes as of (Enter Date) 10/2013 B. Does the organization provide a service to the overall community? Yes, Women Organizing Women provides fund-raising auxiliary and event volunteers for local charities that will better the lives of at risk youth populations and organizations that feed the hungry and strives to develop mentorship programs that will improve a person's self- esteem and educational experience. Here are highlights of past and future year partnership to exemplify the types of organization have served. Month/Year: Name of Organization and Event and what that organization does that aligned with the Women Organizing Women Mission Statement. 10/2010 City of Hope: 10/2011 Lighthouse: 10/2012 food pantries and homeless shelters: We collected food, clothing and shoes assisted in ministering on distribution days. 04/2013, 05/2014 Rancho Damacitas: A foster care facility in the Temecula Area that houses children that come from homes with domestic violence, abuse, addiction etc... 07/2014: The Seraphim Project: A benefit held to because this organization strives to offer hope and healing to survivors of rape, incest and sexual abuse through retreats, and support groups. 12/2014: Fire and Ice Dinner Showcase and Benefit: at -risk youth and young adults performing arts C. Is the size and make-up of the organization equipped to provide the program/service to the overall community? Yes, Women Organizing Women has established a network of locally ran businesses, ministries and schools that hold expertise in their field of choice to partner with title one schools, churches, and other non -profits, that seek to foster mentorships for their student, adolescent or young adult populations. D. What is the public reaction to the group? Women Organizing Women has received praise and positive reports in regards to its Executive Director's capacity to build long lasting relationships, where group leaders want to not only establish but maintain strong lasting bonds with Women Organizing Women. We currently have local chapter membership of _25-30 businesses, ministries, social groups. And we have held quarterly meetings of testimony and fellowship where we invite leaders throughout the Temecula area so that we may provide information as well as know and hear about the needs of the community and what we can do to assist them. Our attendance of these meetings have been about 25-30_ keeping in mind that these women are leaders in their groups which can consist of at least 25+ members. E. Does the organization have a high quality level of fiscal management? Yes, Robin McCoy, Executive Director has earned a MBA with a concentration in Public Administration. Robin McCoy mentor is Deborah Foster, CPA Owner of Foster CPA PC firm in Indianapolis, IN. Foster CPA PC has been serving their communities and many others for over 30 years. F. Is the group well organized to ensure longevity in the City of Temecula? Yes. It may have only received its non-profit status Tess than a year ago, but Women Organizing Women has built its reputation as a philanthropic foundation to fundraising through events to raise funds for other groups that dates back over 20 years ago to a circle of friends throughout the country. G. IS THERE EVIDENCE OF SATISFACTORY SERVICE PROVIDED TO THE CITY'S CITIZENS? YES. I HAVE ATTACH LETTERS OF THANK YOU FROM VARIOUS LOCAL GROUPS THAT WE HAVE WORKED WITH IN THE PAST YEAR. H. IS THE ORGANIZATION FREE FROM DISCRIMINATION BASED ON RACE, COLOR, CREED, NATIONALITY, SEX, MARITAL STATUS, DISABILITY, RELIGION, OR POLITICAL AFFILIATION? WE ARE A FAITH BASED NON-PROFIT BUT WE ASSIST BASED ON THE NEED OF THE ORGANIZATION , COMMUNITY, AND THE AMOUNT OF FUNDING FOR SERVICES BEING REQUESTED. I.DOES THE ORGANIZATION REQUIRE ATTENDANCE OR PARTICIPATION IN ANY POLITICAL, RELIGIOUS OR SOCIAL ACTIVITY? NO, IT DOES NOT. BUT IT DOES HOLD QUARTERLY NETWORKING MEETINGS FOR ALL AFFILIATES AND MEMBER TO ATTEND AS WELL AS ON GOING SERVICE TRAINING PROGRAMS ON AN AS NEEDED BASIS SO THAT VOLUNTEERS AND STAFF ARE BETTER EQUIP MENTALLY AND EMOTIONALLY TO SERVICE THE POPULATION IN NEED. J. CAN THE ORGANIZATION PROVIDE FINANCIAL STATEMENTS (PREPARED USING AN APPROPRIATE METHOD OF ACCOUNTING) TO DEMONSTRATE SOUND FINANCIAL MANAGEMENT? YES. SEE ATTACHED PROFIT AND LOSS STATEMENT FOR THE 2013.2014. K. CAN THE ORGANIZATION PROVIDE A BUDGET FOR THE FISCAL YEAR OF REQUEST DEMONSTRATING COST-EFFECTIVENESS? YES PLEASE SEE ATTACHED ANNUAL BUDGET REPORT FOR THE 20142015 YEAR. L. DOES THE ORGANIZATION MAKE ITS SERVICES AVAILABLE TO ALL? YES. PLEASE SEE ATTACHED EXAMPLES OF APPLICATION FOR ASSISTANCE FORM. M. DOES THE ORGANIZATION POSSESS ONGOING PROGRAM EVALUATION TOOLS? WE ARE AT THE BEGINNING STAGES OF BUILDING A FORMAL EVALUATION SYSTEM. AS OF NOW WE USE PARTNERSHIP AND EVENT EVALUATION FORMS TO RATE OUR CUSTOMER SERVICE AND WHETHER OR NOT WE MET THE NEEDS OF THE ORGANIZATION WE PARTNERED WITH AND WE REVIEW FINANCIAL STATEMENTS MONTH TO MONTH TO ASSIST WITH OVERALL IMPROVEMENT OF QUALITY OF SERVICES. FOLLOWING A FUNDRAISER WE WILL MEET WITH THE ORGANIZATION TO DISCUSS HOW THEY FELT THE FUNDRAISER WENT AND WHETHER OR NOT THEY FELT IT WAS SUCCESSFUL AND WHAT COULD BE DONE IN THE FUTURE TO ENHANCE THE PARTNERSHIP. PROJECT DESCRIPTION How WILL YOUR ORGANIZATION USE THE FUNDING AWARDED? DESCRIBE THE PROJECT: WOMEN ORGANIZING WOMEN (WOW) ACTS AS AN EXTENSION OR AUXILIARY ASSISTANCE TO ASSIST OTHER NON -PROFITS IN THEIR MISSIONS TO FEED THE POOR, HELP THE SICK AND THOSE IN THE MOST IMMEDIATE NEED AND WORSE POVERTY SITUATION 1N THE COMMUNITY. THEIR HOPE IS TO PLAY THEIR PART IN REBUILDING TOWNS, CITIES AND COMMUNITIES, WHERE THE POPULATION'S WELL-BEING IS COMPROMISED BECAUSE OF THEIR INABILITY TO ACCESS BASIC NECESSITIES LIKE FOOD AND CLOTHING, HEALTH CARE, AND SAFE LIVING SITUATIONS DUE TO OTHERS IN THE HOME HARMING THEM, ESPECIALLY WOMEN AND CHILDREN (DOMESTIC VIOLENCE) OR LACK OF CLEANLINESS AND REPAIR ARE IN NEED TO MAKE THE LIVING ENVIRONMENT INHABITABLE. WOMEN ORGANIZING WOMEN HOLDS VARIOUS CHAPTERS THROUGHOUT THE UNITED STATES. THEY ARE ABLE TO CALL UPON THESE OTHER CHAPTERS TO COME TOGETHER TO OFFER PRAYER AND HELPING HANDS TO ASSIST IN LARGER SCALE COMMUNITY SERVICE PROJECTS. FOR IE. RANCHO DAMACITAS LOCATED IN WINCHESTER CA, A GROUP HOME FOR FOSTER CHILDREN PLACED ON PERMANENT STATUS BECAUSE THEY HAVE BEEN DEEMED UNADOPTABLE DUE TO EXTRANUOUS CIRCUMSTANCES OF PHYSICAL, MENTAL AND EMOTION ABUSE. THEY HAVE HELD A LARGE SCALE FUNDRAISER IN 2013 AND 2014 TO PROVIDE RANCHO DAMACITAS GROUP HOME WITH MUCH NEEDED FUNDS TO IMPROVE THE QUALITY OF CARE THEY ARE ABLE TO PROVIDE TO EACH OF THE CHILDREN RESIDING IN THE GROUP HOME. ALSO, WOMEN ORGANIZING WOMEN HAS RAISE FUNDS TO OFFER DONATIONS TO PROJECT TOUCH, A HOMELESS SHELTER, TO SCHOOLS AND VARIOUS OTHER CHRISTIAN MINISTRIES THAT SERVE THE POOREST AND AT RISK POPULATIONS THROUGHOUT RIVERSIDE COUNTY. THEIR GOAL AT THIS POINT MOVING FORWARD IS TO ESTABLISH A MENTORING PROGRAM AND SELF-ESTEEM BUILDING WORKSHOPS THROUGH A PERFORMING ARTS PROGRAM TO AT RISK YOUTH AND YOUNG ADULT WOMEN, APPROXIMATELY, 16.25 YEARS OF AGE. PROJECT OBJECTIVES: WOMEN ORGANIZING WOMEN PLANS TO CONNECT AT RISK YOUTH POPULATIONS WITH EXPERTS IN RELATED PERFORMING ARTS AND EDUCATIONAL FIELDS. HOPE THROUGH YOUTH, EVANGELIZATION, UNITY IN DIVERSITY, STEWARDSHIP OF RESOURCES, LEADERSHIP AND ORGANIZATIONAL STRUCTURES. ALL MINISTRIES THAT WOMEN ORGANIZING WOMEN CHOOSES TO HELP ARE SERVING THE POOR, AND RISK YOUTH, AND WOMEN AND CHILDREN POPULATIONS IN THEIR PAST ENDEAVORS. WE WOULD LIKE TO USE THE TEMECULA CITY GRANT TO DEVELOP A MENTORING PROGRAM. PROVIDING ACTIVITIES THAT TAKE YOUNG GIRLS AND YOUNG WOMEN OUT OF THEIR NORMAL ELEMENT OF LIFE AND SHOW THEM ANOTHER SIDE OF HUMANITY THAT IS CREATIVE, AND THAT THEY CAN CHANNEL ALL THEIR FEELINGS INTO ART, MUSIC AND DANCE. IN CONJUNCTION WITH PROVIDING FIELD TRIPS TO CULTURAL EVENTS AND SHOWS WE WANT TO PROVIDE WORKSHOPS AND CLASSES THAT TEACH BASIC AND INTERMEDIATE PERFORMING ARTS SKILL FOR THE STAGE. PROVIDE THESE YOUNG WOMEN AN AVENUE TO LEARN MUSIC AND SINGING, DANCING, ACTING, LIGHTING PRODUCTION AS WELL AS OFFERING CULINARY CLASSES AND MARKETING, FASHION MERCHANDIZING, IMAGE BUILDING WORKSHOPS. AT THE END OF EACH QUARTER AND ANNUAL SHOWCASE FOR THE STUDENTS' TALENS THROUGH A DINNER THEATER SHOW. AREAS BEING SERVICED: AGAIN THE GOAL OF THE PROJECT IS MENTORING YOUNG WOMEN AGES 16.25 IN THE TEMECULA, SOUTH RIVERSIDE AREAS, THROUGH FIELD TRIPS WHICH WILL EXPOSE THEM TO A DIVERSITY OF CULTURES AND ART FORMS. NEXT PROVIDE THEM WITH CLASSES AND WORKSHOPS RANGING FROM 1 DAY, 3DAYS, EVEN POSSIBLY UP TO 1.4 WEEKS THAT FOCUS ON A TYPE OF PERFORMING ART SUCH AS ACTING, SINGING, DANCING AND MUSICIANSHIP. ALONG WITH PERFORMING ARTS CLASSES WE WOULD ALSO LIKE TO OFFER THEM CLASSES SUCH AS COSTUME DESIGN, FASHION MERCHANDIZING, MAKE UP ARTISTRY, COOKING, CATERING, EVENT PLANNING...ANYTHING PERFORMANCE ART RELATED. EXPOSURE TO A WORLD OF PERFORMING ARTS AND TEACHING SKILLS BUILDS THEIR SELF-ESTEEM AND GIVE THEM A BETTER SENSE OF VALUING THEIR LIVES AND THEY CAN TAKE THE SKILLS THEY LEARN FROM THE CLASSES AND APPLY THEM TO PRACTICAL LIFE SKILLS SITUATIONS. PERFORMANCE ART IS A WAY OF GIVING PEOPLE HOPE. HOPE, AND THE SENSE OF ACHIEVEMENT THROUGH HARD WORK AND THEY SEE A GOAL AT THE END BEING MET. RECEIVING FUNDING WILL ALLOW US TO MOVE AHEAD WITH GOING FROM NOT JUST PARTNERING WITH AT RISK POPULATIONS BUT BEING ABLE TO BE A MAIN PROVIDER IN MENTORING THEM THROUGH THESE PERFORMING ARTS CLASSES. NUMBER OF VOLUNTEERS INVOLVED IS CONTINGENT UPON THE PROJECT, LENGTH, PARTNERSHIP AND NEEDS. STAFF GOES THROUGH QUARTERLY MEETINGS, BI -ANNUAL WORKSHOPS AND CONFERENCES. THE VARIOUS TOPICS ARE RELATIONSHIP BUILDING, RECOGNIZING POVERTY, NETWORKING, SCRIPTURE AND INSPIRATION. STAFF MEMBERS ARE GIVEN A GENERALIZE OVERVIEW OF THE VISION OF EACH NEW PROJECT THEN THEY ARE EACH ASSIGNED TASK BASED ON THE TYPE OF PROJECT AND THE AGE THEY ARE WORKING DIRECTLY WITH. MOST VOLUNTEERS ARE ALREADY GIFTED PRAYER WARRIORS AS WELL AS PROFESSIONALS IN RELATED PERFORMING ARTS AND BUSINESSES AND VOCATIONS. WE RECRUIT OLDER MORE SEASONED VETERANS IN THEIR FIELD OF EXPERTISE TO VOLUNTEER THEIR TALENTS TO MENTORING OUR STUDENTS. MOST MENTORS HAVE COME OUT OF POVERTY AND ARE SUCCESS STORIES IN THEIR OWN RIGHT GIVING BACK AND PAYING FORWARD. INCLUDE EQUIPMENT OR SERVICES THAT WOULD BE PURCHASED AND WHY: At this point we would like to utilize funding to pay for various work shop supplies and field trips. Types of workshop we would like to provide at this point are for music, singing, dancing and acting. For the classes we need text books, music sheets, instruments, materials to build props and costumes, teacher instructional materials. Students are not in a position to be able to afford these types of classes so we would be covering 100% of cost of all materials used in workshops through grants and fundraisers. To provide them with field trips that would mean we need funds for transportation cost like rental automobiles, gas, food and admissions fees. INCLUDE A DETAILED BUDGET AND A SCHEDULE OF SIGNIFICANT ACTIVITIES RELATED TO THIS PROJECT. You MAY ATTACH A MAXIMUM OF ONE DOUBLE- SPACED TYPEWRITTEN PAGE OF INFORMATION. (PLEASE TYPE OR PRINT LEGIBLY.) Financial Information for Proposed Budget For Fiscal Year 2014/2015 (RECEIVED 501C3 STATUS 10/2013) Balance from Prior Year (2013/2014) 500 Membership dues 15,000 Donation from T-shirts 2000 Donations from meet and greet meetings 2400 Fund Raising Income: Week -end Dinner Shows 40 per year 40000 Blue -Ribbon Culinary Cupcake Challenge 5/4/14 4000 Freeways Artist Exhibition 7/27/14 300 Fire and Ice Dinner Show 12/6/14 20,000 Sacrificial Giving Grant Temecula City Grant Total Income: $94,200 Expenses: Salaries and Benefits 37500 Purchase of Food -qtr meetings 1000 Payment plan -501c3 balance due 1900 Rent (shared space @ $1500 per mo) 18000 Utilities 5000 5,000 5,000 Payment for PO Box Printing Website Mentoring Program Supply Expenses 120 2500 1000 4260 Field trips for at risk youth 5000 Traveling Expenses -annual outreach 5000 Fund-raising Expenses 1500 Upkeep of facility 4680 Equipment purchases and maintenance 7000 Total Expenses: NET SURPLUS/DEFICIT: $94,460 W260) PAST PROJECT BENEFITS IF YOUR ORGANIZATION RECEIVED CITY OF TEMECULA FUNDING 1N THE PREVIOUS YEAR, PLEASE EXPLAIN AND SHOW HOW TEMECULA RESIDENTS BENEFITED. NIA FIRST TIME APPLICANT INTERNAL REVENUE SERVICr. P. O. BOX 2508 CINCINNATI, OH 45201 Date: WOMEN ORGANIZING WOMEN INC 41911 5TH ST STE 100 TEMECULA, CA 92590 Dear Applicant: DEPs-_�NENT OF THE TREASURY Employer Identification Number: 46-2236828 DLN: 17053080304043 Contact Person: DAVID AGUILERA ID# 75867 Contact Telephone Number: (877) 829-5500 Accounting Period Ending - December 31 Public Charity Status: 170(b) (1) (A) (i) Form 990 Required: No Effective Date of Exemption: September 18,2012 Contribution Deductibility: Yes Addendum Applies: No We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501(c)(3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records. Organizations exempt under section 501(c)(3) of the Code are further classified as either public charities or private foundations. We determined that you are a public charity under the Code section(s) listed in the heading of this letter. Please see enclosed Publication 4221 -PC, Compliance Guide for 501(c)(3_) Public Charities, for some helpful information about your responsibilities as an exempt organization. Enclosure: Publication 4221 -PC Sincerely, Director, Exempt Organizations Letter 947 (DO/CG) S T A T E F CALIFORNIA 411114111411 CERTIFICATE OF RECOGNITION R0BIN McCov WOMEN ORGANIZING WOMEN IN HONOR OF 2014 CULINARY CUPCAKE CHALLENGE In special recognition for your participation as a sponsor of the 2nd .annual Blue Ribbon Culinary Cupcake Challenge and your unyielding dedication to the quality care and treatment of children. ator joelAnderson May 4, 2014 Project T.O.U.C.H. Together Our Unity Conquers Homelessness September 19, 2013 Robins Nest Desserts & Catering Robin 41911 5th Street,#100 Temecula, CA 92590 Dear Donor: Project T.O.U.C.H. would like to offer our deepest gratitude for the donation you or your company donated for our Annual Golf Classic in June 2013. With your help we raise over $27.000. Our program relies heavily on community support to help those in need right here in our valley. With your support we are able to provide housing, food, clothing, and medical assistance amongst other services to assist our clients in getting back on their feet. In total, throughout the year we assist 1400+ individuals and families in our community either through our own programs or referral out to relevant resources through our call center. Currently we have over 120 residents, 40 of which are children. Our program consists largely of single mothers with children and intact family units. Once again, Project T.O.U.C.H. and its residents would like to thank you deeply for your compassion, understanding and willingness to help some of our most vulnerable citizens. We have been reaching out to thousands of people over the years and count on community partners to help meet their needs. Sin Y, e Unmacht President SAVE THE DATE 6th Annual Celebrity Golf Classic - June 2, 2014 Mailing Address: 30141 Antelope Road #D103, Menifee, CA 92584 Phone: (951) 677-9661 Fax: (951) 677-2753 E -Mail: jnfo© .s�i~ojecttouchonline.corn Website: TArww.projecttouehonline.com IRS Exempt Organizations Select Check Exempt Organizations Select Check Home Organizations Eligible to Receive Tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by EIN. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page EIN : Legal Name (Doing Business As) 46-2236828 Women Organizing Women Inc. Return to Search [25 v LOK I « Prey a 1-1 I Next» City St' lezCountry Deductibility Status Temecula CA United States PC « Prev I 1-1 I Next » Item No. 11 DEPARTMENTAL REPORTS Approvals City Attorney Finance Director City Manager CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Armando G. Villa, AICP, Director of Community Development DATE: October 28, 2014 SUBJECT: Community Development Department Monthly Report PREPARED BY: Lynn Kelly -Lehner, Senior Management Analyst RECOMMENDATION: Receive and file. The following are the highlights for the Community Development Department for September 2014. CURRENT PLANNING ACTIVITIES New Cases: In September 2014, Planning received 42 new applications, and conducted one public hearing. A detailed account of current planning activities is attached to this report. Altair (formerly Village West) Specific Plan: On November 12, 2013, City Council approved an Entitlement Processing Agreement with Ambient Communities (Developer) to process extensive land use entitlements for the 270 acre property located west of Old Town including General Plan Amendment, Specific Plan, Subdivision Maps, Development Agreement, and Environmental Impact Report (EIR). Ambient Communities is proposing a mixed-use development comprised of residential single-family and multi -family units, as well as retail/commercial, open space, and institutional uses. The Developer has agreed to fund the City's expenses for hiring project staff to process the entitlements for an efficient and detailed review of the project. Staff is currently reviewing a Multiple Species Habitat Conservation Plan (MSHCP) Consistency Report and has prepared an Initial Study. Staff released a Request for Proposal (RFP) for an Environmental Impact Report (EIR) in May and entered into an agreement with Environmental Science Associates in July. (PETERS) Temecula Valley Hospital: City Council approved the Temecula Valley Hospital project on January 22, 2008. A Certificate of Occupancy for the Phase I hospital bed tower was received from the Office of Statewide Health Planning and Development (OSHPD) on July 19, 2013. United Health Services obtained State licensing to open the hospital for patients on October 14, 2013. On May 31, 2013, staff received a Major Modification application to modify the site plan and heliport Conditional Use Permit to relocate the heliport from an area near the northeast corner of the hospital building. UHS indicated that the heliport needs to be relocated based on concerns from the FAA and the aeronautical division of Caltrans. UHS proposed two phases of movement for the heliport: Phase I would place the heliport to the west of the hospital building, in one of the parking lot areas. Phase II would place the heliport on the roof of the second hospital tower. In both cases, the proposed locations result in a change to the flight path that move it away from the Madera Vista residential project and changes the path to either head directly into or away from the prevailing wind direction (rather than perpendicular to the prevailing winds), as directed by the FAA and Caltrans. This application is under review and a Supplemental EIR (SEIR) is being prepared by Environmental Science Associates (ESA). In July 2014 the applicant indicated intentions to add a 3,600 square foot facilities maintenance building to the hospital site. Staff has provided information regarding this new building to ESA for analysis in the SEIR, which is anticipated to go out for public review in October 2014. Staff anticipates scheduling the project for a public hearing before the Planning Commission in December 2014 and before City Council in January 2014. (FISK) Roripaugh Ranch Specific Plan: In 2013, the Planning Commission approved KB Homes, Standard Pacific, and Van Daele Developments' applications for Home Product Reviews in the Roripaugh Specific Plan Area. KB Home plans to construct 98 single-family homes. Standard Pacific plans to build 200 single-family homes under the names Montego and Cambridge. Van Daele Development will construct 113 single-family homes, 56 marketed as Verona, and 57 as Sorrento. The three builders will construct 411 homes in four of five available planning areas in the area commonly referred to the "panhandle." Two hundred and thirty six (236) residential permits have been issued to date. (PETERS) LONG RANGE PLANNING Long Range Planning works toward larger scale and longer time -frame projects. Some of the major projects and long-range planning activities currently in progress are described below. Hike Bike Temecula (Multi -Use Trails and Bikeways Master Plan Update): On May 14, 2013, City Council awarded a contract to KTU+A to update the City's Multi -Use Trails and Bikeways Master Plan. A community workshop was held on October 26, 2013, and attendees provided feedback on bike lanes, sidewalks, trails, hiking paths, and equestrian connections. Community input was also collected through a survey via the project website www.hikebiketemecula.orq. A Steering Committee meeting was held on February 25, 2014 at the Merc Theater, with over 30 participants in attendance. The focus of the meeting was to summarize the survey results and to get feedback on proposed improvements in Old Town. The Old Town improvements include sharrows (shared bike lane markings) on Old Town Front Street, Bicycle Friendly Community signs, and strategically placed bike racks. On March 25, 2014, City Council approved an amendment to the contract that included Phase II of the Master Plan Update and additional sidewalk analysis. Phase I concluded with a community walk -ride event on May 10, 2014, highlighting priority locations for future trails and bike lanes based on the community's feedback. Phase II is under way. (PETERS) Uptown Jefferson Specific Plan: The Uptown Jefferson Specific Plan Area encompasses approximately 560 acres and is located north of Rancho California Road, west of Interstate 15, south of Cherry Street, and east of Diaz Road. In January 2011, City Council established the Jefferson Avenue Ad Hoc Subcommittee, comprised of Council Member Roberts and Mayor Pro Tem Comerchero. Staff has held eight Ad Hoc Subcommittee Meetings to develop policies, and obtain direction on the content of the Specific Plan. Between October 2011 and July 2013, staff held six visioning workshops. These workshops solicited feedback from the public and key stakeholders about the future vision of the Specific Plan area. Eight recommendations emerged from the public visioning process: 1) strengthen economic development, 2) expand the mix of uses, 3) define districts and neighborhoods, 4) improve transportation, mobility, connectivity and circulation, 5) integrate recreation, open space and trails, 6) create updated and flexible development standards, 7) build and maintain a comprehensive utility infrastructure network and 8) establish a district identity. On June 13, 2013, staff held a Developer Focus Group to determine the future economic feasibility of the Specific Plan based upon anticipated market conditions, economic demands, demographic trends, and available financing. From July 2013 through December 2013, staff held six public Uptown Jefferson Specific Plan Steering Committee Meetings with members of the public. Two commissioners from each of the City's commissions (Planning, Community Services, and Public/Traffic Safety Commissions) sit on the Committee. Staff presented form -based code principles and drafts of the district map, land use matrix, street cross sections, conceptual streetscape beatification plan, circulation network, hypothetical future block standards, urban parking standards, urban design guidelines, plan administration, sign standards, adaptive reuse standards, plan financing, and the anticipated 30 - year build out scenario. The project website, www.envisionjefferson.org, continues to provide project information and updates to the public. Staff is currently drafting the Specific Plan based upon the eight visioning recommendations, plan framework, and the concepts presented at the six public Steering Committee meetings. An Environmental Impact Report (EIR) is being prepared simultaneously with the Specific Plan. Plan completion and certification of the EIR is anticipated in mid -2015. (WEST, WATSON) Uptown Jefferson Specific Plan Program Environmental Impact Report (EIR): Environmental Science Associates (ESA) is preparing a Program EIR for the Uptown Jefferson Specific Plan. An EIR Scoping meeting was held in June 2013, providing interested parties an opportunity to submit comments related to the scope of the EIR. As a courtesy, all property owners within the Specific Plan area were mailed notices for this meeting. Staff is currently reviewing and providing feedback on the draft EIR. Certification of the Final EIR is anticipated in mid -2015. (WEST, WATSON) COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) & HOUSING Affordable Housing Overlay and Density Bonus Ordinance: City staff has completed the 2014- 2021 General Plan Housing Element Update. The City Council adopted the document on January 28, 2014, and the City received certification from the State Department of Housing and Community Development (HCD) on March 10, 2014. Staff has prepared a project schedule for the Affordable Housing Overlay and Density Bonus Ordinance as required by Programs 1 and 4 of the Housing Element. The project is in the initial planning phase. Staff is currently conducting research and anticipates completing the Ordinance for adoption by February 2015. (WEAVER) Community Development Block Grant (CDBG): The City will receive $544,070 in CDBG grant funding for Fiscal Year 2014-15. The funding will be allocated as follows: 20 percent for program administration ($108,814), 15 percent for public services ($81,610) to be divided evenly between five non-profit service providers, and the remaining 65 percent for infrastructure improvements (53%) and housing activities (12%). The Sam Hicks Park Playground Enhancement project will receive $311,550 this fiscal year for a total of $486,550 in CDBG funding for the project. Habitat for Humanity will receive $26,223 for a Critical Home Maintenance and Repair Program and GRID Alternatives will receive $15,873 for a Solar Affordable Housing Program. The Annual Action Plan was approved by HUD and the Grant Agreement was initiated. The Consolidated Annual Performance and Evaluation Report (CAPER), was approved by the City Council on September 23, 2014. The CAPER was delivered to HUD September 30, 2014. (WEAVER) ENERGY & CONSERVATION Temecula Energy Efficiency Management (TEEM) Fund: The TEEM Fund is a self-sustaining fund that utilizes rebate incentives while also re -directing annual utility costs savings from energy efficiency projects into the fund. City Council established the fund in June 2013, with an initial deposit of $119,728.90 in SCE and SCG rebates. Staff is working with Public Financial Management, funded through the Western Riverside Energy Partnership, to develop an policy manual for the TEEM Fund, focusing on policies and methodologies for determining the amount of utility savings to be deposited into the fund after projects are completed. (WEST) Western Riverside Energy Leadership Partnership: This Partnership, consisting of eleven Western Riverside Council of Government (WRCOG) member cities, Southern California Edison (SCE), and Southern California Gas (SCG), provides incentives for participants to develop energy efficiency programs. Temecula was the first City in the Partnership to achieve Gold Level status by completing 13 energy efficiency projects in FY 2012-13, resulting in nearly $100,000 of annual utility cost savings. For FY 2013-14, the City has upgraded the Community Recreation Center parking lot lights with new LED lighting fixtures. This resulted in 9,155 kWh saved and an additional $2,280 in annual savings. Staff recently completed a comprehensive energy audit of the Temecula Library with assistance from the Partnership. The audit identified 9 energy efficiency measures which could save an estimated 107,429 kWh annually, which also equates to an estimated annual cost savings to the City of $17,278. If all efficiency measures are implemented the City would receive approximately $20,952 in rebate incentives from Southern California Edison and Southern Californian Gas Company. Implementing these measures would allow the City to Achieving the Platinum level in the Partnership kWh savings requirements, would give the City higher rebate incentives for future energy efficiency measures. (WEST) Energy Action Plans (EAP): The final draft Municipal and Community Energy Action Plans have been prepared for the City of Temecula. The Plans were funded through the Western Riverside Energy Partnership as part of the first year program development. Both EAPs establish energy reduction goals, policies, and implementation measures to achieve energy reduction goals. (WEST) Solid Waste and Recycling: Staff manages the City's Solid Waste and Recycling Agreement with CR&R and acts as a liaison between the City, CR&R, and their customers. City staff and CR&R coordinate two Citywide Clean-up events each year for residents to dispose of household waste and large miscellaneous items that do not fit into the standard residential trash receptacle. The fall Citywide Clean-up was held on September 20, 2014 at Chaparral High School. The event was successful with 69 tons of miscellaneous debris disposed and 5.6 tons of electronic waste, 14 auto batteries, 20 gallons of antifreeze, 470 gallons of motor oil, and 6.5 tons of scrap metal were recycled. Staff also assists with outreach for the Riverside County Mobile Household Hazardous Waste Collection events and the Backyard Composting Workshops. This event is an effort to promote the recycling of used and other household hazardous waste. (WEST) BUILDING & SAFETY Inspections: During the month of September, Building and Safety conducted 2,208 inspections. On average there were 105.14 inspections per day or 23 inspections per day, per inspector. Permits: During the month of August, Building and Safety issued 259 building permits. Of these permits, 10 were dwelling units. Some of these permits included: Tenant Improvements Tabu Sushi Bar - 28693 Old Town Front St, Suite 101-102 Waba Grill — 26490 Ynez Rd., Suite A El Polio Loco — 40520 Winchester Rd CODE ENFORCEMENT During the month of September, Code Enforcement responded to 76 web complaints from constituents. In addition, the division opened 95 cases, 58 of which were residential and 37 were commercial. Code Enforcement also pulled 1,100 non -conforming signs in the community. Code Officers worked with several local election candidates to educate on election sign placement standards. Detailed Code Enforcement activity can be found in the following chart. September 2014 - Code Enforcement Cases TYPE OF CODE CASE RESIDENTIAL COMMERCIAL TYPE TOTAL Abandoned or Inoperable Vehicle 7 0 7 Vacant Home / Property Maintenance / Rodent infested 5 2 7 Business or Home Occupation w/o license 4 7 11 Trash and Debris / Parking lot maintenance 4 3 7 Overgrown Vegetation / Weeds / Fire Hazard 12 0 12 Green Pool / Vector Control 5 0 5 Graffiti 0 4 4 Noise 1 3 4 Trailer / RV Stored 5 0 5 Construction w/o Permit 3 4 7 Encroach Public ROW / Trash Cans 7 4 11 Other / Homeless Encampment 4 1 5 Signs Pulled - Violations 1 9 10 TOTAL NUMBER OF CASES 95 Foreclosure Tracking: Code Enforcement works with the local real estate community to monitor foreclosures, defaults and real estate owned properties. The following charts demonstrate the past six months of activities in Temecula. Residential Foreclosure Tracking Commercial Foreclosure Tracking April May June July August September DEFAULT 2014 2014 2014 2014 2014 2014 DEFAULT 121 118 118 114 99 116 FORECLOSED 64 71 72 83 86 84 REO 84 79 76 89 83 97 TOTALS 269 268 266 286 268 297 Commercial Foreclosure Tracking April 2014 May 2014 June 2014 July 2014 August 2014 September 2014 DEFAULT 4 3 3 2 3 2 FORECLOSED 1 2 1 1 1 0 REO 26 27 20 19 20 21 TOTALS 31 32 24 22 24 23 Planning Agenda Report 9/1/2014 through 9/30/2014 1. Recently Approved APN # • PA14-0140 The Vineyard Model Home 957130001 JAMES ATKINS A Major Temporary Use Permit to allow for Van Daele Development to construct a model home complex and sales office for The Vineyards (formerly Walcott Estates) on lots 39, 40 & 41(with lot 38 being used as the parking lot) located west of Butterfield Stage Road, east of Walcott Lane, north of La Serena Way and south of Calle Chapos (APNs: 957-170-032; 033; 034 and 036). Submitted Date Approved Date Jun 27 2014 Sep 18 2014 • PA14-0198 MSJC Grand Opening APN # 921020066 DAWN ADAMIAK A Special Event Permit for MSJC to hold a grand opening event at their new satellite educational facility located at 43200 Business Park Drive (TVE2) and to allow their annual MSJC Motorcycle Scholarship Ride to end at this location/event. The event will be held on Saturday September 27 from 6 a.m. to 4 p.m. (includes set up and take down), and will consist of a formal grand opening ceremony, large tent, tables, booths, food and drinks (no alcohol) to be set up on the parking lot.. Submitted Date Approved Date Sep 5 2014 Sep 19 2014 • PA14-0202 Boomsy Bash Major TUP APN # 921050019 ERIC JONES A Major Temporary Use Permit to allow for Bird Family Automotive to hold a car show and photo shoot at an existing auto repair business located 27886 Del Rio Road on September 21, 2014 from 9 a.m. to 5 p.m. Submitted Date Approved Date Sep 12 2014 Sep 18 2014 1 of 6 Planning Agenda Report 9/1/2014 through 9/30/2014 2. Scheduled for Hearing APN # 921281012 • PA14-0126 Crossfit Temecula CUP JAMES ATKINS A Conditional Use Permit to allow Temecula Cross -Fit to operate a specialized fitness gymnasium within an existing vacant 6,960 square foot office/industrial suite at 43475 Business Park Drive. Submitted Date Anticipated DRC Meeting Date Directors Hearing Jun 12 2014 Oct 232014 • PA14-0135 TABU Sushi Bar and Grill CUP APN # 922046010 JAMES ATKINS A Conditional Use Permit for indoor live entertainment and a Type 47 ABC License (On Sale General - Eating Place) for Tabu Sushi Bar and Grill, a full-service restaurant serving sushi, traditional Japanese food, steak, and other seafood dishes. The site is located at 28693 Old Town Front Street, Suite 101 and 102. Submitted Date Anticipated DRC Meeting Date Planning Commision Jun 23 2014 Oct 15 2014 • PA14-0184 Crush & Brew Type 47 CUP APN # 922033009 JAMES ATKINS A Conditional Use Permit to allow for the existing Crush and Brew restaurant to upgrade their liquor license from a Type 41 ABC license (On -Sale Beer and Wine) to a Type 47 (On -Sale General) license at 28544 Old Town Front Street. Submitted Date Anticipated DRC Meeting Date Planning Commision Aug 15 2014 Oct 15 2014 • PA14-0188 Chaparral South Major Mod APN # 922026014 ERIC JONES A Major Modification to add 6,657 square feet to an existing two story retail/office commercial structure located at 28475 Old Town Front Street. Submitted Date Anticipated DRC Meeting Date Planning Commision Aug 19 2014 Nov 5 2014 • PA14-0207 Shearwater Creek Major Mod APN # 922110013 MATTHEW PETERS A Major Modification to a previously approved Development Plan (Shearwater Creek), PA13-0155 to replace 44 detached garages with surface parking stalls, eliminate the private sidewalk parallel to Pujol Street while still meeting ADA accessibility requirements, and change thirteen Plan 3 units located on the third floor of the 9 -unit buildings to become Plan 4 units for more 3 bed/2 bath units at the terminus of Pujol Street on the west side (APN922-110-013 and -014) Submitted Date Anticipated DRC Meeting Date Planning Commision Sep 22 2014 10/9/2014 Nov 5 2014 • PA14-0009 Rancho Baptist Major Mod APN # 922130017 ERIC JONES A Major Modification application for Rancho Baptist Church to allow for a 2,074 square foot sanctuary expansion, an expansion to the existing classroom structure including a cafe, two vehicle security gates and two modular classrooms located at 29775 Santiago Road. Submitted Date Anticipated DRC Meeting Date Planning Commision 2 of 6 Planning Agenda Report 9/1/2014 through 9/30/2014 Jan 16 2014 Oct 15 2014 3 of 6 Planning Agenda Report 9/1/2014 through 9/30/2014 3. New Submittals Pending DRC Meeting APN # • PA14-0099 Roripaugh Ranch DA 0M7 964460002 STUART FISK An Operating Memorandum (0M7) for the Roripaugh Ranch Specific Plan Development Agreement to document the terms and timing of development and City acceptance of the park in Planning Area 6 of the Roripaugh Ranch Specific Plan. Submitted Date Anticipated DRC Meeting Date Hearing Planned May 2 2014 TBD • PA14-0101 Vapor Hookah Lounge CUP APN # 909240026 ERIC JONES A Minor Conditional Use Permit to allow a Hookah store and lounge within an existing shopping center located at 27529 Jefferson Avenue. Submitted Date Anticipated DRC Meeting Date Hearing Planned May 9 2014 TBD • PA14-0108 Wolf Creek DA amend APN # 962010007 ERIC JONES A Development Agreement Amendment application for the existing Wolf Creek Development Agreement. The applicant is requesting to extend the expiration date for 10 years. Submitted Date Anticipated DRC Meeting Date Hearing Planned May 19 2014 TBD • PA14-0167 Gateway PDO Amendment APN # 922170013 ERIC JONES A Zoning Amendment application to change the zoning of four parcels generally located at the northwest corner of Temecula Parkway and La Paz from Professional Office to a Planned Development Overlay District ("PDO -14") for retail, gas station, and hotel uses. Submitted Date Anticipated DRC Meeting Date Hearing Planned Jul 24 2014 TBD • PA14-0182 Southwest Christian Church MOD APN # 921060001 JAMES ATKINS A Major Modification to allow for South West Christian Church to install a 1,440 square foot modular unit on an existing church site for the purpose of adding additional space for choir space and bible studies at 28030 Del Rio Road. Submitted Date Anticipated DRC Meeting Date Hearing Planned Aug 15 2014 TBD • PA14-0200 Marco's Pizza Grand Opening TU APN # 966010011 JAMES ATKINS A Major Temporary Use permit for a Grand Opening event for Marco's Pizza, located at 33321 Temecula Parkway, on September 28, 2014 from 4 p.m. to 7 p.m. The event will include a bounce house, face painting, balloon animals, pizza and soda, and kids games. Submitted Date Anticipated DRC Meeting Date Hearing Planned Sep 9 2014 TBD APN # 4 of 6 Planning Agenda Report 9/1/2014 through 9/30/2014 • PA14-0058 Comfort Suites DP 921070011 ERIC JONES A Development Plan to construct a three story 54 room Comfort Suites Hotel within the Old Town Specific Plan area. The hotel will total 31,270 square feet and will be located at 41841 Moreno Road. Amenities will include an indoor swimming pool, fitness room and business center. Submitted Date Anticipated DRC Meeting Date Hearing Planned Mar 18 2014 TBD • PA14-0051 Roripaugh Ranch DDA APN # 964180004 STUART FISK A modification to the Roripaugh Ranch Development Agreement to modify the timing of infrastructure improvements and building permit thresholds for the Roripaugh Ranch Specific Plan, generally located along the north and south sides of Murrieta Hot Springs Road and on the east and west sides of Butterfield Stage Road, surrounding the intersection of Murrieta Hot Springs Road and Butterfield Stage Road. Submitted Date Anticipated DRC Meeting Date Hearing Planned Mar 52014 TBD • PA14-0050 WolfCreek TTM APN # 962010007 ERIC JONES A Tentative Tract Map (TTM No. 36675) for 174 residential condominium units located on the southeast corner of Pechanga Parkway and Wolf Valley Road Submitted Date Anticipated DRC Meeting Date Hearing Planned Mar 5 2014 TBD • PA13-0240 Wolf Creek Development Plan APN # 962010007 ERIC JONES A Development Plan to allow for the construction of a 165 tri-plex condo complex with associated amenities generally located at the southeast corner of Pechanga Parkway and Wolf Valley Road (APN: 962-010-007) (Related Application: PA13-0241) Submitted Date Anticipated DRC Meeting Date Hearing Planned Oct 7 2013 TBD • PA13-0241 Wolf Creek CUP APN # 962010007 ERIC JONES A Conditional Use Permit to allow a 165 tri-plex condo complex to be constructed within the Wolf Creek Specific Plan, generally located at the southeast corner of Pechanga Parkway and Wolf Valley Road (APN: 962-010-007) (Related Application PA13-0240) Submitted Date Anticipated DRC Meeting Date Hearing Planned Oct 72013 TBD • PA10-0213 Simms TTM APN # 945120001 ERIC JONES A Tentative Tract Map application to create 7 residential lots from 4 lots with lot size ranging from 2.66 acres to 3.62 net acres on vacant property generally located on the south side of Santiago Road, approximately 1,500 feet east of Ynez Road. Submitted Date Anticipated DRC Meeting Date Hearing Planned Jul 14 2010 8/12/2010 TBD APN # 5 of 6 Planning Agenda Report 9/1/2014 through 9/30/2014 • PA14-0023 River Springs Charter School 921310017 JAMES ATKINS A Minor Conditional Use Permit to allow River Springs Charter School to occupy an existing 27,500 square foot building for charter school educational services for adolescent students Kindergarten thru 8th grade at 4215 Lyndie Lane (Related Application: TUP PA14-0028). Submitted Date Anticipated DRC Meeting Date Hearing Planned Feb 5 2014 TBD 6 of 6 ,4-1 PA14-0058���p5 PA14-0126 440 0184 PA14 PA14-0188 PA14 0135 'r 1. Recently Approved 2. Scheduled for Hearing 3. New Submittals Pending DRC Meeting Item No. 12 Approvals City Attorney Finance Director City Manager Ial AL CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Jeffrey Kubel, Chief of Police DATE: October 28, 2014 SUBJECT: Police Department Monthly Report PREPARED BY: Will Edwards, Sergeant RECOMMENDATION: Receive and file. The following report reflects the activity of the Temecula Police Department for the month of September 2014. PATROL SERVICES Overall calls for police service 2,990 "Priority One" calls for service 67 Average response time for "Priority One" calls 6.71 Minutes VOLUNTEERS Volunteer administration hours 143 Special Events hours 56 Community Action Patrol (CAP) hours 870 Reserve officer hours (patrol) 87 Training hours 253 Total Volunteer hours 1239 CRIME PREVENTION Crime prevention workshops /Neighborhood watch meetings conducted 17/9 Residential/Business security surveys conducted 4/6 Businesses visited 8 Residences/Businesses visited for past crime follow-up 0/8 Station Tour 3 Planning Review Projects/Temp Outdoor Use Permits 5/11 Square Footage of Graffiti Removed 1,333 OLD TOWN STOREFRONT Total customers served 261 Sets of fingerprints taken 50 Police reports filed 12 Citations signed off 20 Car Seat Inspections 0 Total receipts $2,051.00 SPECIAL TEAMS (POP / SET) On sight felony arrests 20 On sight misdemeanor arrests 10 Felony arrest warrants served 9 Misdemeanor arrest warrants served 7 Follow-up investigations 7 Parole/Probation Searches 0/32 Pedestrian Checks 57 Traffic Stops/Vehicle Checks 15 Crime Free Housing Checks 60 TRAFFIC Citations issued for hazardous violations 901 Grant funded D.U.I. / Traffic safety checkpoints 0 Grant funded traffic click it or ticket 0 D.U.I. Arrests 12 Non -hazardous citations 416 Stop Light Abuse/Intersection Program (S.L.A.P.) citations 63 Neighborhood Enforcement Team (N.E.T.) citations 132 Parking citations 98 School Zone 106 Seatbelts 26 Cell Phone Cites 120 Injury collisions 34 INVESTIGATIONS Beginning Caseload 195 Total Cases Assigned 60 Total Cases Closed 73 Search Warrants Served 21 Arrests 2 PROMENADE MALL TEAM Calls for service 723 Felony arrest/filings 4 Misdemeanor arrest/filings 23 Traffic Citations 2 Fingerprints/Livescans 200 Total receipts $8,459.00 SCHOOL RESOURCE OFFICERS Felony arrests 1 Misdemeanor arrests 7 Reports 21 Youth counseled 161 Meetings 84 Item No. 13 Approvals City Attorney Finance Director City Manager CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Thomas W. Garcia, Director of Public Works/City Engineer DATE: October 28, 2014 SUBJECT: Public Works Department Monthly Report RECOMMENDATION: Receive and file Public Works Department Monthly Report for Capital Improvement Projects, Maintenance Projects, and Land Development Projects. City el -Temecula DEPARTMENT OF PUBLIC WORKS PROJECT STATUS REPORT PROJECT NAME BRIEF DESCRIPTION TOTAL PROJECT COST ESTIMATED/CURRENT MILESTONES CAPITAL IMPROVEMENT PROJECTS CIRCULATION PROJECTS: Interstate -15 / State Route 79 South Ultimate Interchange, PW04-08 Construction of ramp system that will improve access to Interstate 15 from Temecula Parkway / State Route 79 South $50,778,033 • Anticipate Final Design Plans to be complete Fall 2014 Pavement Rehabilitation Program — Ynez Road (Jedediah Smith Road to Vallejo Avenue) $664,500 • Bid Opening on October 9, 2014 • Construction Contract award scheduled for October 28, 2014 City Council meeting INFRASTRUCTURE PROJECTS: City Facilities Rehabilitation — Community Recreation Center Mechanical Renovation, PW13-06 Removal of and installation of swimming pool filters and chemical system $114,990 • Construction Contract awarded at September 23, 2014 City Council meeting • Anticipate construction to begin December 2014 Fire Station 73 Living Quarters Upgrade, PW13-07 Improvements to living and sleeping quarters to accommodate staff $1,637,000 • Currently in Design • Completion of Design anticipated Fall 2014 Pauba Road Sidewalks, PW13-08 Construction sidewalk along Pauba Road from just east of La Primavera to Ynez Road $235,428 • Construction Contract awarded at City Council meeting of October 14, 2014 Theater Remediation, PW12-04 Addresses design and construction deficiencies $2,400,000 • Out to Bid - Bid Opening scheduled for October 30, 2014 • Construction scheduled to begin March 2, 2015 YMCA Repair and Remediation, PW12-10 Remediate the old YMCA building and correct construction defects $1,537,500 • Anticipate posting on PlanetBids in November 2014 • Anticipate construction will begin the first quarter of 2015 Citywide Concrete Repairs, PW14-07 Annual Citywide concrete repairs to various facilities maintained by the City $412,786 • Construction Contract awarded at City Council meeting of October 14, 2014 Citywide Slurry Seal Fiscal Year 2014-15, PW14-05 Annual application of slurry seal to various City maintained streets $920,852 • Construction nearly complete • Contractor is completing pavement markings and legends 10/28/14 City of T mecula DEPARTMENT OF PUBLIC WORKS PROJECT STATUS REPORT PARKS & RECREATION PROJECTS: Sam Hicks Monument Park Playground Enhancement, PW12-20 Design and construct a new innovative play area to replace the existing equipment $521,550 • Revised proposals due from two proponents October 17, 2014 • Second presentations scheduled October 28, 2014 before the Parks and Recreation Ad Hoc Subcommittee Special Needs Playground, PW12-02 Install play structure for youth and special needs kids at Margarita Park $1,362,150 • Currently under Construction • Anticipate completion Fall 2014 10/28/14 City of�mecula DEPARTMENT OF PUBLIC WORKS PROJECT STATUS REPORT PROJECT NAME BRIEF DESCRIPTION TOTAL PROJECT COST ESTIMATED / CURRENT MILESTONES MAINTENANCE PROJECTS Playground Equipment Enhancement and Safety Surfacing Pala Community Park Play Equipment and Safety Surfacing Replacement (Park Maintenance) Replace two play structures and associated safety surfacing $150,000 • Estimated start date is January 2015 • Estimated completion date is March 2015 City Facilities Rehabilitation — Pennypickle's Workshop Temecula Children's Museum HVAC Equipment Replacement (Facility Maintenance) Remove four aging HVAC Units and replace with four new more energy efficient units $40,000 • Estimated start date is January 2015 • Estimated completion date is January 2015 Citywide Street Restriping (Street Maintenance) Restripe street lane lines throughout all arterial streets. Completed 2 times per fiscal year ($150K per cycle) $150,000 • Estimated start date is October 2014 • Estimated completion date is November 2014 10/28/14 City el -Temecula DEPARTMENT OF PUBLIC WORKS PROJECT STATUS REPORT PROJECT NAME BRIEF DESCRIPTION ESTIMATED/CURRENT MILESTONES LAND DEVELOPMENT PROJECTS Halcon Rojo (PA12-0226) Major Modification to allow a reduction in the number of buildings to two structures, located north of Temecula Parkway and approximately 400 feet east of Jedediah Smith Road • Sewer Line currently under construction EMWD (Utility Project) Old Town Sewer Project located at Old Town Front Street and Moreno to First Street • Preliminary construction work, including utility mark out, started the week of October 13, 2014 • Additional anticipated work for the week of October 20, 2014 includes: - Potholing for utilities - Installation of monitoring instrumentation - Utility Relocations in OT Front Street • Shaft construction work on the side streets is expected to begin in mid-November. EMWD (Utility Project) Bore pits at Diaz Road and Alvarado for new forced main • Anticipate pavement repair work to be complete by October2014 • Trail restoration and private landscaping ongoing 10/28/14 REQUESTS TO SPEAK I wish to speak on: Public C.mme CITY Subject: REQUEST TO SPEAK CITY OF TEMECULA Dater �l 01-e/47 / CSD / SARDA /THA / TPFA (Circle One) Agenda Item No. For Against Request to Speak forms for Public Comments or items listed on the Consent Calendar must be submitted to the City Clerk prior to the City Council commencing the Public Comment period. For all Public Hearing or Council Business items on the Agenda, a Request to Speak form must be submitted to the City Clerk prior to the City Council addressing that item. The City Clerk will call your name when the matter comes up. 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