The URL can be used to link to this page

Home My WebLink About2010-11-09 City Council Item No. 8 part 2assistance Temecula 81 st Chapter of National Assistance League® Governing Board 2010-2011 Electra Demos President Rita O'Neill Ist Vice President; Membership Barbara Miller 2nd Vice President, Philanthropic Programs Georgia Reece 3rd Vice President, Resource Development Brenda Hamilton Secretary Ginny Wetzel Treasurer Elective Standing Committees Leticia Plummer Assisteens® Coordinator Sally Haserot Bylaws Margo Doski Chapter House Manager Annette Sheehy Education Kathy Laurin Finance Sumru Vance Public Relations Diana Elizondo Strategic Planning October 1, 2010 Mr. Justin Carlson City of Lake Elsinore 130 S. Main Street Lake Elsinore, California 92530-4109 OCT 05 2010 CITY OF 1l KZ HLSINORE Re: Community Development Block Grant 2011-2012 Due Date of submittal: October 1, 2010 Amount requested: $10,000 Dear Mr. Carlson: Assistance League® of Temecula Valley requests consideration and support through this submittal of our application for the Community Development Block Grant for 2011-2012. Pursuant to the instructions of this funding grant, enclosed is one original and one copy with attachments of Assistance League of Temecula Valley's application. Assistance League of Temecula meets the eligibility requirements for funding as follows: • We are a California nonprofit public benefit corporation. • We have tax exempt status, and no paid employees. • We are a community based philanthropic organization with a signed, program service agreement with Lake Elsinore Unified School District. • We do not have debts as part of this funding request. • We are located in the City of Temecula, and our programs benefit residents in Lake Elsinore. Si erely yours, Electrq De-mos, President ED:ar 28720 Via Montezuma Enclosures Temecula, CA 92590-2510 Tel. (9511 694.8018 - Fax (951) 694.8298 E-mail: altemecula@yahoo.com www.tem ecu lava I I ey.assista nceleagu e.o rg Caring and Commitment in Action Page 13: assistance leagues Temecula Valley 28720 Via Montezuma Temecula, CA 92590-2510 951.694.8018 Fax No: 951.694.8298 Page 134 TABLE OF CONTENTS County of Riverside Community Development Block Grant Program 2011-2012 Title Page Application 4 Special 2010/2011 Board Meeting Minutes 13 Section 1 Current Board of Directors, Attachment 1.A 14 Assistance League® of Temecula Valley Board of Directors 15 Articles of Incorporation and Bylaws, Attachment 1.6 Bylaws of Assistance League of Temecula Valley (pages 1-12) Certificate of Amendment Articles of Incorporation 17 Articles of Incorporation of Assistance Guild of Temecula Valley 18 Change of Status Form 20 State of California conforms corporate record on file 21,22 Section 2 Attachment 11, Project Activity 23 Section 3 Attachment III, Project Description 30 Section 4 Attachment IV, Project Narrative 39 Maps: S/W Riverside County Economic Development Region 44 School Districts 45 Location of Assistance League of Temecula Valley 46 Section 5 V. Project Benefit 47 B. Limited Clientele (forms used Limited Clientele reporting and compliance) Operation School Bell® form for School District use for eligibility referral Financial Information, Attachment VI-B Budget Overview - dated September 7, 2010 - accrual 54 Profit and Loss 58 Management Capacity, Attachment VII-A Operation School Bell Organization Chart 63 Operation School Bell Committee and Management 64 Page 135 COUNTY OF RIVERSIDE COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM 2011-2012 APPLICATION FORM L GENERAL INFORMATION: Applying Entity or Agency:Assistance League of Temecula Valley Locafion:28720 Via Montezuma City:Temecula' Zip Code: 92592-2510! Mailing Address: 28720 Via Montezuma, Temecula, CAZip Code: 92592'. Telephone Number:951.694.8018 Fax Number:951.694.8298 Executive Director. Electra Demos, President Telephone Number: 951.694.8018 E-mail:altemecula@yahoo.com Program Manager-Judy Wehrs, Operation School Bell, Chairman Telephone Number: 951.694.6594: E-mail:altemecula@yahoo.com Address (Ifdierentfrom above):Same as above Grant Writer:Ann Reese, Grant Writer Telephone Number: 951.304.3549 E-mail:Channreesl@verizon.net H. ORGANIZATIONAL FIISTORY: (This is applicable only if you are a non-profit organization) Date Organization founded: 1989 Date Organization incorporated as a non-profit organization: June 15, 1989 Federal identification number: 33-0360419 State identification number: 1463456 Number of paid staff. None Number of volunteers: 201 ATTACH** Current Board of Directors (Label as Attachment LA) Articles of Incorporation and By-Laws (Label as Attachment LB) Page 136 M. PROJECT ACTIVITY: CDBG Funds Requested: $ 10,000.00 (total amount for the project only) Where will the proposed activity occur (be specific as to the geographic scale of the proposed activity)? If the project involves a new or existing facility, what is the proposed service/benefit area for the facility? (Attachment HProjeet Activity) ® Countywide (check if project will serve multiple districts and/or cities). City (ies): Lake Elsinore, Murrieta, Temecula Community (ies): Menifee, Wildomar Regions: unincorporated areas of Southwest Riverside County Other: What Supervisorial District does the activity occur within? Districts I, lII NOTE: EDA will make the final determination of the appropriate service area of all proposals. Check ONLY the applicable category your application represents. ❑ Real Property Acquisition ® Public Service ❑ Housing ❑ Rehabilitation/Preservation (please provide picture of structure) ❑ Public Facilities Improvements (construction) ❑ Other: (provide description) IV. PROJECT NARRATIVE: A. Name of Project: Operation School Bell Specific Location of Project (include street address; if a street address has not peen assigned provide AP119 Street: 28720 Via Montezuma City:Temecula APN: Zip Code: 92590 Attach maps of proposed project(s) location and service area. c Page 137 B. Provide a detailed Project Description. The description should only address or discuss the specific activities, services, or project that is to be assisted with CDBG funds. If CDBG funds will assist the entire program or activity, then provide a description of the entire program or activity. (Attach additional sheets if necessary -Attachment III Project Description) Operation School Bell, one of Assistance League's main philanthropic programs provides new school clothing including school supplies, backpacks and hygiene items. Refer to Attachment III Project Description for additional information.; C. Provide a detailed description of the proposed use of the CDBG funds only (e.g. client scholarships, purchase a specific piece of equipment, rent, supplies, utilities, salaries, etc.): Scholarship program form as provided to us is used for our clients. Clothing provided: 3 pairs of pants, 3 shirts, tennis shoes, 6 pairs of socks and underwear, hoodie sweatshirt, backpack filled with school supplies and hygiene kit, at a cost of $100. per child. D. Outcomes and Performance Measures Number of clients or units of service to be provided using CDBG funds during the term of the grant: 1,500 school children in four school districts NOTE: This is based on the expected number of clients to be served if the County funds your project for the requested amount. Length of CDBG-funded activities or service (weeks, months, year):Aug. 2011-Mar. 2012 Unduplicated number of clients/persons projected to serve (e.g., 25 clients, 50 seniors): 140 Units of service (Example: 25 clients x 10 visits = 250 units of service):one Service will be provided to (check one or more): Men Children Range of children's ages:5 through 13 Men/Women/Children Seniors Migrant Farm Workers ❑ Women Men/Women ❑ Families ❑ Severely Disabled Adults ❑ Homeless Number of beds of facility: N/A Anticipated number of "new" beds: N/A Length of stay (if residential facility): N/A E. What are the goals and objectives of the project, service, or activity? How will you measure and evaluate the success of the project to meet these goals and objectives (measures should be both qualitative and quantitative)? Operation School Bell Committee's goal is to reach those children in need. Evaluation of the program is done internally and externally yearly. F. Discuss how this project directly benefits low- and moderate- income residents. Benefits are provided under HUD qualified guidelines. G. Respond to A & B only if this application is for a public service project. (a) Is this a NEW service provided by your agency? Yes ❑ No Page 138 (b) If service is not new, will the existing public service activity level be substantially increased or improved? Yes. Expansion discussed in Project Narrative. H. What methods will be used for community involvement to assure that all who might benefit from the project are provided an opportunity to participate? Establishing partnerships with department stores in cities served. Presently, Kohl employees volunteer mouthy at our site assisting in Operation School Bell. Invitations to individuals and companies are extended from Assistance League Public Relations Chairman. 1. What evidence is there of a long-term commitment to the proposal? Describe how you plan to continue the work (project) after the CDBG funds are expended? We have been active in Temecula Valley since 1989 serving 4 school districts. For our fiscal year ending May 31, 2010, our members volunteered 27,486 hours. These volunteer hours help fund our philanthropic programs and operate our main fundraiser, the resale store. V. PROJECT BENEFIT: All CDBG-funded activities must meet at least one of three National Objectives of the CDBG program. Indicate the category of National Objective to be met by your activity: CATEGORY 1: Benefit to low-moderate income persons (must be documented). Please choose either subcategory A, B, or C. A. Area Benefit: N/A The project or facility serves, or is available to, all persons located within an area where at least SI% of the residents are low/moderate-income. This determination is based upon 2000 Census data. If you need assistance in determining the appropriate census data, please call EDA. Census Tract and block group numbers: CT BG CT BG CT BG CT' BG CT' BG CT' BG # Total population in Census Tract(s) / block group(s) # Total low-moderate population in Census Tract(s) / block group(s) B. Limited Clientele: Yes. The project serves clientele that will provide documentation of their family size income and ethnici . Identify the procedure you currently have in place to document that at least 51% of the clientele you serve are low-moderate income persons. Parents of clients complete self-certification public service clientele forms with required proof of income. Refer to our attachment herein. Copies are kept in a secure file. C. Clientele presumed to be principally low- and moderate-income persons:N/A The following groups are presumed by HUD to meet this criterion. You will be required to L submit a certification from the client (s) that they fall into one of the following presumed categories. Page 139 The activity will benefit (check one or more) El Abused children Battered spouses Elderly persons 0,' Severely disabled adults 0,, Homeless persons n Illiterate adults Q Persons living with AIDS F1i Migrant Farm workers Describe your clientele to be served by the activity. We use 100% of funds allotted to us from Riverside County CDBG to clothe children from Districts I and M. CATEGORY 2: Prevention or Elimination of Slums and Blight: The proposed project or activity must directly benefit an identified slum and blighted area. Is the project located in a Redevelopment Area? Yes El No If yes, attach map of the area with the site highlighted, and provide the Redevelopment Project Area (excerpts accepted) which documents the existence of slum/blight. Also, document the specific redevelopment objectives pertaining to the proposed project. (Label as Attachments. N Category 2, Exhibit 1, 2, etc) NOTE. this National Objective Category must be approved by EDA in writing prior to the submittal ofyour application. CATEGORY 3: Documented Health or Safety Condition of Particular Urgency: Condition shall have been of recent (18 months) origin and must be designated by the Board of Supervisors. Provide documentation which demonstrates the health or safety condition has existed within the previous 18 months. (Label as Attachments. V Category 3, Exhibit 1, 2, etc) NOTE. this National Objective Category must be approved by EDA in writing prior to the submittal of your application. VI. FINANCIAL INFORMATION: A. Proposed Project Budget Complete the following annual program budget to begin July 1, 2011. If your proposed CDBG- funded activity will start on a date other than July 1, 2011, please indicate starting date. If these budget line items are not applicable to your activity, please attach an appropriate budget. Provide total Budget information and distribution of CDBG funds in the proposed budget. The budgeted items are for the activity for which you are requesting CDBG funding - not for the budget of the entire organization or agency. (EXAMPLE: The Valley Senior Center is requesting funding of a new Senior Nutritional Program. The total cost of the program is $15,000. A total of $10, 000 in CDBG funds is being requested for operating expenses associated with the proposed activity. Other non-CDBG funding will be used to pay pick-up the remaining costs for the program). TOTAL ACTIVITY/ PROJECT BUDGET (Include CDBG Funds) I. Personnel A. Salaries & Wages B_ Fringe Benefits $0 CDBG FUNDS REQUESTED $0 Page 140 C. Consumable Supplies D. Travel $ $ E. Telephone F. Other Costs $ SUB-TOTAL: $0 $0 III. Architectural/Engineering Design $ N. Acquisition of Real Property V. Construction/Rehabilitation $ $ VI. Indirect Costs TOTAL: $0 $0 B. Leveraging Identify other funding sources (commitments or applications) from other sources to assist in the implementation this activity. Attach current evidence of commitment (Attachment VI-A, Exhibits I, 2, etc.). If commitments are pending, indicate amount requested and attach documentation regarding previous year's funding. Funding Source Amount Requested Date Available Type of Commitment Murrieta- CDBG $10,000 July 1, 201 P, ;.Operation School Bell Temecula-CDBG 10,000 ;July 1, 2011' Operation School Bell Lake Elsinore 10,000 July 1, 2011', :Operation School Bell; Riverside County 50,000 July 1, 2011 Operation School Bell C. Provide a summary by line item of your organization's previous year's income and expense statement (Attachment VI-B, Exhibits 1, 2, etc.). See attached. 0 Page 141 D. If this project benefits residents of more than one community or jurisdiction, have requests been submitted to those other jurisdictions? Yes m NO CI If yes, identify sources and indicate outcome. Cities of Lake Elsinore, Murrieta and Temecula: $10,000 each: If no, please explain E. Was this project previously funded with CDBG funds? Yes in No n If yes, when? Funds awarded June 3, 2010; Is this activity a continuation of a previously funded (CDBG) project? Yes 10 No Q If yes, explain: CDBG Funds: Yes: Funds awarded $5,000 from Third District; $8,917 from Murrieta; Temecula $9,333. VII. MANAGEMENT CAPACITY: A. Describe your organization's experience in managing and operating project or activities funded with CDBG or other Federal funds. Include within the description a resource list (partnerships) in addition to the source and commitment of funds for the operation and maintenance of the program. Source Activity Year Allocation Amount Expended Third District Operation School Bell 2010 $5,000: $5,000: Murrieta Operation School Bell 2010 $8,917 $8,917 Temecula Operation School Bell 2010 $9,333 $9,333 B. Management Systems Does your organization have written and adopted management systems (i.e., policies and procedures) including personnel, procurement, property management, record keeping, financial management, etc.? Yes, we have written/adopted management systems, financial systems, policies and procedures, and Bylaws. We are the 8 1 ~ chapter of National Assistance League and operate under National's policies and rules. I C. Capacity: in Page 142, Please provide the names and qualifications of the person(s) that will be primarily responsible for the implementation and completion of the proposed project. Provide a detailed organizational chart (Attachment VH-A, Exhibits j, 2, etc.). Refer to Attachment VII -A D. Should the applying entity be awarded CDBG funds, please identify the primary project objectives and goals using an Estimated Timeline for Project Implementation: OBJECTIVE Clothe students START DATE August 201E COMPLETION DATE March 2012 Bag up program for schools Seutember 2011 2012 ii Page 143 APPLICATION CERTIFICATION Undersigned hereby certifies that (initial after reading each statement and sign the document): 1. The information contained in the project application is complete and accurate. 2. The applicant, agrees to comply with all Federal and County policies and requirements n imposed on the project funded in full or part by the CDBG program. (~/I I 3. The applicant acknowledges that the Federal assistance made available through the CDBG program funding will not be used to substantially reduce prior levels of local, n (NON-CDBG) financial support for community development activities. 4. The applicant fully understands that any facility built or equipment purchased with CDBG funds shall be maintained and/or operated for the approved use throughout its n n economic life. lwl~,d~kl_ 5. If CDBG funds are approved, the applicant acknowledges that sufficient funds are available or will be available to complete the project as described within a reasonable timeframe. 6. On behalf of the applying organization, I have obtained authorization to submit this application for CDBG funding. (DOCUMENTATION ATTACHED Minute Action and/or written Board Approval signed by the Board President). DATE: O / ! 2010 Signature: Print Name/Title Authorized Representative: Electra Demos, President 1') Page 144 Assistance League@ of Temecula Valley Special 2010/2011 Board Meeting September 21, 2010 "Caring and Commitment in Action" President Electra Demos called the special 2010/2011 Board meeting to order at 12:00 p.m. at the chapter house. Brenda Hamilton, Secretary, was present. Board members present: Electra Demos, Barbara Miller, Georgia Reece, Brenda Hamilton, Sally Haserot, Ginny Wetzel, Leticia Plummer, Margo Doski, Annette Sheehy, Kathy Laurin, Diana Elizondo, Board members absent: Rita O'Neill, Sumru Vance Officers' Reports: Vice President Resource Development: Georgia Reece MOTION 09/07/10 Georgia Reece, by direction of the Resource Development Committee, moved that Assistance League of Temecula Valley apply for the following CDBG grants for the fiscal year 2011/2012 grant cycle. County of Riverside $50,000 City of Murrieta $10,000 City of Temecula $10,000 City of Lake Elsinore $10,000 City of Menifee $10,000 City of Wildomar $10,000 The motion was ADOPTED. There was no further business, President Electra Demos adjourned the meeting at 12:02 p.m. Electra Demos, President Dated Z- / (7 Page 145 c CURRENT BOARD OF DIRECTORS ATTACHMENT LA Page 146 ASSISTANCE LEAGUE® OF TEMECULA VALLEY BOARD AND ELECTED COMMITTEES OFFICERS/EXECUTIVE BOARD President Electra Demos Vice President Membership Rita O'Neill Vice President Philanthropic Programs Barbara Miller Vice President Resource Development Georgia Reece Secretary Brenda Hamilton Treasurer Ginny Wetzel Elected Standing Committtees Assisteens® Coordinator Bylaws Chapter House Manager Education Finance Public Relations Strategic Planning Leticia Plummer Sally Haserot Margo Doski Annette Sheehy Kathy Laurin Sumru Vance Diana Elizondo Page 147 ASSISTANCE LEAGUED OF TEMECULA VALLEY Board of Directors Electra Demos: Member since 1999. Current President. Retired Business Education/Social Science Teacher, and Past President of the California Business Education Association San Diego Section. Positions held in this organization: Past President, Vice President- Membership, Secretary, Education Chairman and Public Relations Chairman. Past member of Board of Trustees, Arts Council of Temecula Valley, Volunteer Chair, Susan G. Komen Breast Cancer Foundation Inaugural Race for the Cure, Temecula 1999. Rita O'Neill: Member since 2001. Current First Vice President-Membership. Retired substitute elementary school teacher. Positions held in this organization: Hospitality Chairman, Scholarship Chairman, Vice President-Resource Development, Orientation Chairman, and Secretary. Barbara Miller: Member since 1997. Current Second Vice President, Philanthropic Programs. Formerly, employed as Geological Cartographer at geotechnical firms in Los Angeles area. Positions held in this organization: Resale store Toy Dept., Assisteens Committee, Operation School Beli® Buyer, and Hospitality Chairman. Founder and Chair of Temecula Valley Cotillion. Georgia Reece: Member since 2005. Current Third Vice President, Resource Development. Retired Business Owner. Positions held in this organization: Operation School Bell Buyer, Resale Store Manager, and committee member for Scholarships. Brenda Hamilton: Member since 2004. Current Secretary. Current Substitute Teacher, Temecula Valley Unified School District. Positions held in this organization: Public Relations Chairman, Grants Writer. Ginny Wetzel: Member since 2007. Current Treasurer. Retired Insurance Agent and in Medical Equipment Sales. Positions held in this organization: Assistant Treasurer. Elective Standing Committees Sally Haserot: Member since 1998. Current Bylaws Chairman. Work experience: Vice President Branch Manager, Mortgage Banker. Positions held in this organization: Past President, Treasurer, Recording Secretary, Orientation, Historian, Advisor, Strategic Planning Chairman, and Membership. Margo Doski: Member since 2001. Current Chapter House Manager. Retired Teacher. Positions held in this organization: Thrift Shop Co-Chairman, Thrift Shop Scheduler, Hospitality, and Membership. Kathy Laurin: Member since 2000. Current Finance Chairman. Retired Sales. Positions held in this organization: Treasurer, President, and Resale Store Manager. Served on committees: Strategic Planning, Membership, Hospitality and Resource Development. Page 148 Leticia Plummer. Charter member since 1989. Current Assisteens® Coordinator. Work experience: Real Estate Sales, Past President, Resale Store Manager, Newsletter Editor, Public Relations, Parliamentarian, Hospitality, Historian. Appointive Standing Committees Suzanne Dechert: Member since 2006. Current Scholarship Chairman. Retired Teacher from Temecula Valley Unified School District. Positions held in this organization: Historian, Committee member on Liaison to Auxiliaries, Public Relations. Member of Temecula Historical Society and volunteer at Temecula Paula Library Book Store. Linda Smith: Member since 2005. Business Owner. Current Personal Rewards of Service (PROS) Chairman. Trudy Lenz: Member since 1998. Current Kids on the Block® Chairman. Positions held in this organization: Chapter House Manager, Public Relations Chairman, Sunshine, and Orientation Chairman, Committee member of: Scholarship, Hospitality, Kids on the Block puppeteer. Kathy Truitt: Member since 2010. Retired Dental Hygienist. Current Project: SMILE chairman. HOSPICE volunteer. Page 149 ARTICLES OF INCORPORATION AND BYLAWS ATTACHMENT I.B Page 150 c Revised April 2010 BYLAWS OF ASSISTANCE LEAGUE® OF TEMECULA VALLEY a nonprofit public benefit corporation Article 1 Name and Headquarters 1.01 Name. The name of this corporation is Assistance League of Temecula Valley, a chartered chapter of National Assistance League 1.02 Principal Office. The principal office for the transaction of business of this organization is hereby fixed and located at 28720 Via Montezuma, Temecula, CA 92590-2510. Article 2 Purpose and Policies 2.01 Purpose. The purpose of this organization shall be as stated in its Articles of Incorporation: to administer, carry on and control at least one program of philanthropic work in the community. 2.02 Policies. (a) This organization is a tax-exempt, charitable 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), and shall be nonprofit, nonsectarian and nonpolitical in all its policies and activities and not organized for the private gain of any individual or entity. (b) This organization shall not carry on any other activities not permitted to be carried on by an organization 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 by corporation contributions 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). (c) This organization shall provide in its Articles of Incorporation that its income, assets and property are irrevocably dedicated to charitable purposes and no part of the net income, assets or property of the chapter shall ever inure to the benefit of any member thereof, or to the benefit of any private persons. (d) Upon the dissolution and winding up of this organization, after paying or adequately providing for the debts and obligations of the organization, the remaining assets shall be distributed to a nonprofit fund, foundation or corporation organized and operated exclusively for the purposes specified in Section 501(c)(3) of the Internal Revenue Code and which has established its tax-exempt status under that section. (e) No substantial part of the activities of this organization shall consist of the carrying on of propaganda, or otherwise attempting to influence legislation, nor shall the organization participate or intervene in any political campaign including publishing or distribution of statements on behalf of or in opposition to any candidate for public office. (f) This organization shall be subject to the following limitations and restrictions: (1) This organization shall distribute its income for each taxable year at a time and in manner that will not subject the corporation to the tax on undistributed income imposed by Section 4942 of the Internal Revenue Code of 1986. (2) This organization shall not engage in any act of self-dealing as defined in Section 4941(d) of the Internal Revenue Code of 1986. (3) This organization shall not retain any excess business holdings as defined in Section 4943(c) of the Internal Revenue Code of 1986. (4) This organization shall not make any investments that will subject it to tax under Section 4944 of the Internal Revenue Code of 1986. (5) This organization shall not make any taxable expenditure as defined in Section 4945(d) of the Internal Revenue Code of 1986. (g) This organization shall support the purpose of National Assistance League and comply with its laws, policies, procedures and standards. Page 151 V. (h) The activities of this organization shall be conducted without financial benefit to any member. Article 3 Membership 3.01 Composition. This organization shall have members that shall be called voting members and may also have nonvoting members. Membership as a voting or nonvoting member is open without discrimination to all individuals as long as they comply with the responsibilities of membership. 3.02 Responsibilities and Standards. Members shall comply with the responsibilities and standards of membership, including: maintaining conduct that enhances the image and reputation of the organization and does not cause it embarrassment; behaving in a civil manner, supporting the harmony, mission and welfare of the organization; and complying with the organization's conflict of interest and disclosure policy. The Board of Directors, hereinafter referred to as the Board, has the right in its sole and absolute discretion to revoke the membership of any member who, after allowing the member to be heard, the Board determines has not complied with the responsibilities and standards of membership. 3.03 Age Limit. This organization shall have no age requirements; however, it may be so organized that the membership may be divided into various groups of age compatibility in accordance with applicable law. 3.04 Leave of Absence. The Board of Directors, hereinafter referred to as the Board, may grant or deny requests for temporary leaves of absence to voting members for travel, illness or to meet emergency needs for a period not less than three (3) months nor more than one (1) year. While on leave of absence, a voting member shall continue to pay dues, may attend chapter meetings and vote. Members on leave of absence may not chair appointive committees or hold elective office. All financial responsibilities are the same as an Active member. 3.05 Dues and Penalties. Any member who is more than sixty (60) days delinquent in any chapter obligation, without reasons deemed sufficient by the Board, shall, by action of the Board, forthwith be suspended from all privileges of the chapter. The Secretary shall notify such member, in writing, of the suspension. Upon satisfactory discharge of the delinquent chapter obligations within thirty (30) days after notice of suspension, all privileges of chapter membership shall be restored. If delinquent chapter obligations are not met within thirty (30) days after notice of suspension, the membership of such member shall be revoked. 3.06 Dual Membership. Chapter members may hold membership in more than one (1) chapter and/or auxiliary. Article 4 Board 4.01 Governing Body. The Board shall be the governing body of this organization. It shall be composed of the officers and the elective standing committee chairmen. Only elected members of the Board shall have a vote. 4.02 Powers. The Board shall be subject to the powers and functions as prescribed by the bylaws. 4.03 Policies. and Standards. The Board shall have the power to establish and maintain policies and standards. 4.04 Management. The Board shall have the responsibility for the general management of the corporation and the power to act for the corporation between meetings of the membership. 4.05 Terms of Office. Members of the Board shall hold office for a term of one (1) year or until their successors are elected and assume office. They shall assume office at the close of the May Board meeting. No member shall be eligible to serve more than two (2) consecutive terms in the same office. 4.06 Meetings. Unless otherwise directed by the Board, regular meetings of the Board shall be held on the third (3r°) Tuesday of the month, August through June. 4.07 Conduct of Meetings. Members of the Board may participate in a meeting through use of conference telephone or similar communications equipment, including but not limited to electronic meetings, so long as all members participating in such meeting can communicate with one another. Such participation shall constitute personal presence at the meeting. Page 152 4.08 Special Meetings. Special meetings of the Board may be called by the President and shall be called upon the written request of five (5) members of the Board, provided notice of such special meetings shall have been given to each Board member at least three (3) days prior thereto. 4.09 Quorum. A majority of the Board shall constitute a quorum. 4.10 Vacancies. Vacancies on the Board, except in the office of President, shall be filled by majority vote of the Board. The office of President shall be filled by the First Vice President, and the Board shall fill the vacancy thus created. 4.11 Executive Committee. The Executive Committee shall be composed of the officers of the Board. This committee shall have the power of the Board between meetings of the Board. Four (4) members shall constitute a quorum. The Parliamentarian shall attend Executive Committee meetings in a nonvoting capacity. Article 5 Nominations and Elections 5.01 Nominating Committee. (a) At the December Board meeting, two (2) members and one (1) alternate shall be elected by and from the Board. Members must be present to accept nomination. (b) In January, three (3) members and one (1) alternate shall be elected by, and from, the voting membership. Members must be present to accept nomination. (c) The chairman and vice-chairman shall be elected by, and from, the Nominating Committee. (d) No member shall be eligible to serve two (2) consecutive years. (e) A one (1) year Active membership in good standing is required to serve on the Nominating Committee. (f) The Secretary shall call the first meeting of the Nominating Committee. 5.02 Slate. In March, the Nominating Committee shall submit its slate of nominees for offices on the Board. These offices are: President, First Vice President, Second Vice President, Third Vice President, Secretary, Treasurer, Education, Chapter House Manager, Liaison to Auxiliaries. The committee shall also submit its nominees for delegates to the annual and special meetings of National Assistance League. 5.03 Notice. The committee chairman shall submit a copy of the slate of nominees to the Secretary and to each voting member at least one (1) month prior to the election meeting or at the previous regular meeting. 5.04 Petition Process. Ten percent (10%) or more of chapter members eligible to vote may nominate, by signed petition, an additional nominee for an office on the Board, or for a delegate or alternate by mailing such petition together with the written consent of the nominee to the Secretary at least ten (10) days prior to the election meeting. No member shall sign more than one (1) nominating petition in a year. 5.05 Election Meeting. The Board shall be elected at the election meeting in April. 5.06 Voting. Elections shall be by voice vote, except when a nominating petition shall have been received, in which event the vote for the contested office shall be by ballot. Article 6 Officers and Their Duties 6.01 President. The President shall: (a) Be chief executive officer of the corporation; (b) Preside at meetings of the Board and membership; (c) Appoint special committees by direction of the Board or membership; (d) Appoint a Parliamentarian; (e) Appoint, with board approval, an Assistant Treasurer; (f) Be a delegate to the Annual Meeting of National Assistance League; (g) Sign legal documents with the Secretary; (h) Be authorized to sign checks with the Treasurer, First Vice President and Secretary; (i) Be authorized to sign auxiliary checks with the Treasurer and Liaison to Auxiliaries; G) Be ex-officio member of all committees except the Nominating Committee; (k) Present an annual report of corporate activities to the membership; (I) Submit to the national office the annual report of corporate activities within thirty (30) days following the corporation's annual meeting; and 3 Page 153 (m) All other duties specified in the president's procedure book. 6.02 Vice Presidents. (a) First Vice President, Membership (1) Shall be chairman of the Membership Committee; (2) Shall be a member of the Budget/Finance, Strategic Planning, Education and Bylaws Committees. (3) Shall be ex officio member of the Assisteens Coordinator's Committee and the Assisteens Advisory Committee; (4) Shall maintain a permanent membership file and keep records current; (5) Be authorized to sign checks with the President, Treasurer and Secretary; (6) Shall report at each Board meeting all requests for membership changes and give written notice to the Treasurer; (7) Shall notify the membership of impending dates for change of classification as well as classification changes granted by the Board; (8) In March, shall send dues invoices to members; (9) On or before June 1, shall provide the Treasurer with the Chapter Dues Summary Report. (10)Shall be a delegate to the Annual Meeting of National Assistance League; (11)Shall appoint, with Board approval, the chairmen of the Historian, Hospitality, Placement/Hours, Sunshine and Thrift Shop Scheduling Appointive Standing Committees; (12) All other duties specified in the first vice president, membership procedure book. (b) Second Vice President Philanthropic Programs (1) Shall be Chairman of the Philanthropic Programs Committee; (2) Shall be a member of the BudgetfFinance Committee, Strategic Planning Committee and the Grants Committee; (3) Shall be ex officio member of each philanthropic programs committee. (4) Shall oversee and provide policy guidance to all philanthropic programs of the chapter; (5) Shall appoint, with Board approval, the chairmen of the Kids on the Blocke, Heart and Hand, Operation Bear Hug, Operation Outreach, Operation School Belle, Project: SMILE and Scholarship Appointive Standing Committees; (6) All other duties specified in the second vice president, philanthropic programs procedure book. (c) Third Vice President, Resource Development (1) Shall be Chairman of the Resource Development Committee; (2) Shall be a member of the Budget(Finance Committee; (3) Shall provide oversight and policy guidance to all fundraising efforts of the chapter including thrift shop, grants, gala, mailings and other activities. (4) Shall be ex officio member of the Thrift Shop Committee, Grants Committee and each fundraising committee; (5) Shall, with the committee, plan fundraising events and activities in compliance with National Assistance League Fundraising Policies; (6) Shall appoint, with Board approval, the chairmen of the Grants and Thrift Shop Appointive Standing Committees; (7) All other duties specified in the third vice president, resource development procedure book. 6.03 In the absence of the President, the Vice Presidents shall serve in the order of their office. 6.04 Secretary. The Secretary shall: (a) Record the minutes of the Board and regular meetings and permanently maintain the original minutes; (b) Be custodian of the records of the corporation including the minutes of committee meetings, but excluding financial records; (c) Sign legal documents with the President; (d) Certify, immediately following receipt of the call to the annual or special meeting of National Assistance League, the names of the chapter delegate and alternate to the National Secretary; 4 Page 154 c (e) Be authorized to sign checks with the President, First Vice President, and Treasurer; (f) Conduct the correspondence of the chapter at the direction of the Board; (g) Maintain a file of communications received and copies of letters sent; (h) Maintain a current list, supplied by the Membership Chairman, of the names, addresses, and classifications of the members; (i) Immediately notify the national office when an auxiliary is certified or dissolved; and (j) Call the first meeting of the Nominating Committee; (k) All other duties specified in the secretary's procedure book. 6.05 Treasurer. The Treasurer shall: (a) Be chief financial officer of the corporation; (b) Be a member of the Budget/Finance Committee and the Strategic Planning Committee; (c) Be responsible for the collection and disbursement of funds; (d) Be responsible for the financial records of the corporation; (e) Be authorized to sign checks with the President and First Vice President and Secretary; (f) Be authorized to sign auxiliary checks with the President and Assisteens Coordinator, (g) Be responsible for the.filing of required tax forms; (h) Be, ex officio, a member of all committees with a budget. (i) Submit to the national office per capita dues including auxiliaries to arrive at the national office on or before June 1; (j) Submit to the National office within four and one-half (4'/) months following the end of the fiscal year the required documents in compliance with National Policies for Chapters; (k) Maintain custody of chapter funds and deposit same in banks designated by the Board; and (1) All other duties specified in the treasurers procedure book. Article 7 Indemnification 7.01 Indemnification of Officers, Directors, Employees and Agents. The corporation shall have the power to indemnify any person who is or was a director, officer, member, employee or other agent of this corporation against expenses, judgments, fines, settlements, and other amounts actually and reasonably incurred in connection with any threatened, pending or completed action or proceeding, whether civil, criminal, administrative or investigative to the fullest extent allowed under California law, as that law now exists or may hereafter from time to time be amended or changed. The corporation shall have power to purchase and maintain insurance on behalf of any director, officer, member, employee or other agent against any liability asserted against or incurred by such person in such capacity of arising out of such person's status as such whether or not the corporation would have power to indemnify such person against such liability under these bylaws. 7.02 Indemnification of National Assistance League. The chapter agrees to defend and indemnify and hold National Assistance League, and its officers, directors, members, employees and agents (collectively, "National Assistance League Indemnified Parties") harmless against any charges, damages, costs and expenses (including reasonable attorney's fees and court costs), liability or loss which any National Assistance League Indemnified Party may suffer, sustain or become subject to as a result of or arising out of any action or inaction of such chapter. In any action or proceeding relating to the foregoing indemnity, and brought against any National Assistance League Indemnified Party, the National Assistance League Indemnified Party shall have the right to (a) participate in the defense of such action or proceeding with attorneys of its own choosing or (b) defend itself in any action or proceeding with attorneys of its own choosing. Article 8 Standing and Special Committees 8.01 Committee Appointments. Unless otherwise provided in these bylaws, members of each committee shall be appointed by the committee chairman with approval of the Board. 8.02 Elective Standing Committees. (a) Membership. The First Vice President shall be the chairman of the Membership Committee. The committee shall be composed of the Historian, Hospitality Chair, Placement/Hours Chair, Sunshine Chair, Thrift Shop Scheduling Chair, Education Chair, Orientation Chair, immediate past president, Treasurer and or Finance Chair, Assisteens Coordinator and additional members as needed who may attend to areas of responsibility assigned to the committee. 5 Page 155 The committee shall establish goals and implement plans for membership stability and growth. It shall inform prospective members of the responsibilities and commitment of membership. The committee shall be in charge of membership events for the membership and for prospective members. The chair and committee shall fulfill all other duties specified in the membership procedure book. (b) Philanthropic Programs. The Second Vice President shall be chairman of this committee. The committee shall be composed of the chairmen of each philanthropic program, Treasurer and or Finance Chair and additional members as needed who may attend to areas of responsibility assigned to the committee. This committee shall be responsible for developing and supervising philanthropic programs which have been approved by the Board and the membership. This committee shall research and develop new philanthropic programs based on community need. The chair and committee shall fulfill all other duties specified in the Philanthropic Programs procedure book. (c) Resource Development. The Third Vice President shall be chairman of this committee. The committee will be composed of the Thrift Shop Chair, Grants Chair, Treasurer and or Finance Chair, Public Relations Chair and additional members as needed who may attend to areas of responsibility assigned to the committee. This committee shall recommend fundraising activities necessary to meet requirements of the budget. Upon approval by the Board, the committee shall draft and execute plans necessary to carry out such activities. The chair and committee shall fulfill all other duties specified in the resource development procedure book. (d) Assisteens Coordinator. The Assisteens Coordinator shall be general administrator of the auxiliary and is responsible to the chapter for the direction and completion of all Assisteens activities. Shall serve on the Membership Committee, Education Committee, Bylaws Committee and the BudgeUFinance Committee. Committee shall be composed of the Assistance Treasurer, Membership Chair (ex officio) and additional members as needed who may attend to areas of responsibility assigned to the committee. The chair and committee shall fulfill all other duties specified in the Assisteens Coordinator's procedure book. (e) Bylaws. The Bylaws Chair shall be chairman of this committee which shall be composed of the Parliamentarian, Membership Chairman, Education Chairman, Assisteens Coordinator, immediate past president and additional members as needed who may attend to areas of responsibility assigned to the committee. Be responsible for keeping the chapter bylaws current by yearly review. Review and revise chapter bylaws, standing rules and policies as directed by appropriate vote of the membership or Board. The chair and committee shall fulfill all other duties specified in the bylaws procedure book. (f) Budget/Finance. The Finance Chair shall be the chairman of the committee. The committee shall be composed of the Treasurer, Assistant Treasurer and all committee chairs that have a budget This committee shall be responsible for the overall financial planning of the chapter; to recommend finance policies for the chapter; to create an annual budget of income and expenses for Board and membership approval; to review requests for changes to the budget and recommend appropriate action; to review engagement letters from the CPA; to review annual financial statements and management letter comments from the CPA; to assist in complying with National Policies for Chapters, Finance. Annual corporate (including auxiliaries) budgets (operating and capital expenditures) shall be approved by the Board and membership prior to the beginning of the fiscal year. Annual auxiliary budgets shall be approved by the auxiliary governing body and membership and presented to the chapter Budget Committee to be included in the annual corporate budgets. The chair and committee shall fulfill all other duties specified in the finance procedure book. (g) Chapter House. The Chapter House Manager shall be the chairman of this committee. The committee shall be composed of members as needed who may attend to areas of responsibility assigned to the committee. The committee shall supervise the maintenance and repairs of the chapter house and shall maintain a current inventory of chapter property. The chairman shall present maintenance and repair considerations to the Board. The chairman shall serve on the Budget/Finance Committee. The chair and committee shall fulfill all other duties specified in the chapter house procedure book. (h) Education. The Education Chairman shall be chairman of this committee. The committee shall be composed of the Orientation Chairman, Librarian, Circle Representative, 6 Page 156 Membership Chairman, Newsletter Editor, Public Relations Chairman, Assisteens Coordinator, Treasurer and or Finance Chair and additional members as needed who may attend to areas of responsibility assigned to the committee. This committee shall be responsible for the education and training of the new Active members and shall keep the Orientation Handbook current. The committee shall establish training and education programs for the Board, committee chairmen, membership and maintain resource information and materials for member use. The chairman shall serve on the Membership, Strategic Planning, Bylaws and Budget/Finance Committees. The chair and committee shall fulfill all other duties specified in the education procedure book. (i) Public Relations. The Public Relations Chairman shall be chairman of this committee. The Public Relations Chair will appoint, with Board approval, the Newsletter Editor and Web Site Administrator. The committee shall be composed of the Newsletter Editor, Web Site Administrator, Treasurer and or Finance Chair and additional members as needed who may attend to areas of responsibility assigned to the committee. This committee shall release press and media notices of the chapter and shall adhere to the established policies of this chapter and those established by National. This committee shall keep a press book of published releases. The chairman shall serve on the Education, Resource Development and Budget/Finance Committees. The chair and committee shall fulfill all other duties specified in the public relations procedure book. (j) Strategic Planning. The Strategic Planning Chairman shall be chairman of this committee. This committee shall include two (2) Past-Presidents, the Finance Chair, Treasurer, Assistant Treasurer, Philanthropic Programs Chair, Membership Chair, Education Chair and two (2) additional members. Two (2) members shall serve two (2) consecutive terms on a rotation basis. This committee shall facilitate the development of a strategic plan to ensure achievement of the chapter's vision and mission. The committee shall oversee monitoring and evaluation of the plan on an ongoing basis and make recommendations to the Board. The chair and committee shall fulfill all other duties specified in the strategic planning procedure book. 8.03 Appointive Standing Committees. (a) Assistant Treasurer. The Assistant Treasurer shall be appointed by the President. In the absence or inability to act of the treasurer, the Assistant Treasurer may perform all the duties and exercise all the powers of the treasurer. Shallserve on the Budget/Finance Committee, Assisteens Committee and the Strategic Planning Committee. The assistant treasurer shall fulfill all other duties specified in the assistant treasurer procedure book. (b) Circle Representative. The Circle Representative shall be appointed, with Board approval, by the Education Chair. She shall serve on the Education Committee. The Circle Representative shall understand the purpose and value of Circle and support the goals and initiatives of the annual Circle campaign. She shall represent and obtain donations to Circle. The Circle Representative shall fulfill all other duties specified in the Circle Representative procedure book. (c) Grants. The Grants Chair shall be appointed, with Board approval, by the Resource and Development Chair. The Grants Chair shall serve on the Resource Development Committee and the Budget/Finance Committee. The committee shall include the Treasurer and or Finance Chair, Philanthropic Programs Chairman, Operation School Bell Chairman, Resource Development Chair and additional members as needed who may attend to areas of responsibility assigned to the committee. The committee shall be responsible for researching, identifying and submitting grants necessary to meet requirements of the budget. The chair and committee shall fulfill all other duties specified in the grants procedure book. (d) Heart and Hand. The Heart and Hand Chair will be appointed, with Board approval, by the Philanthropic Programs Chair. The chair shall serve on the Philanthropic Programs Committee and the Budget/Finance Committee. The committee shall be composed of the Philanthropic Chair, Treasurer and additional members as needed who may attend to areas of responsibility assigned to the committee. The committee will receive and analyze referrals from the membership, Philanthropic Programs, local agencies, individuals or school districts, and may collaborate with another organization on these specific activities. The activities 7 Page 157 selected will be determined by need of the recipient and budgetary constraints. The chair and committee shall fulfill all other duties specified in the heart and hand procedure book. (e) Historian. The Historian shall be appointed, with Board approval, by the Membership Chair. The Historian shall keep current the written and pictorial history of the chapter and maintain a current scrapbook for the chapter and president. The chairman shall be a member of the Budget/Finance Committee and Membership Committee. The historian shall fulfill all other duties specified in the historian procedure book. (f) Hospitality. The Hospitality Chair shall be appointed, with Board approval, by the Membership Chair. The committee shall be responsible for management and development of social functions and special physical arrangements and refreshments for chapter meetings. The chair shall be a member of the Budget/Finance Committee and Membership Committee. The chair and committee shall fulfill all other duties specified in the hospitality procedure book. (g) Librarian. The Librarian shall be appointed, with Board approval, by the Education Chair. The chair will serve on the Education Committee. The committee shall be composed of the Education Chair and the necessary members needed who may attend to areas of responsibility assigned to the committee. The chair shall organize, supervise and maintain the chapter resource library and encourage member use. The librarian shall fulfill all other duties specified in the librarian procedure book. (h) Kids on the Block. The Kids on the Block Chair shall be appointed, with Board approval, by the Philanthropic Programs Chair. The committee shall be composed of the necessary members needed who may attend to areas of responsibility assigned to the committee. The committee shall plan and put into execution Kids on the Block. The chairman shall be a member of the Philanthropic Programs Committee and the Budget/Finance Committee. The chair and committee shall fulfill all other duties specified in the Kids on the Block procedure book. (i) Newsletter. The Newsletter Editor shall be appointed, with Board approval, by the Public Relations Chair. The committee will be composed of the Public Relations Chair and the necessary members needed who may attend to areas of responsibility assigned to the committee. The committee shall work with the graphic designer to prepare and distribute the chapter newsletter, be responsible for the publication of the yearly membership directory and its distribution at the September meeting and shall be responsible for internal communications (via Email). The chairman is the chapter web site administrator. The chairman shall serve on the Public Relations Committee, Budget/Finance Committee and Education Committee. The chair and committee shall fulfill all other duties specified in the newsletter editor procedure book. U) Operation Bear Hug. The Operation Bear Hug Chair shall be appointed, with Board approval, by the Philanthropic Programs Chair. The chair will be a member of the Philanthropic Programs Committee and the Budget/Finance Committee. The committee will be composed of the Philanthropic Programs Chair and the necessary members needed who may attend to areas of responsibility assigned to the committee. The committee will provide stuffed teddy bears dressed in an Assistance League t-shirt to outside agencies (i.e., fire and police departments) who will distribute them during a time of need to provide comfort to those in trauma. The chair and committee shall fulfill all other duties specified in the Operation Bear Hug procedure book. (k) Operation Outreach. The Operation Outreach Chair shall be appointed, with Board approval, by the Philanthropic Programs Chair. The chair will be a member of the Philanthropic Programs Committee and the Budget/Finance Committee. The committee will be composed of the Philanthropic Programs Chair and the necessary members needed who may attend to areas of responsibility assigned to the committee. The committee will facilitate the donation of unsalable clothing to Salvation Army and use of our facilities and/or chapter room by other 501(c)(3) organizations. The chair and committee shall fulfill all other duties specified in the Operation Outreach procedure book. (1) Operation School Bell. The Operation School Bell Chair shall be appointed, with Board approval, by the Philanthropic Programs Chair. The committee shall plan and put in execution Operation School Bell. The committee shall be composed of the necessary 8 Page 158 members needed who may attend to areas of responsibility assigned to the committee. The chairman shall serve on the Philanthropic Programs Committee, Grants Committee and Budget/Finance Committee. The chair and committee shall fulfill all other duties specified in the Operation School Bell procedure book. (m) Orientation. The Orientation Chair shall be appointed, with Board approval, by the Education Chair. The chair shall serve on the Education Committee and Membership Committee. The committee shall be composed of the Education Chair and additional members as needed who may attend to areas of responsibility assigned to the committee. The committee shall educate and train new members using National Assistance League® Guidelines for New Member Orientation and other resources provided by the National Education Committee and chapter resources. The chair and committee shall fulfill all other duties specified in the Orientation procedure book. (n) Parliamentarian. The Parliamentarian shall be appointed, with Board approval, by the president. The Parliamentarian shall serve on the Bylaws Committee. The Parliamentarian shall advise the presiding officer of a meeting on matters of parliamentary procedure and confer with the president as needed. The Parliamentarian shall fulfill all other duties specified in the Parliamentarian procedure book. (o) Placement and Hours. The Placement and Hours Chairman shall be appointed, with Board approval, by the Membership Chair. The committee shall be composed of the necessary members needed who may attend to areas of responsibility assigned to the committee. This committee shall record membership participation and hours served. The chairman shall serve on the Membership Committee. The chair shall fulfill all other duties specified in the Placement and Hours procedure book. (p) Project: SMILE The Project: SMILE Chairman shall be appointed, with Board approval, by the Philanthropic Programs Chair. The committee shall be composed of the necessary members needed who may attend to areas of responsibility assigned to the committee. This committee shall plan and put into execution Project: SMILE. The chairman shall on the Philanthropic Programs Committee and the Budget/Finance Committee. The Project: SMILE chair shall fulfill all other duties specified in the Project: SMILE procedure book. (q) Scholarship Chairman. The Scholarship Chairman shall be appointed, with Board approval, by the Philanthropic Programs Chair. The committee shall be composed of the necessary members needed who may attend to areas of responsibility assigned to the committee. The chairman and committee shall plan and execute scholarship needs. The chairman shall serve on the Philanthropic Programs Committee and Budget/Finance Committee. The Scholarship Chair shall fulfill all other duties specified in the scholarship procedure book. (r) Sunshine. The Sunshine Chair shall be appointed, with Board Approval, by the Membership Chair. The committee shall be composed of the Membership Chair and necessary members needed who may attend to areas of responsibility assigned to the committee. The Sunshine Chair shall serve on the Membership Committee and Budget/Finance Committee. The Sunshine Chair shall conduct all social correspondence of the chapter. The Sunshine chair shall fulfill all other duties specified in the Sunshine procedure book. (s) Thrift Shop. The Thrift Shop Chairman shall be appointed, with Board approval, by the Resource Development Chair. The committee shall be composed of the necessary members needed who may attend to areas of responsibility assigned to the committee. This committee shall be responsible for the operation of the thrift shop and recommend policies for its operation subject to the approval of the Board and membership. The chairman shall be a member of the Resource Development and Budget/Finance Committee. The Thrift Shop chair shall fulfill all other duties specified in the Thrift Shop procedure book. (t) Thrift Shop Scheduling. The Scheduling Chair shall be appointed, with Board approval, by the Membership Chair. The chair shall serve on the Membership Committee. The Scheduling Chairman shall be responsible for preparing the monthly thrift shop work schedule and recording absences and substitutions. A daily worker who is absent and fails to arrange a substitute for duty in the shop shall be notified by the Scheduling Chairman. The Thrift Shop Scheduling chair shall fulfill all other duties specified in the Sunshine procedure book. 8,04 Special Committees. By direction of the Board or membership, the President shall appoint special committees. 9 Page 159 Article 9 Permanent Standing Committees 9.01 Community Ambassadors. (a) Composition. Community Ambassadors will be composed of the past presidents, current president and Strategic Planning chair. (b) Function. To represent the chapter and network within the communities served by the chapter. (c) Chair. The chairman shall be the immediate past president; the current president is chair- elect. (d) Meetings. The committee will meet as needed. 9.02 PROS (Personal Rewards of Service) (a) Composition. PROS Permanent Standing Committee is specifically designed to accommodate the individual schedules of working and non-working adults as well as college students. (b) Function. The committee endeavors to provide services for children, youth and families who have experienced or are at risk of domestic violence. (c) Chair. The chairman shall be elected by the committee. (d) Meetings. The committee will meet as needed. Article 10 Meetings 10.01 Regular Meetings. Unless otherwise directed by the Board, with membership approval, regular meetings shall be held on the first Tuesday of each month, except for July, August, and December. 10.02 Election and Annual Meetings. The regular meeting in April shall be known as the election meeting, and the regular meeting in May shall be known as the annual meeting. 10.03 Special Meetings. Special meetings may be called by the President and shall be called upon the written request of one third (1/3) voting members. The purpose of the meeting shall be stated in the call. Except in emergencies, at least three (3) days' notice shall be given. 10.04 Voting Rights. There shall be no vote by proxy. 10.05 Quorum. One-third (1/3) of the voting members represented in person shall constitute a quorum at a meeting of members. If a quorum is present, the affirmative vote of the majority of the voting power represented at the meeting, entitled to vote, and voting on any matter shall be the act of the members. Article 11 Finance 11.01 Fiscal Year. The fiscal year of this organization shall be from June 1 through May 31. 11.02 Dues and Fees. Annual dues shall be payable on or before April 1 and delinquent on April 25. VOTING: Active (including new Actives) $85.00 Active on Limited Service $85.00 Life (a one-time fee) $1,000.00 NONVOTING: Sustaining $150.00 Community Contributor $300.00 PALS $40.00 PROS $48.00 Assisteens $35.00 (returning member) $45.00 (new member) 11.03 National Assistance League Dues. Annually, the corporation shall pay to National Assistance League per capita dues of thirty-five dollars ($35) and ten dollars ($10) per capita for Assisteens members. 11.04 Requirements. The corporation shall maintain a sound financial position and shall have a Certified Public Accountant audit or review its financial statements annually. 11.05 Delegates and Alternates. The chapter, at its own expense, shall send its delegate and may send its alternate to the annual meeting and special meetings of National Assistance League. 10 Page 160 11.06 Proposed Expenditures. Proposed expenditures of unbudgeted funds in excess of two hundred fifty dollars ($250.00) shall be presented to the Board and membership for approval. , 11.07 Fundraising. The corporation shall plan fundraising events and activities in compliance with National Policies for Chapters. 11.08 Property. The corporation may raise funds to purchase or rent property to house a program or activity, which funds shall become part of its philanthropic program. 11.09 Fundraising Agent. The corporation shall not act as a fundraising agent for individuals or other organizations. 11.10 The chapter shall carry adequate insurance to protect assets and cover liabilities. 11.11 The chapter shall plan all fund raising events given for the benefit of its philanthropic programs in such manner that the total expenditure shall be less than thirty-five (35%) percent of the total receipts. 11.12 A vote on any philanthropic program or fundraising activity in which members shalt have a service or financial obligation shall be taken only after approval and recommendation of the Board. The vote shall be taken by ballot and requires a two-thirds (2/3) vote of the voting members present. Article 12 Auxiliaries 12.01 Formation. The chapter may form auxiliaries. Auxiliaries shall support chapter projects and activities. 12.02 Operation. (a) For administrative purposes, auxiliaries shall have their own governing body. (b) They shall be governed by the bylaws of the corporation. Their policies and standards shall be consistent with the policies, procedures and standards of National Assistance League and the chapter. (c) The auxiliary shall establish Policies for Auxiliary Organization. These policies shall set forth procedures to: 1) Nominate and elect members of the governing body; 2) Conduct governing body meetings; 3) Establish and operate committees; 4) Conduct meetings of the membership; and 5) Ensure fiscal compliance. (d) Policies for Auxiliary Organization, and any proposed amendments thereto, shall be written by the auxiliary and submitted to the chapter Board for approval prior to a vote of the auxiliary membership. (e) Adoption of Policies for Auxiliary Organization and any amendments thereto, by the auxiliary, shall be by majority vote of the members of the auxiliary. (f) A current copy of Policies for Auxiliary Organization shall be kept on file with the chapter Secretary. 12.03 Organization. An auxiliary name shall identify the auxiliary as an auxiliary of the chapter. Each auxiliary shall have a voting representative on the Board, elected by and from the auxiliary, or the Chapter Liaison to Auxiliaries shall be the voting representative. 12.04 Assisteens Auxiliary. The use of the name "Assisteens Auxiliary" shall be approved by the National Board, and it shall include the words, "an auxiliary of Assistance League of Temecula Valley." Members may be in seventh (71h) through twelfth (12th) grades. It shall be represented on the Board by the Assisteens Coordinator. The Assisteens Coordinator shall be, ex officio, a member of the Assisteens governing body. 12.05 PROS Auxiliary. The purpose of this auxiliary shall be to give volunteer service in chapter philanthropic programs and/or fund raising activities or to establish with chapter approval, a new philanthropic program and/or fund raising activity to be administered by the auxiliary. Members shall be employed or a student. There shall be a minimum of twenty (20) members. Article 13 Advisory Board 13.01 Advisory Board. Advisory Board members shall be called upon as needed from the chapter. The Advisory Board shall be made up of members of the community, including an attorney, as well as past presidents of the chapter. 11 Page 161, Article 14 National Assistance League 14.01 Determining Delegates. The chapter shall elect at its election meeting, to serve for one (1) year, a voting delegate, and an alternate thereto, for up to one hundred (100) of the chapter's membership (but not less than one (1) voting delegate and with the membership rounded off to the next highest hundred for such determination), to represent the chapter at annual and special meetings of National Assistance League. Additional delegates shall be elected for each one hundred (100) additional members, and if there are additional members in excess of those divisible by one hundred (100), one additional delegate shall be elected if there are fifty-one (51) or more additional members. 14,02 Delegate Vacancies. Should neither the delegate nor the alternate be available to serve, the Board may elect another delegate who shall be certified to the National Secretary at least twenty- four (24) hours prior to the annual meeting and special meetings of National Assistance League. 14.04 Votes Per Member-Delegates. The chapter shall be entitled to that number of votes equal to its number of delegates. Article 15 Bylaws and Amendments 15.01 Bylaws for Chapters. The chapter shall be governed by these bylaws. The bylaws shall not be in conflict with the Bylaws of National Assistance League, any federal laws or with the laws of the state in which the corporation is incorporated. Conflicts unresolved by a standing committee to be determined by the National Board shall be referred to the National Board for resolution, and the decision of this body shall be final. In the event of any conflict, the laws of the state shall prevail. 15.02 Amendments and Revisions. These bylaws may be amended or new bylaws adopted at any regular meeting, or at any special meeting called for that purpose, provided that written notice of each proposed amendment or the proposed new bylaws shall have been given to each voting member at least thirty (30) days prior to the date of any such meeting, or at the previous regular meeting. 15.03 Conforming. When amendment of these bylaws shall become necessary by action of National Assistance League, the Bylaws Committee of the chapter is authorized to conform these bylaws in accordance therewith, and such amendment shall have the same force and effect as if adopted by the members of the chapter in accordance with the provisions of 13.01 of this Article. 15.04 Filing. Current bylaws and standing rules shall be on file at the national office. Article 16 Parliamentary Authority 16.01 Rules of Order. The current edition of RoberPs Rules of Order Newly Revised, as amended from time to time, shall govern the meetings of the chapter insofar as those rules are not inconsistent with or in conflict with these bylaws, the Articles of Incorporation, the Bylaws of National Assistance League, the law, the laws of the State of California or rules governing agenda, motions and related matters. 12 Page 162 A417175 CERTIFICATE OF AMENDMENT OF ARTICLES OF INCORPORATION In thsotficeoIL EID attheSate sea ofState Ga ISmia APR 13 1992 LA DONNA JIMENEZ AND BETTY THOMPSON certify that: MASWEVIS AT01ale 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 LA DONNA JIM President BETT THOMPSO , Secretary NONPROFIT Page 163 ' f ' 1463456 ENDORSE F. ED in toe oitica aI fhe SecrMC7. of ARTICLES OF INCORPORATION of Me sfah at caLtarnin -OF- ASSISTANCE GUILD OF TEMECULA VALLEY JUN 15 1989 A California Nonprofit Public Benefit Corporation JU MARCH FONG EU, Secretary( NAME VALLEY. 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 E1 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 Page 164, intervene in any political campaign (including the publishing or distribution of statements) on behalf of any candidate for public office. V. DEDICATION AND 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 4-11' day of June, 1989. I hereby declare that I am the person who executed the foregoing Articles of Incorporation, which execution is my act and deed. 2 Page 1651 National Assistance League, 5627 Fernwood Ave., Los Angeles. California 90028 Founded 1935 Incorporated 1949 (213) 469-5897 FAR 213-469-0669 Reviewed October 1991 CHANGE OF STATUS FORM (ORGANIZERS MATERIAL ONLY) I, Jo Stewart Guild Counselor, do hereby declare that ASSISTANCE GUILD OF rem . i a ya i i Py t has successfully completed the requirements necessary for chapter status and has my approval to make application to the National Board. The guild membership voted to make application for chapter status on February 4, 1992 Signed Date Fe " uary 4, 1992 i ) Page 166 Y x A41'71'75 Sbt¢ Ca fifornia OFFICE OF THE SECRETARY OF STATE CORPORATION DIVISION I, MARCH FONG E U, 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 f ull, true and correct. IN WITNESS WHEREOF, I execute this certificate and affix the Great Seal of the State of California this APR 623 i2'32 Secretary of State SEC/STATE FORM CE-107 go state Ca ifornis OFFICE OF THE SECRETARY OF STATE CORPORATION DIVISION I, MARCH FONG E U, 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 JUN 19 1989 Secretary of State SEC/STATE FORM CE-107 M§ ATTACHMENT II Project Activity Page 169 r- N O ~ O ® U N ® O O 4=J tv LM 0 v v a v~ L N N L 0 N 14q c .N a, L Q0 M L!1 Ln N O co u ■ O 00 v ■ W 0 L V L Q N L cti N 2 LU r M a~ 4- tA I- LL 0 0 s V L a~ ~ O s c V L N Ln 0 s Y r 2 N r a~ c a 4 N ~ i M U) 0 r 0 qqm E ® N LM N p L r r 4J ~ D C i W G! J N Ln m N N N N 00 M NV V/ U o~ 0 0 s u L N 7 Page a~ W mc 4=j 4- 0 E a~ Mimi ~9--d cn - - N 0 0 0 0 0 Ln o Ln o Ln N N r r 0 ~b y 94'0J 0, 9 d 90 2p ~d O e 7 6 Page E E ® s u W O _ , 0 r8loo ~ V I V) :3 0 • 4-, W -J V) r- n/1 Ln N O Page ti9 ATTACHMENT III PROJECT DESCRIPTION Page 177 Ayoung boy delighting in the selection at Operation School Bell as he chooses some brand- new clothes to start the school year. Page 178 assistance league, Temecula Valley OPERATION SCHOOL BELL" Attachment 111 PROJECT DESCRIPTION Operation School Bell" Imagine being a child without the appropriate clothes to dress on an ordinary school day. Every year disadvantaged children in kindergarten through eighth grade may not attend school, because they simply, because they do not have adequate clothing. Now, imagine what a gift it would be to choose your own new clothing and receive a new backpack filled with school supplies and hygiene items. When these children are referred to Assistance League by the four school districts we serve, that is precisely what happens. While Assistance League volunteers are happy to know this new clothing increases the student's incentive for regular school attendance, higher academic performance and enhanced self- esteem, the true reward comes from the big smile such a gesture brings to every child's face. Assistance League of Temecula Valley has signed, current Program Service Agreements (PSR's) with the four school districts served: Lake Elsinore Unified School District, Menifee Union School District, Murrieta Valley Unified School District and Temecula Valley Unified School District. These agreements are reviewed and updated every three years. Representatives from Assistance League meet with school personnel each year before school begins to provide current policies and procedures for Operation School Bell referrals. The current student referral documents are given to school personnel training on the on-line appointment schedule program. Attached are copies of the documents given to each of the schools. Students in need and enrolled in stated funded school preschools up through eighth grade, receives: 3 pairs of pants, 3 shirts, 6 pairs of underwear, 6 pairs of socks, hoodie sweatshirt, backpack with school supplies (pencils, pens, markers, crayons, erasers, notebook, ruler) and hygiene kit (shampoo, soap, toothbrush and toothpaste plus deodorant), at a cost of $100 per child. Operation School Bell operates three days a week for five hours, scheduling 25 appointments daily, and is staffed by four Assistance League members. Parents and children are invited to come to our facility for their clothing, however, if transportation is unavailable or a work schedule doesn't permit the parent to bring the child, Operation School Bell provides the clothing by a new method introduced this year called: bag and delivery. The parent completes Operation School Bell forms, provided to them by the school health office, and returns the completed forms to the health office. The documents are faxed to Operation School Bell to fill the order, and we arrange delivery of the clothing to the student's school. New program has begun under Operation School Bell. Evaluations were made of the school districts, and it was found that health and hygiene items are needed for some students while they are at school. Sometimes a student comes to the health office needing clean clothing, a toothbrush, comb, or bandage, and due to recent school budget cuts, these supplies aren't always available. Health office Page 179 staff members are the first responders for students when there is an urgent need. The cost of the items provided per bag (fabric sport bags) is $100. The items that will be included will be: Preschool bags: 1. Pants: Boys/Girls (unisex) Sizes 4-6 (two of each) 2. Girl's underwear: Sizes 4-6 (two of each) 3. Boy's underwear: Sizes: 4-6 (two of each) 4. Socks: Boys/Girls (unisex) Size 4-6-1/2 (two paid) 5. Hygiene supplies: one box antiseptic wipes, individual tissues packs, 12 each Elementary/Middle school bags: Age appropriate clothing and hygiene items. To be accomplished when funding is available. SUMMARY OF COSTS Our present cost of clothing approximately: 1,500 children x $100 per child = $150,000.00 Cost of new "Save our Student Bag" program: • 48 preschool classrooms x $100 per bag= 4,800.00 (Includes fabric bag at a cost of $6.25 per bag) • 90 schools x $100 per school = 9.000.00 $163,800.00 Should the City of Lake Elsinore, under Community Development Block Grant Program, award Assistance League of Temecula Valley, the requested amount of $10,000, this amount would greatly provide Assistance League of Temecula Valley with additional funds needed in the daily operation of Operation School Bell programs. Thank you for your consideration and support for our efforts to positively impact the families in the communities that we serve. Page 180i AAL assistance league• Temecula Valley ASSISTANCE LEAGUE" OF TEMECULA VALLEY 'Caring and Commitment in Action' Operation School Bell" Referral Procedures Dear Health Clerks and Nurses, To refer a student to Operation School Bell please complete the following steps: 1. Determine need and eligibility by conferring with child's teacher. 2. Insert the following information into the Appointment Request Form and e-mail it to shclschCa)verizon.net. • Name of student • DOB (Date of Birth) • Grade • Gender M or F (Male or Female) • Name of School • Family contact phone number 3. You will be notified of the appointment date and time within forty-eight hours. 4. Indicate the appointment date and time on the Appointment Reservation Form and complete the requested information. Give a copy to the parent/guardian (they must bring this form with them to the dressing) and provide copies of the following forms that must be read and/or completed prior to the dressing appointment. Review the forms with them and answer any questions they may have. • Parent Permission Form. Request that the parent complete one form for each child, recording the child's current sizes and sign and date the form. They must bring this form with them to the dressing. • CDBG Form. The Community Development Block Grant Form is used to apply for grant money and they must bring this completed form with them to the dressing. This form must also be accompanied by current proof of income, which includes a copy of, Income Tax return, W-2, Paycheck stub or Notice of Action (Welfare or Food Stamps). • Parental Letter listing the items each child will receive and the clothing sizes that we keep in stock. • Map showing location of Assistance League Thrift Shop and Operation School Bell. Thank so much for all your efforts to refer children in need and help families make the most of their appointments! Judy Wehrs, Chair, Operation School Bell Form # HC -1 Revised 8/08/09 Page 181 OPERATION SCHOOL BELLO PROPER COMPLETION OF AUTOMATED REQUEST FORM HC-1b January 04, 2010 1. Properly completed Form HC-1b attached. 2. You must use Form HC-lb to schedule. 3. Form column widths will adjust to accommodate required information. 4. Do not leave blank spaces, lines or use words such as same, ditto, ditto marks, siblings, etc. You must only include the information called for in each column. 5. Under contact # - Provide only the telephone number. No names or locations. The program automatically schedules children together who have the same telephone number. 6. Send only one HC-1b form per e-mail request. In order to generate an automated response the program can only reply to one form per request. Each form can accommodate 12 appointment requests. 7. If you have any other information to tell the scheduler, you must do so in the body of the e-mail transmitting the request. If you include it on HC-lb form the system rejects your request and it must be hand processed. Form #HC-1a(1) Rev 7/1/10 Page 182, ASSISTANCE LEAGUE® OF TEMECULA VALLEY 28720 Via Montezuma AAL Temecula, CA 92590 Caring and Commitment in Action' assistance league. Operation School BellO Temecula Valley APPOINTMENT NOTIFICATION Notification de Cita The following appointment has been reserved for your child. • La siguiente cito se ha reservado para su hijo(a): Child's Name Nombre y opellido del nino/a Escuela Age_ Grade Edad Grado School District Parent/Guardian Districto Escolar Padre/Madre/Guardian Procedures are followed: Instrucciones paro el proceso: 1. Your appointment date La fecho de su cita rime: La hora 2. Please notify us at 951.694.8628, if you are unable to keep this appointment. Unfortunately, due to the large number of students we serve, sometimes it is difficult to reschedule. Favor de informamos al numero 951.694.8628 si usted no puede Ilegar a to hor indicada. Desgarciadamente, debido a la gran canddad de gente que servimos, a veces es diftcll reservar otro cita. 3. When you come with your child at the appointed time to the address above, please bring thi form. Enter the door on the right side of the building. It is indicated on the door that is the entrance for participants of the Operation School Bell program. Cuando viene con su hijo a su cita a to direcci6n indicada ardbo, favor de truer tambien esto forma. Lo entrada se encuentra at lado derecho del edificio. Se indica en la puerta que es la entrada designada paro participantes del proyecto Operation School Bell." Notes to Parents: Atencion Padres: ➢ PARENT AND CHILD MUST BE PRESENT TO RECEIVE CLOTHING. Please bring only the child/children who have appointments with Operation School Bell. Space is limited. El padre o la madre y el nino(a) tienen que estar presents paro recibir la ropa. Favor de llevar solamente a los ninos que denen citas con el proyecto. El espacio es limitado. ➢ Assistance League members volunteer their time, so PLEASE BE PROMPT. Los miembros de la Assistance League son voluntarias que donan so dempo. FAVOR DE SER PUNTUALES. PLEASE HAVE ALL YOUR PAPERWORK FILLED OUT BEFORE YOU ARRIVE. This includes: 1. Parent Permission Form with correct sizes for your child 2. CDBG (Community Development Block Grant) Form and 3. Proof of income (Copy of Tax return, W-2, Paycheck stub or Notice of Action for Welfare or Food Stamps). FAVOR DE TENER TODOS LOS DOCUMENTOS COMPLETOS ANTES DE QUE USTEDES LLEGUEN. Se incluyen: 1. La forma del permiso de padre/madre/guardian con los tamanos correctos de su niifo. 2. La forma CDBG (Community Development Bock Grant-la beca) 3. La prueba de ingresos (declarations de renta, la forma de W-2, talon de cheque de pago y Noto de Accion para el Bienestar y Cupones de Alimentos). School Health Clerk/Nurse: Signature Date Foraged 83 P-..- vi 12010 ASSISTANCE LEAGUE" OF TEMECULA VALLEY 'Caring and Commitment in Action' assistance jam, . Operation School Bell" Temecula Valley CLOTHING LIST To Parents and Health Clerks, We look forward to seeing you in Operation School Bell and to dress your child/children in their new school clothes. Each child receives the following: 3 tops 3 pairs of pants 1 sweatshirt, hooded - one per school year 6 pairs of underwear 2 beginner bras - only if needed 6 pairs of socks 1 pair of shoes 1 hygiene kit: shampoo, soap, brush, comb, toothbrush, toothpaste, deodorant 1 backpack per school year with homework supplies To ensure that we have the sizes he/she will need, we are listing the sizes we keep in stock: Girls Shirts: small, medium, large, extra large (regular and junior sizes) Girls Pants: 4, 5, 6, 6x, 7, 8, 10, 12, 14, 16 Junior Girls Pants: 0, 1, 3, 5, 7, 9, 11, 13, 15, 17 Girl's Plus Sizes: 7-16 Boys Shirts: small, medium, large, extra large Boys Pants: 4, 5, 6, 7, 8, 10, 12, 14, 16, 18 (regular, slim and husky) If your student needs a size not listed above, please contact us through your Health Clerk. We need advance notification of two (2) weeks to have the appropriate sizes available. Thank you, Operation School Bell Form # HC-4 Revised 7/1/2010 Page 184, ASSISTANCE LEAGUE" OF TEMECULA VALLEY 'Caring and Commitment in Action' assistance league' Temecula Valley Operation School Bell" LISTA DE ROPA Padres y Empleados de Salud, Anticipamos con entusiasmo verlos en nuestro proyecto "Operation School Bell," en el cuai les entregaremos a sus ninos la nueva ropa para este ano escolar. Cada nino/a recibir6 to siguiente: 3 camisas o blusas 3 pantalones 1 sudadera encapuchada - (una por ano escolar) 6 pares de calcetines 6 pares de ropa interior 2 sostenes principiantes, tamaho 'A' solamente (si son necesarios) 1 par de zapatos 1 bolsa de articulos higienicos: champ6, jab6n, cepillo, peine, cepillo de dientes, pasta dental, desodorante (si es necesario) 1 mochila con materiales para mantener en casa para hacer las tareas--(una por ano escolar) Para asegurarnos de que tengamos los tamanos necesarios, indicamos abajo los tamanos que mantenemos en nuestro inventorio: camisas para ninas: pequeno, mediano, grande, extra-grande (regulares o menores) pantalones para ninas: 4, 5, 6, 6x, 7, 8, 10, 12, 14, 16 pantalones para chicas: 0, 1, 3, 5, 7, 9, 11, 13, 15, 17 tallas extra-grandes: 7-16 camisas para varones: pequeno, mediano, grande, extra-grande pantalones para varones: 4, 5, 6, 7, 8, 10, 12, 14, 16, 18 (regular, delgado y fuerte/corpulen) Si el estudiante necesita un tamaiio que no este indicado arriba, favor de comunicarse con nosotros a traves de su Emaleado de Salud de la escuela. Usted debe informarnos dos (2) semanas antes de su cita para que tengamos los tamanos apropiados disponibles. Gracias, Operation School Bell Form # HC-4 Revised 7/1/2010 Page 185 ASSISTANCE LEAGUE® OF TEMECULA VALLEY AAL 28720 Via Montezuma assistance league- Temecula, CA 92590 Temecula valley 'Caring and Commitment in Action' Operation School Bell® PARENT PERMISSION FORM Unified School District. Lake Elsinore Murrieta Temecula Menifee Student's Name: Date: Operation School Bell is a program of Assistance League of Temecula Valley and is designed to assist families who may be experiencing difficulties in providing clothing for their children enrolled in kindergarten through 8m grade. It is our sincere desire to introduce you to our program and provide your child/children with three complete, new school outfits. 1, will bring my child to Operation School Bell at (Parent/Guardian) the above address on the day of my appointment. I will arrive at the time scheduled for me. If I am delayed due to an emergency, I will call Operation School Bell at 951/6946594. 1 understand that if I do not keep my appointment, I may need rescheduled to receive clothing. Please assist us by listing the correct sizes for your child and answering the questions listed below. ITEM SHIRT/BLOUSE PANTS ZIP-UP, HOODED SWEATSHIRT UNDERWEAR SOCKS SHOES SIZE BRING THIS FORM WITH YOU TO YOUR APPOINTMENT Form # HC-3 Revised 7/1/2010 Page 18'6 AL ASSISTANCE LEAGUE" OF TEMECULA VALLEY 28720 Via Montezuma assistance league' Temecula, CA 92590 Temecula Valley 'Caring and Commitment in Action' OPERATION SCHOOL BELLO PERMISO DEL PADRE / MADRE Distrito Escolar Unificado: Lake Elsinore Murrieta Temecula Menifee Nombre y Apellido del estuidiante: Fecha: La " Operation School Bell" es un proyecto de La Liga de la "Assistance League of Temecula Valley". El programa fue disenado para ayudar a las familias que tienen dificultades en adquiddes ropa para sus hijos matriculados en los grados desde el lardin de Ninos hasta el Grado 8. Yo, confirmo que Ilevare' a mi hijo(a) a la oficina (Padre/Guardidn) proyecto "Operation School Bell", a la direccidn indicada arriba, el dfa de mi cita. Hare' todo to posible para Ilegar a la hora reservada para nosotros. Si yo tengo una emergencia y me voy a demorrar, Ilamare' a la oficina de "Operation School Bell" para avisaries. (951.694.6594). Yo entiendo que si no puedo Ilegar a la hora indicada, puede ser diffcil conseguir otra cita debido a la gran cantidad de gente servida por el proyecto. Por favor ayudenos, indicando abajo los tamanos corrector de la ropa de su hijo(a). ARTICULO TAMAFJO CAMISA/BLUSA PANTALONES SUDADERA,ENCAPUCHADA ROPA INTERIOR CALCETINES ZAPATOS POR FAVOR TRAlGA USTED ESTA FORMA A SU CITA Form # HC-3 Revised 7/1/2010 Page 187 ASSISTANCE LEAGUE® OF TEMECULA VALLEY 'Caring and Commitment in Action' JAW" Operation School Bell® "Bag Up" Program azis ante leagLw (Request for Clothing Assistance) Temecula Valley DATE: STUDENT'S NAME: BOY/GIRL: AGE: GRADE: TEACHER: SCHOOL: PARENT/CONTACT: HOME PHONE: E-MAIL: CELL PHONE: * . . HOW TO MEASURE CORRECTLY TOP: " (inches) - 0 Measure across the top seam between the shoulder seams. WAIST: " (inches) Measure where the child "hangs" his/her pants. LEG: " (inches) Measure the outside leg seam from waist to ankle. FOOT: CHILD'S WEIGHT: COMMENTS: " (Inches) Measure the bottom length of the child's bare foot. SUBMISSION OF REQUEST TO OPERATION SCHOOL BELL: To be completed by School Nurse, Social Worker or other Staff ONLY! Fax: 951-694-8628 Thank you, Operation School Bell Phone: 951-694-6594 Form # HC- 6 Revised 7/1/2010 Page 188 ATTACHMENT IV PROJECT NARRATIVE Page 189 r ATTACHMENT IV PROJECT NARRATIVE A. Assistance League® of Temecula Valley, a California nonprofit benefit corporation, was incorporated in 1989 and chartered in 1992 as the 81n chapter of National Assistance League. Assistance League is now linked with more than 26,000 community volunteers through more than 122 chapters in 26 states. PHILANTHROPIC PROGRAMS B. Our services include: Operation School Bell®, one of Assistance League's main philanthropic programs, provided new school clothing last year to 1,505 children including school supplies, backpacks and hygiene items. Each student receives: 3 pairs of pants, 3 shirts, 6 pairs of underwear, 6 pairs of socks, hoodie sweatshirt, backpack with school supplies (pencils, pens, markers, crayons, erasers, notebook, ruler) and hygiene kit (shampoo, soap, toothbrush and toothpaste, plus deodorant). Assisteens® : This junior auxiliary, grades 7 through 12, has 22 members in grades 7 through 12, seeking to instill the values of volunteerism and service to the community. Each year Assisteens provides a Fall Harvest Festival and Spring Peter Rabbit event for Temecula First Five for approximately 100 children and their families. The auxiliary also provides books for Operation Book Worm, their philanthropic program supporting Operation School Bell. Kids on the Block®: This program consists of a special troupe of eight Assistance League members' puppeteers using life-size puppets providing education programs enlightening 3rd grade valley children on disability awareness, medical differences, social concerns and issues. Last year, Kids on the Block performed skits for 1,167 students. This unique form of communication provides young students with an environment in which to learn and develop an attitude of smart decision-making, sensitivity, and understanding that should serve them well in the future. Project: SMILE: Two of our adult members run this program, providing free emergency dental care for needy children in grades K-8, not insured by private, state or federally funded dental programs. Operation Bear Hug: This program provides first responder's with stuffed teddy bears to give to children experiencing a tragic situation, such as fire or an automobile accident. Last year, 155 children were recipients of this program. Page 190 1 Operation Non-Profit Assistance: Our meeting room is available free of charge to nonprofit organizations for their meetings and events. The room will seat up to 100 people. Calendar of room usage is available upon request. Assistance League is partnering for the first time this year with Rape Crisis Unit, Southwest Family Justice Center providing assault survivor kits to victims of sexual assault in Southwest Riverside County. MEMBERSHIP AND LONGEVITY C. Assistance League has been active in Southwest Riverside County since 1989. We have 201 members. During fiscal year ending May 31, 2010, members gave 27,486 hours of volunteer service. These volunteer hours helped fund our philanthropic programs and operated our main fundraiser, the resale store. RESOURCE Funds from the resale store's proceeds help support Assistance League's philanthropic programs selling gently-used items donated by the public. Donations are received from local businesses, individuals, and local government agencies. SCHOOL DISTRICTS D. Temecula Valley Unified School District is one of four school districts served through our philanthropic programs. Recently, a letter was received from the Temecula School District Superintendent Tim Ritter who writes: "The many programs offered by your organization give children the extra help they need clothes to keep them warm and in line with their peers, dental services to keep them smiling and healthy, awareness programs so they learn an attitude of smart decision-making and sensitivity to others." Another letter of appreciation from 1o Wahdan who resides in Winchester, Riverside County, CA, writes: "I would like to express our sincere appreciation for Operation School Bell. 1 recently took into my home this homeless family. Two of her children received new clothes through your program. They were so happy to receive the new clothes and shoes, including backpacks." Under Temecula Valley Unified School District, First 5 Family Literacy Program, Community Liaison, Meredith Killion, writes: thank you and the volunteers for the great bags of clothing. All our families were very happy and appreciate the gift. Some of the children were wearing the new outfits and looked good!" Murrieta Valley Unified School District, Stan Scheer, Superintendent writes: "The caring and commitment your organization provides is truly unprecedented and speaks volumes regarding your support of the needs of our community. It comes at a time when there is such a need for support for our children and their families." n Page 191 Last Friday, a 7 year old boy from a Murrieta elementary school came to Operation School Bell with his Mom for the first time. He looked apprehensive about what was going to happen. He really wasn't too sure that he wanted to get involved, and then he began to select his clothing. When this child left our facility he was happy and smiling, and said: "I've had a make-over. Thank you...... and he repeated again, "I've had a make-over. Thank you." We were all happy together. Lake Elsinore Unified School District, Dr. Frank E. Passarella, Superintendent writes: "Through the efforts of this valuable non-profit organization, numerous children in our public school district have been provided with essential materials, supplies and services that they otherwise would not receive. The purpose of this letter is to express our support and appreciation for the positive relationship the Lake Elsinore Unified School District and the Assistance League of Temecula Valley have established" Wanda Jennings from Elsinore Middle School writes: "Thank you so much for your recent donation of school supplies to our school. Our students are often in need between paydays and at the end of the month. We appreciate all of your help! Rest assured the supplies you graciously donated will be given to students in need. We pride ourselves on helping our students in any way we can and your gift will allow us to do even more." Menifee Union School District: Superintendent Linda Callaway, Ed.D writes: "Operation School Bell has provided complete outfits of clothing for many children ...the children and their parents have been so grateful for this opportunity for their children. Please accept our ongoing gratitude for this community service." When two children, a brother and sister, came to Operation School Bell, this is what happened. After the clothing selection was finished, and the sister was going through her brother's bag by taking out the new clothing to see what her brother had received, and sharing the new clothing she had received with her brother, she looked up and said, "This is what Operation School Bell is all about. We will look good in our new clothes!" E. We have an all volunteer workforce. Computerized accounting procedures and an annual independent review provide checks and balances on the accuracy of the accounting information. F. After evaluating the continuing needs of the communities, through external evaluation of our Operation School Bell program, it was found there is a need to provide health and hygiene items to serve immediate needs of some students while they are at school. Sometimes a student comes to the health office needing clean clothing, toothbrush, comb, or a bandage, and due to recent school budget cuts, these supplies are not always available. Health staff members are the first responders for students when there is an urgent need. Page 192 Beginning fall 2010, Operation School Bell will give each school health office the necessary items to solve health or hygiene needs. This new program to save our students bag program will cost Operation School Bell $100 per bag for the 90+ schools in the four school districts served. Assistance League of Temecula Valley has budgeted $5,000 of its annual budget to start up this program. We are requesting additional funds from businesses, individuals and government agencies to help fund this new program. Additionally, during this same external evaluation, it was found that save our students bag program can also provide each Head Start, State Preschool and First Five preschool programs with hygiene and clothing items to assist teachers in the classroom when children need help. School districts' data is: • Lake Elsinore Unified School District: 444 preschool children in 36 classrooms, • Menifee Union School District: 96 preschool children in four classrooms with 40 children in preschool special education classes, • Murrieta Valley Unified School District: 104 preschool children in seven classrooms, • Temecula Valley Unified School District: 131 preschool children in eight classrooms. Community Assistance for Riverside County Office of Education prequalifies these preschool children for need. Depending on the funding program, each preschool is funded by Head Start, State Preschool or First Five. G. Assistance League provides help to residents in cities of Southwest Riverside County in three distinct ways: Operation School Bell clothed 1,505 school children; Assisteens provided special events for 100 children and families enrolled in First Five preschool program, and Project: SMILE served eight children, planning to expand its program in 2011. H. Assistance League of Temecula Valley's financial statements are included with this Application. 1. Board of Directors and members of Assistance League of Temecula Valley approve its annual budget. Active members vote on required financial commitments. The organization's budget is reviewed twice monthly ensuring proper management. 1. Services of Assistance League of Temecula Valley are directed community based programs benefitted residents in unincorporated areas of southwest Riverside County, cities of Lake Elsinore, Menifee, Murrieta, Temecula and Wildomar, toward needy school age children, from preschool age 4, up to 8`h grade, age 13. Children and families are referred to Operation School Bell and Project: SMILE by health staff members and teachers, from the four school districts served. -Page 193 K. Assistance League of Temecula Valley internally evaluates its programs biannually. National Assistance League, each opposite year, evaluates Assistance League of Temecula Valley. Our next membership evaluation is November 2, 2010. OPERATION SCHOOL BELL Strategic Plan Operation School Bell Committee has developed this strategic plan. Its main goal is to providing clothing services in the most effective way possible, within budgetary guidelines. • Operation School Bell facility has been streamlined by reconfiguring space to expedite dressings. • Incoming chairman and outgoing chairman transition will occur earlier in the year. • Identifying client needs outside the school districts, planning partnerships with social service agencies for expansion for screenings and referrals will begin. • Operation School Bell and Assistance League leaders are meeting to establish partnerships with prospective community partners: Kohl's, Southern California Edison, Wal-Mart, and Target to develop a relationship for employees of businesses to volunteer at our site. • Develop off site dressings for middle school children in local department stores by January 2011. MISSION STATEMENT: Assistance League• of Temecula Valley, a chapter of National Assistance League®, is a non-profit, volunteer philanthropic organization dedicated to serving the needs of families in the Temecula Valley area. GOALS: 1. Create and operate philanthropic programs to meet identified community needs. 2. Raise and administer adequate funds to support Assistance League of Temecula Valleys philanthropic programs and chapter administration. 3. Create an informed, enthusiastic, cohesive and committed membership throughout the chapter. 4. Strengthen our image to be identified as a recognized leader in addressing the needs of the community. Page 194 _ Page 195 i n s awiago Peak ~K-tea aeha Santa -dk2-~Isir Man~arita . fix; Cleveland Natioaoal rerest lp ~ A n a IS rano M 0 l a rv s Canyon T Camp Pendleton Marine Carps Fallbrook Base School District i H 79 iR'S'J,alp 9h, 1- ~ 3711 S~ SV_♦ -q - 1'a `a irm~a~ Lkk ke r:~a`irrn ASSISTANCE LEAGUE OF TEMECULA VALLEY serving four school districts: Lake Elsinore Unified School District, 545 Chaney St., Lake Elsinore Menifee Union School District, 30205 Menifee Rd., Menifee Murrieta Valley Unified School District, 41870 McAlby Ct., Murrieta Temecula Valley Unified School District, 31350 Rancho Vista Rd., Temecula Page 196t ASSISTANCE LEAGUE" OF TEMECULA VALLEY AAL 'Caring and Commitment in Action' 28720 Via Montezuma Temecula Valley Temecula, California 92590 Operation School Bell" 951/694-6594 (Corner of Via Montezuma and Commerce Center Drive) Winchester Avenue m 7 .-r (D (D n n O n 3 M 3 (D n N M 0 N C M (D N O m Overland A Sizzler Via Montezuma Operation School Bell" Assistance League Thrift Shop Rancho California Street Map Not to Scale Q OSB-4 Page 197 7_/1/2010_ V. PROJECT BENEFIT B. Limited Clientele: Copies attached of forms used for Limited Clientele reporting and compliance. • Scholarship Program Form • Operation School Bell Clothing Inventory Form -Boys Clothing: Girls Clothing • Community Development Block Grant Program Form, 2010-2011, English and Spanish • Description of benefits for School Health Staff use to deliver to recipients. Page 198 SCHOLARSHIP PROGRAM FORM Youth Name: Program Name School Bell Identification No. 0.78-10 iecula Valley Assistance Lea Length of Program (montWdays): 1 time Total Number of Sessions Start Date: Days: Location: Completion Date: Time: Total Cost: $ 100 Portion covered by CDBG per Person: $100 PROGRAM DESCRIPTION: Operation School Bell provides NEW clothing for low income students to wear to school. This will improve their self esteem and facilitate their attending school on a regular basis. SCHOLARSHIP WILL PROVIDE: Each student with NEW clothing as well as a backpack with school supplies and a hygiene kit. LIST OF SUPPLIES:3 pair of pants,.3 shirts, tennis shoes, 6 pair of socks and underwear, "hoodie" sweatshirt, backpack with school supplies (pencils, pens, markers, crayons, erasers, notebook, ruler) and hygiene kit (shampoo, soap, toothbrush and toothpaste). C:\Users\SuekDo"loadslScholarship Pmgam Form.doc - Page 199 ASSISTANCE LEAGUEOO OF TEMECULA VALLEY 'Caring and Commitment in Action' assistance league- Operation School Bell@ Temecula Valley ley Today's Date: LAST NAME FIRST NAME ❑ NEW TO SCHOOL BELL or ❑ REPEAT BIRTH DATE: AGE: ❑ 2ND DRESSING THIS YEAR SCHOOL DISTRICT: Ethnic Group: (Circle One) American Indian, Asian, Black, Hispanic, White, Other (Circle One) Head of Household: Married, Single Mother, Single Father, Other: QTY ITEM BOYS Clothing (Enter or circle issued item information) 3 SHIRT BOYS: BOYS PLUS: MENS: OTHER: 3 JEANS REGULAR: SLIM : HUSKY: MENS: HOODIE JACKET 1 (One per year) YOUTH : SMALL MEDIUM , LARGE , XL (Indicate Color) ADULT : SMALL MEDIUM , LARGE , XL 6 PR UNDERWEAR BOYS: MENS: 6 PR SOCKS BOYS: 4-6 6-81/2, 9-11 BOYS: 9, 9'h, 10, 10 Ya, 11, 11 'h, 12, 121h, 13, 131/2, 2, 2'h, 1 SHOES 3, 3 h, 4, 4'h, 5, 5 h, MENS: 6, 6Y2,, 7, 7V2., 8, 8'h„ 9, 9'h,, 10, 101h„ 11, 11 'h, 12 1 BACKPACK BACKPACK: 1 HYGIENE KIT HYGIENE KIT: PRIMARY OR SECONDARY 1 HOMEWORK KIT HOMEWORK KIT: PRIMARY OR SECONDARY VOLUNTEER SIGNATURE VOLUNTEER SIGNATURE Page 20~ 1 --•01./2010 A L ASSISTANCE LEAGUE@ OF TEMECULA VALLEY 'Caring and Commitment in Action' assistance league Operation School Bello Temecula Valley OPMRON xecoi 6EW Today's Date: LAST NAME FIRST NAME ❑ NEW TO SCHOOL BELL or ❑ REPEAT ❑ 2ND DRESSING THIS YEAR BIRTH DATE: AGE: GRADE: SCHOOL: SCHOOL DISTRICT: Ethnic Group: (Circle One) American Indian, Asian, Black, Hispanic, White, Other (Circle One) Head of Household Married, Single Mother, Single Father, Other 3 SHIRT/ BLOUSE GIRLS: GIRLS PLUS: (3 Total) JUNIOR: OTHER: , 3 PANTS / JEANS GIRLS: GIRLS PLUS: (3 Total) JUNIOR: OTHER: , HOODIE JACKET YOUTH : SMALL , MEDIUM , LARGE , XL - 1 (One per Year) (Indicate Color) ADULT: SMALL MEDIUM , LARGE , XL 6 PR UNDERWEAR GIRLS: LADIES: 2 BRAS REGULAR: SPORTS: 6 PR SOCKS GIRLS: 4-6 6- 8 Y2, 9- 11 GIRLS: 9, 9112, 10, 10'12, 11, 11 Y2, 12, 121/x, 13, 13'/x, ) SHOES PR 1, 1'12, 2, 2'h, 3, 3112, 4, 4112 LADIES: s, 5'12, 6, 61/2, 7, 7'/2, 8, 8112, 9, 91h, 10 BACKPACK BACK PACK: 1 HYGIENE KIT HYGIENE KIT: PRIMARY OR SECONDARY 1 HOMEWORK KIT HOMEWORK KIT: PRIMARY OR SECONDARY VOLUNTEER SIGNATURE VOLUNTEER SIGNATURE Page 201 - Project Name: File No.: COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM YEAR 2010-2011 SELF -CERTIFICATIONFOR PUBLICSERVICE AGENCYCLIENTELE (not for use on housing activities) s*ss****ss**.** INCOME AND FAMILY SIZE Please Print Name: Address: City & State: Zip. 1) CATEGORY: I consider myself in one of the following categories (please check ONLY one): (A) _ Senior Citizen (C)_ Migrant Farm Worker (E)_ None of the above (B) Physically Cha enged (D)_ Homeless 2) FAMILY SIZE (check NLY one): 10 20 30 40 50 60 70 80 3) FAMILY INCOME: My current family yearly income from all sources is: Note: Famityincome means the total income ofallpersons, living in the same household who are related bybirth,marriage or adoption and are benefiting from the activities (public services or job creation, which benefit an individual or family). (Ref 24 CFR 570.3) (Based on 2069Income Limits, effective 3119109) Proof of Income received ❑ Yes ❑ No Source of Proof- Verified by: 4) ETHNICITY: (Select ONLY one out of the Single-race or Multi-race categories). Single race category ❑ White ❑ American ludian[Alaskan Native ❑ Black/African American ❑ Native Hawaiian/Other Pacific Islander ❑ Asian Multi-race category ❑ American Indian/Alaskan Native & White ❑ Asian & White ❑ Black/African American & White ❑ Hispanic/White ❑ Hispanic/Black/African American ❑ Hispanic/Asian ❑ Hispanic/American Indian/Alaskan Native ❑ Hispanic/Asian & White ❑ Hispanic/Native Hawaiian/Other Pacific Islander ❑ Hispanic/Black/African American & White ❑ Hispanic/American Indian/Alaskan Native & White ❑ American Indian/Alaskan Native & Black/African American ❑ HispaniclAmerican Indian/Alaskan Native & Black/African American ❑ Other Multi-race (ONLY it non-of-the-above categories identifies you). BENEFICIARY: I, on acknowledge that qualification for assistance funded under the CDBG program is based upon having a qualifying family income and that the income levels I have certified to in this self-certification are current as of the date signed and may be subject to further verification by the grantee and/or HUD and I authorize such verification and will provide supporting documents if it is necessary. Page 202( Project Name: File No: COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM 2010-2011 CERTIFICACIONPARA EL SERVICIO PUBLICO DE LA AGENCIA (no es para use de actividades de vivienda) ~s**s*s**ss**~s NUMERO DE FAMILIA, INGRESO, Y ITNICIDAD Escribir en tetra de imprenta Nombre: Direction: Ciudad y Estado: Codigo Postal 2) CATEGORIA: Yo me considerd- en una de las categorias siguientes (por favor marque SOLAMENTE una de las categorias): (A) _ Adulto Mayor de 60 affos o mas (D)_ Sin Hogar (B) _ Persona Desabilitada (E)_ Ninguna de las categorias mencionadas (C)_ Trabajador Agricola Migratorio 2) NUMERO DE FAMHAA solamente uno): 10 20 30 40 50 60 70 80 3) INGRESO FAMILIAR: El ingreso de mi familia, hasta el presente es: Note: Igreso familiar se significa el ingreso total de todas las personas viviendo en el mismo hogar que son relacionados por nacmuento, matnmomo o adopci6n y que estan beneficiando de las actividades (servicios publicos, o creacion de trabajos, qu6 beneficia a el individuo o a la familia). (Ref. 24 CFR 570.3) La prueba de Ingresos recibi6 ❑ Si ❑No La fuente de la Prueba Verificado por_ 4) ETNECIDAD: (Solamente seleccume una de las categorias de razas/mufti-razors la cuai to describe a usted). Categotia de raze individual ❑ White ❑ American Indian/Alaskan Native ❑ Black/African American ❑ Native Hawaiian/Other Pacific Islander ❑ Asian Categoria de Multi-raze ❑ American Indian/Alaskan Native & White ❑ Asian & White ❑ Black/African American & White ❑ Hispanic/White ❑ Hispanic/Black/African American ❑ Hispanic/Asian ❑ Hispanic/American Indian/Alaskan Native ❑ Hispanic/Asian & White ❑ Hispanic/Native Hawaiian/Othcr Pacific Islander ❑ Hispanic/Black/African American & White ❑ Hispanic/Amencan Indian/Alaskan Native & White ❑ American Indian/Alaskan Native & Black/African American ❑ Hispanic/American Indian/Alaskan Native & Black/African American ❑ Otro (solamente seleccione si ninguna de las categorias mencionadas se idenfican con su itnicidad). BENEFICIARIO: Yo, en reconosco que los requisites pars asistencia financiada por el programa CDBG es basado sobre teniendo ingreso familiar que califique y que el nivel de ingresos que yo a certificado a en esta certification-de mismo son actuales come de el dia de la firma y puede ser sometido a m'es verificaci6n por el beneficiario y/o HUD y yo autorizo tal verification y facilitare documentos que comprueben si es necesario. Page 203 OPERATION SCHOOL BELL@ Who we are: Assistance League of Temecula Valley, a chapter of National Assistance Leaguee, is a non-profit, all volunteer philanthropic organization dedicated to serving the needs of families in the Temecula valley area. What we do: Operation School Bell provides new clothing, hygiene kits, and backpacks with homework kits to children whose families are economically disadvantaged. How do we do it: Our all volunteer organization operates an Assistance League Thrift Store at 28728 Via Montezuma for the sole purpose of raising funds to support our Philanthropic programs. Together with these funds and community support we purchase the needed items for distribution. Do I qualify: The Community Development Block Grants sets the standards that Assistance League uses to determine eligibility. Qualification is based on income and family size. Proof of Income, residency and identification are required. If I believe I qualify: I contact my child's health clerk at the school they attend. Together with their help and working with the child's teacher, a referral appointment may be made with Operation School Bell. Page 204 LA OPERACION DE LA CAMPANA ESCOLAR® Quienes somos: La Liga de Asistencia del Valle de Temecula, una organizacion local de la Liga de Asistencia Nacional®, es una empresa filantropica, de voluntarios quienes se dedican a servir las necesidades de las familial en la area del Valle de Temecula. Que hacemos: La Operacion de la Campona Escolar les provee a los ninos, de familial de bajos y moderados recursos economicos, ropa nueva, equipos higienicos, y mochilas con equipos de tarea. Como to hacemos: Nuestra organizacion se consiste de puros voluntarios quines manejan La Tienda de Segundas de la Liga de Asistencia localizada en 28728 Via Montezuma con el proposito unico de recaudar fondos paro soportar nuestros programas filantropicos. Junto con estos fundos y el apoyo de la comunidad, nosotros compramos los articulos necesorios para distribucion. Como califico: Las Subvenciones Globales para besarrollo Comunitarios establecen los criterion en cual la Liga de Asistencia usa pars determinar elegibilidad. Lo calificacion es basoda en los ingresos y tamano de la familia. Los solicitantes necesitan presenter una prueba de ingresos, residencia a identificacion. 5i pienso que califico: Yo debo contactarme con el empleado de salud en la escuela en cual mi hijo(a) asiste. Con la cooperacion del empleado y del maestro de mi hijo, una cita sera programada con la Operacion de la Campona Escolar. Page 205 FINANCIAL INFORMATION ATTACHMENT VI Page 206 ATTACHMENT VI-B BUDGET OVERVIEW PROFIT AND LOSS Page 207 r 9:04 AM Assistance League of Temecula Valley 09107110 Budget Overview 2010 - 2011 Accrual Basis June 2010 through May 2011 Ordinary Income/Expense Income 40000 - Income 40200 - Snack Jar Income 40300 - Donation Jar Income Total 40000 - Income 41000 - Fundraising Revenue 41100 - Minor Event Fundraising 41200 - Major Event Fundraising 41250 - Direct Mail Campaign 41400 - Assisteens Income 41500 - PRO's Income Total 41000 - Fundraising Revenue 43000 - Direct Public Support 43410 - Corporate Contributions 43450 - Individual Contributions 43480 - Grants - Restricted 43490 - Grants - Unrestricted Total 43000 - Direct Public Support 43491 - Gifts in Kind - Goods 43495 - Gifts In Kind - Miscellaneous 43497 - Gifts in kind - Salvation Army 43498 - Gifts In Kind - Meeting Room Total 43491 - Gifts in Kind - Goods 45000-Investments 45030 - Interest-Savings, Short-term CD Total 45000 - Investments 46400 - Other Types of Income 46410 - Thrift Store Sales 46412 - Thrift Store Sales - Assisteens Total 46400 - Other Types of Income 47200 - Membership Income 47230 - Membership Dues 47235 - Active Member 47241 - Community Member 47250 - Sustaining Member 47260 - PALS Member 47265 - Assisteens Member 47270 - PRO's Member Total 47230 - Membership Dues Total 47200 - Membership Income 49000 - Special Events Income 49012 - December Luncheon 49013 - Xmas Party 49014- May Luncheon 49020- LuncheonslParties/Outside Event Total 49000 - Special Events Income Total Income Gross Profit Expense 60900 • Business Expenses 60915 - Bank Service Charge 60940 - Fees & Permits Total 60900 - Business Expenses Jun'10 - May 11 300.00 600.00 900.00 4,000.00 12,000.00 7,500.00 500.00 5,000.00 29,000.00 6,000.00 6,000.00 20,000.00 5,000.00 37,000.00 4,000.00 10,000.00 20,000.00 34,000.00 1,500.00 1,500.00 300,000.00 20,000.00 320,000.00 10,000.00 1,200.00 5,000.00 1,400.00 975.00 500.00 19,075.00 19,075.00 4,500.00 650.00 3,500.00 700.00 9,350.00 450,825.00 450,825.00 300.00 300.00 600.00 Page 208 c 9:04 AM Assistance League of Temecula Valley 09107/10 Budget Overview 2010 - 2011 Accrual Basis June 2010 through May 2011 61000 - Contract Services 61110 - Accounting Fees Total 61000 - Contract Services 62000 - Facilities and Equipment - 62200 - Building Repairs & Maintenance 62205 - Chapter House Improvements 62210 - Snacks -Kitchen 62220 - Supplies 62240 - Janitorial Services 62700 - Landscape Maintenance 62850 - Alarm System - Security 62200 - Building Repairs & Maintenance - Other Total 62200 - Building Repairs & Maintenance 62500 - Real Estate, Personal Prop Tax 62600 - Utilities 62610 - Electricity 62620- Gas 62630 - Water Total 62600 - Utilities 62750 - Trash 62800 - HOA Dues 62900 - Truck Total 62000 - Facilities and Equipment 63000 - Administration 63100 - Postage, Mailing Service 63200 - Printing and Copying 63201 - Pamphlet Printing Total 63200 - Printing and Copying 63300 - Supplies 63400 - Telephone, Telecommunications 63500 - Web Site Maintenance 63600 - Copier Rental and Maintenance Total 63000 - Administration 64100 - Insurance 64120 - Directors and Officers 64130 - Property Insurance 64140 - Gen Liability, Auto 64150 - Accident Insurance Total 64100 - Insurance 84,650.00 500.00 0.00 0.00 4,000.00 3,500.00 660.00 3,500.00 12,160.00 605.00 4,818.00 4,406.00 856.00 10,685.00 64200 - Membership 64201 - Newsletter 64202 - Postage Newsletter 200.00 64203 - Newsletter Design & Printing 800.00 Total 64201 - Newsletter 1,000.00 64210 - National Organization Dues 7,000.00 64215 - Education/Orientation 1,500.00 64220 - Roster 600.00 64230 - Membership Development 2,000.00 64235 - Member Recognition 1,500.00 64240 - Pins & Badges 250.00 64250 - Hospitality 64252 - Hospitality Supplies 1,000.00 64250 - Hospitality - Other 1,400.00 Total 64250 - Hospitality 2,400.00 Jun'10 - May 11 12,000.00 12,000.00 4,000.00 300.00 500.00 11,000.00 3,000.00 3,000.00 18,000.00 39,800.00 12,000.00 20,000.00 250.00 3,000.00 23,250.00 5,500.00 3,600.00 500.00 Page 209 9:04 AM Assistance League of Temecula Valley 09107/10 Budget Overview 2010 - 2011 Accrual Basis June 2010 through May 2011 64290 - Historian 64295 - Miss Sunshine Total 64200 - Membership 64500 - Community Relations 64510 - Public Relations 64512 - PR Philanthropic Programs 64515 - Presidents Expenses 64520 - Community Ambassadors Committee Total 64500 - Community Relations 64280 - Special Events Expenses 64281 - December Luncheon 64282 - Christmas Party Expense 64283 - May Luncheon 64284 - Parties and/or Luncheons 66285 - SE - Complimentary Tickets Total 64280 - Special Events Expenses 65200 - Fundraising Expenses 65220 - Thrift Store Supplies 65230 - Thrift Store Sales Tax Expense 65240 - Bank Card Fees 65250 - TS - Conference Expense Total 65200 - Fundraising Expenses 65300- Resource Development Expenses 65350 - Major Fundraiser 65400 - Minor Fundraiser 66410 - Grant Writing 66450 - RD - Conference Expense 65451 - RD - Complimentary Tickets Total 65300 - Resource Development Expenses 66100 - PROGRAM SERVICE EXPENSE 66105 - Operation School Bell 66110 - OSB Clothing 66111 - OSB - Camp Pendleton 66112 - OSS - SOS Kits 66113 - OSB Supplies 66114 - OSB Shipping & Handling 66120 - OSB Conference Expense Total 66105 - Operation School Bell 66130 - Project SMILE 66140 - Scholarships 66150 - Kids On the Block 66160 - Heart and Hand 66165 - PRO's Program Service Expense 66160 - Heart and Hand - Other Total 66160 - Heart and Hand 66170 - Operation Non-Profit Assistance 66172 - Gift In Kind - Salvation Army 66173 - Gift In Kind - Meeting Room 66174 - Gift In Kind - Miscellaneous Total 66170 - Operation Non-Profit Assistance 66175 - Operation Bear Hug 66190 - Phil Chair-Conference Expense Total 66100 - PROGRAM SERVICE EXPENSE Jun'10 - May 11 300.00 450.00 17,000.00 5,500.00 1,180.00 1,500.00 2,500.00 10,680.00 4,500.00 650.00 3,500.00 700.00 600.00 9,950.00 7,000.00 27,000.00 5,000.00 1,000.00 40,000.00 5,000.00 3,000.00 1,000.00 1,000.00 315.00 10,315.00 120,000.00 5,000.00 5,000.00 2,000.00 4,000.00 1,000.00 137,000.00 1,300.00 26,000.00 200.00 5,000.00 5,000.00 10,000.00 10,000.00 20,000.00 4,000.00 34,000.00 3,500.00 1,000.00 213,000.00 Page 210 9:04 AM Assistance League of Temecula Valley 09107/10 Budget Overview 2010 - 2011 Accrual Basis June 2010 through May 2011 66200 - Auxiliaries/Standing Committees 66220 - Assisteens Auxiliary 66221 - Administration Expenses 66222 - Special Events Expenses 66223 - Fundraising Expenses 66224 - Membership Expenses 66225 - National Workshops 66230 - Assisteens Program Service Exp 66231 - Operation Book Worm 66232 - Harvest Festival 66233 - Senior Pen Pal 66234 - Peter Rabbit 66235 - Assisteens Outreach Total 66230 - Assisteens Program Service Exp Total 66220 - Assisteens Auxiliary Total 66200 - Auxiliaries/Standing Committees 66300 • Travel and Meetings 68310 - Conference - Executive Board 68311 - Conference-Mbrshp Registration 68320 - National Workshops 68330 - Chapter Circle Donation Total 68300 - Travel and Meetings Total Expense Net Ordinary Income Net Income Jun '10 - May 11 350.00 2,000.00 200.00 1,725.00 1,500.00 7,050.00 800.00 900.00 1,800.00 4,260.00 14,810.00 20,585.00 20,585.00 3,000.00 4,000.00 2,000.00 200.00 9,200.00 450,825.00 0.00 0.00 Page 211 10:57 AM Assistance League of Temecula Valley 08107110 Profit & LOSS Accrual Basis June 2009 through May 2010 Ordinary IncomelExpense Income 40000 • Income 40100 - Refunds/Credits 40200 - Snack Jar Income 40300 - Donation Jar Income Total 40000 • Income 41000 - Fundraising Revenue 41100 - Minor Event Fundraising 41200 • Major Event Fundraising 41201 - Tickets 41202 - Sponsors/Ads 41203 - RafflelAuction 41204 - Centerpieces 41205-Vendors 41200 - Major Event Fundraising - Other Total 41200 - Major Event Fundraising 41400 • Assisteens Income 41402 - Assisteens Interest Income 41403 - Assisteens Tea/Luncheon Income 41404 - Assisteens Income Miscellaneous Total 41400 - Assisteens Income 41500 - PRO's Income 41502 - PRO's Interest Income 41500 - PRO's Income - Other Total 41500 - PRO's Income Total 41000 - Fundraising Revenue 43000 - Direct Public Support 43410 - Corporate Contributions 43450 - Individual Contributions 43470 - Donations - Restricted 43480 - Grants - Restricted 43490 - Grants - Unrestricted Total 43000 - Direct Public Support 43491 - Gift in Kind - Goods 43496 - Gifts in Kind - OSB 43497 • Gifts in kind - Salvation Army 43498 - Gifts In Kind - Meeting Room 43499 - Gifts In Kind - Thrm store 43491 - Gifts in Kind - Goods - Other Total 43491 • Gifts in Kind - Goods 46000 - Investments 46030 - Interest-Savings, Short-tens CD Total 45000 - Investments 46400 - Other Types of Income 46410 - Thrift Store Sales 46430 - Miscellaneous Revenue Total 46400 - Other Types of Income Jun *09 - May 10 0.29 296.67 573.35 870.31 3,926.00 9,200.00 5,725.00 2,115.00 285.00 677.61 750.00 18,752.61 2.40 465.00 40.00 507.40 29.85 339.43 369.28 23,555.29 7,997.13 3,990.00 1,371.00 23,710.00 5,000.00 42,068.13 11,348.60 9,010.00 20,875.00 58,458.35 3,570.50 103,262.45 397.78 397.78 316,437.21 1,249.51 317,686.72 Page 212 10:67 AM Assistance League of Temecula Valley 08107110 Profit & Loss Accrual Basis June 2009 through May 2010 Jun'09 - May 10 47200 - Membership Income 47230 • Membership Dues 47235 • Active Member 9,825.00 47241 • Community Member 1,200.00 47250 - Sustaining Member 4,800.00 47255 • Active On Limited Service 0.00 47260. PALS Member 1,220.00 47265 • Assisteens Member 915.00 47270 • PRO's Member 381.00 Total 47230 • Membership Dues 18,341.00 Total 47200 • Membership income 18,341.00 49000. Special Events Income 49012. December Luncheon 3,948.45 49013 • Xmas Party 630.00 49014 • May Luncheon 3,136.00 49020 - Luncheons/Parties/Outside Event 660.00 49100 • National Conference 515.00 Total 49000 - Special Events Income 8,889,45 Total Income - 515,071.13 Cost of Goods Sold 50700 • Cost of Sales - Inventory Sales 67,179.35 Total COGS 67,179.35 Gross Profit Expense 60900 • Business Expenses 60915 • Bank Service Charge 60940 - Fees & Permits Total 60900 • Business Expenses 61000 • Contract Services 61110 - Accounting Fees Total 61000 • Contract Services 62000 • Facilities and Equipment 62200 • Building Repairs & Maintenance 62205 • Chapter House Improvements 62210 • Snacks - Kitchen 62220 • Supplies 62240 • Janitorial. Services 62700 • Landscape Maintenance 62860 • Alarm System-Security 62200 • Building Repairs & Maintenance - Other Total 62200 • Building Repairs & Maintenance 62600 • Real Estate, Personal Prop Tax 62600 - Utilities 62610 • Electricity 62620 • Gas 62630 - Water Total 62600 • utilities 62750 • Trash 62800 • HOA Dues 62900 • Truck Total 62000 • Facilities and Equipment 63000 • Administration 63100 • Postage, Mailing Service 447,891.78 281.97 199.29 481.26 8,632.50 8,632.50 5,866.75 179.44 300.02 10,872.23 2,543.00 2,367.00 26,140.58 48,269.02 11,979.06 18,744.82 227.18 2,645.32 21,617.32 5,519.14 3,506.44 484.49 91,375.47 488.50 5 Page 213 v 10:57 AM Assistance League of Temecula Valley 08107/10 Profit & LOSS Accrual Basis June 2009 through May 2010 63200 - Printing and Copying 63201 - Pamphlet Printing 63200 - Printing and Copying - Other Total 63200 - Printing and Copying 63300 - Supplies 63400 - Telephone, Telecommunications 63500 - Web Site Maintenance _ 63600 - Copier Rental and Maintenance Total 63000 - Administration 64100 - Insurance 64120 - Directors and Officers 64130 - Property Insurance 64140 - Gen Liability, Auto 64150 - Accident insurance 64100 - insurance - Other Total 64100-Insurance 64200 - Membership 64201 - Newsletter 64202 - Postage Newsletter 64203 • Newsletter Design & Printing 64201 - Newsletter -Other Total 64201 - Newsletter 64210 - National Organization Dues 64215 - Education/Orientation 64220 - Roster 64230 - Membership Development 64240 - Pins & Badges 64250 - Hospitality 64251 - Hospitality - Meetings, Etc 64252 - Hospitality Supplies 64250 - Hospitality - Other Total 64260 - Hospitality 64290 - Historian 64295 - Miss Sunshine Total 64200 - Membership 64500 - Community Relations - 64510 - Public Relations 64515 - Presidents Expenses 64620 - Community Ambassadors Committee 64500 - Community Relations - Other Total 64500 - Community Relations 64280 - Special Events Expenses 64281 - December Luncheon 64282 - Christmas Party Expense 64283- May Luncheon 64284 - Parties and/or Luncheons 64280 - Special Events Expenses - Other Total 64280 - Special Events Expenses 65200 - Fundraising Expenses 65220 - Thrift Store Supplies 65230 - Thrift Store Sales Tax Expense 65240 - Bank Card Fees 65260 - TS - Conference Expense Total 66200 - Fundraising Expenses Jun'09 - May 10 1,576.88 911.23 2,488.11 2,841.14 3,445.04 660.00 3,495.93 13,418.72 605.00 6,259.00 3,377.40 857.00 831.60 11,930.00 126.22 533.61 0.00 659.83 7,252.50 473.11 511.78 2,004.18 433.89 1,800.00 197.79 5.21 2,003.00 132.68 152.50 13,623.47 1,602.39 1,276.37 1,201.66 54.13 4,134.55 4,310.80 588.91 3,491.82 240.00 50.04 8,681.57 5,899.18 25,320.13 4,193.47 1,337.45 36,750.23 Page 214 10:57 AM Assistance League of Temecula Valley 08107110 Profit & Loss Accrual Basis June 2009 through May 2010 Jun'09 - May 10 65300 - Resource Development Expenses 65350 - Major Fundraiser .65351-Luncheon Cost 65352 - Printing Cost 65363 - Entertainment 66354-Decorations 65365 - Postage 65356. Opportunity Baskets 65357 - Miscellaneous Items 65350 - Major Fundraiser- Other Total 65360 -Major Fundraiser 66400 - Minor Fundraiser 65410 - Grant Writing 66450 - RD - Conference Expense Total 65300 - Resource Development Expenses 66100 - PROGRAM SERVICE EXPENSE 66105 - Operation School Bell 66110 - OSB Clothing 66113 - OSB Supplies 66114.OSB Shipping & Handling 66120 - OSB Conference Expense Total 66106. Operation School Bell 66130 - Project SMILE 66140 - Scholarships 66150 - Kids On the Block 66160 - Heart and Hand 66170 - Operation Outreach 66171 • Gift In Kind - OSB 66172 - Gift In Kind - Salvation Army 66173 - Gift In Kind - Meeting Room 66170. Operation Outreach - Other Total 66170 - Operation Outreach 66175 - Operation Bear Hug Total 66100 - PROGRAM SERVICE EXPENSE 66200 - Auxiliaries/Standing Committees 66206. PRO's Standing Committee 66206 - PRO's Program Service Expense 66210 - PRO's Fundraising Expense 66205 - PRO's Standing Committee - Other Total 66205 - PRO's Standing Committee 66220 - Assisteens Auxiliary 66221 - Administration Expenses 66222 - Special Events Expenses 66224 - Membership Expenses 66230 - Assisteens Program Service Exp 66231 - Operation Book Worm 66232 - Harvest Festival 66233 - Senior Pen Pal 66234 - Peter Rabbit 46235 - Assisteens Outreach Total 66230 - Assisteens Program Service Exp Total 66220 - Assisteens Auxiliary Total 66200 - AuxiliariesiStanding Committees 66900 - Reconciliation Discrepancies 61 5,220.00 716.56 50.00 543.75 443.40 43624 4.81 820.00 8,234.76 1,240.94 318.39 940.16 10,73425 98,997.45 3,119.06 5,524.43 980.58 108,621.52 487.87 18,000.00 225.88 8,588.28 11,348.60 9,010.00 20,875.00 80.00 41,313.60 364.53 177,601.68 6,497.07 216.50 300.00 7,013.57 1,201.62 1,489.62 25.00 3,491.11 1,013.50 550.04 1,902.97 1,680.09 8,637.71 11,353.95 18,367.52 0.00 Page 215 10:57 AM Assistance League of Temecula Valley 08/07110 Profit & Loss Accrual Basis June 2009 through May 2010 68300 • Travel and Meetings 68310 • Conference - Executive Board 68320 • National Workshops 66330 - Chapter Circle Donation Total 68300 • Travel and Meetings Total Expense Net Ordinary income Net Income Jun'09 - May 10 2,545.44 1,937.79 200.00 4,683.23 400,414.45 47,477.33 47,477.33 Page 216 ATTACHMENT VII-A MANAGEMENT CAPACITY Page 217 Assistance League° of Temecula Valley AAL 'Caring and Commitment in Action' assistance league OPERATION SCHOOL BELL Temecula Valley UPBMTM SCHM Ku, CHAIRMAN JUDY WEHRS a am BUYING TEAM LEADER' ADMINISTRATIVE TEAM OUTREACH TEAM LEADER SHEILA FISCHER ANN REESE KAY REID, Temecula Connie Marsh, Assistant BOYS BUYER: Annette Sheehy ASST BUYER: Diana Elizondo Joan Price SECRETARY Menifee Linda Vilgiate Diane Koirth, Asst. Tammy Baker GIRLS BUYER: Beth Torrez ASST BUYER: DebbieValenzuela ASST BUYER: Betty Nunnery Lake Elsinore INVENTORY CONTROL/ SHOES/SOCKS BUYER: CDBG DATA INPUT Carol Inman Terry Wood Mary Lindholm BUYER: Nancy Kaylor , Jo Ann Wasserburger ASST BUYER: Barbara Fanelli Maureen Rathburn Murrieta UNDERWEAR (Boys/Girls) BUYER: Sharon Mayberry Linda Derfelt HEALTH CLERK LIAISON ASST BUYER: Maureen Rathburn Schedulers: Sha M b ron ay erry HYGIENE KITS/SUPPLIES Debbie Valenzuela BUYER: Mary Ann Newport ASST BUYER: Judy Lawson Confirmer: Gerri Beidler Nu rses' Ki ts [7 ordinators arr Settiema er y Joan Price BACKPACKS BUYER: Janet Kemp ASST BUYER: Jaye Devendra OS&1 9/10/2010 Page 218 < ASSISTANCE LEAGUE® OF TEMECULA VALLEY Operation School Bell Committee Judy Wehrs: Member since 2005. Retired administrator in finance. Current Operation School Bell Chairman. Positions held in this organization: Project SMILE chairman, Operation School Bell Buyer. Kay Reid: Member since 1992. Retired Teacher, Temecula Valley Unified School District. Current Outreach Team Leader for Operation School Bell, Liaison to Temecula Valley Unified School District. Mary Lindholm: Member since 2005. Current Heart and Hand Chairman for Philanthropic Program. Current Outreach Team Member and Liaison for Lake Elsinore Unified School District. Tammy Baker: Member since 2008. Current Historian and Outreach Team Member and Liaison for Menifee Union School District for Operation School Bell_ Currently employed as a Photographer. Linda Derfelt: Member since 2007. Retired high school counselor. Project: SMILE chairman. Current Outreach Team member for Operation School, Murdeta Valley Unified School District. Sharon Mayberry: Member since 2009. Work experience: Retail management, personal shopper and legal assistant. Currently, Operation School Bell Student Appointment Scheduler and Buyer. Annette Sheehy: Member since 2004. Current Education Chairman. Retired Teacher. Positions held in this organization: Grants Co-Chairman, Placement/Hours, and Operation School Bell Buyer. Diana Elizondo: Member since 2004. Current Strategic Planning Chairman. Retired Teacher. Positions held in this organization: Secretary, Scholarship Chairman, Grants Co-Chairman, Grants Advisor, and Operation School Bell Buyer. Court Appointed Special Advocate for Riverside County. Mary Ann Newport: Member since 2006. Retired Registered Nurse. Current Operation School Bell Buyer. Beth Torrez: Member since 2006. Retired Teacher. Current Operation Camp Pendleton Chairman and Operation School Bell Buyer. Positions held in this organization: Operation School Bell Chairman. Debbie Valenzuela. Member since 2008. Retired Court Reporter. Positions held in this organization: Operation School Bell Buyer, Operation School Bell Student Appointment Scheduler. Ann Reese: Member since 2007. Retired Legal Assistant. Current Grants Chairman. Positions held in this organization: Secretary, Liaison to Auxiliaries Chairman, and Administration Team Leader for Operation School Bell, and served as committee member of Public Relations, Bylaws, Resource Development and Strategic Planning. Joan Price: Member since 1997. Retired speech and language therapist, preschool through 8`" grade. Positions held in this organization: Current Co-chairman of Operation School Bell's "Save our Students" Page 219, Committee, Operations nonprofit assistance chairman, and served as committee member for resource development, co-chair hospitality, membership, scholarship, Operation School Bell. Management of Operation School Bell Fiscal year 2009/2010, Operation School Bell introduced three teams with team leaders designated: Buying Team, Administration Team, and Outreach Team. Specific job descriptions and administration duties were written as team members took ownership of their assignments. Operation School Bell is running smoothly under this new arrangement. A new automated student appointment schedule was introduced that assists the school staff in their referrals and our ability to set up appointments faster to help the students more efficiently. Each team member may spend one to ten hours per week depending what needs to be completed to assist in the school bell operations. Our Outreach Team is the newest team addition, and these members are in contact with the four school districts we serve to react quickly whenever needs arise. It was through this team, that we became aware of the need, that local schools and preschool classrooms had, for bags filled with hygiene and clothing items to meet immediate needs of their students. Caring and Commitment in Action. Page 220 1 County of Riverside Economic Development Agency Community Services Division Community Development Block Grant (CDBG) Application for the 2011-2012 Program Year Submission Deadline December 2, 2010 5:00 P.M. Page 221 COUNTY OF RIVERSIDE COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM 2011-2012 APPLICATION FORM 1. H. GENERAL INFORMATION: Applying Entity or Agency: City of Lake Elsinore Location: 130 S. Main Street City: Lake Elsinore Mailing Address: j130 S. Main Street Telephone Number: (951) 674-3124 x 267 Executive Director: Robert Brady, City Manager Zip Code: 92536 Zip Code: 92530 Fax Number: (951) 471-1418 Telephone Number: (951) 674-3124 E-mail: bbrady@lake-elsinore.org Program Manager: Pat Kilroy, Acting Director of Parks and Recreation Telephone Number: (951) 674-3124 x 266 Address (If different from above):' Grant Writer: Claudia Davis Telephone Number: (951) 674-3124 x 267 E-mail: pkilroy@lake-elsinore.org E-mail:,cdavis@lake-elsinore.org ORGANIZATIONAL HISTORY: (This is applicable only if you are a non-profit organization) Date Organization founded: 1888 Date Organization incorporated as a non-profit organization: N/A Federal identification number: 95-6000-707 State identification number: 749-02065! Number of paid staff: 80 Number of volunteers:':100 ATTACH. Current Board of Directors (Label as Attachment LA) Articles of Incorporation and By-Laws (Label as Attachment LB) Page 222, 111. PROJECT ACTIVITY: CDBG Funds Requested: $ 110,177 (total amount for the project only) Where will the proposed activity occur (be specific as to the geographic scale of the proposed activity)? If the project involves a new or existing facility, what is the proposed service/benefit area for the facility? (Attachment II Project Activity) ❑ Countywide (check if project will serve multiple districts and/or cities). City (ies): City of Lake Elsinore for City and County Residents Community (ies):, Regions: Other: What Supervisorial District does the activity occur within? District 1 NOTE: EDA will make the final determination of the appropriate service area of all proposals. Check ONLY the applicable category your application represents. ❑Real Property Acquisition ❑Public Service ❑ Housing ❑ Rehabilitation/Preservation (please provide picture of structure) X Public Facilities Improvements (construction) Other: (provide description) IV. PROJECT NARRATIVE: A. Name of Project: Machado Park Renovation Specific Location of Project (include street address; if a street address has not been assigned provide APN) Street: 15150 Joy Street City: Lake Elsinore Zip Code: 92530, APN: Attach maps of proposed project(s) location and service area. 5 Page 223 B. Provide a detailed Project Description. The description should only address or discuss the specific activities, services, or project that is to be assisted with CDBG funds. If CDBG funds will assist the entire program or activity, then provide a description of the entire program or activity. (Attach additional sheets if necessary -Attachment III Project Description) Machado Park is a five (5) acre public park built in 1960s. The amenities include restrooms, picnic shelters, volleyball and tennis courts, playground, benches and picnic tables. The renovation includes demolishing and rebuilding two (2) picnic shade structures, the construction of one (1) shade structure over the existing playground area, and installation of light poles around the perimeter of the park for public safety. C. Provide a detailed description of the proposed use of the CDBG funds only (e.g. client scholarships, purchase a specific piece of equipment, rent, supplies, utilities, salaries, etc.): CDBG funds will be used to demolish and rebuild existing picnic shade structures, purchase and construct a playground shade structure, and install light poles. D. Outcomes and Performance Measures Number of clients or units of service to be provided using CDBG funds during the term of the grant: The City of Lake Elsinore has a population of 50,983. The park facility is open to the public; however, residents within the surrounding Census Tract will primarily benefit from the renovations planned at this neighborhood park. NOTE. This is based on the expected number of clients to be served if the County funds your project for the requested amount. Length of CDBG-funded activities or service (weeks, months, year): Unduplicated number of clients/persons projected to serve (e.g., 25 clients, 50 seniors): Units of service (Example: 25 clients x 10 visits = 250 units of service): Service will be provided to (check one or more): ❑Men ❑Children Range of children's ages: 3 to 17 yrs. X Men/Women/Children X Seniors ❑ Migrant Farm Workers Women ❑Men/Women X Families ❑Severely Disabled Adults Homeless Number of beds of facility: Anticipated number of "new" beds: Length of stay (if residential facility): E. What are the goals and objectives of the project, service, or activity? How will you measure and evaluate the success of the project to meet these goals and objectives (measures should be both qualitative and quantitative)? Shade structures will continue to provide sun protection over the picnic area, the playground area will have sun protection, and the lighting throughout the park will Page 224 provide safety and security, also helping to prevent vandalism. The improvements will attract increased usage of the park's amenities. Residents within a three (3) mile radius will primarily benefit. F. Discuss how this project directly benefits low- and moderate- income residents. This project is located in an area identified by the Census Tract Maps as an eligible area. Many of the patrons are residents who use this park due to its proximity to their homes and their lack of transportation. G. Respond to A & B only if this application is for a public service project. (a) Is this a NEW service provided by your agency? Yes ❑No ❑ (b) If service is not new, will the existing public service activity level be substantially increased or improved? H. What methods will be used for community involvement to assure that all who might benefit from the project are provided an opportunity to participate? Machado Park is open to the public year-round and the picnic and playground areas are available to anyone using the park. 1. What evidence is there of a long-term commitment to the proposal? Describe how you plan to continue the work (project) after the CDBG funds are expended? The city operates 17 park locations on a year-round basis and has budgeted the resources for repair and maintenance. The City will operate this park in perpetuity. V. PROJECT BENEFIT: All CDBG-funded activities must meet at least one of three National Objectives of the CDBG program. Indicate the category of National Objective to be met by your activity: CATEGORY 1: Benefit to low-moderate income persons (must be documented). Please choose either subcategory A, B, or C. A. Area Benefit: The project or facility serves, or is available to, all persons located within an area where at least 51% of the residents are low/moderate-income. This determination is based upon 2000 Census data. If you need assistance in determining the appropriate census data, please call EDA. Census Tract and block group numbers: CT 430.6 BG CT BG CT BG CT BG CTBG CT BG # Total population in Census Tract(s) / block group(s) # Total low-moderate population in Census Tract(s) / block group(s) 7 Page 225 B. Limited Clientele: The project serves clientele that will provide documentation of their family size, income, and ethnicity. Identify the procedure you currently have in place to document that at least 51% of the clientele you serve are low-moderate income persons. C. Clientele presumed to be principally low- and moderate-income persons: The following groups are presumed by HUD to meet this criterion. You will be required to submit a certification from the client (s) that they fall into one of the following presumed categories. The activity will benefit (check one or more) Abused children Battered spouses ❑Elderly persons Severely disabled adults Describe your clientele to be served by the activity. ❑ Homeless persons ❑ Illiterate adults ❑ Persons living with AIDS ❑ Migrant Farm workers CATEGORY 2: Prevention or Elimination of Slums and Blight: The proposed project or activity must directly benefit an identified slum and blighted area. Is the project located in a Redevelopment Area? Yes ❑ No If yes, attach map of the area with the site highlighted, and provide the Redevelopment Project Area (excerpts accepted) which documents the existence of slum/blight. Also, document the specific redevelopment objectives pertaining to the proposed project. (Label as Attachments: IV Category 2, Exhibit I, 2, etc.) NOTE. this National Objective Category must' be approved by EDA in writing prior to the submittal of your application. CATEGORY 3: Documented Health or Safety Condition of Particular Urgency: Condition shall have been of recent (18 months) origin and must be designated by the Board of Supervisors. Provide documentation which demonstrates the health or safety condition has existed within the previous 18 months. (Label as Attachments: V Category 3, Exhibit I, 2, etc.) NOTE: this National Objective Category must be approved by EDA in writing prior to the submittal of your application. VI. FINANCIAL INFORMATION: A. Proposed Project Budget Complete the following annual program budget to begin July 1, 2011. If your proposed CDBG- funded activity will start on a date other than July 1, 2011, please indicate starting date. If these budget line items are not applicable to your activity, please attach an appropriate budget. Provide The budgeted items are for the activity for which you are requesting CDBG funding - not for the budget of the entire organization or agency. (EXAMPLE: The Valley Senior Center is requesting funding of a new Senior Nutritional Program. The total cost of the program is $15,000. A total of $10,000 in CDBG funds is being requested for operating expenses associated with the proposed activity. Other non-CDBG funding will be used to pay pick-up the remaining costs for the program). Page 226 TOTAL ACTIVITY/ PROJECT BUDGET CDBG FUNDS (Include CDBG Funds) REQUESTED 1. Personnel A. Salaries & Wages $ $ B. Fringe Benefits $ C. Consultants & Contract Services SUB-TOTAL $ $ H. Non-Personnel A. Space Costs $ $ B. Rental, Lease or Purchase of Equipment $ $ C. Consumable Supplies $ D. Travel $ $ E. Telephone $ F. Other Costs $ SUB-TOTAL: $ $ III. Architectural/Engineering Design $ $ iV. Acquisition of Real Property $ $ V. Construction/Rehabilitation $110,177 $110,177 VI. Indirect Costs $ $ TOTAL: $110,177. $110,177 B. Leveraging Identify other funding sources (commitments or applications) from other sources to assist in the implementation this activity. Attach current evidence of commitment (Attachment VI-A, Exhibits 1, 2, etc.). If commitments are pending, indicate amount requested and attach documentation regarding previous year's funding. iuuding .._Ainouiit Tate Typeof . Source e quested 9 Page 227 C. Provide a summary by line item of your organization's previous year's income and expense statement (Attachment VI-B, Exhibits 1, 2, etc.). i D. If this project benefits residents of more than one community or jurisdiction, have requests been submitted to those other jurisdictions? Yes❑ No E If yes, identify sources and indicate outcome. If no, please explain E. Was this project previously funded with CDBG funds? Yes X No I If yes, when? Machado Park Restroom 2008-2009 and 2009-2010 Is this activity a continuation of a previously funded (CDBG) project? Yes 0, No:El If yes, explain: I VII. MANAGEMENT CAPACITY: A. Describe your organization's experience in managing and operating project or activities funded with CDBG or other Federal funds. Include within the description a resource list (partnerships) in addition to the source and commitment of funds for the operation and maintenance of the program. State Park Bond Park Renovation 2006- $300,000 $300,000 2007 CDBG_ Playground 2007- $131,000 $131,000 Equipment 2008 i } i 10 Page 228 B. Management Systems Does your organization have written and adopted management systems (i.e., policies and procedures) including personnel, procurement, property management, record keeping, financial management, etc.? Yes, this Management System is operated by the city's Human Resources, City Clerk, and Finance Department. C. Capacity: Please provide the names and qualifications of the person(s) that will be primarily responsible for the implementation and completion of the proposed project. Provide a detailed organizational chart (Attachment VII-A, Exhibits 1, 2, etc.). Pat Kilroy, Acting Director of Parks and Recreation with 16 years of experience in program and construction projects. D. Should the applying entity be awarded CDBG funds, please identify the primary project objectives and goals using an Estimated Timeline for Project Implementation: OBJECTIVE START"D`ATElO)~PLETI0NDATE Obtain Bids/Award Contract July 2011 September 2011 Start Construction October 2011 June 2012 i 11 Page 229 IN 11; F APPLICATION CERTIFICATION Undersigned hereby certifies that (initial after reading each statement and sign the document): 1. The information contained in the project application is complete and accurate. 2. The applicant agrees to comply with all Federal and County policies and requirements imposed on the project funded in full or part by the CDBG program. 3. The applicant acknowledges that the Federal assistance made available through the CDBG program funding will not be used to substantially reduce prior levels of local, (NON-CDBG) financial support for community development activities. 4. The applicant fully understands that any facility built or equipment purchased with CDBG funds shall be maintained and/or operated for the approved use throughout its economic life. 5. If CDBG funds are approved, the applicant acknowledges that sufficient funds are available or will be available to complete the project as described within a reasonable timeframe. 6. On behalf of the applying organization, I have obtained authorization to submit this application for CDBG funding. (DOCUMENTATION ATTACHED Minute Action and/or written Board Approval signed by the Board President). DATE: Signature: 'a'e~~ Print Name/Title Authorized Representative: Claudia Davis. Parks and Recreation Analyst 12 Page 230 Aun licant's Check-fist: The following required documents listed below have been attached. Any missing documentation to the appl ication will be cause for the application to be reviewed as INELIGIBLE. Yes NO ATTACHMENT X 1. Board of Directors ❑ X 2. Articles of Incorporation and Bylaws X ❑ 3. Project Activity Map ❑ X 4. Project Description ❑ X 5. Project Benefit, Category 2. Slum Blight Documentation ❑ X 6. Project Benefit, Category 3, Urgency ❑ X 7. Leveraging X ❑ 8. i Income and Expense Statement X ❑ 9. Management Capacity X 10. Board Written Authorization approving submission of application i i i 13 Page 231 111111111 IS I FRIPIR RPM IS 11 WWI W. F liii- N O C , W ;N ~o BF J ao ' ~ ~ 4 ca 0 'WCe-. w1 vy Q oawa ~O"~ ism a 3 F 13'1mvnNOss 3 pnarmo~ Nb0. ; ~ O . C,. N d W m a W H 4J C~ 4 U 41 41 41 W 2 N K c d c W c R C d % L W ,a y 0 Z W O p J W W 0 a` mC c - J r OI Ip LL ~ C O c c rrv U ~ e N d 0 W b d O d S s N v a° e s e e e ~ ~ e go e e 0 o o s e e e s e s a°e s e e N c Q O O I W O Q Q Nm Om N Q Om 00 N 0 ~ p Q O O W N m - 1 M N •O L W m m 'C N A > 2 q^m N C J T N fV n g O O n N m n O O WN MN F ~1 ~M N 1 0 O ~ o V ' [D 9 f?' A WO 9 O M ~ O) O tn q V q V w j W O m m p p d O N M O 0 0 00 10 W O p 00 O m N O O A N A m m Q mm OO N m N YI d c m u O o O o O o O O mo m m m O mo m m A n O O on O N o W N o O lv O o A o W c m m M m W n m N mQ O M W N m m m w m m t+' J ~ W 10 O N M~ M NO) O O ON O r Q O r I~ M 6 6 M W V d T M m N OQ m m~ M O Mm n N m N m ~ m n Nm ro n O i 1 H N W C a N t O A NN m m m m p J ~ Q m d O O N O O O O O O O O O O O O O~ OM N N O0 OO 0 m N m 00 OO 010 Om m W O O a~ m m ~~yy ~ N N M N m m y N' OM 010 O Q N m N m m O m O O O O O OI % at L OO N m On O M O . O m N m ~ N M N_O O W O m m R t~ ~ V 100 N W b~ 0 0~ r N NM N m A O OmI V tD A Omf 1 p 0 V 1 N . F LL Q M W Q M ~ W O Q QmI _ m M n A N Q ~ N m a~ Q IO t m M , M O m N : s Q Q f0 N r N M ~ t ' N ~ W V ~ N N N ¢ W a J m J j Y O N N n O O n0 0 ( O O a C O I • m O • m ' m • O O O m O O• • I 1 m 0 0 0 N N m n n 6A O N p W f 0 m O m NO N ~ v J N W LL J p O O O O O O OW NO 00 N O OO N m Oh m O N Ae` Opp O O I (1 N O a . 0 0 0 . 0 00 1DO OV ! 0 0 00 N m • Om M Nm mm A~ Om Q O M m N O O ' O O O O n 1_O ON O AO O Om N U- mM . M0 - 0W . N 1 010 y j O O C O O O O N g N yW Q bINI r~ O m ON O M N ON N NA Q Q m ~ N N~ 00 N O {f ~0 10 LL 0' O M m V M r W N Q V It11 ~ N M n O N V NI O I O NI O M~ ~O W q V O q y 0 0 - N r ! MlV ~ A e M~ N r N LL N 015 n M O . O . O . c O oo 0 0 mm 00 00 0 0 m m O o O ' o m m m ~ O O OO m M O A M~ m O)a m W m -mA m O M om! m - m m O O o o O O p1 Q O O O O ON N mm Oe - m 0 0 m c -0 0 A AM r ~ V Om m N m N p 0 0 oy o0 - -I I ' N S~ N Mm NM O 0 N 0 O R r D m O- NC J I" . OV- O m -W OMw W M N N O pl f0 .R j . . V N T 1 0 V ~O N N o O NH MC OR O r Q C l! N OOC F 0' m vi ~ M .-N N N ~ W Q~N N N N N ~U ¢ W% ~l m O W ~ Q M m Q Nm A m Mp m0 M Q O O A ~ M W A O mN Om Ylm mn Qm NN m m O~- W Om.n m O O m O m O m c m o m m mm QQ mN M O • ' m _ m fDN NN Mm ~ 00m m f 0 m O N J LL p N A M m Q N N m M N ~{A V W m m mN Qm y n d'M M m A N t0 ~ W Q 0 N ~ pp~~ I~O mQ N ~-N A~y Ot ON OOf M mMM M M n A U m'Q O n ~ ~ M N Nm M mm MM W V Q M Q Q NI ~6C VO l: WW 1 0 m m M NM N N ~ - W V NM N ' - N N m C j } Q LL 0 LL c ' c o a v m v H u v c u o 4 9 d a ~ i m d >d n C v v c o. = O> U m y m 1 > 20 o n n o v Jm W - d i m . v « _m y ~ ma c v m 76z y d E $ ~ y E c o~ a °U c y 'f > 2 v i a E m ~ ` O v m u m x - 3 U m K m m J O n a U V y Q ° m o C - w d 0 m . p n m J N m a r x F- m (9 ° f0 c x ~ ~ a = JO o > > ¢ ~ a a S _ ' d > ; o E a v m F' @ y c U LL o m p F o N u J d ' m v e o > t c f xd .m -v m A LL , c c me di m u ~ at dm F ¢ m C D N W N j C O O N m > J> N d E N 0: ` = m f J 75 W J4 N J J U Y F¢ . m ~ U M p m o fn d ll m dd ym F m ¢ ¢ a E c En xE 0 L n a w Q « t . r = p p = a y m O J E d o J 0 A . 60 W m IZLL LLM O K O' xmU UU U U¢ U LL- Ua O.¢ m JZ N ~ W Page 233 m d W d a W H G N N E ~ U S] f~ -rl x ~w d Z d 0 c E d N c d b C d ! d r W W p O m°u Z d m m m W O ~ ~ Y O ~ N ¢LLmm J ~ W10 LL " C )o of F_ N V U u m m ym W d C d d O d D b L u W N v > q d 9 d ~ w U W c i d Q m 00 N m c e U 9 d Or , m °o N F O r b a ~ b m ~ D C O d 6 Q' O N a. A O V O V ~ O N m ~ o o ~ i n i n d ~ ' n m N~ V W O o f N i n h ~ W m o L (m 0 N m q 0 C F LL Q !7 ( 7 N V IA Q ~V m h ro Q O a N ~ e Q R 0 W d d I Page 234 a cirnor Iw- DR(A> "M..MC City of Lake Elsinore Parks and Recreation Department Partial Organization Chart Attachment Page 235 V County of Riverside Economic Development Agency Community Services Division Community Development Block Grant (CDBG) Application for the 2011-2012 Program Year Submission Deadline December 2, 2010 5:00 P.M. County of Riverside County Economic Development Agency 2011-2012 Community Development Block Grant Application Instructions The following CDBG Application is to be used for the County of Riverside's 2011-2012 CDBG Program Year. This application form is intended for the use by non-profit organizations (501(c2(3)7 and government agencies that will be requesting CDBG funds from the five Supervisorial Districts. The County of Riverside's 2011-2012 CDBG funds will not be available until after July 1, 2011. An original and one copies (total of two) of the complete 2011-2012 CDBG Application are due no later than 5:00 PM on Thursday, December 2, 2010, at either of the following locations: Economic Development Agency ATTN: Elizabeth Wilson 3403 Tenth Street, 5m Floor Riverside, CA 92501 (951) 955-8916 Economic Development Agency ATTN: Michelle Corredato 44-199 Monroe Street, Suite B Indio, CA 92201 (760) 863-2552 Applications received after the above deadline will not be accepted. A complete application for each activity or project must be submitted by all organizations applying for CDBG funds. All questions must be answered completely, and all required documentation must be attached. If additional sheets are required to complete a response, please continue the answer as an attachment. Attachments to the Application: All applicants must submit a detailed index of all attachments to the CDBG applications. All attachments must be individually tabbed and labeled to correspond to the specific section of the application. Non-profit organizations are only required to submit one copy of their Articles of Incorporation, Bylaws, and current board membership. Should you require any assistance in completing the application, contact a CDBG representative at (800) 984-1000 (Western Riverside County) or (760) 863-2552 (Eastern Riverside County). You are encouraged to submit your application well before the deadline to allow ample time for review, completeness, and accuracy. You may also obtain an electronic version of the application via e-mail or other methods. To do so, please contact the Economic Development Agency at (800) 984-1000. EDA also conducts CDBG application workshops. These informal workshops provide potential applicants the opportunity to discuss their program and activities and to ask questions concerning their applications. Please contact Elizabeth Wilson at (951) 955- 8916 or via email at eawilson@riveoeda.org for information regarding the Workshops. 2011-2012 CDBG PROGRAM OVERVIEW At this time, the County of Riverside will utilize a Priority Evaluation and Project Rating System for all proposals. As part of the review and evaluation process, EDA staff will review and evaluate all proposals utilizing the following checklist: 1. ACTIVITY EVALUATION ❑ Does the activity address an established need? ❑ Is the proposed activity eligible (24 CFR 570.201) under the CDBG program? ❑ Does the proposed activity meet one of the three broad National Objectives? • Principally benefit low and moderate-income persons; • Prevents or eliminates slum and blight; or • Addresses an urgent need or problem in the community. ❑ Has the applicant provided sufficient explanation concerning their ability to adequately and accurately document the benefit to low and moderate income persons? ❑ Can the project be implemented and completed within a reasonable amount of time (Public Service activities 1 year / all other activities 2 years maximum)? ❑ Has the applicant identified all the major tasks or components that will be required in carrying out the activity? Are there any potential issues or concerns? ❑ Has the applicant provided a reasonable estimate of the resources necessary for each component of the project, and has it developed 'a realistic budget that reflects these resources? Are other sources of funds (leveraging) committed to this project? ❑ Is the proposed budget for the CDBG-funded activity separate from other activities undertaken by the applicant? 11. APPLICANT (ORGANIZATIONAL) EVALUATION ❑ Has the applicant ever undertaken the proposed activity before? What were the results? ❑ Does the applicant have experience with CDBG or other Federal programs? Has the applicant conducted a Single Audit (OMB A-133) within the last two years? ❑ Does the applicant and prospective staff understand the additional requirements associated with Federal funding? ❑ Does the applicant have qualified staff for all the necessary functions associated with the proposed activity? Is there adequate staff time available? ❑ Does the applicant possess adequate administrative structures, management systems, and policies & procedures? ❑ Does the applicant possess adequate financial stability? Will the applicant be overly dependent upon CDBG funding? Minimum Activity Funding: In an effort to ensure effective, efficient, and appropriate allocation and use of CBDG funds, the County may reject any proposed CDBG activity in an amount less than $10,000. The only exceptions to this policy include, but are not limited to, traditionally county-wide activities (city/county, multiple city, etc.) or a project or activity serving a very remote location. These exceptions must be pre-approved by EDA prior to the application submittal. Acquisition of Real Property / Displacement: NOTE: Any organization considering the submittal of an application for CDBG funds for a project that involves acquisition of real property and/or the displacement of tenants must consult with the EDA rior to submitting the application. COUNTY OF RIVERSIDE COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM 2011-2012 APPLICATION FORM 1. GENERAL INFORMATION: Applying Entity or Agency: City of Lake Elsinore Location: 130 South Main Street City. Lake Elsinore Zip Code: 92530 Mailing Address: 130 South Main Street, Lake Elsinore CA Zip Code: 92530 Telephone Number: (951) 674-3124 Executive Director: Bob Brady - City Manager Telephone Number: (951) 674-3124 x361 E-mail: bbrady@lake-elsinore.org Program Manager: Robin K. Chipman Telephone Number: (951) 674-3124 x226 E-mail: rchipman@lake-elsinore.org Address (If different from above): Grant Writer: Justin Carlson Telephone Number: (951) 674-3124 x314 E-mail: jcarlson@lake-elsinore.org II. ORGANIZATIONAL HISTORY: (This is applicable only if you are a non-profit organization) Date Organization founded: 1888 Date Organization incorporated as a non-profit organization: Federal identification number: 95-6000707 State identification number: 749-02065 Number of paid staff: N/A Number of volunteers: N/A Fax Number: (951) 471-1419 N/A ATTACH: Current Board of Directors (Label as Attachment LA) Articles oflncorporation and By-Laws (Label as Attachment LB) III. PROJECT ACTIVITY: CDBG Funds Requested: $ 75,000.00 (total amountfor the project only) Where will the proposed activity occur (be specific as to the geographic scale of the proposed activity)? If the project involves a new or existing facility, what is the proposed service/benefit area for the facility? (Attachment H Project Activity) ❑ Countywide (check if project will serve multiple districts and/or cities). City (ies) Uty Community (ies) Regions Other What Supervisorial District does the activity occur within? District 1 NOTE: EDA will make the final determination ofthe appropriate service area of all proposals. Check ONLY the applicable category your application represents. ❑ Real Property Acquisition A Public Service ❑ Rehabilitation/Preservation (please provide picture of structure) ❑ Public Facilities Improvements (construction) Other: (provide description) IV. PROJECT NARRATIVE: A. Name of Project: Code Enforcement - Nuisance Abatement ❑ Housing Specific Location of Project (include street address; if a street address has not been assigned provide APN) Street: City of Lake Elsinore (Redevelopment Areas) City: Lake Elsinore Zip Code: 92530 APN: See Map Attach maps ofproposed project(s) location and service area. of Lake Elsinore 2 B. Provide a detailed Project Description. The description should only address or discuss the specific activities, services, or project that is to be assisted with CDBG funds. If CDBG funds will assist the entire program or activity, then provide a description of the entire program or activity. (Attach additional sheets if necessary -Attachment III Project Description) With CDBG Funding, the City of Lake Elsinore Code Enforcement Division will be able to continue its program of identifying Code Violations throughout the City and working with owners to bring their properties into compliance. This program focuses on abating substandard structures, abandoned vehicles, graffiti, and other similar code violations. C. Provide a detailed description of the proposed use of the CDBG funds only (e.g. client scholarships, purchase a specific piece of equipment, rent, supplies, utilities, salaries, etc.): The CDBG Funds will be applied toward a portion of the personnel costs associated with Code Enforcement and Nuisance Abatement. D. Outcomes and Performance Measures (Not Applicable) Number of clients or units of service to be provided using CDBG funds during the term of the grant: NOTE: This is based on the expected number of clients to be served if the County funds your project for the requested amount. Length of CDBG-funded activities or service (weeks, months, year): Unduplicated number of clients/persons projected to serve (e.g., 25 clients, 50 seniors): Units of service (Example: 25 clients x 10 visits = 250 units of service): Service will be provided to (check one or more): ❑ Men ❑ Women ❑ Children ❑ Men/Women ❑ Men/Women/Children ❑ Families ❑ Seniors ❑ Severely Disabled Adults Range of children's ages: ❑ Migrant Farm Workers ❑ Homeless Number of beds of facility: Anticipated number of "new" beds: Length of stay (if residential facility): E. What are the goals and objectives of the project, service, or activity? How will you measure and evaluate the success of the project to meet these goals and objectives (measures should be both qualitative and quantitative)? The continued support of the Code Enforcement Program will allow the City of Lake Elsinore to address and correct the existing violations, as well as to prevent and eliminate blighted and unsafe properties throughout the City. The successful implementation of this program will be measured by the number of properties involved, and the positive improvements to the affected neighborhoods, through safety and aesthetics. F. Discuss how this project directly benefits low- and moderate- income residents. The projects benefit to low and moderate income residents will be the elimination of blight in their neighborhoods, including the removal of dangerous and unsightly structures, and accumulation of abandoned vehicles and debris. This benefits the community by upgrading properties to compliance with current development codes, creating a safer and improved quality of life environment for the residents. G. Respond to A & B only if this application is for a public service project. (a) Is this a NEW service provided by your agency? Yes = No _o_ (b) If service is not new, will the existing public service activity level be substantially increased or improved? Funding for this program will allow the City of Lake Elsinore Code Enforcement Division to maintain its current level of service, assist neighborhoods with improvements (towing of abandoned vehicles, trash removal containers, etc) H. What methods will be used for community involvement to assure that all who might benefit from the project are provided an opportunity to participate? Not Applicable 1. What evidence is there of a long-tern commitment to the proposal? Describe how you plan to continue the work (project) after the CDBG funds are expended? Not Applicable V. PROJECT BENEFIT: All CDBG-funded activities must meet at least one of three National Objectives of the CDBG program. Indicate the category of National Objective to be met by your activity: CATEGORY 1: Benefit to low-moderate income persons (must be documented). Please choose either subcategory A, B, or C. A. Area Benefit: The project or facility serves, or is available to, all persons located within an area where at least 51 % of the residents are low/moderate-income. This determination is based upon 2000 Census data. If you need assistance in determining the appropriate census data, please call EDA. Census Tract and block group numbers: CT 043001 BG 1 &2 CT 043006 BG 1 &2 CT 043003 BG 2 & 3 CT BG CT 043006 BG1&3 CT BG # Total population in Census Tract(s) / block group(s) # Total low-moderate population in Census Tract(s) / block group(s) B. Limited Clientele: The project serves clientele that will provide documentation of their family size income and ethnicity. Identify the procedure you currently have in place to document that at least 51% of the clientele you serve are low-moderate income persons. Not Applicable C. Clientele presumed to be principally low- and moderate-income persons: The following groups are presumed by HUD to meet this criterion. You will be required to submit a certification from the client (s) that they fall into one of the following presumed categories. The activity will benefit (check one or more) ❑ Abused children ❑ Battered spouses ❑ Elderly persons ❑ Severely disabled adults Describe your clientele to be served by the activity. ❑ Homeless persons ❑ Illiterate adults ❑ Persons living with AIDS ❑ Migrant Farm workers Not Applicable CATEGORY 2: Prevention or Elimination of Slums and Blight: The proposed project or activity must directly benefit an identified slum and blighted area. Is the project located in a Redevelopment Area? Yes I V7 I No 0 If yes, attach map of the area with the site highlighted, and provide the Redevelopment Project Area (excerpts accepted) which documents the existence of slum/blight. Also, document the specific redevelopment objectives pertaining to the proposed project. (Label as Attachments. IV Category 2, Exhibit 1, 2, etc.) NOTE: this National Objective Category must be approved by EDA in writing prior to the submittal ofyour application. CATEGORY 3: Documented Health or Safety Condition of Particular Urgency: Condition shall have been of recent (18 months) origin and must be designated by the Board of Supervisors. Provide documentation which demonstrates the health or safety condition has existed within the previous 18 months. (Label as Attachments: V Category 3, Exhibit 1, 2, etc.) NOTE: this National Objective Category must be approved by EDA in writing prior to the submittal of your application. 6 VI. FINANCIAL INFORMATION: A. Proposed Project Budget Complete the following annual program budget to begin July 1, 2011. If your proposed CDBG- funded activity will start on a date other than July 1, 2011, please indi cate starting date. If these budget line items are not applicable to your activity, please attach an ap propriate budget. Provide total Budget information and distribution of CDBG funds in the proposed budget. The budgeted items are for the activity for which you are requesting C DBG funding - not for the budget of the entire organization or agency. (EXAMPLE: The Valley Senior Center is requesting funding of a new Senior Nutritional Program. The total cost of the program is $15, 000. A total of $10, 000 in CDBG funds is being requested for operating expenses associated with the proposed activity. Other non-CDBG funding will be used to pay pick-up the remaining costs for the program). TOTAL ACTIVITY/ PROJECT BUDGET CDBG FUNDS (Include CDBG Funds) REQUESTED 1. Personnel A. Salaries & Wages $ 157,598.69 $ 50,000.00 B. Fringe Benefits S 102,396.90 $ 25,000.00 C. Consultants & Contract Services $ 75,000.00 $ SUB-TOTAL S NaN S NaN II. Non-Personnel A. Space Costs $ $ B. Rental, Lease or Purchase of Equipment $ $ C. Consumable Supplies $ 5,300.00 $ D. Travel $ 1,500.00 $ E. Telephone $ 2,800.00 $ F. Other Costs $ 1,400.00 $ SUB-TOTAL: $ NaN $ 0- 111. Architectural/Engineering Design $ $ IV. Acquisition of Real Property $ $ V. Construction/Rehabilitation $ $ VI. Indirect Costs $ $ TOTAL: $ 0 S 0 7 B. Leveraging Identify other funding sources (commitments or applications) from other sources to assist in the implementation this activity. Attach current evidence of commitment (Attachment VI-A, Exhibits 1, 2, etc.). If commitments are pending, indicate amount requested and attach documentation regarding previous year's funding. Pluiidmg, Sour,E,..{.~ Riv. Cty. A.V.A :m % Me:.._ $5,799.07(varies) Dite vat U1e, Quarterly yeKaf ' ruient Re-imbursement Waste Management $9,438.00(varies) Annually Re-imbursement C. Provide a summary by line item of your organization's previous year's income and expense statement (Attachment VI-B, Exhibits 1, 2, etc.). D. If this project benefits residents of more than one community or jurisdiction, have requests been submitted to those other jurisdictions? Yes F-~ No _F-I If yes, identify sources and indicate outcome. Not Applicable If no, please explain Not Applicable E. Was this project previously funded with CDBG funds? Yes FV1 No= If yes, when? In fiscal year 2010/2011 the Code Enforcement Division was awarded $75,000.00 for Code Enforcement and Nuisance Abatement. Is this activity a continuation of a previously funded (CDBG) project? Yes --No = If yes, explain: This request is not a continuation of a particular project, but it is a request for more funding to remain active in Code Enforcement and Nuisance Abatement. VII. MANAGEMENT CAPACITY: A. Describe your organization's experience in managing and operating project or activities funded with CDBG or other Federal funds. Include within the description a resource list (partnerships) in addition to the source and commitment of funds for the operation and maintenance of the program. r< 3~'~}&L'_ rVb.»`~~'x .3~G~i~,75, Activti$t ..nror in_~ 3,w 1e~r G«Y r.rLd[~i^.JW' c ~ Al~ocrbp ~ ,,k ~.t!u^1 ~KS~'}J H4'~MZ..udS:4:ET;:fi'L~ s amount ~Ekv'r.rv k.~uG~Su;>C~~.' .i.-~..✓~ B. Management Systems Does your organization have written and adopted management systems (i.e., policies and procedures) including personnel, procurement, property management, record keeping, financial management, etc.? Yes, The City of Lake Elsinore is a general law City providing vital services to its citizens in the form of Police & Fire Protection, Public Works, Parks & Recreation, Lake Operations, Planning, Engineering, Code Enforcement and Building Inspection. C. Capacity: Please provide the names and qualifications of the person(s) that will be primarily responsible for the implementation and completion of the proposed project. Provide a detailed organizational chart (Attachment VII-A, Exhibits 1, 2, etc.). D. Should the applying entity be awarded CDBG funds, please identify the primary project objectives and goals using an Estimated Timeline for Project Implementation: Asls'w s,', '';zl 0`pl~tQ4N DATE . Nuisance Abatement Program July 1, 2011 June 30, 2012 APPLICATION CERTIFICATION Undersigned hereby certifies that (initial after reading each statement and sign the document): X I . The information contained in the project application is complete and accurate. X 2. The applicant agrees to comply with all Federal and County policies and requirements imposed on the project funded in full or part by the CDBG program. X 3. The applicant acknowledges that the Federal assistance made available through the CDBG program funding will not be used to substantially reduce prior levels of local, (NON-CDBG) financial support for community development activities. X 4. The applicant fully understands that any facility built or equipment purchased with CDBG funds shall be maintained and/or operated for the approved use throughout its economic life. X 5. If CDBG funds are approved, the applicant acknowledges that sufficient funds are available or will be available to complete the project as described within a reasonable timeframe. X 6. On behalf of the applying organization, I have obtained authorization to submit this application for CDBG funding. (DOCUMENTATION ATTACHED Minute Action and/or written Board Approval signed by the Board President). DATE: September 30, 2010 Signature: /`'Y Print Name/Title Robin K. Chipman/Code Enforcement Manager Authorized Representative: 10 Applicant's Check-list: The following required documents listed below have been attached. Any missing documentation to the application will be cause for the application to be reviewed as INELIGIBLE. Yes NO ATTACHMENT ❑ ❑ I. Board of Directors ❑ El 2. Articles of Incorporation and Bylaws ❑ ❑ 3. Project Activity Map ❑ x❑ 4. Project Description ❑ x❑ 5. Project Benefit, Category 2. Slum Blight Documentation ❑ 0 6. Project Benefit, Category 3, Urgency R. ❑ 7. Leveraging ❑ 0 8. Income and Expense Statement x❑ ❑ 9. Management Capacity R. ❑ 10. Board Written Authorization approving submission of application Attachment II Project Activity Map 'T ,t ~ r s r3twY > 'v T 6S ' I ~ 1 00 1 ~ ' 1 ~ ~ F'f in"'r yP r N."-bJ fi. ~yc-~ `F xx k~ ~y ~ Y'r llf ~11~Y p 1 v~~ ~ Y i F f 1~ ~f f~ ri v ,(~k ~ t f,`u6~y fF~ai r+i7 f! r s f E f e f2 f ° LL t f"" f+F y ~f~ y " ~~n ty~g 55F s U ~4t ~ ~ ~ xt y j I ' ' ~ ~ x{# 7r1 f. F bi4 ~ S% I ak. , ,VETS[#0)C Splt {r ,,fgi f r ~ ~f ~ f t f ' o ~ ' ~r ) 1 P' ' ~ / f t r . ~ kM,v r ( #?f , f ss +?j ~ v 1 34. i~I'YJr Y 1 / j r jfdf ! ! ° n, 11 7 [ G L }T~ e~ 1 j L X IL NS ~ ~ ~ f- ) t i u) e v f ,PAOJEC3' AREA NO.'3 ' ~b Y ~ ORIGINAL 1 AREANO.1 0.3 PARCELNO.2 AREA NO.2 AREA NO.3 CITY OF Prepared By: REDEVELOPMENT AGENCY ® City ~of Lake Elsinore GlS LADE LSII`iOIZE °~8S0U e~ PROJECT ARE A BOUNDARIES Count ofRiwside GIS DREAM ExTREME y , IAKE(rj1SIN o 1swre GIS Check Date: 07/13/2010 Invoice Number Invoice Date Voucher ID Check No. 0502061740 Gross Amount Discount Taken Paid Amount Code Ent. Lake Elsinore 2009 06/30/2010 00072531 $9,438.00 0.00 9,, 438.00 City Revenue Sharing Program for Code Enforcement 2009 { a~r~r-gc)) A jF~ V! -A } - "7 160F) loo -pooo -ll 3 -oa -oc) Inz CND REV sl~G Pte >~o~ &6 Rm ILL A45ND ~V 7D l~-vocx~ - ,3lov~ {9~-0 / 7a O °I/ o Jiil JUL 2 t ?nm Vendor Number: Name Total Discounts .Unit 0000004044 City of Lake Elsinore gp.pp -C DBF Customer # Payment Handling Code Total Amount Discounts Taken Totitl Paid Amount RW $9,438.00 $9,438.00 City of Lake 81ST L. Open: l~T~3F Draer: 1 Do= 7fA?JIO 21 fawipt no: 903 Dewriptim Qwtity ik®trrt IF 11E FROM GM ll)vHMW 1.00 BEE.OD COLE DF FE19MM 2003 HERB OF E RLAU 10 00 WM f& 5pRM FM FFR CD EWMM W & PAD blil X 1D 100.9Q00° (h50 7D A3RE 1D 03!10 FY Ted CWdii CK DU 5 UM% S9MOD Page 252 Taw taxbrBd $9MOD TaW pffAettt OROD Riverside County Waste Management Depa, Hans W. Kernkamp, General Manager-Chief Engineer July 19, 2010 Bob Brady City Manager City of Lake Elsinore 130 South Main Street Lake Elsinore, CA 92530 Dear Mr. Brady: I J D~ , g JUG 2 CITY *IVAG OFFICE Enclosed please find a warrant issued by the County of Riverside Waste Management Department in the amount of $9,438.00. This warrant is for reimbursement of expenses related to the county wide City Revenue Sharing Program for Code Enforcement/Graffiti Removal and Abandoned Vehicles. The period covered is for Calendar year 2009 - January 1", 2009 thru December 31", 2009. Please feel free to contact me if you have any questions regarding this reimbursement. I may be reached at (951) 486-3252. Sincerely, Linda Phi-Nguyen Accounting Tech I Waste Management Department Enclosures 14310 Frederick Street • Moreno Vallev, CA 92553 • (951) 486-3200 • Fax (951) 486-3205 • Fox (951 ' wcx- a 7 ?0 www.riveownzorg 4 printed 253 ~syprinted on recycled paper Check Date: 09/21/2009 Invoice Number - Invoice Date Voucher ID Check No. 0501823434 Gross Amount Discount Taken Paid Amount CA AVA 4TH QTR FY 08/09 09/0912009 00224294 $7,904.86 0.00 7,904.86 CA AVA 4TH QTR FY 08109 o-y i- }~T S, L A~nC»mf ` V C2 's I oc7v- l1 3 -oo -0o CD P) 100 - o J _ I I~SBe~mrs- ~ TD 0810q OWE Oper: OUKTER2 Type: OF Drawer: 1 Vendor Number: Name "Mal Psno fit9 - 8sines nit 0000004044 City of Lake Elsinore p_ • DBF Customer # Payment Handling Code Total Amount T '~c _ en Total ' , unt RE $7,904.86 Total payp nt V"4ff6 Trans date:-- R/23/09 Time: 15:05:24 C'itY cf Lave Elsinore CUSTOMER RECEIPT Oper: COLiP;TER2 TYPE: 0P uraarr: i Cate: 4,/2,U/O9 Receipt ne: i355 BeSE iPtien Quantity Amuur:# OF DUE FROM OTPP 00?iERfdi ENT LOO a'79O4.Bb Alin 4T 0TR 09/oo ABFh1COh1ED VE,yrrIE CSRRSIMNT au TO 10000003401304 TO flCCRIIE 'O OEr 09 ¢ G/7fi/ C Tender deta;; CK CNE r 5010Z3434 ~k,79O4.86 Total tendered $"004.85 Total payment $79O4.G5 Page 254 Trans date: 9.23/09 Tame: 15:05:24 Check Date: 12103/2009 Check No. 0501878477 Invoice Number Invoice Date Voucher ID Gross Amount Discount Taken Paid Amount AVA-1ST QTR FY 2009/10 11/17/2009 00233714 $7,620.67 0.00 7,620.67 AVASERVICE AUTHORITYDISBURSEMENT - ISTQTRFY2009110 ~v - ts-f- Qlk Fly Oq1lc3 ilper; COLiN ItR Type: -Dr Drawer: 1 Vendor Number: Name OW& _ ftLi lpt in_esss Ioit ^ 0000004044 City of Lake Elsinore - Hf. $0. H I t T-tlj~ ~C DBF Customer # Payment Handling Code Total Amount if W', is Tek , o Total unt RE $7,620.67 $7,620.67 IfCiW VC tL. 1~ V1VJ I:IIIC. J. V"! City of Lake Elsinore F°° CUSTOMER RECEIPT ' Oper: COUNTER2 Tv e: DF Drawer: i Date: 12/04/04 09 Receipt no: 2555 Deseriptien Quantity Amount AD AFATEMERT CHARGES !.DO «7620.67 AVA-iST OTR F/Y O°/10 A9 RANDGNED VEHICLE CODE ENE FILE &'M-il Tender detail Cd CHECr 50lE76477 $7620.67 Total tendered $7620.67 Total payment $7620.67 Page 255 Trans date: 12/09/05 Time: 3:0+:36 i necx;✓ate: 03117/2010 Invoice Number Invoice Date Voucher ID Check No. 0501965813 Gross Amount Discount Taken Paid Amount AVA 2nd QTR FY 09/10 DSBF 03108/2010 00242687 $4,116.70 0.00 4,116.70 AVA 2nd QTR FY 09110 DSBRMNT Pt C MAR 2 3 20? 0 v~ - aid a~ ag/ro yt~cZ,4~1 CgDb7- FNr- LO, Vendor Number: Name Total Discounts Business Unit 0000004044 City of Lake Elsinore $0.00 TLARC DBF Customer # Payment Handling Code Total Amount Discounts Taken Total Paid Amount RE $4,116.70 $4,116.70 City of Lake Elsinore ` CUSTOMER RECEIPT *t Upe CGUNTrR2 Type: LF Lk ewer: I Date: 3/23/10 23 Receipt no: 4243 Deatription °nant;ty fimoont AD ADATEMEPIT CHARGE' I,s;U T4115.70 TVA 2ND M FY ADAHDONEJ 1/EHiCLE CODE DIF FILE #1100-11 Tender detail MEDfi Cfj1g6 2i3 t4ilb.?6 Total tendered .04116.70 Total payment 04116,70 Page 256 Trans date: 3%23 1Q Time: 15:23:14 ~Tw(z Tc vonG orrr~nr.~... !'6nr4 mm. Invoice Number VV Invoice Date Voucher ID AVA 3rd Qtr FY 09/10 05/24/2010 Check No. Gross Amount Discount Taken 0502025316 Paid Amount 00248775 $8,354.66 0.00 8,354.66 AVA 3rd Qtr FY 09110 Disbursement Ainc) Cam` m EaT v i -A 3 (M) gv-evco-3/0-/-J- -off / vk 'ya o x- Fr DR1/O 6&~Vx/o"V ve#-Ie,~ E 1✓~1/~ - _ JUN 8 70 V endor Number: Name Total Discounts 0000004044 City of Lake Elsinore Unit $0.00 C DBF Customer # Payment Handling Code Total Amount Discounts Taken Total Paid Amount RE $8,354.66 $8,354.66 City Of Lice Elsim'e CLbI 'ER »T . * OPH': ClMEIZ Type: IF kaar: I Dates 6/OEIVid OB fleefpt ro: 5712 lesmiption QjMtity AVLW AB Jk891$'w (}i9fdGE.r 1.00 s>iiY+.66 AA M QTR FY 03/10 PSWM ~E1!l11 COi£ EW FILE PM-11 Tam [Mail IXOfEK 50OM6 *E54.65 Total is &TW $M.66 Total p&ARnt 54.66 Page 257 Trws date; 61CM0 Tice: MON-17 Check Date: 09/28/2010 Invoice Number Invoice Date ' Voucher ID Check No. Gross Amount Discount Taken 0502121814 Paid Amount 4th Qtr FY 09/10 09/08/2010 00257132 $5,799.07 0.00 5799.07 CA AVA 4th Qtr FY 09110 Payment pff - 14M&-J-r v 14 ~ ,7 > /0- rvoo-~30 3 -0 * Qw F/ fi- Z/~h A110 _ l1 (r ~ `/00-/ I SEP 3 0 2010 CA/ -l J Vendor Number: Name Total Discounts Business Unit 0000004044 City of Lake Elsinore $0.00 TLARC DBF Customer # Payment Handling Code Total Amount Discounts Taken Total Paid Amount PF $5,799.07 $5,799.07 u'050 21 2 i8 i1.n' 1: 1 2 1000 49 71: 27400 i8313n' Ciro of LADE LSI[YOIZE 11f.1 Aa1 L\'i A!\il Attachment VII-A, Exhibit 1 City of Lake Elsinore Partial Organizational Chart Page 259