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RPVCCA_SR_2011_03_29_02_City_Grant_RequestsM E M O R A N D U M T O : F R O M : D A T E : S U B J E C T : R E V I E W E D : S t a f f C o o r d i n a t o r : H O N O R A B L E M A Y O R A N D M E M B E R S O F T H E C I T Y C O U N C I L C A R O L Y N N P E T R U , D E P U T Y C I T Y M A N A G E R ® M A R C H 2 9 , 2 0 1 1 F Y 1 1 · 1 2 & F Y 1 2 · 1 3 C I T Y G R A N T R E Q U E S T S C A R O L Y N L E H R , C I T Y M A N A G E R c £ l - M a t t W a t e r s , S e n i o r A d m i n i s t r a t i v e A n a l y s t R E C O M M E N D A T I O N S 1 ) D i r e c t s t a f f t o i n c o r p o r a t e p a y m e n t f o r t h e p e r f o r m a n c e s p r o v i d e d b y t h e P a l o s V e r d e s S y m p h o n i c B a n d ( $ 8 0 0 ) a n d S h a k e s p e a r e b y t h e S e a ( $ 1 , 2 0 0 p l u s i n - k i n d s e r v i c e s ) i n t o t h e R e c r e a t i o n a n d P a r k s D e p a r t m e n t ' s S p e c i a l E v e n t s b u d g e t f o r F Y 1 1 - 1 2 a n d F Y 1 2 - 1 3 ; 2 ) D i r e c t s t a f f t o i n c o r p o r a t e a c o n t r i b u t i o n o f u p t o $ 8 0 , 0 0 0 t o t h e P a l o s V e r d e s P e n i n s u l a H i g h S c h o o l P o o l C a m p a i g n i n t h e F Y 1 1 - 1 2 B u d g e t u s i n g E n v i r o n m e n t a l E x c i s e T a x ( E E T ) a n d / o r Q u i m b y f u n d s , s u b j e c t t o t h e P V P H S P o o l C a m p a i g n r e a c h i n g i t s f u n d r a i s i n g g o a l o f $ 2 . 1 m i l l i o n , t h e P a l o s V e r d e s P e n i n s u l a U n i f i e d S c h o o l D i s t r i c t p r o c e e d i n g w i t h r e p l a c i n g t h e e x i s t i n g p o o l r a t h e r t h a n o n l y r e n o v a t i n g i t a n d t h e C i t y e n t e r i n g i n t o a j o i n t u s e a g r e e m e n t w i t h t h e P a l o s V e r d e s P e n i n s u l a U n i f i e d S c h o o l D i s t r i c t t o a l l o w t h e C i t y t o p r o v i d e r e c r e a t i o n a l p r o g r a m m i n g a t t h e n e w p o o l , e i t h e r o n a c o n t r a c t b a s i s o r u s i n g C i t y r e s o u r c e s ; 3 ) D e n y t h e P e n i n s u l a E d u c a t i o n F o u n d a t i o n ' s r e q u e s t f o r a $ 5 5 , 0 0 0 g r a n t t o s u p p o r t t h e a n n u a l o p e r a t i n g e x p e n s e s o f t h e P a l o s V e r d e s P e n i n s u l a U n i f i e d S c h o o l D i s t r i c t ; a n d , 4 ) P r o v i d e s t a f f w i t h p r e l i m i n a r y d i r e c t i o n o n t h e r e m a i n i n g C i t y G r a n t a p p l i c a t i o n s f o r F Y 1 1 - 1 2 a n d F Y 1 2 - 1 3 , w i t h a m a x i m u m p r o g r a m e x p e n d i t u r e o f $ 6 0 , 0 0 0 . B A C K G R O U N D F o r m a n y y e a r s , t h e C i t y h a s p r o v i d e d g r a n t f u n d i n g t o v a r i o u s n o n - p r o f i t o r g a n i z a t i o n s i n t h e S o u t h B a y a r e a . O n M a r c h 2 1 , 2 0 0 9 , a s p a r t o f t h e l a s t t w o - y e a r b U d g e t c y c l e , t h e C i t y C o u n c i l e s t a b l i s h e d a m o r e f o r m a l C i t y G r a n t r e v i e w p r o c e s s , i n c l u d i n g a n a p p l i c a t i o n f o r m a n d c r i t e r i a f o r e v a l u a t i n g r e q u e s t s . 2 - 1 T o p i c : F Y 1 1 · 1 2 & F Y 1 2 · 1 3 C i t y G r a n t R e q u e s t s D a t e : M a r c h 2 9 , 2 0 1 1 P a g e 2 T h e c u r r e n t p r o c e d u r e i s f o r a p p l i c a n t s t o c o m p l e t e a n d s u b m i t t h e a p p l i c a t i o n p a c k e t a t t h e b e g i n n i n g o f e a c h t w o - y e a r b u d g e t c y c l e . G r a n t a p p l i c a n t s a r e i n v i t e d t o a d d r e s s t h e C i t y C o u n c i l a t t h e f i r s t b u d g e t w o r k s h o p a n d a n s w e r q u e s t i o n s a b o u t t h e i r r e q u e s t s a n d p r o g r a m s . A t t h e w o r k s h o p , t h e C o u n c i l t y p i c a l l y : a ) d e c i d e s w h i c h o r g a n i z a t i o n s w i l l r e c e i v e a C i t y G r a n t ; a n d , b ) d e t e r m i n e s t h e f u n d i n g l e v e l . U n l e s s C o u n c i l d i r e c t s s t a f f o t h e r w i s e , o r g a n i z a t i o n s t h a t r e c e i v e a C i t y G r a n t f o r F Y 1 1 - 1 2 a r e n o t r e q u i r e d t o s u b m i t a n o t h e r a p p l i c a t i o n f o r m f o r t h e f o l l o w i n g f i s c a l y e a r ( F Y 1 2 - 1 3 ) . D u r i n g t h e p r e v i o u s t w o - y e a r b u d g e t c y c l e f o r F Y 0 9 - 1 0 a n d F Y 1 0 - 1 1 , t h e C i t y C o u n c i l l i m i t e d C i t y G r a n t s t o e l e v e n s o c i a l s e r v i c e o r g a n i z a t i o n s s e r v i n g t h e P a l o s V e r d e s P e n i n s u l a a n d t h e g r e a t e r S o u t h B a y a r e a . N i n e o t h e r g r a n t r e q u e s t s , p r i m a r i l y f r o m c u l t u r a l / p e r f o r m i n g a r t s o r g a n i z a t i o n s , w e r e n o t f u n d e d . A t o t a l o f $ 5 3 , 5 0 0 i n g r a n t f u n d s w a s d i s t r i b u t e d i n F Y 0 9 - 1 0 a n d F Y 1 0 - 1 1 t o t h e f o l l o w i n g o r g a n i z a t i o n s : F Y 0 9 · 1 0 & F Y 1 0 - 1 1 C i t y G r a n t R e c i p i e n t s A n i m a l L o v e r s o f S o u t h B a y H a r b o r C o m m u n i t y C l i n i c H e a l t h & E l d e r L a w P r o g r a m ( H E L P ) H e l p l i n e Y o u t h C o u n s e l i n g P a l o s V e r d e s C h a m b e r o f C o m m e r c e P a l o s V e r d e s L i b r a r y A n n e x P e n i n s u l a S e n i o r s P e t P r o t e c t o r s L e a g u e S o u t h B a y F a m i l y H e a l t h c a r e S o u t h B a y C h i l d r e n ' s H e a l t h C e n t e r S u p p o r t f o r H a r b o r A r e a W o m e n ' s L i v e s ( S H A W L ) T o t a l : C U R R E N T T W O - Y E A R C I T Y G R A N T C Y C L E $ 1 , 0 0 0 $ 5 , 0 0 0 $ 1 , 5 0 0 $ 2 , 0 0 0 $ 3 , 0 0 0 $ 1 0 , 0 0 0 $ 1 0 , 0 0 0 $ 3 , 0 0 0 $ 5 , 0 0 0 $ 1 0 , 0 0 0 $ 3 , 0 0 0 $ 5 3 , 5 0 0 I n F e b r u a r y 2 0 1 1 , s t a f f a n n o u n c e d t h a t t h e C i t y w a s a c c e p t i n g n e w a p p l i c a t i o n s f o r F i s c a l Y e a r s 2 0 1 1 - 1 2 a n d 2 0 1 2 - 1 3 . A t o t a l o f t w e n t y o r g a n i z a t i o n s s u b m i t t e d g r a n t a p p l i c a t i o n p a c k e t s . T e n o f t h e e l e v e n c u r r e n t g r a n t r e c i p i e n t s a p p l i e d f o r f u n d i n g a s p a r t o f t h e n e x t t w o - y e a r b u d g e t c y c l e ( H E L P d i d n o t a p p l y ) . O f t h i s g r o u p , f o u r h a v e r e q u e s t e d i n c r e a s e d f u n d i n g i n n e x t y e a r ' s b u d g e t : • P a l o s V e r d e s C h a m b e r o f C o m m e r c e ( f r o m $ 3 , 0 0 0 t o $ 5 , 0 0 0 ) • P e n i n s u l a S e n i o r s ( f r o m $ 1 0 , 0 0 0 t o $ 1 2 , 0 0 0 ) • P e t P r o t e c t o r ' s L e a g u e ( f r o m $ 3 , 0 0 0 t o $ 5 , 0 0 0 ) • S o u t h B a y F a m i l y H e a l t h c a r e ( f r o m $ 5 , 0 0 0 t o $ 7 , 5 0 0 ) T h e C i t y r e c e i v e d f i v e a p p l i c a t i o n s f r o m o r g a n i z a t i o n s t h a t h a d r e c e i v e d f u n d i n g p r i o r t o F Y 0 9 - 1 0 , b u t w e r e n o t f u n d e d i n t h e l a s t t w o - y e a r b u d g e t c y c l e : V : \ C A R O L Y N N \ R E P O R T S \ 2 0 1 1 \ 2 0 1 1 0 3 2 9 _ c i t y g r a n t s . d o c 2 - 2 T o p i c : F Y 1 1 - 1 2 & F Y 1 2 - 1 3 C i t y G r a n t R e q u e s t s D a t e : M a r c h 2 9 , 2 0 1 1 P a g e 3 • C h a m b e r O r c h e s t r a o f t h e S o u t h B a y ( $ 1 , 5 0 0 ) • P a l o s V e r d e s S y m p h o n i c B a n d ( $ 1 , 2 0 0 ) • P e n i n s u l a S y m p h o n i c A s s o c i a t i o n ( $ 1 , 0 0 0 ) • S h a k e s p e a r e b y t h e S e a ( $ 2 , 0 0 0 ) • S o u t h B a y C h a m b e r M u s i c S o c i e t y ( $ 1 , 0 0 0 ) T h e C i t y a l s o r e c e i v e d f i v e r e q u e s t s f r o m o r g a n i z a t i o n s t h a t h a v e n o t p r e v i o u s l y r e c e i v e d f u n d i n g t h r o u g h t h e C i t y G r a n t p r o g r a m : • K i w a n i s C l u b o f R o l l i n g H i l l s E s t a t e s ( $ 7 , 5 0 0 ) * • L o s S e r e n o s d e P o i n t V i c e n t e ( D o c e n t s ) ( $ 7 , 0 0 0 ) • N o r r i s C e n t e r f o r t h e P e r f o r m i n g A r t s ( $ 1 0 , 0 0 0 ) • P e n i n s u l a E d u c a t i o n F o u n d a t i o n ( $ 5 5 , 0 0 0 ) • P e n i n s u l a H i g h S c h o o l P o o l C a m p a i g n ( $ 1 0 0 , 0 0 0 ) * R e c e i v e d a $ 1 , 0 0 0 C i t y G r a n t p r i o r t o 2 0 0 6 , b u t h a s n o t r e c e i v e d o n e d u r i n g t h e l a s t f i v e y e a r s . T h e f o l l o w i n g t a b l e s u m m a r i z e s t h e F Y 1 1 - 1 2 C i t y G r a n t a p p l i c a t i o n s : A m o u n t R e u e s t e d F Y 1 1 - 1 2 $ 1 , 0 0 0 $ 1 , 5 0 0 $ 2 , 0 0 0 $ 5 , 0 0 0 $ 7 , 5 0 0 $ 7 , 0 0 0 $ 1 0 , 0 0 0 $ 1 0 , 0 0 0 $ 1 , 2 0 0 $ 5 5 , 0 0 0 $ 1 2 , 0 0 0 $ 1 , 0 0 0 $ 5 , 0 0 0 $ 5 , 0 0 0 $ 1 0 0 , 0 0 0 $ 2 , 0 0 0 $ 3 , 0 0 0 $ 1 0 , 0 0 0 $ 1 , 0 0 0 $ 7 , 5 0 0 T O T A L : $ 2 4 6 , 7 0 0 V : \ C A R O L Y N N \ R E P O R T S \ 2 0 1 1 \ 2 0 1 1 0 3 2 9 _ c i t y g r a n t s . d o c A m o u n t R e u e s t e d F Y 1 2 - 1 3 $ 1 , 0 0 0 $ 1 , 5 0 0 $ 2 , 0 0 0 $ 5 , 0 0 0 $ 7 , 5 0 0 $ 8 , 0 0 0 $ 1 0 , 0 0 0 $ 1 0 , 0 0 0 $ 1 , 2 0 0 $ 0 $ 1 2 , 0 0 0 $ 1 , 0 0 0 $ 5 , 0 0 0 $ 5 , 0 0 0 $ 0 $ 2 , 0 0 0 $ 3 , 0 0 0 $ 1 0 , 0 0 0 $ 1 , 0 0 0 $ 7 , 5 0 0 $ 9 2 , 7 0 0 2 - 3 T o p i c : F Y 1 1 · 1 2 & F Y 1 2 · 1 3 C i t y G r a n t R e q u e s t s D a t e : M a r c h 2 9 , 2 0 1 1 P a g e 4 D I S C U S S I O N A l l o f t h e F Y 1 1 - 1 2 C i t y G r a n t a p p l i c a t i o n s a r e a t t a c h e d f o r t h e C o u n c i l ' s i n f o r m a t i o n . S t a f f h a s s e p a r a t e d t h e r e q u e s t s i n t o f o u r a r e a s o f d i s c u s s i o n f o r t h e C i t y C o u n c i l : 1 . L i v e P e r f o r m a n c e s a t C i t y E v e n t s A s p r e v i o u s l y m e n t i o n e d , d u e t o b u d g e t c o n s t r a i n t s , t h e C i t y C o u n c i l w a s u n a b l e t o p r o v i d e g r a n t f u n d i n g t o C U l t u r a l / p e r f o r m i n g a r t s o r g a n i z a t i o n d u r i n g t h e l a s t t w o - y e a r b u d g e t c y c l e . I n c l u d e d i n t h i s g r o u p w e r e t h e P a l o s V e r d e s S y m p h o n i c B a n d a n d S h a k e s p e a r e b y t h e S e a . E a c h o r g a n i z a t i o n r e c e i v e d $ 1 , 2 0 0 i n t h e p r i o r t w o - y e a r b u d g e t c y c l e ( F Y 0 7 - 0 8 & F Y 0 8 - 0 9 ) . H o w e v e r , b o t h o f t h e s e o r g a n i z a t i o n s p r o v i d e l i v e p e r f o r m a n c e s i n t h e c o m m u n i t y , e i t h e r i n c o n j u n c t i o n w i t h a C i t y e v e n t ( L e . t h e F o u r t h o f J u l y c e l e b r a t i o n f o r t h e P a l o s V e r d e s S y m p h o n i c B a n d ) o r a s p e c i a l e v e n t c o - s p o n s o r e d b y t h e C i t y ( S h a k e s p e a r e b y t h e S e a ) . I n F Y 0 9 - 1 0 , b o t h o f t h e s e o r g a n i z a t i o n s c o n t i n u e d t h e i r p e r f o r m a n c e s w i t h o u t a n y c o m p e n s a t i o n f r o m t h e C i t y . I n F Y 1 0 - 1 1 , t h e C i t y p a i d t h e P a l o s V e r d e s S y m p h o n i c B a n d $ 5 0 0 f o r t h e i r p e r f o r m a n c e a t t h e C i t y ' s a n n u a l F o u r t h o f J u l y C e l e b r a t i o n . O v e r t h e y e a r s , s t a f f h a s p r o v i d e d S h a k e s p e a r e b y t h e S e a w i t h i n - k i n d s e r v i c e s ( a p o r t a b l e g e n e r a t o r a n d b a n n e r s i g n s ) f o r t h e g r o u p ' s a n n u a l p e r f o r m a n c e a t H e s s e P a r k . I n l i g h t o f t h e s e t w o g r o u p ' s u n i q u e a n d l o n g - s t a n d i n g a s s o c i a t i o n w i t h a n n u a l C i t y - s p o n s o r e d e v e n t s , s t a f f r e c o m m e n d s i n c o r p o r a t i n g p a y m e n t f o r t h e s e p e r f o r m a n c e s i n t o t h e R e c r e a t i o n a n d P a r k s D e p a r t m e n t ' s S p e c i a l E v e n t s b u d g e t f o r F Y 1 1 - 1 2 a n d F Y 1 2 - 1 3 , r a t h e r t h a n t h e C i t y G r a n t p r o g r a m . I f C o u n c i l i s i n a g r e e m e n t , $ 8 0 0 f o r t h e P a l o s V e r d e s S y m p h o n i c B a n d ' s p e r f o r m a n c e a t t h e F o u r t h o f J u l y C e l e b r a t i o n a n d $ 1 , 2 0 0 f o r S h a k e s p e a r e b y t h e S e a ' s p e r f o r m a n c e a t H e s s e P a r k o n S u n d a y , J u l y 1 i h ( p l u s $ 5 0 0 o f i n - k i n d s e r v i c e s ) w i l l b e i n c o r p o r a t e d i n t o t h e R e c r e a t i o n & P a r k s D e p a r t m e n t ' s o p e r a t i n g b u d g e t ( S p e c i a l E v e n t s ) f o r F Y 1 1 - 1 2 a n d F Y 1 2 - 1 3 . 2 . P e n i n s u l a H i g h S c h o o l P o o l C a m p a i g n T h e t w o e x i s t i n g s w i m m i n g p o o l s a t P e n i n s u l a H i g h S c h o o l a r e o v e r 4 0 y e a r s o l d a n d i n p o o r c o n d i t i o n . O n e i s a 3 - f o o t d e e p " k i d d i e " p o o l a n d t h e o t h e r i s a " b i g " s w i m m i n g p o o l o r i g i n a l l y d e s i g n e d f o r b o a r d d i v i n g a n d u s e b y a s m a l l s w i m t e a m . W h i l e t h e l a r g e r p o o l i s n o l o n g e r u s e d f o r b o a r d d i v i n g d u e t o i n s u r a n c e c o s t s , o v e r 1 2 0 s t u d e n t s c u r r e n t l y c o m p e t e o n t h e s w i m t e a m s a n d o v e r 5 0 s t u d e n t s c o m p e t e i n w a t e r p o l o . T h i s i s i n a d d i t i o n t o m a n d a t e d P . E . S W i m m i n g c l a s s e s , v a r i o u s c a m p u s s c i e n c e c l u b s a n d o u t s i d e r e c r e a t i o n a l , s w i m c l u b a n d Y M C A u s a g e . T h e P a l o s V e r d e s S c h o o l D i s t r i c t h a s $ 1 . 3 m i l l i o n i n b o n d r e v e n u e s t o r e n o v a t e t h e t w o e x i s t i n g p o o l s a t P e n i n s u l a H i g h S c h o o l . H o w e v e r , t h e c o s t t o b u i l d a s i n g l e C I F - c o m p l i a n t p o o l w i t h a d d i t i o n a l s w i m m i n g l a n e s w i l l c o s t $ 2 . 1 m i l l i o n . T h e P V P H S P o o l C a m p a i g n i s a t t e m p t i n g t o r a i s e a n a d d i t i o n a l $ 8 0 0 , 0 0 0 t o b r i d g e t h e f u n d i n g g a p . T o d a t e , t h e o r g a n i z a t i o n h a s r a i s e d $ 3 5 0 , 0 0 0 i n p r i v a t e d o n a t i o n s . T h e P V P H S P o o l V : \ C A R O L Y N N \ R E P O R T S \ 2 0 1 1 \ 2 0 1 1 0 3 2 9 _ c i t y g r a n t s . d o c 2 - 4 T o p i c : F Y 1 1 · 1 2 & F Y 1 2 · 1 3 C i t y G r a n t R e q u e s t s D a t e : M a r c h 2 9 , 2 0 1 1 P a g e S C a m p a i g n i s r e q u e s t i n g a o n e - t i m e c a p i t a l c o n t r i b u t i o n f r o m t h e C i t y i n t h e a m o u n t o f $ 1 0 0 , 0 0 0 t o w a r d s t h e p r o j e c t . I n 2 0 0 6 , t h e C i t y c o n t r i b u t e d $ 2 0 , 0 0 0 t o t h e P a l o s V e r d e s H i g h S c h o o l p o o l p r o j e c t f r o m t h e E n v i r o n m e n t a l E x c i s e T a x ( E E T ) f u n d . T h e C i t y ' s d o n a t i o n w a s c o n t i n g e n t o n t h e P V H S B o o s t e r C l u b r e a c h i n g i t s f u n d r a i s i n g g o a l o f $ 2 . 5 m i l l i o n a n d t h e P a l o s V e r d e s P e n i n s u l a U n i f i e d S c h o o l D i s t r i c t p r o c e e d i n g w i t h r e p l a c i n g t h e e x i s t i n g p o o l , r a t h e r t h a n o n l y r e n o v a t i n g i t . C o n s t r u c t i o n o f t h e n e w p o o l w a s c o m p l e t e d i n 2 0 0 8 . T h e C i t y h a s a t o t a l o f a p p r o x i m a t e l y $ 8 0 , 0 0 0 o f u n - a p p r o p r i a t e d c a s h i n i t s E n v i r o n m e n t a l E x c i s e T a x ( E E T ) a n d Q u i m b y f u n d s . T h e s e a r e d e v e l o p m e n t f e e s a n d h a v e b e e n t y p i c a l l y u s e d t o f u n d r e c r e a t i o n a l a n d p a r k i m p r o v e m e n t p r o j e c t s . S i m i l a r t o t h e a c t i o n t a k e n i n 2 0 0 6 , s t a f f r e c o m m e n d s i n c o r p o r a t i n g a o n e - t i m e c a p i t a l c o n t r i b u t i o n o f u p t o $ 8 0 , 0 0 0 t o t h e P e n i n s u l a H i g h S c h o o l P o o l r e n o v a t i o n p r o j e c t i n t o t h e F Y 1 1 - 1 2 B u d g e t d r a w i n g f r o m t h e s e t w o f u n d s . H o w e v e r , t h i s c o n t r i b u t i o n i s p r e d i c a t e d o n : 1 ) t h e P V P H S P o o l C a m p a i g n r e a c h i n g i t s f u n d r a i s i n g g o a l o f $ 2 . 1 m i l l i o n ; 2 ) t h e P a l o s V e r d e s P e n i n s u l a U n i f i e d S c h o o l D i s t r i c t p r o c e e d i n g w i t h r e p l a c i n g t h e e x i s t i n g p o o l , r a t h e r t h a n o n l y r e n o v a t i n g i t ; a n d 3 ) t h e C i t y e n t e r i n g i n t o a j o i n t u s e a g r e e m e n t w i t h t h e P V P S c h o o l D i s t r i c t t o a l l o w t h e C i t y t o p r o v i d e r e c r e a t i o n a l p r o g r a m m i n g a t t h e n e w p o o l , e i t h e r o n a c o n t r a c t b a s i s o r u s i n g C i t y r e s o u r c e s . 3 . P e n i n s u l a E d u c a t i o n F o u n d a t i o n T h e P a l o s V e r d e s P e n i n s u l a E d u c a t i o n F o u n d a t i o n ( P E F ) w a s e s t a b l i s h e d i n 1 9 8 0 t o r a i s e f u n d s t o m a i n t a i n , p r o v i d e a n d e n h a n c e e d u c a t i o n p r o g r a m s i n t h e P a l o s V e r d e s P e n i n s u l a U n i f i e d S c h o o l D i s t r i c t ( P V P U S D ) i n t h e w a k e o f P r o p o s i t i o n 1 3 . I n 2 0 0 9 - 2 0 1 0 , t h e F o u n d a t i o n r a i s e d $ 2 m i l l i o n , w h i c h w a s p r o v i d e d t o t h e P V P U S D t o p a y f o r o p e r a t i o n a l e x p e n s e s . P E F h a s r e q u e s t e d a C i t y G r a n t i n t h e a m o u n t o f $ 5 5 , 0 0 0 f o r F Y 1 1 - 1 2 . T h e f u n d s w o u l d b e a p p l i e d t o w a r d s t h e F o u n d a t i o n ' s o v e r a l l g o a l o f r a i s i n g $ 2 . 5 m i l l i o n t o h e l p p a y f o r P V P U S D t e a c h e r s a l a r i e s a n d t h e r e b y a v o i d o r m i n i m i z e t e a c h e r l a y o f f s . T h e $ 5 5 , 0 0 0 r e q u e s t a m o u n t i s d e r i v e d f r o m t h e a v e r a g e t e a c h e r s a l a r y . P E F d i d n o t i n c l u d e a s p e c i f i c r e q u e s t f o r F Y 1 2 - 1 3 , b u t m a y m a k e a n o t h e r r e q u e s t i n t h e f u t u r e . S t a f f i s c o n c e r n e d a b o u t e s t a b l i s h i n g a p r e c e d e n c e o f u s i n g t h e C i t y ' s G e n e r a l f u n d r e v e n u e s t o f u n d t h e o p e r a t i o n a l e x p e n s e s o f a n o t h e r g o v e r n m e n t a l a g e n c y / s p e c i a l d i s t r i c t , l i k e t h e P V P U S D . A c c o r d i n g t o P E F , t h e C i t i e s o f S a n t a M o n i c a a n d E l S e g u n d o p r o v i d e d f u n d i n g t o t h e i r l o c a l s c h o o l d i s t r i c t s i n F Y 1 0 - 1 1 . B o t h o f t h e s e c i t i e s G e n e r a l f u n d r e v e n u e s p e r c a p i t a a r e m o r e t h a n t h r e e a n d f o u r t i m e s t h a t o f R a n c h o P a l o s V e r d e s , r e s p e c t i v e l y . T h e C i t i e s o f H e r m o s a B e a c h a n d M a n h a t t a n B e a c h p r o v i d e d f u n d i n g t o t h e i r l o c a l s c h o o l d i s t r i c t i n F Y 0 9 - 1 0 , b u t n o t F Y 1 0 - 1 1 , d u e t o i n c r e a s i n g p r e s s u r e s o n t h e i r o w n f i n a n c i a l r e s o u r c e s a n d a b i l i t y t o p r o v i d e s e r v i c e t o r e s i d e n t s . B o t h o f t h e s e c i t i e s p e r c a p i t a l G e n e r a l f u n d r e v e n u e s a r e m o r e t h a n d o u b l e t h a t o f R a n c h o P a l o s V e r d e s . S t a f f i s a l s o a w a r e t h a t t h e C i t y o f M a l i b u r e c e n t l y d i s c o n t i n u e d p r o v i d i n g f i n a n c i a l s u p p o r t t o i t s l o c a l s c h o o l d i s t r i c t . I n a d d i t i o n , t h e t h r e e o t h e r P e n i n s u l a c i t i e s d o n o t m a k e a n y c o n t r i b u t i o n s ( c a p i t a l o r o p e r a t i n g ) t o P V P U S D . V : \ C A R O L Y N N \ R E P O R T S \ 2 0 1 1 \ 2 0 1 1 0 3 2 9 _ c i t y g r a n t s . d o c 2 - 5 T o p i c : F Y 1 1 · 1 2 & F Y 1 2 · 1 3 C i t y G r a n t R e q u e s t s D a t e : M a r c h 2 9 , 2 0 1 1 P a g e 6 W h i l e s t a f f b e l i e v e s i t i s a p p r o p r i a t e f o r t h e C i t y t o m a k e o n e - t i m e c a p i t a l c o n t r i b u t i o n s t o r e c r e a t i o n a l i n f r a s t r u c t u r e i m p r o v e m e n t s t h a t b e n e f i t t h e l a r g e r c o m m u n i t y ( s u c h a s t h e P V H S a n d P V P H S p o o l r e n o v a t i o n p r o j e c t s ) , s t a f f d o e s n o t f e e l i t i s a p p r o p r i a t e f o r t h e C i t y , w i t h i t s l o w t a x r e v e n u e s t r e a m s , e v e r i n c r e a s i n g d e m a n d s f o r s e r v i c e , u n m e t i n f r a s t r u c t u r e r e n e w a l n e e d s a n d l i m i t e d a b i l i t y t o r a i s e a d d i t i o n a l f u n d s , t o s u p p o r t t h e o p e r a t i o n e x p e n s e s o f t h e P V P U S D t h r o u g h t h e t r a n s f e r o f i t s G e n e r a l f u n d r e ~ e n u e s . 4 . R e m a i n i n g C i t y G r a n t A p p l i c a t i o n s S t a f f h a s r e v i e w e d t h e i n f o r m a t i o n s u b m i t t e d a n d , e x c e p t a s d i s c u s s e d b e l o w , i s s a t i s f i e d t h a t e a c h o r g a n i z a t i o n r e q u e s t i n g f u n d i n g f r o m t h e C i t y i s : • A n o n - p o l i t i c a l o r g a n i z a t i o n ; • A n o n - p r o f i t o r g a n i z a t i o n ; • D e m o n s t r a t e d t h a t i t p r o v i d e s s e r v i c e s t o t h e p u b l i c t h a t a r e f r e q u e n t l y p r o v i d e d b y a g o v e r n m e n t a g e n c y , b u t n o t c u r r e n t l y o f f e r e d b y t h e C i t y ; a n d , • D e m o n s t r a t e d t h a t i t p r o v i d e s s e r v i c e s d i r e c t l y a v a i l a b l e t o r e s i d e n t s o f R a n c h o P a l o s V e r d e s a n d / o r r e s i d e n t s o f t h e P a l o s V e r d e s P e n i n s u l a a s a w h o l e . G e n e r a l l y , t h e a p p l i c a t i o n s r e c e i v e d w e r e c o m p l e t e a n d v e r y t h o r o u g h ; h o w e v e r , s t a f f n o t e d t h e f o l l o w i n g d e f i c i e n c i e s . T h e K i w a n i s C l u b d i d n o t p r o v i d e i n f o r m a t i o n o n t h e n u m b e r o f R P V a n d P e n i n s u l a p a r t i c i p a n t s t h e y s e r v e . I t i s w o r t h n o t i n g t h a t t h e K i w a n i s r a i s e a n d d i s t r i b u t e f u n d s t o c h a r i t i e s t h a t a r e p r i m a r i l y l o c a t e d i n R P V o r t h e l a r g e r P e n i n s u l a a r e a . S H A W L ' s a p p l i c a t i o n d i d n o t p r o v i d e p r e c i s e f i g u r e s f o r R P V o r t h e P e n i n s u l a , b u t n o t e d t h a t t h e y s e r v e a p p r o x i m a t e l y 5 0 w o m e n a y e a r f r o m a l l o v e r L o s A n g e l e s C o u n t y , i n c l u d i n g t h e P a l o s V e r d e s P e n i n s u l a a r e a . S H A W L ' s a p p l i c a t i o n n o t e d t h a t t h e y h a v e n o g e o g r a p h i c a l b o u n d a r i e s f o r w o m e n w h o n e e d t h e i r s e r v i c e s . N e w F u n d i n g R e q u e s t s • K i w a n i s C l u b o f R o l l i n g H i l l s E s t a t e s ( $ 7 , 5 0 0 ) A s p r e v i o u s l y m e n t i o n e d , t h e K i w a n i s C l u b o f R o l l i n g H i l l s E s t a t e s h a s r e c e i v e d a t o t a l o f $ 1 , 0 0 0 i n C i t y g r a n t s i n t h e p a s t , b u t r e c o r d s i n d i c a t e t h e s e a w a r d s w e r e m a d e p r i o r t o 2 0 0 6 . T h e r e f o r e , s t a f f i s t r e a t i n g t h i s o r g a n i z a t i o n ' s a p p l i c a t i o n a s a n e w r e q u e s t . I n 2 0 1 1 , t h e K i w a n i s C l u b o f R o l l i n g H i l l s E s t a t e s r e l o c a t e d i t s m a i n c h a r i t y e v e n t , t h e P a l o s V e r d e s M a r a t h o n , t o s t a r t a n d e n d w i t h i n t h e C i t y ' s b o u n d a r i e s . P r i o r t o t h i s t i m e , t h e r a c e b e g a n a n d e n d e d i n t h e C i t y o f L o s A n g e l e s ( S a n P e d r o ) . I n g o i n g t h o u g h t h e C i t y ' s p e r m i t p r o c e s s t h i s y e a r , t h e K i w a n i s C l u b w a s r e q u i r e d t o e s t a b l i s h a $ 7 , 5 0 0 t r u s t d e p o s i t t o c o v e r t h e C i t y ' s o u t - o f - p o c k e t e x p e n s e s r e l a t e d t o t h e e v e n t . T h e g r a n t i s b e i n g r e q u e s t e d t o o f f - s e t t h i s e x p e n s e i n F Y 1 1 - 1 2 i n o r d e r t o l o w e r t h e o v e r a l l c o s t o f t h e f u n d r a i s i n g e v e n t , t h e r e b y a l l o w i n g t h e K i w a n i s t o p r o v i d e m o r e f u n d i n g t o l o c a l o r g a n i z a t i o n s , i n c l u d i n g a t h l e t i c a n d e d u c a t i o n a l p r o g r a m s , R E A C H , a n d c h a r i t i e s t h a t a s s i s t s i c k c h i l d r e n . V : \ C A R O L Y N N \ R E P O R T S \ 2 0 1 1 \ 2 0 1 1 0 3 2 9 _ c i t y g r a n t s . d o c 2 - 6 T o p i c : F Y 1 1 · 1 2 & F Y 1 2 · 1 3 C i t y G r a n t R e q u e s t s D a t e : M a r c h 2 9 , 2 0 1 1 P a g e 7 • L o s S e r e n o s d e P o i n t V i c e n t e ( $ 7 , 0 0 0 ) T h e D o c e n t s ' r e q u e s t i s f o r e x p e n s e s a s s o c i a t e d w i t h : a ) f u n d i n g b u s e s f o r P a l o s V e r d e s P e n i n s u l a S c h o o l D i s t r i c t ' s s i x t h g r a d e f i e l d t r i p s t o t h e F o r r e s t a l R e s e r v e a n d A b a l o n e C o v e S h o r e l i n e P a r k f o r d o c e n t - l e d t o u r s f o c u s e d o n P e n i n s u l a g e o g r a p h y ( $ 6 , 0 0 0 ) ; a n d b ) f u n d i n g f o r a c t i v i t i e s a n d t r a i n i n g a s s o c i a t e d w i t h t h e J u n i o r D o c e n t P r o g r a m ( $ 1 , 0 0 0 ) . W i t h r e g a r d s t o t h e s t u d e n t f i e l d t r i p s , m a n y y e a r s a g o , t h e l o c a l P T A p a i d f o r t h e c o s t o f t h e b u s e s t o t r a n s p o r t t h e s t u d e n t t o t h e p a r k s i t e s . H o w e v e r , t h e P T A d i s c o n t i n u e d p r o v i d i n g t h e f u n d i n g s e v e r a l y e a r s a g o a n d t h e p r o g r a m w a s s u s p e n d e d u n t i l t h e D o c e n t s d e c i d e d t o r e - e s t a b l i s h t h e p r o g r a m t w o y e a r s a g o , u s i n g f u n d s r a i s e d t h r o u g h t h e a n n u a l W h a l e o f a D a y e v e n t h e l d a t t h e P o i n t V i c e n t e I n t e r p r e t i v e C e n t e r . S i m i l a r l y , J u n i o r D o c e n t s i s a n e w p r o g r a m t h a t i s c u r r e n t l y p r o v i d e d t h r o u g h t h e D o c e n t ' s f u n d r a i s i n g e f f o r t s . • N o r r i s C e n t e r f o r t h e P e r f o r m i n g A r t s ( $ 1 0 , 0 0 0 ) T h e N o r r i s C e n t e r f o r t h e P e r f o r m i n g A r t s r e q u e s t w o u l d b e u s e d t o o f f e r m o r e p r o f e s s i o n a l p e r f o r m a n c e s t o t h e c o m m u n i t y , e x p a n d e d p e r f o r m a n c e c l a s s e s f o r b o t h c h i l d r e n a n d a d u l t s , u p g r a d e t h e C e n t e r ' s f a c i l i t i e s , a n d o f f e r s c h o l a r s h i p s f o r l o c a l s t u d e n t s t o a t t e n d o u t r e a c h p e r f o r m a n c e s . T h e N o r r i s C e n t e r f i r s t a p p l i e d f o r C i t y f u n d i n g d u r i n g t h e l a s t t w o - y e a r b u d g e t c y c l e i n F Y 0 9 - 1 0 a n d F Y 1 0 - 1 1 , b u t d i d n o t r e c e i v e a n y f u n d i n g a t t h a t t i m e d u e t o t h e C o u n c i l ' s d e c i s i o n t o a w a r d g r a n t s t o o r g a n i z a t i o n s t h a t p r o v i d e d h u m a n s e r v i c e s r a t h e r t h a n t h e p e r f o r m i n g a r t s . T h e c h a r t b e l o w s u m m a r i z e d t h e r e m a i n i n g C i t y G r a n t r e q u e s t s f o r F Y 1 1 - 1 2 : V : \ C A R O L Y N N \ R E P O R T S \ 2 0 1 1 \ 2 0 1 1 0 3 2 9 _ c i t y g r a n t s . d o c T O T A L S : $ 1 , 0 0 0 $ 1 , 5 0 0 $ 2 , 0 0 0 $ 5 , 0 0 0 $ 7 , 5 0 0 $ 7 , 0 0 0 $ 1 0 , 0 0 0 $ 1 0 , 0 0 0 $ 1 2 , 0 0 0 $ 1 , 0 0 0 $ 5 , 0 0 0 $ 5 , 0 0 0 $ 3 , 0 0 0 $ 1 0 , 0 0 0 $ 1 , 0 0 0 $ 7 , 5 0 0 $ 8 8 , 5 0 0 2 - 7 T o p i c : F Y 1 1 · 1 2 & F Y 1 2 · 1 3 C i t y G r a n t R e q u e s t s D a t e : M a r c h 2 9 , 2 0 1 1 P a g e S T o a s s i s t t h e C o u n c i l i n i t s a n a l y s i s o f t h e F Y 1 1 - 1 2 g r a n t r e q u e s t s , s t a f f h a s g r o u p e d t h e r e m a i n i n g C i t y G r a n t a p p l i c a n t s b a s e d o n t h e t y p e s o f s e r v i c e s p r o v i d e d i n t h e c h a r t b e l o w : C I T Y G R A N T R E Q U E S T S B y C a t e g o r y T y p e o f S e r v i c e s P r o v i d e d A m o u n t P e r c e n t a g e A n i m a l S e r v i c e s $ 6 , 0 0 0 7 % C u l t u r a l A r t s / E d u c a t i o n $ 3 0 , 5 0 0 4 7 % E c o n o m i c D e v e l o p m e n t $ 1 2 , 5 0 0 1 4 % H e a l t h & H u m a n S e r v i c e s $ 2 7 , 5 0 0 1 9 % S e n i o r S e r v i c e s $ 1 2 , 0 0 0 1 3 % T o t a l : $ 8 8 , 5 0 0 1 0 0 % A l t h o u g h a t o t a l o f $ 8 9 , 0 0 0 i n f u n d i n g h a s b e e n r e q u e s t e d f o r F Y 1 1 - 1 2 f r o m t h e r e m a i n i n g s i x t e e n a p p l i c a n t s , d u e t o t h e s i g n i f i c a n t b u d g e t c o n s t r a i n t s t h e C i t y i s c u r r e n t l y f a c i n g , s t a f f r e c o m m e n d s t h a t C o u n c i l l i m i t t h e g r a n t s t o a m a x i m u m p r o g r a m e x p e n d i t u r e o f $ 6 0 , 0 0 0 . T h i s l e v e l o f f u n d i n g w o u l d s t i l l r e p r e s e n t a n a p p r o x i m a t e l y 1 2 % i n c r e a s e i n t h e f u n d i n g l e v e l p r o v i d e d i n F Y 1 0 - 1 1 . F I S C A L I M P A C T A l l C i t y G r a n t s a r e f u n d e d b y t h e G e n e r a l f u n d . A t t a c h m e n t s : C i t y G r a n t A p p l i c a t i o n s f r o m N o n - P r o f i t O r g a n i z a t i o n s V : \ C A R O L Y N N \ R E P O R T S \ 2 0 1 1 \ 2 0 1 1 0 3 2 9 _ c i t y g r a n t s . d o c 2 - 8 .•...... 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 (310)377-0360 www.palosverdes.com/rpv CITY GRANT APPLICATION For Fiscal Years JUly 1,2011 to June 30,2012 & July 1,2012 to June 30,2013 Name of Organization:4);w!t!CJt/C'rS tJ/~tllJ cf')Y Address:~.~~~y ?V7~/'///J-~e/l t/6 . /It:74t!'#tf A /tLS I/t?rde.s eZ/9 .9~.;2 7.:S- Phone Number:..3/{)-(/3/-3736 /' Fax Number: Website Address:tJ)tl!t(hr-/i d,kr"'t"a4l -~-h Itt;,,,/I-,,~d p r d?'";'}I' Contact Name &Posilion:;J/q1J';t;;k cJ~~/1flu~J lfes~/1-f Years With Organization:/~r jL?qr;:> Email:/110-7 4U ¥sm£?-/fJ",/lJailsea 1IfS'/),tfM1 AMOUNT OF SUPPORT REQUESTED: FY 11-12:$6otJ l).o-o FY 12-13:$~tOO ·tJ/!J Please Attach the Following to this Completed Application: ~.~ist t~e board of directors and the expiration of their term .p~~~ca~:.non-profit status and a statement that the org'anization is non- C.Financial statements (if any)for last completed fiscal year. ATTACHMENTS 2-1 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 2 ATTACHMENTS 2-2 .'.:'/.'.':.- -....:"..;.~,~.".: City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 3 5.Please provide the following financial information: Fiscal Year:Begins:71/~otJ 9- Ends:~/30/,g.a /6 Total Current Year Budget:$ Total Prior Year Budget:$ Sources of Funds: List all sources including the following,as applicable:Dues;Contributions (including source and whether on-going or one-time);Special Events/Fund-Raising;and Other. Current Year Prior Year Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs, Material and Supplies,and Other. Current Year Prior Year C:\Documents and SettlngMlattw\Local Settlngs\Temporary Internet FileaOLK6A2\FY 11-12 Grant Application.doc ATTACHMENTS 2-3 2009 Exempt Org.Return prepared for: ANIMAL LOVERS OF SOUTH BAY 28364 S WESTERN AVE Suite 359 RANCHO PALOS VERDES,CA 90275 VUOSO PIELAGO AND COMPANY,LLP 28633 S WESTERN AVE STE201 RANCHO PALOS VERDES,CA 90275 ATTACHMENTS 2-4 Form 990·EZ Department ot the TreasuryInternalRevenueService Short Form Return of Organization Exempt From Income Tax Under section 501 (c),527,or 4947(aXl)of the Internal Revenue Code ' (except black lung benefit trust or private foundation) ~Sponsoring organization.of donor advised funds and controlling ol'llanlza~ons as defined in section 512(b)(13)must Ille Form 990.Ali other organizations w~h gross receipts les.than $500,000 and total as.ets le.s than $1,250,000 at the end of the year may use this form. 10-The organ/mUon may have to u.a a copy of this return to satisfy state raporffng requlraments. OMB No.1545·1150 2009 2010 p 6/30ddl7/01 eq g b .idAForthe2009CDenarearortaxyearealnnnu 2009 an en ng ~Check If applicable:C 0 Employer Identillcallon number PleaseF=Addr••s change usa IRS ANIMAL LOVERS OF SOUTH BAY 20-3936662 F=Nam.chenge label or 28364 S WESTERN AVE #359 E Telephone numberil,n1 orF=Initial return ..RANCHO PALOS VERDES,CA 90275 310-831-3735e.F=Termination Specific F=Amended return lnsltue·F Group Exemptiontlons.ApDllcaUon pending Number.,.....,...,,.. •Section 501fc)(S)organizations and 4947(afl nonexempt Ch~1!Jt.le trusts G Accounting methcd:~Cash U Accrual mU$attach a completed Schedule 'Fonn 990 or 990-•Other (speciM 10- H Check ~;~tt If the organization is not I Website:~N/A re~ulred to a tach Schedule B (Form 990, J Tax·exemntstatus (check onlv one)-IX I 501(c)(3 )~!insert no,\I I4947(a)(1)or I I 527 99 -EZ,or 990·PF). K Check ~;~If the organization Is not a section 509(a)(3)supporting organization and Its gross receipts are normally not more than $25,000,A orm 99O·EZ or Form 990 return Is not r ulred,but If the or anlzatlon chooses to file a retum,be sure to file a com lete return, 1 Contributions,gifts,grants,and similar amounts received.,.., " , , ,..,",1 19 145. 2 Program service revenue including government fees and contracts •..•.•...•..•..•,,' ,,...•.., ,2 4 132. 3 Membership dues and assessments,.••,.•••., ,••..•,,•.,.,••••••••..•.,..,,.•••., ,,..•.•.1-'3:::--i1-------- 4 Investment income,, ,..........•.•,...•.,,•.•......•.,,., ,.,•..., ,.,, ,.,. 4 5a Gross amount from sale of assets other than Inventory •., ,....,.•....1-'5:;.:a;:+-_ b Less:cost or other basis and sales expenses ......,,...., ,..,.,.,....L....:5:.:b:.L-_ c Gain or (loss)from sale of assets other than Inventory (Subtract In 5b from In Sa).•,,,•........,.•........,..•.......,. 6 Special events and activities (complete applicable parts of Schedule G).If any amount is from lIamlnll,check here ~D a Gross revenue (not 'including $of contributions reported on line 1)" ,......•."..•...•..",.,,.•...•.•.,1-'=1-------- b Less:direct expenses other than fundralslng expenses,.....•.,.••..,...•.L....:6:.:b:.L-_ c Net income or (loss)from special events and activities (Subtract line 6b from line 6a).., ,•..•,.•...,.••••,.••••.•,• 7a Gross sales of Inventory,less returns and allowances .." ,. '••.,....,t--:7~a;:+-_ b Less:cost of goods sold,,••.••••••,•., ,,,.••.,.,••.,.•"1.,..,;7:..:b::J-_ c Gross profit or (loss)from sales of Inventory (Subtract line 7b from line 7a), ,....•.......•.,t-::..=.j-------- 8 Other revenue (describe ~)••t-:=-f-------- 9 Total revenue.Add lines 1 234 5c,Ge 7c,and8 ",, ,".,,,.,,~23 277. R E V E N U E 10 Grants and similar amounts paid (attach schedule)....,....".....•.•"••.•...•.•••.••,..•.••...•..,.J-:,~I-------- E 11 Benefits paid to or for members..,..•....•••.••.,•••"•...•,••••,••••••••..••.••...,...., ,•.•.••.•.•t-=:::-t-------- ~12 Salaries,other compensation,and employee benefits".,,.•.••...".••.........,.,•...••"..1-::'::-;-----:;1;-;0::":0"0""'.-' E 13 Professional fees and other payments to Independent contractors.,•••••,••"••••••.••.,.'...••..••.••1-7::-i----..::.J;..::..::.=-:.. ~14 Occupancy,rent,utilities,and maintenance...••,..•.•.....,,,.....•.•..,. , .~15 Printing,publications,postage,and shipping".., ,,.., , " ,.,,·1-::-::-t------;:;'3""9""1-. 16 Other expenses (describe ~SEE STATEMENT 1 ~~:-+__---;2~3;.L;3.;.2.;.8.:..,. 17 Total ex enses.Add lines 10throu h 16 "",..""""..""..",,.~24 719. L Add lines 5b,6b,and 7b,to line 9 to determine gross receipts;If $500,000 or more,file Form 990 ' Instead of Form 990-EZ,. ,.••,.•,. ,, ,............•.,..•......,,,.,,, , ,., ,..•,. ,•.,,,~$23 277. Revenue Ex enses and Chan es in Net Assets or Fund Balances See the instructions for Part I. 18 Excess or (deficit)for the year (SUbtract line 17 from line 9)."" ,m..mm.t-----;:;.1.<...;;,4..;:.42=-. A N s 19 Net assets or fund balances at beginning of year (from line 27,column (A»(must agree with end·of·year~~figure reported on prior year's return~•..,.•..•.,,.•.•,....•,••.•.........•, ,•.,,.,•..••,•,•••1-'-"-11--...:9'-'-'1::.4::,:2::.::... ~20 Other changes In net assets or fund balances (attach explanation), ,.., ,1-:::-11-----;:;--,:;-:;:-;:-- 21 Net assets or fund balances at end of ear.Combine lines 18 throu h 20.,.., ,"",..21 7 700. Balance Sheets.If Total assets on line 25 column Bare 1 250000 or more file Form 990 Instead of Form 990·EZ. 7 700. O. 7 700. (See the Instructions for Part II.)A Be Innln of ear B End of ear 22 Cash,savings,and Investments.,, ,"",..""".., ,""..,9 142.22 7 700. 23 Land and buildings,.,........•, , ,.....•,,..,,,•..,......•......•.....,,,,.•.23 24 Other assets (describe •),".."...." .,," ,.24 25 Total assets............•..,.,, ,,.....•.•.•......,..,.......•...,•....,,., ,.." ,9 42.25 26 Total liabilities (describe 10-),..,..O.26 27 Net assets or fund balances line 27 of column B must a ree with line 21 ,'•..'9,142.27 BAA For Privacy Act and Paperwork Reduction Act Notice,see separate Instructions. TEEAOB03L 01/30/10 Form 990·EZ (2009) ATTACHMENTS 2-5 Form 990·EZ (2009)ANIMAL LOVERS {h:SOUTH BAY 20-3936662 Paae 2.'Statement of Proaram Service Accomplishments (See the instructions.)Expenses What is the organization's primary exempt purpose?SEE STATEMENT 2 tRe~uired for section01C~(3)and (4)Describe what was achieved In carrying out the organization's exempt ~urposes.In a clear and concise manner,0fAa~zations and sectiong~~gr'be tile services provided,the number of persons benefited,or ot er relevant Information for each t 7 a)(I,\trusts;optionalroramtitle.or of ers. 28 ~~~~1A~~~~I_~_______________________________________ ---------------------------------------------------- (~~~$-----------)~~~;;~~~cl~~fo~~;;~;~~~h;~~~~~~~~-~n28a 19 920. 29 --------------------------------------------------- --------------------------------------------------- (~~~$-----------)~~~;;~~~cl~~fo~~;;~~~~~h;~~~~~~~~-~n29a 30 --------------------------------------------------- --------------------------------------------------- (&M~$-----------)Tf~~am~~~cl~~fure~n;M~c~~her~~~~~~~~-~n30a 31 Other program services (attach schedule)•..............••......,..•..............,•..,......•.."."'n (Grants $)If this amount Includes forei!:m Qrants check here ...,...,......,~31 a 32 Total proqram service expenses (add Hnes 28a throuQh 31 a)....,............,.........,...,....,......~32 19,920. List of Officers.Directors Trustees and Kev Emplovees.List each one even If not comDensated,(See the Instrs.) (b)Title and average hours (c)ComlJensatlon (If ~d)Contributions to (e)Ex~ense account (a)Name and address per week devoted not paid,enter .0·.)ernie oyaebeneflt plans and and ot er allowances to position eferred compa"nsation MARY KALETA-OKSENKRUG PRESIDENT O.O.o. }]li~YE}11~f~0f!:~NQ ====40.00· RANCHO PALOS VERDES CA 9027 _~~~~_~O~I~l __________SECRETARY O.O.o. J.Q~5...9_~O'p§!~gT]QR 13bYD___3.00 LOS ANGELES,CA 90067 ~bQ~_~~!~B __________DIRECTOB O.O.O. 28030 PALOS VERDES DR E 40.00 "RANCHO -PALof VERDES ,-CA -9027 CINDY WHITE VICE PRESIDENT O.O.o.)l~~~~§!@~fJ=~======30.00 LONG BEACH CA 90814 JULIANNE LIBBEA DIRECTOB O.O.o.}ji{F)~]fi]I~========40.00 HARBOR CITY CA 90710 ~BI~~XXgQ~___________TREASURER o.O.o. ..?~Q.JL;l7J'.§_S_TME1_!lJ_____40.00 SAN PEDRO CA 90731 --------------------- --------------------- --------------------- --------------------- --------------------- --------------------- ------------------------------------------- --------------------- --------------------- --------------------- --------------------- BAA TEEAoa12L 01130/10 Form 990·EZ (2009) ATTACHMENTS 2-6 20-3936662 Pa e 3 uirements in the instrs for Part V.SEE STATEMENT 4 Yes No 33 Did the or\lanlzation engage In any activity not previously reported to the IRS?If 'Yes,'attach a detailed description of each activity..•••••.•.•.•..•.,••••,., ,••.".•.•..•..•....•.,.•,..••.•,..•,,,•.•.., ,.,..••.•....•......•...33 X 34 Were any changes made to the organizing or governing documents?If 'Yes,'attach a conformed copy of the changes..34 X 35 If the organization had Income from business activities,such as those reported on lines 2,6a,and 7a (among others),but not reported on Form 990-T, attach astatement explaining why the organization did not report the Income on Form 990-T. a Did the organization have unrelated business gross Income of $1,000 or more or was It subject to section 6033(e)notice, reporting,and proxy tax requirements?.,..,.•.•,,.•..,•.•..,.•...,.....•................•.., ,,......••,.,..,.35a X b If 'Yes,'has it filed a tax return on Form 990·T for this year?••.••••,•...••.•.,.•....•.•..,.•.., ,...,,..•.,,.•'.t-=35:.;b=-t-_-I-_ 36 Old the organization undergo a liquidation,dissolution,termination,or significant dlspDsltlon Df net assets during the year?If 'Yes,'complete applicable parts of Schedule N ,,,,....... .....36 X 37a Enter amount of political expenditures,direct or indirect,as described in the instructions,~37a 0_ b Old the organization file Fonn 1120-POL for this year?,....•.......,.,..•.' ,," ,,....•...'.,..,. 38a Old the organization borrow from,or make any loans to,any officer director.trustee,or key employee or were any such loans made in a prior year and stili outstanding at the end of the period covered b'this return?.,,, ,. b ~~~~~;~ov~Fv~d~.~~~~~,~I~.~::'~~t.~I,~~~,~~~~~.t~.~~~~~I..,, ,".,,,...N/A 39 Section 501 (c)(7)organizations,Enter; a Initiation fees and capital contributions Included on line 9 ,:,,,...N/A b Gross receipts,Included on line 9,fDr public use Df club facilities ..•.............•,..,,,.•39b N/A 40 a Section 501 (c)(3)organizations.Enter amount of tax Imposed on the organization during the year under: section 4911 '"O.j section 4912 '"O.;section 4955 '"O. b Section SOl (c)(3)and SOl (c)(4)organizations,Old the orQanization engage in any section 4958 excess benefit transaction dUring the year or fs It aware that It engaged In an excess benefit transaction with a disqualified persDn In a Rrior ;tear,and that the transaction has not been repDrted on any of the organization's prior Forms 990 or 990-EZ?If Yes,complete Schedule L,Part I " , ,," , " ,,, " ,,,." ,, , ,, ,, c Section 501 (c)(3)and 501 (c)(4)organizations.Enter amount of tax Imposed Dn organization managers or disqualified persons during the year under sectlDns 4912,4955,and 4958,.....'.~0. d ~:t~~no~g~~~~f~~~~.~~~~~)Y~!.~~~~~~~~i~~.s:.~~~:~.~~.~~~~~.f.~~~.o.~,Ii,~~~~.r~~~~~~~~~,...~0 . e All organizations.At any time during the tax year,was the organization a party to a prohibited tax shelter transaction?If 'Yes,'complete Form 8886-T .., ,,~:"::"'L--J."':':,- 41 List the states with which acopy of this return Is filed'"--'C;,;A.::--_ 42 a The organization's booksareincareof'"MARY KALETA-OKSENKRUG Telephone no.'"310-831-3735 Locatedat'")~l!LFY.Ej1.f12~-f~1Jf±.~Q-_-_RM.G..Hg __P.M-Q.5._-~@ff_c~_-_-_-_-~zlP+4 '")]~fS:======== b At any time durinll the calendar year,did the organization have an Interest In or a signature or other authority over a financial account In a foreign country (SUch as a bank account,securities account,or other financial account)?,••....,. If 'Yes,'enter the name of the foreign country;..~_ See the Instructions for exceptions and filing requirements for Form TO F90-22.1,Report of a Foreign Bank and Financial Accounts. c At any time during the calendar year,did the organization maintain an office outside of the U.S.?•...••,,., ,L....,;,;"",,,,"_--'--=_ If 'Yes,'enter the name of the foreign country:..~_ 43 Section 4947(a)(1)nonexempt charitable trusts filing Form 990-EZ In lieu of Form 1041 -Check here,,.,".~0 N/A and enter the amount of tax-exempt Interest received or accrued during the tax year ..•...,,,,•.....,,.,.~I 43 I N/A Yes No 44 ~~~;~~0J~~~~~~I~~.~~~~t~.I~.~~~.~~~.~r,~~:'!~~~,~~~~~:.I.f.'::~:'.~~~~~,~~.~~~~.~:.~~~~I~~~~,~~~~~~~....,,,,,...••...44 X 45 Is any related organization a controlled entity of the organization within the meaning of section 512(b)(13)?If 'Yes,' Form 990 must be completed Instead of Form 990-EZ ...,.,.....,.,....,...,...............,.,........,,............45 X BAA TEEA0812L 01130110 Form 990·EZ (2009) ATTACHMENTS 2-7 Form 990-EZ 2009 ANIMAL LOVERS VJ:SOUTH BAY 20-3936662 Pa e4 Section 501 (c)(3)organizations and section 4947(a)(1)nonexempt charitable trusts only.All section 501 (c)(3)organizations and section 4947(a)(1)nonexempt charitable trusts must answer questions 46-49b and complete the tables for lines 50 and 51. 46 Did the organization engage in direct or indirect ~olltical campaign activities on behalf of or in opposition to candidates Yes No for public office?If 'Yes,'complete Schedule C,art I..............,........,,...'.....,.....,.........'............46 X 47 Did the organization engage In lobbying activities?If 'Yes,'complete Schedule C,Part II ......,,........,.............47 X 48 Is the organization Ii school as described In section 170(b)(1)(A)(II)?If 'Yes,'complete Schedule E.,...•..•••..•....,.48 X 49a Did the organization make any transfers to an exempt non-charitable related organization?,.,..,,.......,....,.,.,.,,•49a X b If 'Yes,'was the related organization a section 527 organization?......,.....,....,,,.....,..,.,.,..,,......,,,..,,,.49b 50 comrclete this table for the organization's five highest compensated employees (other than officers,directors,trustees and key employees)who each received more than $100 DO of comoensatlon from the organization.If there Is none,enter 'None.' (a)Name and address of each employee paid (b)-nUe and average (0)Compan.aUon (d)CO:~~'III0p7:~:~Ioyee (e)Expa""ehour.per week account and more than $100,000 devoted to position deferred compansation other allowances ~Q~--------------------- ------------------------ ------------------------ ------------------------ ------------------------ f Total number of other employees paid over $100,000 ,,_ 51 Complete this table for the organization's five highest compensated Independent contractors who each received more than $100,000 of compensation from the organization,If there Is none,enter 'None.' (a)Name and address of each Independent contractor paid more than $100,000 ~Q~--------------------------------------- (b)Type of servlca (c)Compensation dTotal number of other Independent contractors each receiving over $100,000 •....•"...........,.-_ Sign Here Under penalties of perjury,I declare that I hava examined this re true,correct,and complete.Declaration of preparar (other thanr'~~r:lf :.'.J ~Signature of officer CIU~ln ~mpanYlng schedules and statements,and to the best of my knowledge and belief,IllsallInformationofwhichpreparerhasanyknowledge.. ,i' Date erep~rert's Identifying Numberl~ee Ins ructlons) •X P0021l042 PRESIDENT~MARY OKSENKRUG Type or prtnt name and titie. BAA Ma the IRS discuss this return with the Paid ~~rfa'~~~'~R.J _PIELAGOPre- parer's Firm's name (or -:VU:.-;.:O~S:-:O~P:-:I~E=::L:::A:::G::::O=A~::::::~=~:_=_:;_::::::~--------_1 Use r,o':;cfrfo~e~i',f'~28633 S WESTERN AV EIN • Onl ~fI,r:':f'and RANCHO PALOS VERDES Phone no •• TEEA0812L 01130110 ATTACHMENTS 2-8 OMS No.1545-0047 2009 Employer Identlflcation number 20-3936662 See instructions Public Charity Status and Public Support Complete Ifthe organization Is a section 501(c)(3)organization or a section 4947(a)(1) nonexempt charifable trust. ~Attach to Form 990 or Form 990-EZ.~See separate Instructions. ANIMAL LOVERS OF SOUTH BAY I Reason for Public Chari Status All or anizations must com lete this art. Nam.e of the organization Department of the Treasury Internal Revenue Service SCHEDULE A (Form 990 or 990-EZ) Yes No 11 Q ~I) '1 g if) 11 g iiI\ (i)a person who directly or indirectly controls,either alone or together with persons described In (11)and (111) below,the governing body of the supported organization?,, ,....., , ,..., ,.,, , (II)a family member of a person described In (I)above?, , ,,"".' , ,., ,..,, ,, ,,,.., (Ill)a 35%controlled entity of a person described In (i)or (II)above?,, ,.,., ,., _ , , Provide the followin information about the su orted or anlzatlons.h g The organization Is not a private foundation because It is:(For lines 1 through 11,check only one box.) 1 ~A church,convention of churches or association of churches described In section 170(b)(lXAXi). 2 A school described in section 170(b)(1XA)(Ii).(Attach Schedule E.) 3 A hospital or cooperative hospital service organization described In section 170(b)(lXA)(III). 4 A medical research organization operated In conjunction with a hospital described In section 170(b)(1XA)(iii).Enter the hospital's name,city,and state:. 5 0 An or\l~nlzatlon OEeratedtOr the benefttofa-colitige or-unlversi'lYownedor operated-by agovemmEinrarunlCdescrffieclin-seetiOn-_. 170(b)(1 )(A)(iv).(Complete Part II.) 6 D A federal,state,or local government or governmental unit described In section 170(bXl)(AXv). 7 ~An organization that normallY.:receives a substantial part of Its support from a governmental unit or from the general public described in section '70(b)(1XA)(vl).(Complete Part II,) 8 D A community trust described In section 170(b)(1)(AXvi).(Complete Part II,) 9 0 An organization that normally recelve;s:(l)more than 33-1/3 %of its support from contributions,membership fees,and gross receipts from activities related to Its exempt functions -sublect to certain exceptions,and (2)no more than 33-1/3 %of its support from gross investment income and unrelated business taxable income (less section 511 tax)from businesses acqUired by the organization after June 30,1975.See section 509(a)(2),(Complete Part III.) 10 D An organization organized and operated exclusively to test for public safety.See section 509(a)(4).. '1 0 An organization organized and operated exclusively for the benefit of,to perform the functions of,or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1)or section 509(a)(2),See section 509(")(3).Check the box that describes the type of supporting organization and complete lines 11e through l1h, a DType I b DType lieDType III -Functionally integrated d D Type 111-Other e 0 By checking this box,I certify that the organization Is not controlled directly or indirectly by one or more disqualified fersons other !tian foundation managers and other than one or more pUblicly supported organizations described in section 509(a)(1 or section 509(a)(2). ~h~~k ~h~:~~~~I~~.~:~~~~~~,~,~~I~~~,~:~~r,~~~~~i~~,~~~~.:~:,I.~~.~~~t.~~~:~~:,I:.~~~:.I~.~~:~~~.I~I.~~~~~r,t~~~.~~~~~i.~~t~~~:••,.,D Since August 17,2006,has the organization accepted any gift or contribution from any of the following persons? (II)EIN (JIll TY!'e of organization (aescrlbed on line.'-9 above or IRe .ectlon (se.Instructions») QV)I.the (v)Old you notify (vI)I.the oraanlzatlon In col.the organization Tn organization In col, (I)listed In your col,(I)of (I)organized In the j~.;,n~~~your .upport?U.S.? (VII)Amount of Supporl Yes No Yes No Yes No Total BAA For Privacy Act and Paperwork Reduction Act Notice,see the Instructions for Form 990 or 990-EZ,Schedule A (Form 990 or 990-EZ)2009 TEEA0401 L 02105110 ATTACHMENTS 2-9 Schedule A orm 990 or 990-E 2009 Al'lJ..l4A.L LOVERS OF SOUTH BAY 20-3936662 ,,~"Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv)and 170(b)(1)(A)(vi) Pa e 2 (Complete only if you checked the box on line 5,7,or 8 of Part I.) 0. 89,532. (f)Total(e)2009(d)2008(c)2007(b)2006(a)2005 Section B.Total Su art Calendar year (or fiscal year beginning in)~ 1 Gifts,granis,contributions and membership,fees received.(Do not Include 'unusual grants.')..f-f---=2c:::5.L.:;.13::;;9=:....:..j._--=2.:.4J...:::,;82::.:2::..;.+_.::.2.::.0L..4.:.:2:::.;6::..;.+_.:::.1.::.9,-,1:::..;4::.:5~.+-_...:::..89~5::.::3~2:..:... 2 Tax revenues levied for the organization's benefit and either paid to It or expended on its behalf......•..,.,..,.•,I-----+-----f------f------+-----l-----~O.:... 3 The value of services or facilities furnished to the organization by a governmental unit without cnarge.Do not Include the value of services or facilities generally furnished to the public without charge ...,.,l------;:-+--;::-;::-;~:-t-_;;:_;__;:_;::;::__t_-';::';;'_;_::_::_r-_=__;:_:_:_::_I_-_::_::_=_O~. 4 Total.Add lines 1.through 3...89 532. 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization)Included on line 1 that exceeds 2%of the amount shown on line 11,column (f)..• 6 Public support.Subtract line 5 from line 4 .,, O. Calendar year (or fiscal year (a)2005 (b)2006 (c)2007 (d)2008 (e)2009 (f)TotalbeginningIn)~ 7 Amounts from line 4 ..•••, ,..,l-__--:0~.+_-...:2::.:5::..t,~1~3..::.9.:...+--=2.:::.4J..8~2~2::..:.+_-...:2~O::..t~4~2~6.:...t--=1:.:::9J..::.:.14=..:5:!.,;.+-_~89~5~3~2.:.... 8 Gross income from Interest, dividends,payments received on securities loans,rents, royalties and Income form similar sources .............•.I------t-----+-----I------t-----+----~O.:.... 9 Net income from unrelated business activities,whether or not the business is regularly carried on.,•••••••....•".••.I------t-----+-----I------+-----+----~O.:.... 10 Other Income,Do not include gain or loss from the sale of capital assets (Explain in Part IV.).....,....•...•.•...,. 11 Th~~~:~~r~:.~~~.I.I~:.s.:.....89 532. 12 Gross receipts from related activities,etc.(see Instructions).","",,.,.,.,,..".,.&..-:=-.1...-...:°:.:..,. 13 First five years.If the Form 990 is for the organization's first,second,third,fourth,or fifth tax year as a section 501 (c)(3) organization,check this box and stop here ..••., ,. ,..•.,, ,,•..•..•, ,...•......,•••.•,•..,,••..•,•••.,., , ,.•••,..•., ,..,.~!Xl Section C.Com utation of Public Su ort Percenta e 14 Public support percentage 'for 2009 (line 6,column (f)divided by line 11,column (f),••••••••••••••, ,,•,•..•.,, •r-=1-::4+-'''!<~._ 15 Public support percentage from 2008 Schedule A,Part 11,line 14 ",. , , ,&..-:1.::5-l.......:;%:'- 16a 33-1/3 SUIJport test -2009.if the organization did not check the box on line 13,and the line 14 Is 33-113 %or more,check this box and stop here.The organization qualifies as a publicly supported organization"..,, , , ,~0 b 33-1/3 support test -2008.If the organization did not check a box on line 13,or 16a,and line 15 Is 33·1/3%or more,check this box and stop here.The organization qualifies as a publicly supported organization ,. ,.., ,, . , " ,,'. ,~0 17a 10%·facts-and·circumstances test -2009 If the organization did not check a box on line 13 r 16a,or 16b,l.and line 14 is 10% or more,and If the organization meets the 'facts-and-circumstances'test check this box ana stop here.t:.xplaln In Part IV how the organization meets the 'facts-and-clrcumstances'test.The organlzatlon qualifies as a publicly supported organization ...,.•,...~0 b 10%·faets·and-clrcumstances test -2008.Ifthe organization did not check a box on line 13,16a,16b,or 17a,and line 15 is 10% or more,and If the organization meets the 'facts-and·clrcumstances'test,check this box and stop here.Explain In Part IV how the organization meets the 'facts-and-circumstances'test.The organization qualifies as a publicly supported organization ,••."~ 18 Private foundation.If the or anization did not check a box on line,13,16a 16b, 17a,or 17b check this box and see instructions"~ BAA Schedule A (Form 990 or 990·EZ)2009 TEEA0402L 10108109 ATTACHMENTS 2-10 Schedule A Form 990 or 990·EZ 2009 ~...!o1AL LOVERS OF SOUTH BAY 20-3936662 Pa e 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only If you checked the box on line 9 of Part I.) Calendar year (or ftscal yr beginning in)~Total 1 Gifts,grants,contributIons andmembership'fees rece ved.(Do not include 'unusual grants.')..t------t------;------t------t------1------- 2 Gross receipts from admissions,merchandise sold or services performed,or facilities furnished in a activity that Is related to the organization's tax·exempt purpose , ,......•.• 3 Gross receipts from activities that are t------t------;------t------t------1------- not an unrelated trade or business under section 513 •.......••••.,..t------t------;------t------t------1------- 4 Tax revenues levied for the organization's benefit and either paid to or expended on Its behalf ,.,•••.....1-1-1--1 -1 -+_ 5 The value of services or facilities furnished by a governmental unit to the organization without charge •..t-----j------r-..-----t-----t-----\-----6 Total.Add lines 1 through 5 ... 7a Amounts included on lines 1, 2,3 received from disqualified persons •.I •••••••••••••••••••I------t-----+-----j------t-----+------b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of 1%of the amount on line 13 for the year.....I ,.,••••••••••'••••••1--++-11--++_ c Add lines 7a and 7b,..I ,•••••• 8 Public support (Subtract line 7c from line 6....,.I ••••••••• Section B.Total Su ort Calendar year (or fiscal yr beginning In)~Total 9 Amounts from line 6 .•••......1--++1--++_ lOa Gross Income from Interest, dividends,payments received on securities loans,rents, royalties and income form similar sources I •••••••••••••• b Unrelated business taxable t------+------;------t------t------1------- Income (less section 511 taxes)from businesses acquired after June 30,1975...I------+-----+-----j------t-----+------c Add lines lOa and lOb .....".1-+--\ -/--++-_ 11 Net Income from unrelated business activities not included inline lOb, whether or not the business is regularly carried on.I I t------t------;------t------t------1------- 12 Other Income.Do not Include gain or loss froID the sale ofcapitaassets(Explain In Part IV.),,...•.I ••••• 13 Total support.(add 11119,10',11.and 12,) 14 ~~g~\N~:tro~~r~li~t~ht~l~o6~~~I~tbp fi~~eo.r?a.~I~~~~~~'~.~I~~~•.~~~~~~',~~I~~:.f?~.~~:.~~.f~~~.~~~~.e.~r.~~.~.:~~~I~,~~.0.15.c:~~~...I • I •••~0 Section C.Com utation of Public Su art Percenta e 15 Public support percentage for 2009 (line 8,column (f)divided by line 13,column (f».II ,I.........% 16 Public su art ercenta e from 2008 Schedule A Part III,line 15.I ,,,% Section D.Com utation of Investment Income Percenta e 17 Investment Income percentage for 2009 (line lOc,column (f)divided by line 13,column (f»I ,.,,"I.....% 18 Investment Income percentage from 2008 Schedule A,Part III,line 17." 'I 18 % 19a 33-1/3 support tests -2009.If the organization did not check the box on line 14,and line 15 is more than 33·1/3%,and line 17 is not more than 33·1/3%,check this box and stop here.The organization qualifies as a publicly supported organization •••...•........•.~0 b 33-1/3 support tests -2008.If the organization did not check a box on line 14 or 19a,and line 16 is more than 33·1/3%,and line 18 is not more than 33·1/3%,check this box and stop here.The organization qualifies as a publicly supported organization ..,,~ 20 Private foundation.If the or anlzatlcn did not check a box on line 14 19a or 19b check this box and see Instructions ....I ••••'••~ BAA TEEA0403L 02115/10 Schedule A (Form 990 or 990·EZ)2009 ATTACHMENTS 2-11 Schedule A Form 990 or 990·E 2009 Ah.....4AL LOVERS OF SOUTH BAY 20-3936662 Pa e 4 ,.',:"Supplemental Information.Complete this part to provide the explanations required by Part II,line 10; Part II,line 17a or 17b;and Part III,line 12.Provide any other additional Information.See instructions. -----------------------------------------------~-------------------- ---------------------------------~---------------------------------- -------------------------------------------------------------------- BAA TEEA0404L 02106/10 Schedule A (Form 990 or 990·EZ)2009 ATTACHMENTS 2-12 2009 FEDERAL STATEMENTS ANIMAL LOVERS OF SOUTH BAY PAGE 1 20·3936662 STATEMENT 1 FORM 990·EZ,PART I,LINE 16 OTHER EXPENSES BANK CHARGES ",, " , ,,.,,".",..........$97 . FOOD SUPPLIES &MAINT.".."",,.,,",.,'..........3,250. MISCELLANEOUS.,.," " , , " , , ,"..............1,772. OFFICE SUPPLIES , ,".,.,"," ,31. TELEPHONE ,,.',...185. VACCINES , , "..,.., ,..,"..",." ',.........343. VETINARY CARE.,"'",.,." ,".".,,.., "c.......14,400, WHITE POINT PROGRAM ,,,...3,250, TOTAL =$===2:;3!:;;,3;;;2::;;8"", STATEMENT 2 FORM 990·EZ,PART III ORGANIZATION'S PRIMARY EXEMPT PURPOSE PREVENTION OF CRUELTY TO ANIMALS -EDUCATE THE PUBLIC ON PET OVERPOPULATION,PET HEALTH AND MAINTENANCE,AND HUMANE TREATMENT OF ANIMALS.PROVIDE OR ARRANGE FOR SPECIAL ANIMAL-CARE SERVICES,INCLUDING DISCOUNTED OR FREE STERILIZATION,VETINARY CARE,AND PET ADOPTIONS, STATEMENT 3 FORM 990·EZ,PART III,LINE 28 STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS DURING THE YEAR ANIMAL LOVERS OF SOUTH BAY RESCUED,CARED FOR AND BROUGHT TO HEALTH DOZENS OF ABANDONED,FERAL AND/OR ABUSED CATS AND DOGS,THE ORGANIZATION ACHIEVED ITS GOAL OF SPAYING AND NEUTERING THE PETS WHICH WERE PLACED INTO LOVING HOMES.IN ADDITION,THE CHARITY EDUCATED THE PUBLIC ON OVERPOPULATION,PET HEALTH AND MAINTENANCE,AND HUMANE TREATMENT THROUGH THE DISBURSEMENT OF LITERATURE AND IN PERSON LECTURING TO ADOPTORS. STATEMENT 4 FORM 990·EZ,PART V REGARDING TRANSFERS ASSOCIATED WITH PERSONAL BENEFIT CONTRACTS (A)DID THE ORGANIZATION,DURING THE YEAR,RECEIVE ANY FUNDS,DIRECTLY OR INDIRECTLY,TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT?......"".....""....""NO (B)DID THE ORGANIZATION,DURING THE YEAR,PAY PREMIUMS,DIRECTLY OR INDIRECTLY,ON A PERSONAL BENEFIT CONTRACT?"".......................NO ATTACHMENTS 2-13 TAXABLE YEAR 2009 California Exempt Organization Annual Information Return FORM 199 da 01 ear 2009 and endin month 06 Exempt under Section 23701 ••,D (Insert letter) IRC Section 4947(a)(1)trust ••• ear 2010 2767941 FEIN ANIMAL LOVERS OE'SOOTH BAY 20-3936662 Address 28364 S WESTERN AVE #359 Clly State ZIP Coele contributions check box.See General Instruction F. No filing fee Is required .........,.. .................•IKl Accounting method used..'1 IKl Cash 2 DAccrual 3 Dother If exempt under R&TC Section 23701 dl has the organization during the year: (1)participated in any political campaign or (2)attempted to Influence legisiatlon or any ballot measure,or (3)made an election under R&TC Section 23704,5 (relating to lobbying by public charities)?If 'Yes,' complete and attach form FrB 3509,Political or Legislative Activities by Section 23701d Organizations",•••"""•..,.., •Dyes lRJNo Did the organization have any changes In Its activities,governing Instrument, articles of Incorporation or Drlaws that have not been reported to the Franchise Tax Board?If 'Yes,complete an explanation and attech copies of revised documents,..".,...""...,....,..•Dyes ~No Dyes [RJNo J H I C Amended ReturnL .........•.........•.......• o Are you asubordinate/affiliate in a group exemption?,, a Is this agroup filing for affiliates? See General Instruction L ' •0 Yes 00 No b If 'Yes,'enter the number of affiliates ...•••,.•...••....-.,-_...,......-_-/ c Are all affiliates Included7 ...,,,•,......,,.. ....•No (If 'No,'attach alist.See instructions.) d Is this a separate return filed by an organization ~overed by agroup ruling?........:•....•..........•...0 Yes 00 No e Federal Group Exemption Number.,••,..•.....•,,••...-.,-_..,.....-_-/ f Is a roster of subordinates attached?•,.•..•..,.,•,• E Final return?• 0 Dissolved •0 Surrendered (Withdrawn)K Is the organization exempt under R&TC Section 23701g?•• D Merged/Reorganized (attach explanation)If 'Yes,'enter amount of gross receipts fromnonmembersources.,•.•.,..••..," ,.,$_ If a box is checked,enter date ••••,••.•••L Is the organization under audit by the IRS or has the F Check the box If the organization flied the follOWing federal forms or schedule:IRS audited In a prior year?••,••,••••••,,,•.," •0 Yes [RJ No 1 •o990T 2.D 990PF 3.0 (Schedule H)990 M Is the organization aLimited Liability Company?,•,.,•0 Yes lRJ No G If organization is exempt under R&TC Section 23701d and is exclusively religious,N Old the organization file Form 100 or Form 109 to educational or charitable,and Is au orted rlmarll 50%or more b ublic re ort taxable Income?,.,..,,..,.,,.,,,,,••... • 1 Gross sales or receipts from other sources,From Side 2,Part II,line 8....,...,..,•..,.,..•1-.:.....ji..,..---'4::.l-;1::;3:::,;2:::..:... 2.Gross dues and assessments from members and affiliates.,,•,•,.,,,...••••,••.•,••••,,.,•1---'=-11---------- Re~~~ts 3 Gross contributions,gifts,grants,and similar amounts received.,., ,,..,.,,., ,.•• Revenues 4 Total gross receipts for filing requirement test.Add line 1 through line 3. This line must be completed.If the result Is less than $25,000,see General Instruction C.,• 5 Cost of goods sold,.,,,', ,..,,•.....,.•.,.•1-5=-11-_ 6 Cost or other basis,and sales expenses of assets sold,.....•L-6::....J'--_ 7 Total costs.Add line 5 and line 6 ., , , ,,, , ,.,,1--'7'-1 ":""':'--:-~- 8 Total ross income.Subtract line 7 from line 4..,.........................................8 23 277. RANCHO PALOS VERDES,CA 90275 Part I Com lete Part I unless not ulred to file this form.See General Instructions Band C. 9 Total expenses and disbursements.From Side 2,Part II,line 18,....•"..•.....".,.,....•1-""9+--:2""4:.z...7.:..=..1""9..:.... Expenses 10 Excess of recel ts over ex enses and disbursements,Subtract line 9 from line 8,..,..,....10 -1 442. 11 Filing fee $10 or $25,See General Instruction F..,..,•...,.•.,•...,.."."...•.,.,..••..•.••~11.:.....j _ Filing 12 Total payments .•,...•.......•.•...•.,...,...•.,..,.,"....•"."",,..'..•.•••.••~12=-i---'_ Fee 13 Penalties and Interest.See General Instruction J.•,,,,.., ,.,1-'"1;:;.3+_ 14 Use tax.See General Instruction K.,•..,,.,..•.......,,•...,.,.,.•.,.,...•.,•.,.,,,.•1-'"14-'-1--'_ 15 Balance due.Add line 11,line 13,and line 14, Then subtract line 12 from the result .."."," ,,......15 Under peneltles of perjury,I declare that I have examln~d this return\lncludln g accompanying schedules and statemenls,and to the besl of my knowledge end belief,Ills lrue,Sign correct,and complete.oeclaratlow.re~1r,(ot.h.~lh~n'!'axpayer)s based on ell Information of which preperer has eny knowledge. Here .:J ~'.'.t .:~,.~""',)t Title Dele.Telephone~~Wi~:~.,~'~~i PRESIDENT 310-831-3735 W~~~t •Prepare~s SSNIPTIN emplo ed P00211042 •FEIN -:..::.:;,:'-=-===~=i'r.....;:==:.=L-:=:....-_1 Ma the FTB discuss this return with the ra arer shown above?See Instructions .....,...,..."...,.. For Privacy Notice,get form FTB 1131.059 I 3651094 CACAl112L 11/20/0~Form 199 Cl 2009 Side 1 ATTACHMENTS 2-14 ANIMAL LOVERS OF SOUTH BAY 20-3936662 Part II Organizations with gross receipts of more than $25,000 and p'rlvate foundations regardless of amount of gross receipts - com lete Part II or furnish substitute information.See S ecific Line Instructions. 7 700. 7 700. Balance Sheets Be Innln of taxable End of taxable 1 Gross sales or receipts from all business activities.See Instructions...................•.....•t-1:-1__~_ 2 Interest .......•...........•••.................•......."..".•",..."•....•..•...•.....•r2:-/_ 3 Dividends..•••,••.",•..,•..•.,.•,....••,.••','••....,.,,.,•.,,.,.,,•••.•......"...•••,.,•t-3:-;_ 4 Gross rents ................••.,,, ,....•..,..,.•••.,..,..,,.•.•.,.•t-4:-;_ 5 Gross royalties.•.•.................................,........•..,.,.....•..,........•...•, •t-5;;..;_ 6 Gross amount received from sale of assets (See Instructions).•..•.,...•., ,••••••••1--'6:...;-_ 7 Other Income.Attach schedule.,SEE,.S~ATEMENT"1.7 8 Total g"oss sales or receipts from other sources.Add line 1 through line 7. Enter here and on Side 1,Part I,line 1.,..,..,•.•......','••...•.•..,......•.•...•.,I--'S:...;-4:.L.:1:.;3;:.:2::...:.. Contributions,gifts,grants,and similar amounts paid.Attach schedule.,.•...••••••,••••••,••••,••..••.•.•••1--'9:...;-_ Disbursements to or for members.,...••..,.....•..,,..•....•.•.•,,...•.•.,..,,..,,.•1-1.:..:°:...;-......:._ Compensation of officers,directors,and trustees.Attach schedule,.,SEE.,S~ATEMENT ..2.•1-1.:...1:...;---..:0::..:... Other salarIes and wages...,.•...........,..,......•,.....•....,....•.., ,,..•...•1-'-'12;;..;_ Interest .......•..•.............•...•.......".•••••.••...•., , ,...•..,..........•1-"13;;..;_ Taxes ......................•..•.•,....•...., , ,.••, ,•......,.........•1-"14"-1 _ Rents .•,.•..., ,'•.•..••.".•...•........,,~,.,.•.,.................•1-'-'15"-+_ Depreciation and depletion (See Instructions)" " "1-'-'16"-+_ Other.Attach schedule ....•..., , ,.•••••••..••••SEE ..S~ATEMENT..3 •1-1.:.:7'-+-=2~4.L.:.7.:::1.::.9..:... Total expenses and disbursements.Add line 9 throu h line 17.Enter here and on Side 1 Part I line 9••••••..•....•.• 1S 24 719. 9 10 11 12 13 14 15 16 17 18 Assets 1 Cash.,•••..•..•.•.•,.,.•••••.•••.•.•.,.•• 2 Net accounts receivable.,•,.,........,..,.,... S Net notes receivable.Attach schedule,•..••.,,,••• 4 Inventories.:••.•.......,..........••.,.••• 5 Federal and state government obligations •.......•• 6 Investments In other bonds.Attach sch •••••••••••• 7 Investments In stock.Attach schedule..•.•...•.,•. 8 Mortgage loans (number of loans )......• 9 other investments.Attach schedule.,•........,... 10 a Depreciable assets ......,.,,......., ,•,,.. b Less accumulated depreciation ..•....•.•, ,,•.. 11 Land ,.,.••..••...•..•,..• 12 Other assets.Attach schedule,•,•...•.•....•..•• 1S Total assets...•••••.....,.,.•,.•.•.,..•.•.. Liabilities and net worth 14 Accounts peyable....,•......•.....•....•..,, 15 Contributions,gifts,or grants payable....,...•..., 16 Bonds and notes payable.Attach schedule.•.•..•.•, 17 Mortgages payable ••.••••••••••••..••,•,••••,, 18 Other liabilities.Attach schedule•••.•••.•••,,••., 19 Capital stock or principle fund ••••••••••••,••,•• 20 Paid-in or capital surplus.Attach reconciliation,,,,.• 21 Retained earnings or income fund •••••.••,•..,.,. 22 Total liabilities and net worth,.,•,•••.••,••.•,,• Schedule M-l Reconciliation of income per books with Income per return Do not complete this schedule If the amount on Schedule L,line 13,column (d),Is less than $25,000 1 Net income per books , ,.,•7 Income recorded on books this year 2 Federal income tax., ,..•not Included In this return. S Exoess of capital losses over capItal gains.,, , •Attach schedule •••,,...,.,,.•.... ......• 4 Income not recorded on books this year..!S Deductions in this return not charged Attach schedule." ,............•against book Income this year. 5 Expenses recorded on books this year not deducted Attach schedule .....•••,.,'••.,.......•F.;....------- in this return.Attach schedule .....,.....,.....•9 Total.Add Une 7 and line 8 •.,••.,........r,1I11111111•• 6 Total.10 Net income per return.l!iii Add line 1throu h line 5 ,........•.Subtract line 9 from line 6 ,.. Schedule L Exp.enses ana Disburse- ments Receipts from Other Sources Side 2 Form 199 C1 2009 059 I 3652094 CACA11121.11/20/09 ATTACHMENTS 2-15 2009 CALIFORNIA STATEMENTS ANIMAL LOVERS OF SOUTH BAY PAGE 1 20·3936662 STATEMENT 1 FORM 199,PART II,LINE 7 OTHER INCOME PROGRAM SERVICE REVENUE ",.." , " , " " "TOTAL -i-~--.....,~<-L:.;:;H;<.;~~: STATEMENT 2 FORM 199,PART II,LINE 11 COMPENSATION OF OFFICERS,DIRECTORS,TRUSTEES AND KEY EMPLOYEES CURRENT OFFICERS: TITLE AND CONTRI-EXPENSE AVERAGE HOURS COMPEN-BUTION TO ACCOUNT/ NAME AND ADDRESS PER WEEK DEVOTED SAT ION EBP &DC OTHER MARY KALETA-OKSENKRUG PRESIDENT $O.$O.$O. 1979 AVENIDA FELICIANO 40.00 RANCHO PALOS VERDES,CA 90275 RYAN D NOWICKI SECRETARY O.O.O. 10250 CONSTELLATION BLVD 3.00 LOS ANGELES,CA 90067 ELONNE DANTZER DIRECTOR O.O.O. 28030 PALOS VERDES DR E 40.00 RANCHO PALOS VERDES,CA 90275 CINDY WHITE VICE PRESIDENT O.O.O. 3130 3RD STREET #B 30.00 LONG BEACH,CA 90814 JULIANNE LIBBEA DIRECTOR O.O.O. 1444 W 260TH #15 40.00 HARBOR CITY,CA 90710 SHIRLEY FROST TREASURER O.O.O. 530 W 37TH STREET #19 40.00 SAN PEDRO,CA 90731 TOTAL $O.$O.$o. STATEMENT 3 FORM 199,PART II,LINE 11 OTHE;R EXPENSES ACCOUNTING FEES ,.,..,.".," , " , ,..",.,, ,,.$ BANK CHARGES .., ,,.,.,, , ,..,,.,, . FOOD SUPPLIES &MAINT ",, "".,, " . MISCELLANEOUS ,,, ,, ,.,, , ,.., . OFFICE SUPPLIES ,,.,,.., ,. POSTAGE AND SHIPPING , , , , ,, . PRINTING AND PUBLICATIONS .." , , , ,,",' . TELEPHONE , , ,, , ,, ,., , ,..,., ,, , . VACCINES,,, ,.,.., , , ,, ,.,..,.., ,, , . 1,000. 97. 3,250. 1,772. 31. 255. 136. 165. 343. ATTACHMENTS 2-16 2009 CALIFORNIA STATEMENTS ANIMAL LOVERS OF SOUTH BAY PAGE 2 20·3936662 STATEMENT 3 (CONTINUED) FORM 199,PART II,LINE 17 OTHER EXPENSES VETINARY CARE ,."",,,.·".., " ,".",,",,.,.$ WHITE POINT PROGRAM,.", ,,. TOTAL $ 14,400. 3 250. 24:719. ATTACHMENTS 2-17 IN ANNUAL -'~MAIL TO:REGISTRATION RENEWAL FEE REPORTRegistryofCharitableTrustsTOATTORNEYGENERALOFCALIFORNIA liberty P.O.Box 903447 andJ'ustice Sacramento,CA 94203-4470 Sections 12586 and 12587,California Government Code .untkrl_I Telephone:(916)445·2021 11 Cal.Code Regs.sections 301-307,311 and 312 Failure to submit this report annually no later than four monlh.and fifteen days aflerthe WEBSITE ADDRESS:end of tho organization'.accountlnr "o,lod mat resullin tho 10 ••of lax exemption and . http://ag,ca.gov/charitles[~~od~~r::J\',\08~~~~~~~~:;d:"."cti08~~~"e~,~\~mn~;:,rn~n.:nlo:~~~N!r:~~Ilie.• Check if: State Charity Registration Number BChange of address Amended report ANIMAL LOVERS OF SOUTH BAY Name of Organization 28364 S WESTERN AVE #359 Corporate or Organization No.27 67 941 Address (Number and Street) RANCHO PALOS VERDES,CA 90275 Federal Employer ID No.20-3936662 CIIy or own Sat.ZP Cod. ANNUAL REGISTRATION RENEWAL FEE SCHEDULE (11 Cal.Code Regs.sections 301·307,311 and 312) Make Check Payable to Attorney General's Registry of Charitable Trusts Gross Annual Revenue Fee Gross Annual Revenue Fee Gross Annual Revenue Fee Less than $25,000 °BetWeen $100,001 and $250,000 $50 BetWeen $1,000,001 and $10 million $150 Between $25,000 and $100,000 $25 Between $250,001 and $1 million $75 Between $10,000,001 and $50 million $225 Greater than $50 million $300 PART A -ACTIVITIES For your most recent full accounting period (beginning 7/01/09 ending 6/30/10 )list: Gross annual revenue $23,277.Total assets $7,700. PART B -STATEMENTS REGARDING ORGANIZATION DURING THE PERIOD OF THIS REPORT Note:If you answer 'yes'to any of the westlons below,lo0u must attach a separate sheet providing an explanation and details for each 'yes'response,Please review RR ·1 Instructions or Information reqUired,, Yes No 1 Durln~this reporting period,were there any contracts,loans,leases or other financial transactions between the organ zatlon and any officer,director or trustee thereof either directly or with an entity in which any such officer,n !XIdirectorortrusteehadanyfinancialInterest? 2 During this reporting period,was there any theft,embezzlement,diversion or misuse of the organization's charitable n !XIpropertyorfunds? 3 During this reporting period did non·program exoendltures exceed 50%of cross revenues?n !XI 4 During this reft0rtlng period,were any organization funds used to pay any penalty,fine or judgment?If you flied a n !XIForm4720wihtheInternalRevenueServiceattachacopy. 5 During this reporting period,were the services of a commercial fundralser or fundralslng counsel for charitable purposes used?If 'yes,'provide an attachment listing the name,address,and telephone number of the n IXlserviceorovider, 6 During this re~ortlng period,did the organization receive any Jovernmental funding?If so,provide an attachment listing n IXlthenameoft e agency.maliina address contact oerson an telephone number. 7 DurlnR this reporting perlodff did the OrganiZ~!~~n hold a raffle for charitable purposes?If 'yes,'provide an attachment n IXlIndicaingthenumberofralesandthedatesthevoccurred. 8 Does the organization conduct a vehicle donation program?If 'fies,'provide an attachment IndlcatlnJr whether the program is operated by the charity or whether the organlza Ion contracts with a commercial fun raiser for n IXlcharitablepurposes.' 9 Did your organization have prepared an audited financial statement In accordance with generally accepted accounting n IXlcrlnclclesforthisreoortinacenod? Organization's area code and telephone number 310-831-3735 Organization's e-mail address I declare under penalty of perjury that I have examined this report,IncludIng accompanying documents,and to the best of my knowledge and belief,it is true,correct and complete. MARY OKSENKRUG PRESIDENT Signalure of aulhorlzed officer Prlnled Name Title Dal. CAVA9801L 08116105 RRF·l (3-05) ATTACHMENTS 2-18 Form 990·EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 501 (c),527,or 4947(a)(1)of the Intemal Revenue Code (except black lung benefit trust or private foundation) !O-Sponsoring organlzallons of donor advised funds and controlling organizations as defined In section 512(b)(13)must file Form 990.All other organizations with gross receipts less than $500,000 and lolel essets less than $1,250,000 at the end of tho year may use this form.. !O-The orgenlzatlon may have to use e copy of this return to satisfy state reporting requlremenls. OMB No.1545·1150 2009 2010 p 6/30009d7/01 eq dh200AForte 9 ca en ar ear,or tax year beglnnina ,2 ,an endina , ~Oheck If applicable:C 0 Employer Identification number Please1=Address chango .seiRS ANIMAL LOVERS OF SOUTH BAY 20-3936662 1=Name change label or 28364 S WESTERN AVE #359 E Telephone numberi1:ntorF=Initial return e.RANCHO PALOS VERDES,CA 90275 310-831-3735ee1=Termination Specific 1=Amended return IhstruC'F Grou&Exemptionlions. Application pending Num er............~ •Section 501[~Jf11 organizations and 4947(a1'1 nonexempt ch~'3t.le trusts G Accounting method:I!J Cash U Accrual mus a ch a completed Schedule Ponn 990 or 990-•Other (soeclM !O- H Check !O-.1~t If the organization is not I Website:!0-N/A re~uired to attach Schedule B (Form 990, J Tax·exemDt status (check onlv one)-IXI 501(0)(3 )..!insert no,)I 14947(a)(J)or I 1527 99 -EZ,or 990·PF). K Check !O-1I,~llf the organization Is not a section 509(a)(3)supporting organization and Its gross receipts are normally not more than $25,000.A orm 990-EZ or Form 990 return Is not r ulred,but If the organization chooses to file a return,be sure to file a com lete return. 23 277..........,..........".......,.,........,".........,..........",'....".........., Revenue,Expenses and Changes In Net Assets or Fund Balances (See the instructions for Part I.) 1 Contributions,gifts,grants,and similar amounts received...........".............................."1 19,145. 2 Program service revenue including government fees and contracts •.....,...•..•...•........•.,.......2 4,132. 3 Membership dues and assessments .••••......,......••,••••,,,.••••••.,•.•,••...•........•••••.••..3 :a ~;o:~~:~~~~r:;'~~i~'~i ~~~~~.~th~~th~;i~~~~t~~::::::::::::::::::::r 5'~I'...................4 b Less:cost or other basis and sales expenses,............................I 5bl R C Gain or (loss)from sale of assets other than Inventory (Subtract In 5b from In Sa).......•...•.•.............•.......•..5cE 6 Special events and activities (complete applicable parts of Schedule G).If any amount is from gaming,check here .........0V E N a Gross revenue (not Including $of contributions 6alureportedonline1)..........•..........•...•.....•......•••........•••..IE b Less:direct expenses other than fundralslng expenses .•••.••..,.•....•.•.I 6bl c Net Income or (loss)from special events and activities (Subtract line 6b from line 6a).•.•.•••'1'...;f...,................6c 7a Gross sales of Inventory,less returns and allowances.............•...•••.7a b Less:cost of goods sold .•..............••....•,.......•...•,........•.•.I 7bl c Gross profit or (loss)from sales of Inventory (SUbtract line 7b from line 7a)........•••,...•..,,..,.....7c 8 Other revenue (describe ...)..8 9 Total revenue.Add lines 1 2345c 6c 7c and 8 ....•.....•..,....•......•..•.•.....••.........~9 23 277. 10 Grants and similar amounts paid (attach schedule)•.....,.••..•..,,••.•••••.•.....................,..'0 E '1 Benefits paid to or for members..........•....•...•........•...•......••..................,..•..,...11 x 12 Salaries,other compensation,and employee benefits ....••...•.,......•.•...•.,..•..........•...,,..12 P 13 Professional fees and other payments to Independent contractors ..,.....•.,....,.•.........•.•.•.....13 1 000.E N 14 Occupancy,rent,utilities,and maintenance....................,........••....•.........•..•.•••.•...14s E 15 Printing,publications,postage,and shipping.........................................................15 391.s 16 Other expenses (describe !0-SEE STATEMENT 1 ~...16 23,328. 17 Total eXDenses.Add lines 10 throuah 16............................................................17 24,719 . 1a Excess or (deficit)for the year (Subtract line 17 from line 9)..........................................18 -1 442. A 19 Net assets or fund balances at beginning of year (from line 27,column (A»(must agree with end-of-year lIBNS ES figure reported on prior year's return)............•..•.••.,..••••...•......•........,..,.......•.....19 9,142. TE T 20 Other changes In net assets or fund balances (attach explanation)•.......•••..••.••....•.•.•.•....•.•20s21Netassetsorfundbalancesatendofyear.Combine lines 18 throuoh 20 ........•................•.•..21 7,700 .,Balance Sheets.If Total assets on line 25 column (B)are $1 250000 or more,file Form 990 Instead of Form 990·EZ. (See the Instructions for Part II.)(A)Bealnnlna of vear I (B)End of year 22 Cash,savings,and Investments ...........••........•.••...........................9 142.22 7 700. 23 Land and buildings.................•..•.•,.•...•••••...•.......•..•.•.....,........23 24 Other assets (describe ...)....................24 25 Total assets..........•........•....................•....•...•....•.•..............9 142.25 7 700. 26 Total liabilities (describe ...)................,.O.26 O. 27 Net assets or fund balances (line 27 of column (B)must aoree with line 21).,,..••...9,142.27 7 700. L Add lines 5b,6b,and 7b,to line 9 to determine gross receipts;if $500,000 or more,file Form 990 instead of Form 990·EZ BAA For Privacy Act and PapelWork Reduction Act Notice,see separate Instructions. TEEA0803~01/30/1 0 Form 990·EZ (2009) ATTACHMENTS 2-19 Form 990-EZ 12009\ANIMAL LOVERS Ur SOUTH BAY 20-3936662 Paoe 2,Statement of Proaram Service Accomolishments (See the instructions.)Expenses What is the organization's primary exempt purpose?SEE STATEMENT 2 &Re~ulred for section01c)(3).and (4) Describe ~hat was achieved in carrying out the organization's exempt Rurposes.In a clear and concise manner,o~anlzatlons and sectiong~~gribe t e services provided,the number of persons benefited,or ot er relevant Information for each 4 7W(1\trusts;optionairoramtltie.for ot erso 28 ~~~~tA3~~~I_~___________________________________~___ --------------------------------------------------- (~~~$-----------)Ttth~;;~~~~d;fo~~;;~~~~~h;~~~~~~~~-~n28a 19,920. 29 --------------------------------------------------- --------------------------------------------------- (~~~$-----------)Ttth~;;~~~cl~;fo~~;o~~~~he~h;~~~~~~~~-~n29a 30 --------------------------------------------------- --------------------------------------------------- 7&M~$-----------)Tfth~~moo~~J~~fure~n;M~~~Ckh;;~~~~~~~-~n30a 31 Other program services (attach schedule)••0 0.000"0 0 0 0 0 0 O'0 0 0'"0 0 0 0 0 o.0 0"0 0 0 o.0 0'"0 0' 0'0 0'0 0 '0'0 0 on (Grants $)If this amount Includes fore Ion orants check here,0 0 0 0 , 0 • 0 , , , 0 "~31 a 32 Total Droaram service eXDenses (add Hnes 28a throuah 31 a)....,,0 ...".............0 0 ..0 "....."....~32 19 920. List of Officers Directors Trustees.and Kev Emolovees.List each one even If not comoensatedo (See the Instrso) (b)Title and average hours (c)ComjJensation (If ~d)Contributions to (e)Ex~ense account (a)Name and address per week devoted not paid,enter -0-.)em~oyee benefit plans and and ot er allowances to oositlon eterred comoensation ~~gI:..E1'~-_O!5§.E~U_G _____PRESIDENT O.O.O. J.n~hy.~l~~!,~Lj:fl~.Q ____40.00 RANCHO PALOS VERDES CA 9027 ~l~~Q_~~IC~l __________SECRETARY o.O.O. _1.Q~5_0_~OlI'§±'E;.,Lb~']J:.Qli J3bY.D___3.00 LOS ANGELES CA 90067 ELONNE DANTZER DlRECTOF O.O.o. =2][3JC WgfY§R®§=I[~~===40.00 RANCHO PALOS VERDES,CA 9027D Sl~J_~~I1'K ____________VICE PRESIDENT O.O.O. 31~~~gp_.§±.~~±.y_~______30.00 LONG BEACH,CA 90814 iT.Y!!J;,.A!fliE_bIBJ3M __________DIRECTOR O.O.O., 1444 W 260TH US 40.00 -riARB-oi-C-iTY-CA"-907'fo----- SHIRLEY FROST TREASURER O.O.o.-530 -W-37TH -fTREE-T-if9- - ---40.00-SAN -PEDRO--CA-907'31 -- ---- --------------------- --------------------- --------------------- --------------------- ------------------------------------------ ------------------------------------------ --------------------- --------------------- --------------------- --------------------- BAA TEEA0812L 01/30110 Form 990-EZ (2009) ATTACHMENTS 2-20 20-3936662 Pa e 3 ulrements in the instrs for Part V.SEE STATEMENT 4 Yes No 33 Did the qr~anlzatlon engage In any activity not previously reported to the IRS?If 'Yes,'attach a detailed description of each activity.•...•..........•.......................................................,.....•...,.,...,......••...•.I-"'=--t--f-;:~ 34 Were any changes made to the organizing or governing documents?If 'Yes,'attach a conformed copy of the changes., 35 If the organization had income from business activities,such as those reported on lines 2,6a,and 7a (among others),but not reported on Form 990·T, attach astatement explaining why the organization did not report the income on Form 9oo·T. a Did the organization have unrelated business gross income of $1,000 or more or was It subject to section 6033(e)notice, reporting,and proxy tax requirements?.••,,,...,.•.•......,...•.., ,..,,..,,,,,.,.••.,..•......,.,,..•..•,,,,.,35a X b If 'Yes,'has it flied a tax return on Form 990·1 for this year?..•..," ,....•'....,.., ,••....,...,..•.,,.•,•,••,,.,1-3.::;5:.,:b=+_+-_ 36 Did the organization undergo a liquidation,dissolution,termination,or significant disposition of net assets during the year?If 'Yes,'complete applicable parts of Schedule N ,, , ,""",............36 X 37a Enter amount of political expenditures,direct or indirect,as described In the Instructions.~378 O. b Old the organization file Form '1 20·POL for this year?,, , ,,,,,,.. 3Ba Did the organization borrow from,or make any loans to,anr officer director,trustee,or key employee or were any such loans made in a prior year and stili outstanding a the end of the period covered D'this return?..,...•...,,.. b ~~~~~;~C:Fv~d:.~~~~~.~I~.~::.~~.~I.~~~.~~~~:,t~.~:~~~I., ,, , ,,.,,,,.,.NIA 39 Section 501 (c)(1)organizations.Enter: a Initiation fees and capital contributions Included on line 9 ...,.,.....,..,.,. ,,...,,,,. ,, ..N/A b Gross receipts,Included on line 9,for pUblic use of club facilities.,.•.."..•".•".•,....•39b N/A 40 a Section 501 (c)(3)organizations.Enter amount of tax Imposed on the organization during the year under: section 4911 ..O.;section 4912 ..O.;section 4955 ..O. b Section 501 (c)(3)and 501 (c)(4)organizations.Old the organization engage in any section 4958 excess benefit transaction durlng the year or fs it aware that it engaged In an excess benefit transaction With a dlsgualifled person In a Rrlor 'year,and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?If Yes',complete Schedule L,Part I . ,., ,..,.,..,,..•.., ,.,., ,,.., ,,.,.., ,, , ,,.., ,. c Section 501 (c)(3)and 501 (c)(4)organizations.Enter amount of tax Imposed on organization managers or disqualified persons during the year under sections 4912,4955,and 4958,.O. d ~;~~~no~g~~~~(o~~~.~~~~~).~4!.~~~~~~~~:I~~,S:,~~,t~:,~~.~~~:~,f,t,~~~~.II.~~:~~,r~~~~~~~~~.,"~O. e All organizations.At any time during the tax year,was the organization a party to a prohibited tax shelter transaction?If 'Yes,'complete Form 88B6·T.".•".".,.,••....., ,,"."",.""••..,'-";.;;.JI..-.--l...:.:_ 41 Ust the states with which acopy of this return Is filed"-....:C:::.A:.-..-,-_ b At any time during the calendar year,did the organization have an Interest In or a signature or other authority over a financial account In a foreign country (such as a bank account,securities account,or other financial account)?,.,..•... If 'Yes,'enler the name of the foreign country:.,...._ See the Instructions for exceptions and filing reqUirements for Form TD F90-22.1,Report of a Foreign Bank and Financial Accounts. c At any time during the calendar year,did the organization maintain an office outside of the U.S.?...."."••.,..,..,.•e..-:;~_.........:.:_ If 'Yes,'enter the name of the foreign country:.,...._ 43 Section 4947(a)(1)nonexempt charitable trusts filing Form 990·EZ In lieu of Form 1041 -Check here."....,.....,,..".,.....D N/A and enter the amount of tax-exempt Interest received or accrued during the tax year ..••,,,.,,,.,,.,,....~I 43 I N/A Yes No 44 ~~~;~:;,0JB~~~~~I~~.~~I.~t.a.I~.~~7.~~~.~r,~~;~~~~,~~~~~:,I,f,'~~~'.'.~~~~~.~~.~~~~.~~.~~~~I~.t~~.~~~t.~~~.•••.,•,•.,...•••44 X 45 Is any related organization a ~ontrolled entity ofthe organization within the meaning of section 512(b)(13)?If 'Yes,' Form 990 must be comoleted Instead of Form 990·EZ ........,..,....,.....,,,. ,.,...............,..•••,'••.,,,.,...45 X BAA TEEA0812L 01130/10 Form 990·EZ (2009). ATTACHMENTS 2-21 Form 990-EZ 2009 ANIMAL LOVERS (,,1:SOUTH BAY 20-3936662 Pa e 4 Section 501 (c)(3)organizations and section 4947(aX1)nonexempt charitable trusts only.All section 501 (c)(3)organizations and section 4947(a)(1)nonexempt charitable trusts must answer questions 46·49b and complete the tables for lines 50 and 51.. 46 Did the organization engage In direct or Indirect ~olltical campaign activities on behalf of or in opposition to candidates Yes No for public office?If 'Yes,'complete Schedule C,art I.".." •,...."........,.........".....................,......46 X 47 Did the organization engage In lobbying activities?If 'Yes,'complete Schedule C,Part II .•...•.•.....•......•,.,•••...47 X 48 Is the organization a school as described In section 170(b)(1)(A)(II)?If 'Yes,'complete Schedule E .....,.,............48 X 49a Did the organization make any transfers to an exempt non-charitable related organization?.",.•..•.•....,.•....•.•.•49a X b If 'Yes,'was the related organization a section 527 organization?..,.............,....,.....,,.,,...",•.".;........4gb 50 comfc'ete this table for the organization's five highest compensated employees (other than officers,directors,trustees and key employees)who each received more than $100,00 of compensation from the organization,If there Is none enter 'None,' (b)Tille and average (e)Compensation (d)cO~~WIO~:~:gflOyea (e)Expense (a)Name and address of each employee paid hours per week account and more lIhan $100,000 devoted to position deferred compensation other allowances ~Q~--------------------- ------------------------ ------------------------ ------------------------ ------------------------ f Total number of other employees paid over $100,00a .•...,.---_ 51 Complete this table for the organization's five highest compensated Independent contractors who each received more than $100,000 of compensation from the organization.If there is none,enter 'None.' (a)Nama and address of each Independant contractor paid more lIhan $100,000 (b)Type of service (e)Compensation ~g~--------------------------------------- d Total number of other Independent contractors each receiving over $100,000".........,---_ Under penalties of perlur~,I declare that I have examined this return.Including accompanying schedules and statements,and to the best of my knowledge and belief,It Is true,corract,and comple e.Declaration of preparer (other lIhan officer)Is besed on all Information of which preparer has any knowledge. Sign ~Signature of officer I Here Date MARY OKSENKRUG PRESIDENT~Type or print name and lille. loate Check If IXII r~eCirar's l~enli~lng Number Paid Pre parer's ~R.sa~-e nstrue!ons Pre- signature J.PIELAGO emoloyed ~X P00211042 Barer'S Firm'.name (or VUOSO PIELAGO AND COMPANY,LLP yours If self·~28633 S WESTERN AVE STE 201 EIN ~95-4138158se:~J~ls~~ndOnlyZIP+4 RANCHO PALOS VERDES CA 90275 Phone no ....(310l 833-5100 Mav the IRS discuss this return with the pre parer shown above?See Instructions,.,..,.,•.•..,....,,.......,..,.,.•..•~rxl Yes r1 No BAA Form 990·EZ (2009) TEEAOB12L 01130/1 0 ATTACHMENTS 2-22 01.18 No.1545·0047 Employer Identlflcatlon number SCHEDULE A (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service Name of the organlzetlon Public Charity Status and Public Support Complete if the organization is a section 501(c)(3)organization or a section 4947(a)(1) nonexempt charitable trust. ..Attach to Form 990 or Form 990·EZ...See separate instructions. 2009 ANIMAL LOVERS OF SOUTH BAY 20-3936662 Reason for Public Charit Status All or anizations must com lete this art.See instructions Yes No 11!l rn 11 !l Ii) 11 !l iii (i)a person who directly or Indirectly controls,either alone or together with persons described in (i1)and (Iii) below,the governing body of the supported organization?,..,,,".. (II)a family member of a person described in (I)above?,,, ,.. (iii)a 35%controlled entity of a person described In (I)or (II)above?,...•..,.................•.•, ,.. h Provide the followln Information about the su rted or anizatlons. The organization Is not a private foundation because it Is;(For lines 1 through 11,check only one box.) 1 ~A church,convention of churches or association of churches described In section 170(b)(1 )(AXi). 2 A school described in section 170(b)(1)(A)(ii),(Attach Schedule E.) 3 A hospital or cooperative hospital service organization described In section 170(b)(1)(AXiil). 4 A medical research organization operated In conjunction with a hospital described in section 170(b)(1)(A)(Iil).Enter the hospital's name,city,and state:• 5 D An or\l~nlzatlon op'erated for the benefit of a coliege or university owned or operated by a governmental unit described in section . 170(bKl)(A)(lv),(Complete Part II.) 6 D A federal,state,or local government or governmental unit described in section 170(b)(1)(A)(v). 7 ~An organization that normaliy-receives a substantial part of Its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi).(Complete Part II.) 8 D A community trust described In section 170(b)(1)(A)(vl).(Complete Part II.) 9 D An organization that normally receives:(1)more than 33·113 %of its support from contributions,membership fees,and gross receipts from activities related to its exempt functions -subject to certain exceptions,and (2)no more than 33·1/3 %of Its support from gross investment Income and unrelated business taxable income (less section 511 lax)from businesses acquired by the organization after June 30,1975.See section 509(a)(2).(Complete Part III.) 10 D An organization organized and operated exclusively to test for public safety.See section 509(a)(4),. 11 D An organization organized and operated exclusively for the benefit of,to perform the functions of,or carry out the fJurposes of one or more publicly supported organizations described in section 509(a)(1)or section 509(a)(2).See section 509(a)(3),Check the box that describes the type of supporting organization and complete lines 11 e through 11 h. a DType I b DType II cD Type III -Functionally integrated dO Type III ....Other e D By checking this box,I certify that the organization Is not controlled directly or Indirectly by one or more disqualified persons other tlian foundation managers and other than one or more publicly supported organizations described In section 509(a)(1)or section 509(a)(2). ~h~~k ~h~:~~~:i~~.~~~~~~~~,~,~~i~~~.~~:~r.~~~~~I~.n.~~~~.~~~.I.~~.:~~:~~,~:~~~.1:~~~:.I~,~~:~~~.I~I,~~:~.~~I.~~,~r,~~~I.~~t~~~:.....0 9 Since August 17,2006,has the organlza110n accepted any gift or contribution from any of the following persons? (I)Name of Supported (11)EIN (111\Ty~e of organlzetlon (Iv)Is the (v)Old you notify (vi)Is the (viI)Amounl of Support Organization (cfesctlbed on lines 1·9 or8anlzeilon In col.the organlzallon 1n organization In col. abova or IRe section )listed In your col.(1)of (I)organized In the (se.lnstructlons»J~cil'~~Jl,your supporl?U.S.? Yes .No Yes No Yes No Total BAA For Privacy Act and Paperwork Reduction Act Notice,see the Instructions for Form 990 or 990-EZ •Schedule A (Form 990 or 990·EZ)2009 .TEEA0401 ~02105110 ATTACHMENTS 2-23 Schedule A Form 990 or 990-EZ 2009 Ah.r.l'o1AL LOVERS OF SOUTH BAY 20-3936662 ,Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv)and 170(b)(1)(A)(vi) (Complete only If you checked the box on line 5,7,or 8 of Part I.) Pa e 2 Section A.Public Su art O. 89,532. (I)Total(e)2009(d)2008(c)2007(b)2006(a)2005 Section B.Total Su art Calendar year (or fiscal year beginning in)~ 1 Gifts,gra~ts,contributIons andmembersIp'fees rece ved.(Do not inclu e 'unusual grants.')..1-;-_=.2;::.5L.l::;3;::.;9~._-=2~4;.r..:::.8=.2=.2':"'1----:2:..;0::..L..;4:::2~6:...:.;-_.:.1.::..9t..::.1.:.:45~.1-_.::8:..:::9:..r..::::.5.::.3~2..:... 2 Tax revenues levied for the organization's benefit and either paid to It or expended on Its behalf........, , "...."t-----+-------j-----+------+----_+-O~- 3 The value of services or facilities furnished to the organization by a governmental unit without cliarge.Do not Include the value of services or facilities generally furnished to the public without charge.. ....I--::"+_-::":::-::-::-:::--I_--:::-:--:::-:::-::-+-__::_:~_::_::_+-__:;'_=_':""':_=_+_-__:'.,,_=_~O.:... 4 Total.Add lines 1-through 3...89 532. 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization)Included on line 1 that exceeds 2%of the amount shown on line 11,column (t),,• 6 Public support.Subtract line 5 from line 4 ,•...•..., ,, ,. ,•, ,. O. Calendar year (or fiscal year (a)2005 (b)2006 (c)2007 (d)2008 (e)2009 ('"TotalbeginningIn)~'" 7 Amounts from line 4.,"1--__---:0::...:.:.j_---:2~5~1:.:::3=-9..:...1--~2.:.:.4L:.,8~2::.:2:...:.+----:2~O~,~4:.:;:2::!.6...:...l_--=1=-9L:=.14:=.;5::...:.:.j_--"8~9~5~3!::.2.:.... 8 Gross Income from Interest, dividends,payments received on securities loans,rents, royalties and Income form similar sources.,..•..,......•I------+-----+-----ll------t-----+----..:O~. 9 Net Income from unrelated business activities,Whether or not the business Is regularly carried on,.", ,.•...f-----+-----f------\------+-----+-------:O~. 10 Other Income.Do not Include gain or loss from the sale of capital assets (Explain In Part IV.).., ".•..,.....,..." 11 Total support.Add lines 7 through 1Q • , " ,...." • ,...., •89,532 • 12 Gross receipts from related actiVities,etc.(see Instructions)..." "..,•,. , ,...,.." , ,. ,...."...,...,.., "....L...:.=....il-~O..:... 13 First five years.If the Form 990 Is for the organization's first,second,third,fourth,or fifth tax year as a section 501 (c)(3) organization,check this box and stop here,, ,••.,•......,...•....,. ,,••,...•.........,..•, ,.•••,•.,,,,. ,..~IXJ Section C.Com utation of Public Su art Percenta e 14 Public support percentage for 2009 (line 6,column (t)divided by line 11,column (1), , , ,••........,. ,..,•.~1::.4+.!:.%!- 15 Public support percentage from 2008 Schedule A,Part II,line 14 ,"L.....:1:=:5...L ~%'- 16a 33-1/3 support test -2009.If the organization did not check the box on line 13,and the line 14 is 33-1/3 %or more,check this box and stop here.The organization qualifies as a publicly supported organization , , ,~0 b 33-1/3 support test -2008.If the organization did not check a box on line 13,or 16a,and line 15 Is 33-1/3%or more,check this box and stop here.The organization qualifies as a publicly supported organization •..•..,........•,•..••.•.•..,. ,,•••.,',..•.•.........~0 17a 1O%-facts·and-clrcumstances test -2009 If the organization did not check a box on line 13,16a,or 16b,and line 14 is 10% or more,and if the organization meets the 'facts-and-circumstances'test\check this box and stop here.Explain in Part IV how the organization meets the 'facts-and·clrcumstances'test.The organization qualifies as a publicly supported organization .., .,.•."~0 b 10%-facts-and·clrcumstances test -2008.If the organIzation did not check a box on line 13,16a, 16b,or 17a,and line 15 is 10% or more,and If the organization meets the 'facts·and-clrcumstances'test,check this box and stop here.Explain in Part IV how the organization meets the 'facts-and-clrcumstances'test.The organization qualifies as a pUblicly supported organization ...,.,.,"..,~ 18 Private foundation.If the or anlzation did not check a box on line 13 16a, 16b,17a ,or 17b,check this box and see Instructions ..~ BAA Schedule A (Form 990 or 990-EZ)2009 TEEA0402L 10/08/09 ATTACHMENTS 2-24 Section B.Total Su ort Calendar year (or fiscal yr beginning In)~Total 1 Gifts,grants,contribution and meJ11bershlp.fees re ,(Do not Include 'unusual .')., 2 Gross receipts from t-------+-----+-----t-------+-----+------ admissions,merchandise sold or services performed,or facilities furnished in a activity that Is related to the organization's tax-exempt purpose ••••.,,,,,....,•...... 3 Gross receipts from activities that are 1------+-----+-----1------+-----+------ not an unrelated trade or businessundersection513, ,1--++1--++ _ 4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.",...........•.....1-----+------1-----+------+-----+------ 5 The value of services or facilities furnished by a governmental unit to the organization without charge..•.1-----t-------1I-----t-----t-----t----- 6 Total,Add lines 1 through 5 ..,1-----+------1-----+------+-----+------ 7a Amounts Included on lines 1, 2,3 received from disqualified persons , ,..,1--:--++1--++_ b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of 1%of the amount on line 13 for the year...•....., ,.,1-----+-----1------1-----;-----+------ c Add lines 7a and 7b .. 8 Public support (Subtract line 7c from line 6 , ,.. Schedule A Form 990 or 990-2009 Al'l ...,<1AL LOVERS OF SOUTH BAY 20-3936662 Pa e 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I.) Section A.Public Su ort 15 Public support percentage for 2009 (line 8,column (f)divided by line 13,column (f)...•..,,",..% 16 Public su ort ercenta e from 2008 Schedule A Part III,line 15.............................................% Section D.Com utation of Investment Income Percenta e Calendar year (or fiscal yr beginnlng in)•Total 9 Amounts from line 6 1------+------1--------'1------+------1------- lOa Gross Income from Interest, dividends,payments received on securities loans,rents, royalties and Income form similar sources ,,.., . b Unrelated business taxable 1------+-----+-----1------+-----+------ income (less section 511 taxes)from businesses acquired after June 30,lj:l75...1------+------1------1------+------1-------c Add lines lOa and lOb,.......1-+-1 -\--++-_ 11 Net income from unrelated business activities not included Inline 1Db, whether or not the business is regularly carried on ,1------+------1------1------+-----+------ 12 Other Income.Do not Include gail')or loss from the SCI Ie ofcapitaassets(Explain In Part IV.)..•.......,,..,.,,.•. 13 Total support.(add 1n,9,lOC,11,and 12.). 14 ~:9~MI~~ro~~r;h~~~htti~06~9in~I~ttop ~~~eo.r~.a,~I~~~~~~'~.:I~~:,.~~~~.~~'.~~I~~:.f~~.~~:.?~.f~~~.~~~~.e.~~~~.~.:~~~I~.n.~~1,(.c?~~~,..,,.......0 Section C.Com utation of Public Su ort Percenta e 17 Investment Income percentage for 2009 (line 10c,column (f)divided by line 13,column (1), ,.•..".% 18 Investment Income percentage from 2008 Schedule A,Part III,line rz ,, ,.18 % 19a 33-1/3 support tests -2009.If the organization did not check the box on line 14 and line 15 is more than 33·1/3%,and line 17 is not more than 33·1/3%,check this box and stop here.The organization qualhles as a publicly supported organization ..,.."0 b 33-113 support tests -2008.If the organization did not check a box on line 14 or 19a,and line 16 Is more than 33·113%,and line 18 is not more than 33-113%,check this box and stop here.The organizat,lon qualifies as a publicly supported organization ... 20 Private foundation.If the or anizatlon did not check a box on line 14 19a or 19b check this box and see Instructions,,... BAA TEEA0403L 02116/10 Schedule A (Form 990 or 990·EZ)2009 ATTACHMENTS 2-25 ScheduleA arm 990 or 990-E 2009 Al,,*.-1AL LOVERS OF SOUTH BAY 20-3936662 Pa e4 Supplemental Information.Complete this part to provide the explanations required by Part II,line 10; Part II,line 17a or 17b;and Part III,line 12.Provide any other additional information.See instructions. -------------~------------------------------------------------------ ----------------~--------------------------------------------------- -------------------------------------------------------------------- ----------------------~---------------~----------------------------- BAA TEEA0404l.02105110 Schedule A (Form 990 or 990-EZ)2009 ATTACHMENTS 2-26 2009 FEDERAL STATEMENTS ANIMAL LOVERS OF SOUTH BAY PAGE 1 20·3936662 STATEMENT 1 FORM 990·EZ,PART I,LINE 16 OTHER EXPENSES BANK CHARGES.......................................................................................$97. FOOD SUPPLIES &MAINT ",..,,.".,..".,.,."..,..,."",..............3,250. MISCELLANEOUS , , ,..,.,, ,.., ,.., " ,,.,."...1,772. OFFICE SUPPLIES ,..,.",.,.., ,..",..",.".."",",.,.".......31. TELEPHONE.,.".,.., , ,,.,..,.,,,., ,.,.., ,,.,."'"185. VACCINES , ,.,'" ,,",..,'.,',.343. VETINARY CARE.",.",, ".., " ,,.,,.., ,,.,.,14,400. WHITE POINT PROGRAM "..,,",,.."......3,250. TOTAL =$==2"",3:=,=32=:8::. STATEMENT 2 FORM 990·EZ,PART III ORGANIZATION'S PRIMARY EXEMPT PURPOSE PREVENTION OF CRUELTY TO ANIMALS -EDUCATE THE PUBLIC ON PET OVERPOPULATION,PET HEALTH AND MAINTENANCE,AND HUMANE TREATMENT OF ANIMALS.PROVIDE OR ARRANGE FOR SPECIAL ANIMAL-CARE SERVICES,INCLUDING DISCOUNTED OR FREE STERILIZATION,VETINARY CARE,AND PET ADOPTIONS. STATEMENTS FORM 990-EZ,PART III,LINE 28 STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS DURING THE YEAR ANIMAL LOVERS OF SOUTH BAY RESCUED,CARED FOR AND BROUGHT TO HEALTH DOZENS OF ABANDONED,FERAL AND/OR ABUSED CATS AND DOGS.THE ORGANIZATION ACHIEVED ITS GOAL OF SPAYING AND NEUTERING THE PETS WHICH WERE PLACED INTO LOVING HOMES.IN ADDITION,THE CHARITY EDUCATED THE PUBLIC ON OVERPOPULATION,PET HEALTH AND MAINTENANCE,AND HUMANE TREATMENT THROUGH THE DISBURSEMENT OF LITERATURE AND IN PERSON LECTURING TO ADOPTORS. STATEMENT 4 FORM 990-EZ,PART V REGARDING TRANSFERS ASSOCIATED WITH PERSONAL BENEFIT CONTRACTS (A)DID THE ORGANIZATION,DURING THE YEAR,RECEIVE ANY FUNDS,DIRECTLY OR INDIRECTLY,TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT?, ,.., ,NO (B)DID THE ORGANIZATION,DURING THE YEAR,PAY PREMIUMS,DIRECTLY OR INDIRECTLY,ON A PERSONAL BENEFIT CONTRACT?"...........NO ATTACHMENTS 2-27 INTERNAL REVENUE SERVICE P.O.BOX 2508 CINCINNATI,OR 45201 Date:MAY 202006 ANIMAL LOVERS OF SOUTH BAY C/O RYAN D NOWICKI CHRISTENSEN MILLER ET AL LLP 10250 CONSTELLATION BLVD 19TH FLR LOS ANGELES,CA 90254~OOOO Dear Applicant: DEPARTMENT OF THE TREASURY Employer Identification Number: 20-3936662 DLN: 17053121008046 Contact Person: JOHN J KOESTER ID~31364 Contact Telephone Number: (877)829-5500 Accounting Period Ending: June 30 public Charity Status: 170 (b) (1)(A)(vi) Form 990 Required: Yes Effective Date of Exemption: July 19,2005 Contribution Deductibility: Yes Advance Ruling Ending Date: December 31,2009 We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501(c)(3)of the Internal Revenue Code..Contributions to you are deduc~ible under section 170 of the Code.You are also qualified to receive tax deductible bequests,devises,transfers or gifts under section 2055,2106 or 2522 of the code.Because this letter could help resolve any questions regarding your exempt status,you should keep it in your permanent records. Organizations exempt under section 501(c)(3)of the Code are further classified as either public charities or private foundations.During your advance ruling period,you will be treated as a public charity.Your advance ruling period begins with the effective date of your exemption and ends with advance ruling ending date shown in the heading of the letter. Shortly before the end of your advance ruling period,we will send you Form 8734,Support Schedule for Advance Ruling Period.You will have 90 days after the end of your advance rUling period to return the completed form.We will then notify you,in writing,about your public oharity status. Please see enclosed Information for Exempt Organizations Under Section SOlCe)(3)for some helpfUl information about your responsibilities as an exempt organization. If you distribute funds to other organizations,your records must show whether they are exempt under section SOl (c)(3).In cases where the recipient organization is not exempt under section 501(c)(3),you must have evidence the funds will be used for section 501(c)(3)purposes. Letter 1045 (DO/CG) ATTACHMENTS 2-28 -2- ANIMAL LOVERS OF SOUTH BAY If you distribute funds to individuals,you should keep case histories shoWing the recipient I s name and add:r:'ess;the pUJ:Pose of the award;the manner of selection;and the relationship of the recipient to any of your officers, directors,trustees,members,or major contributors. We have sent a copy of this letter to your representative as indicated in your power of attorney. Sincerely, .........,.,,'0 0 LOi~"~:::::~:'~~e}7 0 Director,Exempt Organizations RUlings and Agreements Enclosures:Information for Organizations Exempt Under Section 501(c)(3) Statute Extension Letter 1045 (DO/CG) ATTACHMENTS 2-29 -3 - ANIMAL LOVERS OF SOUTH BAY INFORMATION FOR ORGANIZATIONS EXEMPT UNDER SECTION 501(c)(3) WHERE TO GET FORMS AND HELP Forms and instructions may be obtained by calling toll free 1-800-829-3676, through the Internet Web Site at www.irs.gov,and also at local tax assistance centers. Additional information about any topic discussed below may be obtained through our customer service function by calling toll free 1-877-829-5500. NOTIFY US ON THESE MATTERS If you change your name,address,purposes,operations or sources of financial support,please inform our TE/GE EO Determinations Office at the following address:Internal R,evenue Service,P.O.Box 2508,Cincinnati,Ohio 45201" If you amend your organizational document or by-laws,or dissolve,provide the EO Determinations Office with a copy of the amended documents.Please use your employer identification number on all returns you file and in all correspondence with the Internal Revenue Service. FILING REQUIREMENTS In your exemption letter we indicated whether you must file Form 990,Return of Organi~ation Exempt From Income Tax.Form 990 (or Form 990-EZ)is filed with the Ogden Submission Processing Center,Ogden UT 84201-0027. You are required to file a Form 990 only if your gross receipts are normally more than $25,000. If your gross receipts are normally between $25,000 and $100,000,and your total assets are less than $250,000,you may file Form 990-EZ.If your gross receipts are over $100,000,or your total assets are over $250,000,you must file the complete Form 990.The Form 990 instructions show how to compute your "normal"receipts. Form 990 Schedule A is required for both Form 990 and Form 990-EZ. If a return is required.it must be filed by the 15th day of the fifth month after the end of your annual accounting period.There are penalties for failing to timely file a complete return.For additional information on penalties,see Form 990 instructions or call our toll free number. If your receipts are below $25,000,and we send you a Form 990 Package,follow the instructions in the package on how to complete the limited return to advise us that you are not required to file. If your exemption letter states that you are not required to file Form 990,you are exempt from these requirements. .Letter 1045 (DO/CG) ATTACHMENTS 2-30 -4- ANIMAL LOVERS OF SOUTH BAY UNRELATED BUSINESS INCOME TAX RETURN If you receive more than $1,000 annually in gross receipts from a regular trade or business you may be subject to Unrelated Business Income Tax and required to file Form 990-T,Exempt Organization Business Income Tax Return.There are several exceptions to this tax. 1.Income you receive from the performance of your exempt activity is not unrelated business income. 2.Income from fundraisers conducted by volunteer workers,or where donated merchandise is sold,is not unrelated business income. 3.Income from routine investments such as certificates of deposit, savings accounts,or stock dividends is usually not unrelated business income. There are special rules for income derived from real estate or other investments purchased with borrowed funds.This income is called "debt financed"income.For additional information regarding unrelated business income tax see Publication 598,Tax on Unrelated Business Income of Exempt Organizations,or call our toll free number shown above. PUBLIC INSPECTION OF APPLICATION AND INFORMATION RETURN You are required to make your annual information return,Form 990 or Form 990-EZ,available for public inspection for three years after the later of the due date of the return,or the date the return is filed.You are also required to make available for public inspection you~exemption application,any supporting documents,and your exemption letter.Copies of these documents are also required to be provided to any individual upon written or in person request without charge other than reasonable fees for copying and postage:, You may fulfill this requirement by placing these documents on the Internet, Penalties may be imposed for failure to comply with these requirements. Additional information is available in Publication 557,Tax-Exempt Status for Your Organization,or you may call our toll free number shown above" FUNDRAISING Contributions to you are deductible only to the extent that they are gifts and no consideration is received in return.Depending on the circumstances,ticket purchases and similar payments in conjunction with fundraising events may not qualify as fully deductible contributions. CONTRIBUTIONS OF $250 OR MORE Ponors must have written substantiation from the charity for any charitable contribution of $250 or more"Although it is the donor's responsibility to obtain written substantiation from the charity,you can assist donors by providing a written statement listing any cash contribution or describing any Letter 1045 (DO/CG) ATTACHMENTS 2-31 -5- ANIMAL :WOVERS OF SOUTH BAY donated property. This written statement must be provided at the time of the contribution.There is no prescribed format for the written statement.Letters,postcards and electronic (e-mail)or computer-generated forms are acceptable. The donor is responsible for the valuation of donated property.However,your written statement must provide a sufficient description to support the donor's contribution.For additional information regarding donor substantiation,see Publication 1771,Charitable Contributions -Substantiation and Disclosllre Requirements.For information about the valuation of donated property,see Publication 561,Determining the Value of Donated Property. CONTRIBUTIONS OF MORE THAN $75 AND CHARITY PROVIDES GOODS OR SERVICES You must provide a written disclosure statement to donors who receive goods or services from you in exchange for contributions in excess of $75. Contribution deductions are allowable to donors only to the extent their contributions exceed the value of the goods or services received in exchange. Ticket purchases and similar payments in conjunction with fundraising events may not necessarily qualify as fUlly deductible contributions,depending on the circumstances.If your organization conducts fundraising events such as benefit dinners,shows,membership dxives,etc"where something of value is received,you are required to provide a written .statement informing donors of the fair market value of the specific items or services you provided in exchange for contxibutions of more than $75. You should provide the written disclosure statement in advance of any event, determine the fair market value of any benefit received,determine the amount of the contribution that is deductible,and state this information in your fundraising materials such as solicitations,tickets,and receipts.The amount of the contribution that is deductible is limited to the excess of any money (and the value of any property other than money)contributed by the donor less the value of goods or services provided by the charity.Your disclosure statement should be made,no later than,at the time payment is received .. Subject to certain exceptions,your disclosure responsibility applies to any fundraising circumstances where each complete payment,inclUding the contribution portion,exceeds $75.For additional information,see Publication 1771 and Publication 526,Charitable Contributions. EXCESS BENEFIT TRANSACTIONS Excess benefit txansactions are governed by section 4956 of the Code.Excess benefit transactions involve situations where a section 501{c)(3)organization provides an unreasonable benefit to a person who is in a position to exercise substantial influence over the organization's affairs.If you believe there may be an excess benefit transaction involving your organiza~ion,you should report the transaction on Form 990 or 990-EZ..Additional information can be found in the instructions for Form 990 and Form 990-EZ,or you may call our Letter 1045 (DO/CG) ATTACHMENTS 2-32 -6- ANlMAt.LOVERS OF SOUTH BAY toll free number to obtain additional information on how to correct and report this transaction. EMPLOYMENT TAXES If you have employees,you are subject to income tax withholding and the social security taxes imposed under the Federal Insurance Contribution Act (FICA). You are required to withhold Federal income tax from your employee's wages and you are required to pay FICA on each employee who is paid more than $100 i~ wages during a calendar year.To know how much income tax to withhold,you should have a Form W-4,Employee's Withholding Allowance Certificate,on file for each employee.Organizations described in section 501(c)(3)of the Code are not required to pay Federal Unemployment Tax (FUTA). Employment taxes are reported on Form 941,Employer's Quarterly Federal Tax Return.The requirements for withholding,depositing,reporting and paying employment taxes are explained in Circular E,Employer's Tax Guide, (Publication 15),and Employer's Supplemental Tax Guide,(Publication 15-A). These publications explain your tax responsibilities as an employer. CHURCHES Churches may employ both ministers and church workers.Employees of churches or church-controlled organizations are subject to income tax withholding,but may be exempt from FICA taxes.Churches are not required to pay FUTA tax.In addition,although ministers are generally common law employees,they are not treated as employees for employment tax purposes"These special employment tax rules for members of the clergy and religious wo~ke~s are explained in Publication 517,Social Security and Other Information fo~Members of the Clergy and Religious Workers.Churches should also consult Publications 15 and 15-A.Publication 1828,Tax Guide for Churches and Religious Organizations, also discusses the various benefits and responsibilities of these organizations under Federal tax law. PUBLIC CHARITY STATUS Every organization that qualifies for taX~exemption as an organization described in section 501(c)(3)is a private foundation unless it falls into one of the categories specifically excluded from the definition of that term [referred to in section 509 (a)(1),(2),(3),or (4)l.In effect,the definition divides these organizations into two classes,namely private foundations and public charities. Public charities are generally those that either have broad public support or actively function in a supporting relationship to those organizations. public charities enjoy several advantages over private foundations.There are certain excise taxes that apply to private foundations but not to public charities.A private foundation must also annually file Form 990-PF,Return of Private Foundation,even if ;j.t had no revenue or expenses .. Letter 1045 (no/CG) ATTACHMENTS 2-33 -7- ANIMAL LOVERS OF SOUTH BAY The Code section under which you are classified as a public charity is shown in the heading of your exemption letter"This determination is based on the information you provided and the request you made on your Form 1023 application.Please refer to Publication 557 for additional information about public charity status. GRANTS TO INDIVIDUALS The following information is provided for organizations that make grants to individuals.If you begin an individual grant program that was not described in your exemption application,please inform us about the program, Funds you distribute to an indiVidual as a grant must be made on a true charitable basis in furtherance of the purposes for which you are organized. Therefore,you should keep adequate records and case histories that demonstrate that grants to individuals serve your charitable purposes.For example,you should be in a position to substantiate the basis for grants awarded to individuals to relieve poverty or under a scholarship or education loan program.Case histories regarding grants to individuals should show names, addresses,purposes of grants/manner of selection,and relationship (if any) to members,offioers,trustees,or donors of funds to you. For more information on the exclusion of soholarships from income by an individual recipient,see Publication 520,Scholarships and Fellowships .. Letter 1045 (DO/CG) ATTACHMENTS 2-34 Form 1023 Rev.10.2004)Name:ANIMAL l.OVERS OF SOUTH BAY .ErN:20 -3936662 Palle 1 '1 PUblic Char'Status 'Continued e 509(a)(4)-an organization organized and operated exclusively lor testIng for public safety.0 f 509(a)(1)and 170(b)(1)(A)(iv)-an organization operated for the benefit of a college or university that is owned or 0 operated by a govemmental unit. g 509(a)(1)and 170(b)(1)(A)(v~-an organlzatfon that reoelves a substantial part of Its financial support In the form IZl of contributions from pUblicly supported organizations,from a govemmental unit,or from the general pUblio, h 509(a)(2)-an organization that normally reoeives not more than one-third of Its financial support from gross 0 investment income and receives more than one-third of Its financial support Irom contributions,membership fees,and gross receipts from activities related to Its exempt functions (subject to certain exceptions). A publicly supported organization,but unsure if it is described In 5g or 5h,The organization would like the IRS to 0 decide the correct status. 6 If yOIl checked box g,h,or i In question 5 above,you mllst request either anJU:lv aDcA pr a definitive ruling by selecting one of the boxes below.Refer 10 the Instructions to determine whlchtype of ruling you are eligIble 10 receive. s Request for Advanoe Ruling:By oheoklng this box and signing the oonsent,pursuant to section 6501(0)(4)of 1Zl the Code you request an advance ruling and agree to extend the statute of limitations on the assessment of excise tax under sectlon 4940 of the Code.The tax will apply only If you do not establish pUblic support status at the end of the S-year advar,ce rul1ng period,The aesessment period will be extended for the 5 advance ruling years to 8 years,4 months,and 15 days beyond the end of the first year.You have the right to refuse or limit the extension to a mutually agreed-upon period of time or Issue(s).Publication 1035,Extending the Tax Assessment Period,provides a more detailed explanatIon of your rights and the consequences of the choloes you make.You may obtain Publloatlon 1035 free of charge from the IRS web site at www./rs,gov or by oalllng toll-free 1-600-829-3676.Signing this consent will not deprive you of any appeal rights to which you would otherwise be entitled If you decide not to extend the statute of limitations,you are not eligible for an advance ruling. For Organization ~~~../c!!:~::...~~~.~~.I~t.~~~~~.~~~~~..•.••.••••.••..••••. (Signature fleer,Director,Trust~~~l'pe or prlnl name of signer) authorized Icial)President (Type'~~p-;i~I'liii;·oriUiilorliY ;;r"~ig;;e~i····'·.._.... ...~/!.1/~.':'...._......(pal~'! For Director.Exempt S?rganiZati,."'~JQ,f ~~,."(il'li,j'/i'eA 111 toBy",.:~I~:~~~:~..):~~;~:.~:(~:~.~~~._.Dale M.~y ...?..Q.2.Q.O'6 b Request for Defihltive Ruling:Oheck this box If you have completed one tax year of at least 6 full months and 0 you are requesting a definitive rullng.To oonflrm your pubi1c support status,answer line 6b(l)if you checked box g in line 5 above.Answer i1ne SbOO I~OU checked box h In line 5 above.If you checked box I in line 5 above, answer both lines 6b(i)and (i~.N". (I)(a)Enter 2%of line 6,coiumn (e on Part IX·A.Statement of Revenues and Expenses. (bl Attach a list showing the name and amount contributed by each person,company,or organization Whose 0 gifts totaled more than the 2%amount,If the ansWer is "None,"check this box. (II)(a)For each year amounts are included on lines 1,2,and 9 of Part IX-A.Statement of Revenues and Expenses,attach a list showing the name of and amount received from each disqualified person.If the answer Is "None,"cheok this box.0 (b)For each year amounts are Included on line 9 of Part IX·A.Statement of Revenues and Expenses,attach a list showing the name of and amount received from each payer,other than a disqUalified person,whose payments were more than the larger of (1)1%of line 10,Part IX-A Statement of Revenues and Expenses,or (2)$5,ODO.If the answer Is "None,"check this box..0 7 Did you receive any unusual grants dUring any of the years shown on Part IX-A.Statement of 0 Yes IZl No Revenues and Expenses?If "Yes,"attach a list including Ihe name of the contributor,the date and amount of the grant,a brief desorlption of the grant,and explain why It Is unusual.. FDrm 1023 (Rev 10-20041 ATTACHMENTS 2-35 03-09-'06 16:44 FADM-FIRST LEGAL SUPPORT 9164433111 1-161 P02!07 U-864 IHJ Q4'f;~(J ~ State of California secretary of State I,BRUCE McPHERSON,Secretary of State of the State of California,hereby certify: That the attached transcript of 1 pag~(s)has been compared with the record on file In this office,of whloh It purports to be a copy,and that it is full,true and correct. IN WITNESS WHEREOF,I exeoute this certificate and affix the Great Seal of the State of California this day of •I MAR -9 ZOOS SeClSralo Pam CE-10'1 {REV O:)IJ1/05} BRUCE Mc~HERSON Secretiuy of State =asp O~~1200 .i ATTACHMENTS 2-36 T-161 P03!07 U-364 ENDORSED •FILED In the Offtl:8 or 11'I'e.~lllry ~If StatuorUlIStateofcallfoma ~AR ...j ,006AMENDEDANDRESTA'rED ARTICL~S OF INCORPORA nON OF .ANIMAL LOVERS OF SOUTH BA Y, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION-..'""-;....··"."J.Wlr" The un~crsigned certify that: 1.They are the President and the Secretaryl respectiv~ly,of Animal Lovers of South Bay,a California Nonprofit Public Benefit Corporation. 2.The Articl.es of Incorporation of this corporation are amended and restated in full to read as follows: 03-09-'06 16:44 FROM-FIRST LEGAL SUPPORT 9164433111 A06lillfU'i9 ARTICLE I The iwne oftbis oollJOration is: ANIMAL LOVERS OF SOUTH BA Y ARTICLE II A.This corporation is 8 nonprofit public benefit corporation and Is not organized for the private gajn of an)'person.It is organized under the Nonprofit Public Benefit Corporation Law for charitable purposes. B.The !,!pecific purposes of this corporation is rescue homeless,abandoned and abused animals,nurse sick animals back to health prior to their adoption,provide spay/neuter vouchers to help preve,nt ,unwanted animal births,educate the public regarding pet overpopulation and the humane lm11ment of ammaIs.,and to work with other animal welf~ organb:atiol1ll to facUitate the ~ety and health of companion animals.The foregoing purposes shall be exclusively charitablo within the meaning of Section 501(cX3)of the Internal Revenue Code of 1986,or the conesponding section of'any futl.lJ'e federal tax code., I ARTICLE JU A.This cOrporation is organized and oper~1ed exclusively fur charitable purposes within the me&1ing of Section 501(o){3)of the Intemal Revenue Code of 1986,or the corresponding section of any future fed<:ral ta:lC code. B.No part oftbe net earnings of the corporation shan inure to the benefit of,or be dIstributable to its members,ttustees.officers.,or othar private persons,except that the corporation shall be authorized and empowered to pay reasonable compensation for services rendered and to make payments and distributions in furtherance of its charitable purpose. 447fJ'T'I ATTACHMENTS 2-37 03-09-'06 15:44 FROM-F1RST LEGAL SUPPORT 9164433111 T-161 P04/07 U-864 C.No substantial part of the activities of the corporation shall be the carrying on of .ropaganda,or otherwise attempting to influence legislation,and the corporation shall not participate in,Or'intervene in (including the publishhig or distribution of statem~nts)any political campaign on behalf ofor in opposition to any candidate for public'office. D.Notwithstanding any other provision of these articles or the byl/Jws,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 shaU not carry OD any other activities not permitted to be carried on (i)by a corporation exempt from fedetal income tax under Section 501(c)(3)of the Internal Revenue Code of 1986,or the corresponding provision of any future federal tax code,or (Ii)by a corpomtioncontributions to which are deductible under Section 170(c)(2)of the Internal Revenue Code of 1986.or the corresponding provision of'any future fed~ral tax code. ARTlCLEIV Upon the dissolution of the corporation.assets shall be distributed for one or more exempt purposes within lhe meaning of Section 501(0)(3)of the lntemal Revenue Code,or the corresponding seotion of any future federal tax code,or shall be distributed to the federal goveriunent,or to a state or 100aJ govenunent l for a public purpose.Any such assets not So disposed ofshalJ be disposed of by a Court of Competent Jurisdiction of the county in Which the principal office of the cotporation is then located,exclusively for such purposes or to such organiution or organizations,as said Cowt shall detennine,which are organized and operated exclusively for such purposes. ),The foregoing amendment and :restatement of Articles of lncorpomtioQ has been duly approved by the board O;f directors. 4.The corporation has no members. We fur1her declafe under penalty of peljury under the laws of the'State of CaJifornla that the matters set forth in this certificate are trUe and comet of our OWfll knowledge . .!~.~'$-~f"Mary ale1a Oksenkrug , President 447()77 ATTACHMENTS 2-38 f. 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 (310)377-0360 www.palosverdes.com/rpv CITY GRANT APPLICATION For Fiscal Years July 1,2011 to June 30,2012 & JUly 1,2012 to June 30,2013 Name of Organization:C \ll)i'l"h ttl/'()'I{C-~o!'-s-tv~()f -t k,~II vt~1'1 Address:r (J ~(Jx.::l IJ ~~r J.J ()s lit or A~s ~~VI t'V\,5 V f"'j q (JJ ;.'1' Phone Number:"3 f C'-~73-3 I,~I Fax Number:3 10 ...,3 7:3 -3 I S'I I I fIlA I ?\.,~iA"h.qro r-=h.,s-t~~ Website Address:(,fiIww:.f~PSI/t-rtY'S.~' Contact Name &Position:'R.d b&rt ;Vt:lie.')fre-s i J cn-L Years with Organization:;17 Email:r tV!ill"V"~7S~~",.t(ll'h AMOUNT OF SUPPORT REQUESTED: FY11-12:${pliO FY 12-13:$Ip t5 () Please Attach the Following to this Completed Application: A.List the board of directors and the expiration of their term.~'tta.c~'-~ B.Proof of non-profit)status and a statement that the organization is non- political.{>tL:>c I...,.J/I \ C.Financial statements (if any)for last completed fiscal year.(,1 fuc ",,,,.y ATTACHMENTS 2-39 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 2 2.Please indicate the size and type of population served by the organization. Include quantifiable data (census information,number of members,volume of phone calls/referrals).If known,please provide the specific number of Rancho Palos Verdes residents served and the total number of Palos Verdes Peninsula residents served.lit.'"1'~c:.C-6S B serve,-tlt't-c:.hss'~·c.lllJf\v'.ri'-pf;l~&!'o~rtJ yl,)"fG"Y'l .t\t (1 ..,()Q'II-tk tE~-tc\'tce..s".of "i;l.4.'t-rre,AjVt$,~lc,~.s:w41 AS £'VVYdVo"<lI.) IJ,Vt-~~I.'$t'f IJL>{"1.{5{$(s"/j..,,v,t)s'ubstI't'tJC'l'£AjI'"t<-fr~ ~)ot\?kp rp;,.,.\os V-e.orJ-es;,-!~e-V"H'-t tn~\~l y .frovf/\~~.y fe-Y\'J!'J£I'A., 3.Indicate who prepares and who approves organization's budget. T{".¥-(o;/A,....--t'u rrv r~"'oJ ~""I t.~(..'ty-t.e-SVtld"'"e)'\o.d '€)(CV,,.(:;we.-~lve"t~\) ~~l ~r I'YilV't!b'1-t~G-~"~rJ.. C:\Documents and Settings\mattw\Local Settings\Temporary Internet FilesOLK6A2\FY 11-12 Grant Application.doc ATTACHMENTS 2-40 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 3 5.Please provide the following financial information: Fiscal Year:Begins:~",l(I,~o (0 Ends::r Vi'\-e 30/;;)(;II Total Current Year Budget:$ ,7 ~)0 0 0 Total Prior Year Budget:$'&5")6 flO Sources of Funds: List all sources including the following,as applicable:Dues;Contributions (including source and whether on-going or one-time);Special Events/Fund-Raising;and Other. Current Year Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs, Material and Supplies,and Other. Current Year Prior Year r (~\:oje'("$'I fC73 )()IJ()(,.,ew VVf,~"""t-~-CV<H--t> ~"tl.d v "bf"~StlIOtd:.~.fls,oo{;J proJvd;u,yt c",t.s I 7,SOD fvV\A ~t.st)'\.~01,.:5'"00 M....\C ..th~~1.~~Vl'Iivt~q ,,-0 CJ C:\Documents and Settings\mattw\Local Settings\Temporary Internet FilesOLK6A2\FY 11-12 Grant Application.doc ATTACHMENTS 2-41 A T T A C H M E N T S 2 - 4 2 CHAMBER ORCHESTRA OF THE SOUTH BAY P.O.Box 2095 Palos Verdes Peninsula,California 90274 Tel/Fax (310)373-3151 E-Mail -rmiller675@aol.com Website!WINW.palosverdes.com/chamberorchestra BOARD OF DIRECTORS Robert W.Miller,President .{pc"tIV"P;".d:D,.. Evelyn Greene,Secretary Marianne C.Sfreddo,Treasurer Ellen Wiesen Muriel Zemelman 144 "",rho LlIw't:s EX-OFFICIO Dr.Frances J.Steiner ADVISORY BOARD Dr.Hansonia Caldwell Gail Effros Chuck Klaus Dr.Alb~rta Samuelson Dr.Fred Sakurai M~rvin Tarlow ••• ATTACHMENTS 2-43 r Internal Revenue Service District Director Dale:APR (}u 1989 CHAMBER ORCHESTRA·OF THE SOUTH BAY INC. P.O.BOX 2095 PALOS VERDES PEN,CA 90274 Department of the Treasury Employment IdentlflcaUon Number: 23-7259502 Penon to Contact: EOMF Coordinator Contact Telephone Number: (213)894-5106//-----....... Internal Revenue Code Sec\Ifm:501{c)(3} ( ~. Thank you ~O~submitting the information shown below or on the enclosure.We have made it a part of your file. The changes indicated do not adversely affect your exempt status and the exemption letter issued to you continues in etfect. Please let us know about any future change In the character,purpose.method of operation.name or address of your organization.This Is a requirement tor retaining your exempt status. Thank you tor your oooperation. Sincerely yours,•~<!.~I) Item Changed (NAME)BAROQUE CONSORTIUM INC. To (SEE ABOVE) L ) P.O.Box 2350,LO$Angeles,CA 90053 Letter 976(00)(Rev.1-67) ATTACHMENTS 2-44 ---------_.----- Statement of Revenues,Expenses,Reserve Fund and Fund Balance'"Modified Cash Bash July 1,2009 through June 30.2010 Revenue: Ticket safes,Norris fndividual donations Norris Foundation E.Nakamichi Foundation Ann &Gerdan Getty foundation LA County Arts Commission Local Government grants Interest income Total Revenue Expenses: Players Music Director Soloists Production costs Music rental,purchase and racense Subtotal Performance Costs Fund raising activities Marketing Insurattce Payroll Service Pestage Other administrative expense Subtotal Administrative Costs Total Operating Expenses Reserve for contingencies Net expense$and contingencies over revenue ., Aqua's $76.130 59,300 10,000 6.000 o 7,150 500 ~587 95,745 16,500 16.463 14,785 1,935 145.427 9,491 3,654 1,213 3,000 216 1,409 18,983 $162,667 164,410 Q. (1)43) ATTACHMENTS 2-45 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 (310)377-0360 www.palosverdes.comlrpv CITY GRANT APPLICATION For Fiscal Years July 1,2011 to June 30,2012 & July 1,2012 to June 30,2013 Name of Organization:Community Helpline,a division of Helpline Youth Counseling,Inc. Address:P.O.Box 2503,Palos Verdes,CA 90274 Phone Number: Fax Number: (310)793-1415 (310)802-6164 Website Address:www.helplineyouthcounseling.org Contact Name &Position:Jeffrey S.Farber,Executive Director Years with Organization:7 years Email:jfarber@vfnet.com AMOUNT OF SUPPORT REQUESTED: FY 11-12:$2,000 FY 12-13:$2,000 Please Attach the Following to this Completed Application: A.List the board of directors and the expiration of their term. B.Proof of non-profit status and a statement that the organization is non- political. C.Financial statements (if any)for last completed fiscal year. ATTACHMENTS 2-46 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 2 1.Please describe the purpose of the organization and the nature of the services provided. The purpose of Community Helpline is to offer a "Lifeline of Hope"to individuals and communities in crisis or in need through our toll-free,confidential listening and referral telephone service.Callers to Community Helpline have a variety of concerns that stem from unhealthy relationships,stress,peer pressure,problems at school,eating disorders, gang involvement,alcohol and drug addiction and suicidal thoughts.These callers receive assistance from trained volunteers (peer to peer)listeners who receive 45 hours of comprehensive training by mental health professionals that teach listeners how to assist callers in clarifying their feelings,defining available options,and how to offer appropriate referrals.Community Helpline offers referrals to more than 2,000 human service agencies, throughout Los Angeles and Orange Counties at no cost.At the end of the 2009-10 fiscal year (June 30,2010),80 volunteers collectively donated over 7,500 hours of service to Community Helpline. 2.Please indicate the size and type of population served by the organization. Include quantifiable data (census information,number of members,volume of phone calls/referrals).If known,please provide the specific number of Rancho Palos Verdes residents served and the total number of Palos Verdes Peninsula residents served. Community Helpline's service area spans throughout the greater Los Angels area,serving Rancho Palos Verdes,Palos Verdes Peninsula,Beach Cities and the South Bay Communities.Due to our confidential nature,quantifiable data is obtained solely through information given by callers.Monthly reports indicate that close to 250 Rancho Palos Verdes and Palos Verdes Peninsula residents place calls to Community Helpline.In addition,50 Rancho Palos Verdes and Palos Verdes Peninsula residents serve as Volunteer Listeners and/or members of our Advisory Board. 3.Indicate who prepares and who approves organization's budget. The organizational budget is prepared and approved by the·Board of·Directors'Finance Committee which includes the Board Treasurer,theB.oard Chair,the Executive Director and the Director Of Finance.This Committee meets monthly to monitor agency's on-going revenue and expenses,in addition to,annually reviewing and presenting the agency's proposed fiscal year budget to the entire Board of Directors for approval. 4.Indicate impact of City funding to organization and its ability to provide service. The primary element of our program is our toll-free telephone service,which on average cost $8,400 per year.Funding from the City of Rancho Palos Verdes will assist Community Helpline in continuing to provide toll-free,confidential listening and referral telephone service to Rancho Palos Verdes residents. 5.Please provide the following financial information: K:\2011-12 Grants\Cities\Rancho Palos Verdes\FY 11-12 Grant Application.doc ATTACHMENTS 2-47 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 3 Fiscal Year:Begins:July 1 Ends:June 30 Total Current Year BUdget:$2,780,616 Total Prior Year Budget:$2,641,207 Sources of Funds: List all sources including the following,as applicable:Dues;Contributions (including source and whether on-going or one-time);Special Events/Fund-Raising;and Other. Total:$2,641,207 Current Year Government Cities Foundations Client Fees Prior Year Government Cities Foundations Client Fees $2,327,586 $53,480 $280,000 $40,000 $2,273,720 $105,387 $150,000 $40,000 Donations: Fundraising Events Purchase of Services Interest Total: Donations: Fundraising Events Interest $8,500 $59,000 $11,900 $150 $2,780,616 $16,600 $54,000 $1,500 Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs, Material and Supplies,and Other. Current Year Personnel Facilities Operating Insurance Depreciation Total Prior Year Personnel Facilities Operating Insurance Depreciation Total $2,192,427 $224,690 $331,253 $30,246 $2,000 $2,780,616 $2,087,581 $215,897 $307,483 $28,246 $2,000 $2,641,207 K:\2011-12 Grants\Cities\Rancho Palos Verdes\FY 11-12 Grant Application.doc ATTACHMENTS 2-48 Helpline Youth Counseling,Inc . •A.C.A.L.IF.O.R.N.IA_N.O.N.-P.R.O.F.IT_C.O.R.P.O.R.A.T.IO.N ~_ 12440 E.Firestone Blvd.,Suite 1000,Norwalk,CA 90650 (562)864-3722 1133 Rhea St.,Long Beach,CA 90806 FAX (562)864-4596 10750 Laurel Ave.,Whittier,CA 90605 www.helplineyouthcounseling.org 2010-2011 Board of Directors Membership Roster Officers of the Board Board Chair Deepak Nanda Southern California Edison (Retired) 830 West Las Palmas Drive Fullerton,CA 92835 Business:(714)240-3366 Email:nd4519@yahoo.com Treasurer Jacques Welche,C.P.A. Raimondo Pettit Group 21515 Hawthorne Boulevard,#1250 Torrance,CA 90503 Business:(310)540-5990 Fax:(310)543-3066 Email:jwelche@rpgcpa.com Secretary Pam Van Alstyne 2600 Palm Avenue Manhattan Beach,CA 90266 Business:(310)796-0209 Fax:(310)796-8359 Email:pamvanalstyne@ao1.com *Due to our relatively small Board of Directors,term limits are currently not being enacted. ATTACHMENTS 2-49 2010-2011 Board of Directors Board of Directors Captain Patrick Maxwell County of Los Angeles Sheriff's Department Norwalk Sheriff Station 12535 Civic Center Drive Norwalk,CA 90650 Business:(562)466-5411 Secretary:~ayra Fax:(323)415-3465 Email:pemaxwel@lasd.org Becky Shultz Whittier City School District cj 0 Hoover School 6302 Alta Avenue Whittier,CA 90601 Business:(562)789-3156 Cellular:(562)756-3162 Email:bshultz@Whittiercity.k12.ca.us Nancy Whyte Presbyterian Intercommunity Hospital 12401 Washington Boulevard Whittier,CA 90602 Business:(562)698-0811 extension 2424 Fax:(562)693-4974 Email:nwhyte@pih.net ATTACHMENTS 2-50 ~..&l IRS Department of the Treasuryitl6..,(nlnnal Rennue Service P.O.Box 2508 Cincinnati OH 45201 HELPLINE YOUTH COUNSELING 12440 FIRESTONE BLVD STE 1000 NORWALK CA 90650-4366506 5195 In reply refer to:0248448618 Feb.20,2008 LTR 4168C EO 23-7113824 000000 00 000 00018414 BODe:TE Employer Identification Number:23-7113824 Person to Contact:Mr.Rash Toll Free Telephone Number:1-877-829-5500 Dear Taxpayer: This is in response to your request of Feb.12,2008,regarding your tax-exempt status. Our records indicate that a determination letter was issued in September 1972,that recognized you as exempt from Federal income tax, and discloses that you are currently exempt under section 501(c)C3) of the Internal Revenue Code. Our records also indicate you are not a private foundation within the meaning of section 509(a)of the Code because you are described in sectionCs)509Ca)(I)and l70(b)(l)(A)(vi). Donors may deduct contributions to you as provided in section 170 of the Code.Bequests,legacies,devises,transfers,or gifts to you or for your use are deductible for Federal estate and gift tax purposes if th~y meet the applicable provisions of sections 2055,2106,and 2522 of the Code. If you have any questions,please call us at the telephone number shown in the heading of this letter. Sincprely yours, Michele M.Sullivan,Oper.Mgr. Accounts Management Operations I ATTACHMENTS 2-51 HELPLINE YOUTH COUNSELING,INC. FINANCIAL STATEMENTS WITH INDEPENDENT AUDITORS'REPORT FOR THE YEARS ENDED JUNE 30,20 I0 AND 2009 ATTACHMENTS 2-52 HELPLINE YOUTH COUNSELING.INC. INDEX TO FINANCIAL STATEMENTS TABLE OF CONTENTS Independent Auditors'Report financial Statements Statements of financial Position Statements of Activities Statements of Cash FIO\vs Statements of Functional Expenses Notes to the Financial Statements Supplemental Information Schedule of Expenditures of Federal Awards Report on Internal Control Over Financial Reporting and on Compliance and Other Matters Based on an Audit of Financial Statements in Accordance with Government Auditing Standards Report on Compliance with Requirements Applicable to Major Programs and on Internal Control over Compliance in Accordance with OMB Circular A-133 Schedule of Findings and Questioned Costs 1-2 3 4 5 6 7-11 12 13-14 15-16 17 ATTACHMENTS 2-53 Suarez Accountancy Corporation Richard Suarez,Jr.CPA (licensed in CA and NV) Independent Auditors'Report Board of Directors Helpline Youth Counseling,Inc. Norwalk,California We have audited the accompanying statemem of financial position of the Helpline Youth Counseling, Inc.(a California nonprofit corporation)as of June 30,2010 and the related statements of activities, cash flows and functional expenses for the year then ended.''DJ.ese financial statements are the responsibility of the organization's management.Our responsibility is to express an opinion on these financial statements based on our audit.The prior year summarized comparative information has been derived from the financial statements of Helpline Youth Counseling,Inc.as ofJune 30,2009. We conducted our audit in accordance with auditing standardsgelierallyaccepted in tile United States of America and the standards applicable to financial audits contained in Govemmel1l Auditing Standard",issued by the Comptroller General of the United States.Those standards l'eqoire that we plan and perform the audit to obtain reasonable assurance about whether'the·financial statements are free of material misstatement An audit includes consideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances,but not for the purpose of expressing an opinion on the effectiveness of Helpline Youth COllnseHng,Inc.'li intemal control over financial repmting.Accordingly,we express no such opinion.An audit also includes examining,on a test basis,evidence supporting the amounts and disclosures illthefimUlclal statements, assessing the accounting principles used and significant estimates made by maMgement,as well as evaluating the overall financial statement presentation.We beHeve.thatour audit provides a reasonable basis lor our opinion. In our opinion,the financial stutements referred to above present fairly,in all material respects,the financial position of the Helpline Youth Counseling,Inc.(a nonprofit corporation)as of June 30,2010 and the results of its activities and changes in net assets for the year then ended,in confol'mity with accounting pl'incipIes generally accepted in the United States of America. In accordance with Government Audiling Standards,we have also issued our report dated December 4, 2010 on our consideration of Helpline Youth Counseling,Inc,'s intemal control.over financial reporting and on our tcsts of its compliance with certain provisions of laws,regulations,contracts,and grant agreements and other matters.The purpose ohhat report is to describe the scope of our testing of internal control over financial reporting and compliance and the results of that testing and not to provide an opinion on the internal control over financial reporting or on compliance,That report is an integral part of an audit performed in accordance with Government AuditilJg Standards'and should be considered in assessing the results of our audit. 1891 N.Gaffey Street,Suite 231 San Pedro,California 90731 310-832-7887 Telephone 310-832-6563 Facsimile 1 ATTACHMENTS 2-54 )1 ~, Our audit was performed for the purpose of forming an opinion on the basic financial statements of Helpline Youth Counseling,Inc.taken as a whole.The accompanying schedules of expenditures of federal awards and of findings and questioned costs are presented for purposes of additional analysIs as required by the U.S.Office of Management and Budget Circular A-133.Audits of States,Local Govemments,and Non-Profit Organizations and are not requirectpa.rts.of the basic financial statements.This information has been subjected to the audithlgprocedures applied in the audit of the basic financial statements and,in our opinion,is fairly presented,in all material.respects.in relation to the basic financial statements taken as a whole. ~~~ December 4,2010 San Pedro,California 2 Cel1ified Public:Accountant ATTACHMENTS 2-55 HELPLINE YOUTH COUNSELING,INC. (A California Non-Profit Corporation) STATEMENTS OF FINANCIAL POSITION JUNE 30,2010 AND 2009 ASSETS 2rnll 2009 Current assets: Cash and cash equh'alcnts $270,405 $197,698 Accounts and contracts receivable 429.908 305,876 Office supplies-inventory 64,738 67,648 Prepaid expenses 24,585 16,789 Total current assets 789,636 588,011 Property and equipment,net 3,507 5,846 Total assets $793,143 $593,857 LIABILITIES AND NET ASSETS Current liabilities: Accounts payable Accrued expenses Total current liabilities $23,721 $ 142,334 166,055 21,812 133,909 155,721 Commitments and contingencies (sec Note H) Net assets: Unrestricted Temporarily restricted Total net assets 416,138 210.950 627,088 403,136 35,000 438,136 Total liabilities and net assets See accompanying notes. 3 $793,143 _$.5.9..3,;,;,8""'57= ATTACHMENTS 2-56 HELPLINE YOUTH COUNSELING,INC. (A Calilomia Non-ProJit Corporation) STATEMENTS OF ACTIVITIES AND CHANGE IN NET ASSETS YEARS ENDED JUNE 30,20 I0 AND 2009 Temporarily 2010 2009 Unrestricted Restricted Totals Totals SUPPORT AND REVENUE Support: Grants and contributions $59,295 $303,000 $362,295 $187,027 Fundraising events 60,325 60,325 62,072 In-kind contributions S,750 8,750 6,000 Revenue: Govemmental sen'icc contract'>2,231,070 2,231,070 2,19S,397 Client Ices 33,850 33,850 42,330 Interest income 240 240 1,259 Miscellaneous 94 94 16 Net assets released from restriction 127,050 (127,050) Total support and revenue 2,520,674 175,950 2,696,624 2,497,101 EXPENSES Program services 2,345,372 2,345,372 2,387,722 Support servicl.:s 100,555 100,555 102,841 Fundraising and donations 61,747 61,747 57,867 Total expcnscs 2,507,674 2,507,674 2,548,430 Change in ncl assets 13,000 175,950 188,950 (51,329) Net assets,beginning ofyear 403,136 35,000 438,136 489,465 Net assets,end oryear $416,136 $210,950 $627,086 $438,136 SCI.:accompanying notes. 4 ATTACHMENTS 2-57 HELPLINE YOUTH COUNSELING,INC. (A Calu(lmia Non-Profit Corporation) STATEMENTS OF CASH FLOWS YEARS ENDED JUNE 30,2010 AND 2009 211111 21109 CASH FLOWS FROM OPERATING ACTIVITIES: Change in net assets $188,952 $(51,329) Adjustment to reconcile change in net assets to net cash provided by/(used in)operating acti\~ties: Depreciation 2,338 2,338 (Increase)decrease in: Accounts and contracts receivable (124,032) (44,437) Prepaid expenses (7,795)(5,127) Otlice supplies.inventory 2,910 (19,505) Increase (decrease)in: Account'l payable 1,909 (1,733) Accrued expenses 8,425 (604) Contract advances (19,859) Net cash provided by/(used in)operating activities 72,707 (140,256) NET INCREASEI(DECREASE)IN CASH 72,707 (140,256) Ca..h and cash equivalents,beginning orthe year 197,698 337,954 Cash and cash equivalents,end orlhe year $270,405 $197,698 Supplemental disclosure of cash !low infonnation: In-kind contributions $8,750 $6,000 Sec accompanying noles. 5 ATTACHMENTS 2-58 HELPLINE YOtITH COUNSELING,£NC. (A California Non-Protit Corporation) STATEMENTS OF FUNCTIONAL EXPENSES YEARS ENDED JUNE 30,2010 AND 2009 Program Support Sen'ices Sen'ices Fund raising 2010 Total 2009 Total Salaries and other reillted expenses Salaries $1,569,287 $66,887 $36,002 $1,672,176 $1,748,131 Payroll taxes 134,015 5,712 3,075 ]42,802 ]52,727 Employee benetits 102,858 5,539 2,378 110,775 134,694 Total salaries and other related expenses 1,806,160 78,]38 41,455 1,925,753 2,035,552 Other expenses Audit and accounting 13,404 721 288 14,413 14,113 Auto,gas and employee mileage 33,816 343 172 34,331 38,226 Auto repair and expensc 8,651 8,65]4,914 Bank service charges 1,446 92 1,538 1,474 Conferences and meetings 326 33 ]]370 1,845 Consultant 111,973 3,499 115,472 73,789 Onlg testing 1,920 1,920 1,664 Education and training 5,818 245 6]6,]24 4,585 Fundraising expenses 15,283 15,283 9,027 In-kind services 8,750 8,750 6,000 Insurance expense 28,604 2,829 31,433 32,505 Interest expense 68 68 85 Membership dues and subscriptions 734 734 512 Other expenses 2,333 1,167 35 3,535 3,336 Oftice equipment and computer expense 6,855 1,306 8,]61 2,645 Oftice supplics 26,236 1,128 846 28,210 27,092 Postage and shipping 4,228 94 376 4,698 5,436 Printing and recruitment 2,339 49 74 2,462 5,915 Program expenses 67,76]1,397 699 69,857 65,065 Rcnt 177,091 5,534 1,845 184,470 ]72,147 Repairs and maintenance 603 603 Subcontractor 5,090 5,090 7,239 Taxes and licenses 483 483 527 Telephone 25,628 1,091 545 27,264 28,395 Utilities and maintenance 5,606 57 5,663 4,004 Total other expenses 539,212 20,079 20,292 579,583 510,540 Total expenses betore depreciation 2,345,372 98,217 61,747 2,505,336 2,546,092 Depreciation 2,338 2,338 2,338 Total expenses $2,345,372 $100,555 $61,747 $2,507,674 $2,548,430 See accompanying notes. 6 ATTACHMENTS 2-59 HELPLINE YOUTH COUNSELING.INC. NOTES TO THE FINANCIAL STATEMENTS YEARS ENDED JUNE 30,20 I0 AND 2009 NOTE A -NATURE OF ORGANIZATION AND SIGNIFICANT ACCOUNTING POLICIES 1.Organization Helpline Youth Counseling,Inc.(the Agency)was incorporated pursuant to the general nonprofit corporation laws of California and is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code and state income taxes under Section 2370lu of the California Franchise Tax Board. Helpline Youth Counseling.Inc.provides comprehensive prevention.intervention and community development services to at-risk low-income children.youth and families with a focus on reducing child abuse.family violence,juvenile delinquency.substance abuse,and the onset of mental health issues while at the same time improving individual and family well-being.To achieve this purpose.the Agency works to improve or influence the effectiveness of (I)the family unit through youth and family counseling.multi-family group counseling.and parent effectiveness training workshops:(2)community systems through group counseling for youth in local schools who have been identified as ''troubled''or "troublesome";(3)coping mechanisms through crisis intervention including a peer to peer telephone hotline and through brief therapy; (4)the Juvenile Justice System by taking referrals of delinquent youth from probation officers and law enforcement personnel;(5)the caring environment through community organizing.youth training,community education,participatory recreation programs and mentoring;(6)the social service systems lor the protection of children and youth from neglect.abuse.and exploitation: and (7)the network of Community Human Service Agencies by providing infonnation and referral.The Agency's primary service area is Southeast Los Angeles County and the South Bay with its headquarter oence in Norwalk.The Agency primarily operates under grant agreements from federal.state,county and city agencies as well as grants and contributions from foundations, corporations,and individuals. 2.Basis of Presentation The Agency reports information regarding its financial position and activities according to three classes of net assets:unrestricted net assets,temporarily restricted net assets.and pennanently restricted net assets. 3.Significant Accounting Policies a,Accounting Basis The financial statements are prepared on the accrual basis of accounting and in accordance \\lith generally accepted accounting principles in the United States of America. b.Property and Equipment Property and equipment are recorded at cost when purchased or at fair market value at the date of donation.Depreciation of furniture,equipment,and vehicles is provided over the estimated lIseful lives of the related assets,which range from 5 to 7 years.on a straight-line basis.Fully depreciated assets are retained in the accounts until their retirement. Depreciation expense for the years ended June 30.2010 and 2009 was $2,338. 7 ATTACHMENTS 2-60 HELPLINE YOUTH COUNSELING,£NC. NOTES TO THE FINANCIAL STATEMENTS YEARS ENDED JUNE 30.2010 AND 2009 NOTE A -NATURE OF ORGANIZATION AND SIGNIFICANT ACCOUNTING POLICIES 3.Significant Accounting Policies (Continued) c.Revenue Recognition Revenue from contributions and grants is recognized when contracts or pledges become enforceable and classified as unrestricted.temporarily restricted,or permanently restricted based on donor specifications.Revenues from receivables from private and governmental service contracts are recognized when services are provided and related expenses have been incurred.Amounts advanced in excess of contract expenditures are reflected as contract advances. d.Donated Goods and Services Donnted goods and services are reflected as contributions in the accompanying statements at their estimated fair values at date of receipt. e.Functional Expense Allocations The costs of providing services of Helpline Youth Counseling.Inc.have been summarized on a functional basis in the statement of activities.Such costs have been allocated among the program and supporting services using estimates based upon time records and other activity bases. f.Cash and Cash Equivalents Cash and cash equivalents are from time to time variously composed of cash on hand and in commercial checking accounts.savings accounts.time certificates of deposit with original maturities of three months or less and money market accounts.These investments are carried at cost.which approximates market value. g.Use of Estimates The preparation of financial statements in conformity with generally accepted accounting principles requires the use of management's estimates that affect the reported amounts of assets and liabilities,the disclosure of contingent assets and liabilities,and the reported revenues and expenses during the reporting period.Actual results could differ from those estimates. h.Reclassifications Certain amounts in the 2009 summarized totals have been reclassified to conform to the 20 I0 reporting format. i.Concentrations of Credit Risk Contracts receivable at June 30.20 I0 are primarily due from governmental entities.Helpline Youth Counseling.Inc.maintains its cash in bank deposit accounts.which,at times,may exceed federally insured limits.The Agency has not experienced any losses in such accounts and believes it is not exposed to any significant credit risk on cash and cash equivalents. 8 ATTACHMENTS 2-61 HELPLINE YOUTH COUNSELING,INC. NOTES TO THE FINANCIAL STATEMENTS YEARS ENDED JUNE 30.20 I 0 AND 2009 NOTE A -NATURE OF ORGANIZATION AND SIGNIFICANT ACCOUNTING POLICIES 3.Significant Accounting Policies (Continued) j.Fair Value of Financial Instruments For certain of the Agency's financial instruments,including cash and cash equivalents.and grants receivable,the carrying amounts approximate fair value due 10 their short maturities. NOTE B -PROPERTY AND EQUIPMENT The balances consist of the following: Office fl.Jrniture Office equipment Vehicles Less:accumulated depreciation Property.net NOTE C -ACCRUED EXPENSES Accrued expenses consist of the following: Payroll and payroll taxes Vacation Employee benefits Grant Other accrued expenses $30,206 128,604 57,300 216.110 (212,603) $3.507 2010 $66.851 55.190 4.293 10.000 6,000 $142.3_3.~ 2009 $30.206 128.604 57,300 216.110 (210.264) L-S.846 2009 $73.432 47.544 2,933 10,000 ~t3.J.909 NOTE D -RESTRICTIONS ON NET ASSETS Temporarily restricted net assets are available for the following purposes at June 30,2010: General operations Domestic violence programs Family services Healthcare Camp Total temporarily restricted net asscts 9 $135,000 30.000 30,000 10,000 5,950 $210,950 ATTACHMENTS 2-62 4 '.... HELPLINE YOUTH COUNSELING.INC. NOTES TO THE FINANCIAL STATEMENTS YEARS ENDED JUNE 30,2010 AND 2009 NOTE E -BANK LINE OF CREDIT The Agency has a bank revolving line of credit agreement which allows for maximum borrowings of $175.000,bearing interest at prime plus I%per annum.The agreement was renewed through December 2,20 II.As of June 30.20 I0 and 2009.no amounts were outstanding on the line of credit. NOTE F -RETIREMENT PLAN The Agency has established a retirement plan for qualified employees under the provisions of Internal Revenue Code Section 403(b).Employees may begin elective contributions after 90 days of service. The Agency is not required to match the contributions. NOTE G -CONTRACTS WITH COUNTY OF LOS ANGELES The Agency has contracts with the County of Los Angeles to provide services related to child abuse intervention.gang intervention and delinquency prevention.The contracts were renewed for two to five-year terms and require the Agency to disburse the funds received from the County for direct and indirect expenses of the program.The revenues and expenses related to these contracts are included in the accompanying statement of functional expenses. NOTE H-COMMITMENTS AND CONTINGENCIES Government contmcts Costs claimed under certain grants and contracts from governmental sources may be subject to disallowance upon final audit by such funding agencies. Leases Helpline Youth Counseling,Inc.leases office and service facilities under several operating leases with terms expiring at various dates through July 3 I,20 II.The leases contain operating cost increases over their temlS. Rent expense for the facilities for the years ended June 30.20 I 0 and June 30,2009 was $I 84.470 and $172.148. The future minimum obligations under these leases are as follows: Year ending June 30. 2011 2012 NOTE I -INCOME TAXES Amount $178.550 13.925 $192.475 Under Section 501(c)(3)of the Internal Revenue Code,the Agency is exempt from the payment of taxes on income other than unrelated business income.Effective January I.2009,the Agency adopted the authoritative guidance relating to accounting for uncertainty in income taxes included in 10 ATTACHMENTS 2-63 HELPLINE YOUTH COUNSELING,INC. NOTES TO THE FINANCIAL STATEMENTS YEARS ENDED JUNE 30.20 I0 AND 2009 NOTE I -INCOME TAXES (Continued) ASC Topic Income Taxes.These provisions provide consistent guidance for the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribe a threshold of "more likely than not"for recognition and derecognition of tax positions taken or expected to be taken in a tax return.Helpline Youth Counseling,Inc.performed an evaluation of uncertain tax positions for the year ended June 30,2010.and determined that there were no matters that would require recognition in the financial statements or which may have any affect on its tax~cxempt status. As of June 30.2010,the statute of limitations for tax years 2006 through 2009 remains open with the U.S.federal jurisdiction or the state and local jurisdictions in which the Agency files tax returns.It is the Agency's policy to recognize interest and/or penalties related to uncertain tax positions,if any,in income tax expense.As of June 30.20 I O.no provision for income taxes was made as the Agency had no significant net taxable unrelated business income. NOTEJ-SUBSEQUENTEVENTS The Agency evaluated subsequent events after the statement of financial position date of June 30. 20 I0 through December 4,20 I 0,which was the date the financial statements were issued,and concluded that no additional disclosures are required. 11 ATTACHMENTS 2-64 SUPPLEMENTAL INFORMATION ATTACHMENTS 2-65 HELPUNE YOlrnr COUNSELING,INC. (A Californiu Non·Profit Corporation) SCHEDULE OF EXPENDITURES OF FEDERAL FINANCIAL AWARDS YI!,\R IiNDlm JUNE 30.20Hl F"der,,1 (;nll1lor/]'lls..-lhrough Grllnlorn'rngrllln or Cht.ler Tille u.s.Department of Health and HlIIllllR Sen'ices PIl....,ed through Ihe County of L".Angeles l'r""'''line Saf"a"d Stahl"F"mill". TOTAL MA.lOR JlEDEI{,\L l'I{O(;l{,\MS ~rHERFEDERALPROGRAMS Fedcml CFJ)A Nnmher 1)3.556 Contnfd Nnmher O·1-t125-25 CtJUlrncl Tcml 7/1/09 to 6130/11 "edcml Expendil ure. $509,2&K $50'J,2KK U.S.D"p"rtllleni of H""lth and Bum"n Service. P..."e"through Ihe County of I.os AngelL"DeplII1mL'Ilt orMenlnl I-Ienllh :\·I",lical A.si.t",u·,-Prner",,,/M"di""id 7/11119 to 6130112 $154,KO() 1'1I......d Ihrough the C"unty ofl•.,s AngelL"))eplll1J1lent ofPnhlic He"hh Aleul...l IUld I)rue l'r"emUl 1)3.1)5?1170212&-1'\-1 7/1/119 10 (,/30/1 0 2()K.K37 363,637 U.S.n"purlm""1 ..f IIonsl"e and tlrhlUl I),·\·.....pment I'...".ed thn",gh the City of Hellllower Comnlunity f)".'Velopment Block Granl./Entitlelllent (;mnL.(eDnG) 1'......ed through the City of Norwlllk Commnuit~'J)evelopmL~lt Hloek GfllntslEntitlemeut Granl,(CDBG) p,L......d through the City of Long Belich Commnnily Development Block Granl'IIEntitlemcnt Gn'nts (CDBO) Community D"...lol'lIIenl JUoek Gnll1ls1Enlitl"lIl"nt Gnll1ts 1'11"",,<1 through Ihe City ofSoulh O"le 1I0mel"••P.-"vendon 'IUd Ibl'id Re-H....sinl:Prol:r:'111 (HPRI') 14.21K 14.21K 14.218 14.2111 ARRA 14.257 205 1Il-7 31031 7/1109lo (,130/10 711/09 I"ril3tlll () 1011/09 to 613011 0 1011/09 10913011 () 5,717 14,500 2,211 22,42& 46,135 tJ.S.Deflartnu·nt of.'lIstit'f!',()flit'e ur .JlIvt."nil....'usfit'c nntl D...linqut·ut')'IJr("','nlion I·......,"thn,ugh the City "fL..ug 13clIeh Police Del'lIrtmellt 0.J.l1»,FY 2tl1l6 COlll:rr••Iollal E.,rmark J'.'ogrlllll TOTAL O'l'm:R f1EDEJ{'\I.PROGRAMS J6.541 711/09 to 6/30/10 25,374 457,574 $966.8(,2 NOTI~S TO TIlE SCI-JEJ>UU; A.Basis of Presol"liun 111e preceeding Schedule ofExpendilUfCS ofFedcral Award,includes dIe federal granl acti'ity of Helplin.YOUdl CounseJing.Inc,presented onlhe accnml basi.' ofaccOllOling.11,e iufonnal;on ill IIlis schedule is presenled in accordallce wilh Ihe requiremelll'ofOl\.ffi Circular A-B3,Audi',of Stiles,Local O.!!..'1l<rnn)!'.l!!J!..i!nd N",!.-I'm'il C!11\~lti~<'li.!\\I.!i,Thcrclilfe.some llmnuu,"I'res"nled in Ihis sehcdule mal'ditl'er li'om .lmounls presenle"in,ur IIsed ill .he preparalioll of Ihe basic lillanc~"slalemelll•• 12 A T T A C H M E N T S 2 - 6 6 Suarez Accountancy Corporation Richard Suarez.Jr.CPA (licensed in GA and NV) INDEPENDENT AUDITOR'S REPORT ON INTERNAL CONTROL OVER FINANCIAL REPORTING AND ON COMPLIANCE AND OTHER MATTERS BASED ON AN AUDIT OF FINANCIAL STATEMENTS PERFORMED IN ACCORDANCE WITH GOVERNMENT AUDITING STANDARDS Board of Directors Helpline Youth Counseling,Inc. Nonvalk,Califomia We have audited the financial statements of Helpline Youth Counseling,Inc,as of and fbI'the year ended June 30,20 I 0,and have issued our report thereon dated December 4,2010.We conducted our audit in accordance with auditing standards generally accepted in the United States of America and the standards applicable to financial audits contained in Govemment Auditing Standards,issued by the U.S.Comptroller General. Internal Control Over Financial Reporting In planning and performing our audit,we considered the Organization's internal control over financial reporting as a basis for designing our auditing procedures for the purpose of expressing our opinion on the financial statements,but not for tile purpose of expressing an opinion of the Organization's internal control over financial reporting.Accordingly,we do not expl'ess an opinion on the effectiveness of the Organization's internal control over financial reporting. A control deficiency exists when the design or operation of a control doesMl allow management or employees,in the normal course of performing their assigned ftlnctipns,to prevent 01'detect misstatements 011 a timely basis.A significant deficiency is a control deficiency,or combinatiOn of control deficiencies,that adversely affects the Organization'sabiHty .to initiate,authorize,record, process,or report financial data reHably in accordance \'lith generally accepted accounting principles such that there is more than a remote likelihood that a misstatemetH of the Organization's financial statements that is more than inconsequential will not be prevented or detected by the Organization's internal control. A material weakness is a significant deficiency,or combination of significant deficiencies,that results in more than a remote likelihood that a material misstatement of the financial statements will not be prevented or detected by the Organization's intemal control. Our consideration of internal control over financial reporting was for the limited purpose described in the tirst paragraph of this section and would not necessarily identify all deficiencies in internal control that might be significant deficiencies or material weaknesses.We did not identify any deficiencies in internal control over financial reporting that we consider to be material Weaknesses,as det1ned above. 1891 N.Gaffey Street,Suite 231 San Pedro,California 90731 310-832-7887 Telephone 310-832-6563 Facsimile 13 ATTACHMENTS 2-67 Camp-Hance and Other Mattei's As part of obtaining reasonable assurance about whether the Organization's financial statements are free of material misstatements,we perf01l11ed tests of its compliance with certaiJl prOVisions of laws, regulations,contracts and grant agreements,noncompliance with wbich could have a direct and material effect on the determination oftin an ciaI statement amounts.However,proyicHng an opinion on compliance with those provisions was nol an objective of OUf audit and,accordingly,we do not express such an opinion.The results of our tests disclosed no·instances of noncompliance or other matters that are required to be reported under Government Auditinf!Standards. This report is intended solely for the infoll1lation and use oftbeaudit committee,management,board of directors,and federal awarding agencies and pass-through entities tlnd is not intended to be and should not be IIsed by anyone other than these specified parties. Deccbo~~ San Pedro,California 14 Certified Public Accountant ATTACHMENTS 2-68 Suarez Account.ancy Corporation Richard Suarez,Jr.CPA Qicensed in CA and NV} TNDf-:PENDENT AUDITORS'REPORT ON COMPLIANCE WITH REQUIREMENTS APPLfCABLE TO Er\.CH MAJOR PROGRAM AND ON INTERNAL CONTROL OVE.R CONPLlANCE IN ACCORDANCE WITH OM.I?J;~IRCJ)LARA-133 Board of Directors Helpline Youth Counseling,Inc. Norwalk,California Compliance We have audited the compliance Helpline Youth Counseling,Inc.with types of compliance requirements described in the U.S.Office of Management andStldget (OMS)Gircul.arA-133 Compliance SUl2plement that are applicable to its major federal programs for they~arcl1ded Jun.c 30, 20 IO.The Organization's major fcdcral programs are identified in the summary of auditor's results section of the accompanying schedule of findings and questioned costs.Cornpllance with the requirements of laws,regulations,contracts,and gt(mts applicable to its major fbdel'lil program is the responsibility of the Organization's managemerlt.Our responsibility is to expreSs an opinion on its compliance based on our audit. We conducted our audit of compliance in accordance with auditing standards gencl'ally accepted in the United States of America;the standards applicable to financial audits .contained .in C!overnment Auditing Standards,issued by the U.S.Comptro.ller General;and OMB Cil'cular A~133,.Audits.of ~tates,Local Governments,and Non-Profit Organizations.Those standards and OMB Circular A-133 require that we plan and perform the audit to obtain I'~asonable assuranceaboul whether noncompliance with the types of compliance ,'cquirements refret'l'cd to above that could have a direct and material effect on a major federal program occurred.An audit includes examining,on a test basis, evidence about the Organization's compliance with those requirements and performing stich other procedures as we considered necessary in the circumstances.We believe that OUr audit provides a reasonable basis tor our opinion.Our audit does not provide a legal detennination of the Organization's compliance with those requirements. In OUI'opinion,Helpline Youth Counseling,Inc.complied,in all material respects,with the requirements I'cferred to above that are applicable to its major federal programs for the yeat·ended June 30,2010. Inter11al Control Over Compliance The Organization's management is responsible for establishing and maintaining effective internal control over compliance with the requirements of laws,regulations,contracts,and grants applicable to federal programs.In planning and performing our audit,we considered H~elpline Youth Counseling, Inc.'s internal control over compliance with requirements that could have a direct and material effect on a major federal program in order to determine our auditing procedures for the purpose of expressing our opinion on compliance,but not for the purpose expressing an opinion on the effectiveness of internal control over compliance.Accordingly,we do not express an opinion on the effectiveness of the Organization's internal control over compliance, 1891 N.Gaffey Street,Suite 231 San Pedro,California 90731 310-832~7887 Telephone 310-832-6563 Facsimile 15 ATTACHMENTS 2-69 A control deficiency in an Organization's internal control over compliance exists when the design or operation of a control does not allow management or employees,in the normal course of performing their assigned fimctions,to prevent or detect noncompliance with a type of compliance requirement of a federal program on a timely basis,A significant deficiency is a control deficiency,or combination of control deficiencies,that adversely affects the Organization's ability to administer a federal program such that there is more than a remote likelihood that noncompliance witll a type of compliance requirement of a federal program that is more than inconsequential will not be prevented or detected by the Organization's internal controL A material weakness is a significant deficiency,or combination of significant deficiencies,that results in more than a remote likelihood that material noncompliance with a type of compliance requirement of a federal program will not be prevented or detected by the Organization's intemalcontrol. Our consideration of internal control over compliance was for tbe Umited purpose described in the first paragraph of this section and would not necessarily identify all deficIencies in internal control that might be significant deficiencies or material weaknesses.We did not identifY any deficiencies in internal control over financial reporting that we consider to be material weaknesses,as defined above. This report is intended solely for the information and use of theOrgal11zatlou's audit committee, management,board of directors,and federal awarding agencies and pass~through entities and is not intended to be and should not be used by anyone other than these specified patties. December 4.~~fnr San Pedro,ea ifornia 16 Certified Public Accountant ATTACHMENTS 2-70 HELPLINE YOUTH COUNSELING,INC. SCHEDULE OF FINDINGS AND QUESTIONED COSTS FOR THE YEAR ENDED JUNE 30.2010 A.Summal1'of Audit Results 1.We have issued an unqualified opinion of the financial statements of Helpline Youth Counseling,Inc.(Organization) 2.We have also issued an unqualified opinion on the Organization's compliance with its major Federal program dated December 4.2010. 3.We noted no significant deficiencies in internal control over financial reporting during our audit of the Organization. 4.The results of our tests on internal control and on compliance with certain provisions of laws, regulations.contracts,and grants disclosed no instances of noncompliance that are required to be reported herein under Government Auditing Standards and/or OMB Circular A-l33. 5.OMB Circular A-133 defines a Type A program as the larger of $300,000 or 3%of total Federal expenditures in the ease of an auditee for which total Federal awards expended equal or exceed $300,000 but are less than or equal to $100 million.All others are dccmed to be Type B programs.$300.000 was used as the threshold to distinguish between Type A and Type B programs based 011 the Organization's total Federal expenditures. 6.The program tested as major was the Promoting Safe and Stable Families Program. 7.Helpline Youth Counseling.Inc.was determined to be a 100N-risk auditee. B.Findings -Financial Statements Audit Nonc. C.Findings and Questionable Costs -Major Federal Award Programs Audit None. 17 ATTACHMENTS 2-71 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 (310)377-0360 www.palosverdes.com/rpv CITY GRANT APPLICATION For Fiscal Years July 1,2011 to June 30,2012 & July 1,2012 to June 30,2013 Name of Organization:Harbor Community Clinic Address:593 West 6th Street,San Pedro,Ca 90731 Phone Number: Fax Number: 310-547-0202 310-547-8048 Website Address:thehcc.net Contact Name &Position:Robert J.Nelson Years with Organization:4 Email:blueeye@charter.net AMOUNT OF SUPPORT REQUESTED: FY 11-12:$5,000 FY 12-13:$5,000 Please Attach the Following to this Completed Application: A.List the board of directors and the expiration of their term. B.Proof of non-profit status and a statement that the organization is non- political. C.Financial statements (if any)for last completed fiscal year. ATTACHMENTS 2-72 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 2 1.Please describe the purpose of the organization and the nature of the services provided. Harbor Community Clinic (HCC)was founded in 1970 to provide medical care services to low-income,indigent and uninsured or underinsured community members.The mission of HCC is to provide primary and preventative medical care and other support services to individuals,families and children who primarily reside in the communities of Palos Verdes Peninsula/Los Angeles Harbor Area and are unable to meet the cost of such services for themselves or loved ones. The five main medical programs offered include:1)General Medicine- comprehensive preventative and primary medical care of adults;2)Family Planning-birth control counseling and medical care for men and women;3)Mens Program-general medical care focusing on the unique concerns of men;4) Mental Health Program-group and individual counseling and peer support to adults and adolescents;and 5)Pediatric Clinic-comprehensive preventative and primary medical care including necessary immunizations for children from birth to 18 years of age. 2.Please indicate the size and type of population served by the organization. Include quantifiable data (census information,number of members,volume of phone callslreferrals).If known,please provide the specific number of Rancho Palos Verdes residents served and the total number of Palos Verdes Peninsula residents served. According to the U.S.Census Bureau,Latinos comprise of an average of 60%of each community in HCC's core service area and 76%of all persons served at HCC. In addition Latinos have the highest percentage of teen pregnancies (almost twice that of African Americans)compared to other major ethnic groups,the highest rate of HIV transmission.In the fiscal year 2009-2010,HCC provided a total of 15,638 patient encounters a 23%increase over the prior year and a total of 5,998 unduplicated patients of which 85 unduplicated patients were within the zip codes 90274-75 and a total of4,276 unduplicated patients with in the zip codes 90731-32, representing a 14%increase of patients. 3.Indicate who prepares and who approves organization's budget. The budget is prepared by the Clinic's Controller and is approved by the Executive Director and ultimately the Board of Directors. 4.Indicate impact of City funding to organization and its ability to provide service. C:\Documents and Settings\RNelson\My Documents\City of Rancho Palos Verdes\FY 11-12 Grant Application.doc ATTACHMENTS 2-73 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 3 Your grant will assists us in providing the much needed prescription medications to those who otherwise could not afford them.Lack of healthcare coverage can have serious clinical and financial consequences for individual and families with children improving access to health care can result in better management of chronic acute physical conditions,as well as control of potentially devastating mental disorders such as depression and anxiety.Providing a medical home for large numbers of uninsured and underinsured presidents of the Palos Verdes Peninsula/Harbor area communities can lessen the risk of minor ailments becoming major problems. Regular medical care can also prevent the worsening of chronic conditions that can become life threatening if left untreated,but might be managed through patient education and regular monitoring that controls their severity.Providing such a community clinic lessens the impact on already overwhelmed local emergency rooms,thus saving tax payers millions of dollars.Certainly with the increase in the previously insured population our patient numbers have increased annually as evidenced in number 2 above.We are seeing more individuals and families that were insured for many years thru employers and whom now have joined the uninsured.For most,this had been a humiliating fact.We strive to be sensitive to this "New population of patients"and accommodate them for treatment at our facility. 5.Please provide the following financial information: Fiscal Year:Begins:July 1 Ends:June 30 Total Current Year Budget:$2,281,052 Total Prior Year Budget:$1,182,595 Sources of Funds: List all sources including the following,as applicable:Dues;Contributions (including source and whether on-going or one-time);Special Events/Fund-Raising;and Other. Current Year Medi-Cal County of Los Angeles City of Los Angeles State of California Medicare Health Care LA IPA Corporate Donations Private Donations Foundations Other On-going On-going On-going On-going On-going On-going One time and On-going One time and On-going One time and On-going One time and On-going C:\Documents and Settings\RNelson\My Documents\City of Rancho Palos Verdes\FY 11-12 Grant Application.doc ATTACHMENTS 2-74 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 4 Prior Year Medi-Cal County of Los Angeles City of Los Angeles State of California Medicare Health Care LA IPA Corporate Donations Private Donations Foundations Other On-going On-going On-going On-going On-going On-going One time and On-going One time and On-going One time and On-going One time and On-going Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs, Material and Supplies,and Other. Current Year Personnel Costs-includes Salaries and Wages,Heath Benefits,Payroll Taxes and Consultants Operating Costs-Utilities,Insurance,Laboratory Fees,Printing/Reproduction, Postage/Delivery,Property Taxes,Repairs building/equipment,Depreciation,Custodial Services,Dues/Membership fees,License/Permit fees and Telephone/Communications. Material and Supplies-including Medical Supplies,Office Supplies,Medications,and Janitorial Supplies Prior Year Personnel Costs-includes Salaries and Wages,Heath Benefits,Payroll Taxes and Consultants Operating Costs-Utilities,Insurance,Laboratory Fees,Printing/Reproduction, Postage/Delivery,Property Taxes,Repairs building/equipment,Depreciation,Custodial Services,Dues/Membership fees,License/Permit fees and C:\Documents and Settings\RNelson\My Documents\City of Rancho Palos Verdes\FY 11-12 Grant Application.doc ATTACHMENTS 2-75 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 PageS Telephone/Communications. Material and Supplies-including Medical Supplies,Office Supplies,Medications,and Janitorial Supplies C:\Documents and Settings\RNelson\My Documents\City of Rancho Palos Verdes\FY 11-12 Grant Application.doc ATTACHMENTS 2-76 HARBOR Community Clinic Board of Directors 2010 Dan Powers,Chairperson Alex Levy,Vice Chair Ken Pleshek,Secretary Linda Anderson Terry Butera Mike Lansing Alan Weinfeld Richard Manzanares Gretchen Williams-Tostrup Yesenia Aguilar Veronica Jimenez Ida May Taylor Business Owner,Pacific Resources Psychological Group Community member Community member,retired Controller Community member Registered Nurse,Kaiser Permanente Executive Director,Boys and Girls Club Attorney,Parker,Milliken,Clark,O'Hara Musician,self employed Longshoreman/woman,Marine Clerks Association,Local 63 ILWU Teen Advisor,Boys and Girls Club Operations Director,Boys and Girls Club Community Member,Vice President, ILWU Auxiliary Harbor Community Clinic Board of Directors meets once a month Standing Committees Fundraising Event Coordination Board Development/Nominating Construction ATTACHMENTS 2-77 H ARB 0 R Community Clinic Board of Directors Dan Powers Chairperson Alex Levy Vice Chair person Ken Pleshek Treasurer Gretchen Tostrup-Williams Linda Anderson Terry Alford Butera Mike Lansing Alan Weinfield Richard Manzanares Rebecca Trani Michele D.Ruple Executive Director Robert J.Nelson Controller Elaine Ruggiero Administrative Assistant Har60r Community CCinic 593 w.6 th Street +San Pedro,CA 90731-3105 +(310)547-0202 March 1,2011 City of Rancho Palos Verdes 30940 Hawthorne Blvd. Rancho Palos Verdes,CA 90275 To Whom It May Concern, This letter is to serve as a statement that Harbor Community Clinic is non- political. If you find that you require any additional information,please do not hesitate to contact me at the above telephone number. Sincerely, ~~~.~ Robert J.Nelson Controller ATTACHMENTS 2-78 State of California Secretary of State CERTIFICATE OF STATUS ENTITY NAME: HARBOR COMMUNITY CLINIC FILE NUMBER: FORMATION DATE: TYPE: JURISDICTION: STATUS: C0611296 11/10/1970 DOMESTIC NONPROFIT CORPORATION CALIFORNIA ACTIVE (GOOD STANDING) I.DEBRA BOWEN.Secretary of State of the State of California. hereby certify: The records of this office indicate the entity is authorized to exercise all of its powers,rights and privileges in the State of California. No information is available from this office regarding the financial condition,business activities or practices of the entity. NP-25 (REV 112007) IN WITNESS WHEREOF,I execute this certificate and affix the Great Seal of'the State of California this day of NOvember 05,2009. b~t-~ DEBRA BOWEN Secretary of State •OSP 06 9973RCM ATTACHMENTS 2-79 Pa'ge #1 Assets Current Assets Citibank-Operating Citibank Operating 5231 Citibank-Medi-Care Account Citibank-Renovation Citibank IMMA Washington Mutual-Checking Washington Mutual-Board Acct. Bank of America-Checking Petty Cash Accounts Receivable-CHDP-NON Accounts Receivable-CCG Accounts Receivable-Immunizati Accounts Receivable-MEDI-CAL Medi-Cal Differential Accounts Receivable-MEDI-CAL-P Accounts Receivable-PACT Accounts Receivable-PPP-A Accounts Receivable Healthy Wa Accounts Receivable-PPP-CCEP Accounts Receivable-PPP-P Accts.Rec.Health Care LA Prepaid Expenses Total Current Assets Fixed Assets Buildings Construction in Progress Building Improvements Computer Equipment Medical Equipment Land Accumulated Depree.Bldgs Ace.Depree.Bldg.Improvements Ace Depree Computer Equip Ace Depree Medical Equip Total Fixed Assets Total Assets Liabilities &Fund Balance Current Liabilities Accounts Payable Accrued Vacation Lease to Purchase Payables Principal-Wa.Mutual Line of C Harbor Community Clinic Balance Sheet All Funds Date 03/01/11 Time 10:06:47 As of 06/10 34,421.46 17,284.25 610.55 2,759.86 17,131.03 7,736.79 673.61 2,390.67 700.00 890.58 38,245.98 4,620.96 9,677.75 44,755.94 11,586.96 22,938.99 27,588.00 9,078.52 2,068.00 16,667.60 16,570.35 15,259.83 303,657.68 237,092.89 610,815.39 11,000.00 183,429.92 58,318.91 376,328.00 (78,540.00) (6,848.92) (159,516.04) (23,238.00) 1,208,842.15 1,512,499.83 26,976.30 45,716.60 8,001.14 0.01 ATTACHMENTS 2-80 Page #2 ' Total Current Liabilities Long Term Liabilities Principal-City of Los Angeles Total Long Term Liabilities Fund Balance Fund Balance Total Fund Balance Total Liabilities &Fund Balance Harbor Community Clinic Balance Sheet All Funds Date 03/01/11 Time 10:06:47 As of 06/10 80,694.05 90,000.00 90,000.00 1,341,805.78 1,341,805.78 1,512,499.83 ATTACHMENTS 2-81 Page #1 Harbor Community Clinic Statement of Revenue and Expenditures All Funds Date 03/01/11 Time 10:06:26 Current Period Year-To-Date 07/09 -06/10 07/09 -06/10 Revenue Contract-CHDP-Non Medi-Cal 4,541.91 4,541.91 YWCA Community Challenge 35,503.00 35,503.00 Contract-EAPC 15,229.50 15,229.50 Contract-EAPC-Counseling 0.00 0.00 Contracts-I mmunization 11,264.94 11,264.94 Contract Infiertility Project 3,500.00 3,500.00 Contract-Medi-Cal Adult 74,538.46 74,538.46 Medi-Cal Differential 88,595.16 88,595.16 Contract-Medi-Cal Pediatrics 163,567.20 163,567.20 Contract-Medicare 110.55 110.55 Contract-Managed Care 144,785.87 144,785.87 Contract-PACT 221,273.58 221,273.58 Contract-PPP Adult 367,210.00 367,210.00 Contract PPP-HWLA 21,972.52 21,972.52 Contract PPP-CCEP 34,404.00 34,404.00 Contract PPP Pediatrics 103,335.60 103,335.60 Donations-Corporations 8,040.00 8,040.00 Donations-Patient 17,273.50 17,273.50 Donations-Private 14,165.00 14,165.00 Donations-Inkind 28,973.84 28,973.84 GrantAMWA 2,400.00 2,400.00 The Ahmanson Foundation 0.00 0.00 Grant Blue Shield 30,000.00 30,000.00 Grant-Crail-Johnson Found.0.00 0.00 The California Wellness Found.0.00 0.00 City of Rancho Palos Verdes 5,000.00 5,000.00 Grant-Kaiser Permanente 25,228.00 25,228.00 Grant-Northrup Grumman 5,000.00 5,000.00 The Weingart Foundation 0.00 0.00 LACare Renovation Grant 125,000.00 125,000.00 Co-Pay Insurance 2,893.00 2,893.00 Interest Income 995.13 995.13 Miscellaneous Income 7,548.02 7,548.02 Self Pay 22,296.50 22,296.50 City of Los Angeles 40,000.00 40,000.00 Total Revenue 1,624,645.28 1,624,645.28 Expenses Advertizing 3,067.25 3,067.25 Audit Fees 15,000.00 15,000.00 Answering Service 525.00 525.00 Bank Charges 1,747.92 1,747.92 Bookkeeping Fees-Payroll 5,782.49 5,782.49 Books Publications &Subscript 0.00 0.00 Business Expense 6,044.35 6,044.35 Check/Credit Processing Fees 1,000.50 1,000.50 ATTACHMENTS 2-82 Page#2 Harbor Community Clinic Statement of Revenue and Expenditures All Funds Date 03/01/11 Time 10:06:26 Current Period Year-To-Date 07/09 -06/10 07/09 -06/10 Expenses Computer Supplies 49.39 49.39 Consultants 60,085.53 60,085.53 Contract Services-Medical 0.00 0.00 Custodial Services 9,235.00 9,235.00 Depreciation 30,267.96 30,267.96 Dues &Membership Fees 1,870.00 1,870.00 Employee Benefits 52,723.61 52.123.61 Equipment Purchases-Minor 1,563.45 1,563.45 Finance Charges 70.60 70.60 Fines &Penalties 138.00 138.00 Food 9.471.11 9.471.11 Incentives 3,525.63 3,525.63 Insurance-Liability 25,767.33 25,767.33 Insurance-Property 4,066.66 4,066.66 Insurance-Workers Compensatio 20,167.00 20,167.00 Interest Expense 10.99 10.99 Laboratory Fees 16,068.89 16,068.89 Legal Expenses 210.00 210.00 License &Permit Fees 3,732.00 3,732.00 Medical Supplies 25,502.94 25,502.94 Medications 48,617.21 48,617.21 Mileage Auto 364.16 364.16 Miscellaneous Expense 464.51 464.51 Office Supplies 23.495.38 23,495.38 Postage &Delivery 2,078.65 2,078.65 Printing &Reproduction 5,566.30 5,566.30 Public Relations &Marketing 45.00 45.00 Repairs-Buildings 3,213.23 3,213.23 Repairs-Equipment 7,993.45 7,993.45 Salaries &Wages 920,376.62 920,376.62 Security-Monitoring 1,186.29 1,186.29 Supplies-Janitorial 3,963.52 3,963.52 Supplies-Other 2,619.14 2,619.14 Taxes-Payroll 78,933.63 78,933.63 Taxes-Property 1,009.90 1,009.90 Telephone &Communications 38,930.08 38,930.08 Training &Education 420.95 420.95 Travel 50.60 50.60 Utilities-Water &Power 15,570.18 15,570.18 Utilities-Medical Waste 7.478.51 7.478.51 Vacation 4,204.89 4,204.89 Prior Year Adjustments (6,066.25)(6,066.25) Total Expenses 1.458,209.55 1.458,209.55 Excess or (Deficiency)of Revenue Over Expenses 166.435.73 166.435.73 ATTACHMENTS 2-83 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 (310)377-0360 www.palosverdes.com/rpv CITY GRANT APPLICATION For Fiscal Years July 1,2011 to June 30,2012 & July 1,2012 to June 30,2013 Name of Organization:Kiwanis Club of Rolling Hills Estates Address:P.O.Box 3856 Phone Number:310-544-3681 Fax Number:310-54-3644 Website Address:www.palosverdes.com/kiwanis Contact Name &Position:John Williams,V.P.&Marathon Chairman Years with Organization:25 Email:John.R.Williams@MSSB.com AMOUNT OF SUPPORT REQUESTED: FY 11-12:$7,500.00 FY 12-13:$7,500.00 Please Attach the Following to this Completed Application: A.List the board of directors and the expiration of their term.attached B.Proof of non-profit status and a statement that the organization is non- political.attached C.Financial statements (if any)for last completed fiscal year.attached ATTACHMENTS 2-84 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 2 1.Please describe the purpose of the organization and the nature of the services provided. Kiwanis of RHE Foundation &purpose consist solely of raising monies to distribute annually in support of primarily children's causes local to our area.We raise money through donations and our PV Marathon event. Grants are allocated by application to: PV Peninsula High Scholarships,Key Club,Kiwins PV High Scholarships,Kiwins,Track Team REACH -programs for developmentally disabled -RPV Freedom4U -teen outreach program PVP Library District SP Peninsula YMCA Peninsula Education Foundation The Jester and Pharley Fund Jonathan Jaques Childrens Cancer Center Rolling Hills Prep School Cabrillo Marine Aquarium We have provided approximately $18,000 in scholarships for each of the past 5 or6 years. We also host an Annual "Project Shoe"where we provide school shoes,backpacks and school supplies to about 100 deserving children in the South Bay. 2.Please indicate the size and type of population served by the organization. Include quantifiable data (census information,number of members,volume of phone callslreferrals).If known,please provide the specific number of Rancho Palos Verdes residents served and the total number of Palos Verdes Peninsula residents served. The PV Peninsula and associated charities that render or engage PV youth in their programs.The number of RPV residents assisted is unknown,the number of PV Peninsula residents served is unknown -because students can be going to anyone of the schools or be enrolled in programs named above -we do not grant solely on resident specific criteria. We have 22 members -we do not provide service so number of phone calls is not applicable.More than 50%of our membership live on the Peninsula,6 live in RPV,3 in PVE,4 in RHE. G:\Kiwanis Club\RPV Grant App.doc ATTACHMENTS 2-85 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 3 3.Indicate who prepares and who approves organization's budget. Prepared by Bobbi Jones,Treasurer,and approved by the Board of Directors. 4.Indicate impact of City funding to organization and its ability to provide service. Impact of (City)Funding on our organization is measured by our ability to either increase the number of participants in programs or scholarships to local students,supply REACH programs,athletic programs and/or assist sick children. We facilitate additional support for the vital local charities/programs serving our community listed above. 5.Please provide the following financial information: Fiscal Year:Begins:October 1st Ends:Sept.30th Total Current Year Budget:$47,160 Total Prior Year Budget:$43,360 Sources of Funds: List all sources including the following,as applicable:Dues;Contributions (including source and whether on-going or one-time);Special Events/Fund-Raising;and Other. Contributions from dozens of Sponsors for the Annual PV Marathon (2010 list attached) Title sponsor for 2010 &2011 is Dick's Sporting Goods. Macy's Annual Community Day Fundraiser ($2000 -$4000 annually). 100%of the monies raised from these fundraisers go into the Foundation. G:\Kiwanis Club\RPV Grant App.doc ATTACHMENTS 2-86 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 4 Current Year $35,000 estimate thus far Prior Year $57,256 donations Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs, Material and Supplies,and Other. Kiwanis International Dues (which are offset by our club dues and not Foundation money). Minimal expenses for stationary,postage,insurance &other admin costs.There is no overhead such as rent or payroll,the members are all volunteers. Current Year $13,550 Prior Year $13,250 G:\Kiwanis Club\RPV Grant App.doc ATTACHMENTS 2-87 !mJJortant Information 2010 -2011 Board Officers: (Oct.1,2010 thru Sept.30,2011) Ken Duke,President John Williams,Vice President Richard Sherman,Reporting Secretary Erin Ruymen,General Secretary Bobbi Jones,Treasurer Georgette Tahan-Perez,Co-Treasurer Important Numbers: Our K-Intemational Club #:K-13337 Foundation Tax ID#:95-4612931 Foundation Charitable Registration #:105004 Foundation Organization #:1794264 Corporate Tax ID#:33-0471701 Corporate Charitable Registration #:82206 Corporate Organization #:1689200 Postage Permit #:44 Board Members: Joyce Campbell George Haddad Rori Roje ATTACHMENTS 2-88 - internal Revenue Service Da te,fE1f3 t'6 2002 [00':7 \ Kiwanis Club of Rolling Hills ~, Estates Foundation,Inc.~' p'O Box 2856 Rolling Hills Estates,CA 90274 Dear ,Sir or Madam: Department of the Treasury, P.O.'Box 2508 Cincinnati,Ohio 45201 Person to Contact -ID#: Steven F.Bowling -31~07641 Contact Telephone Numbers: 877-829-5500 Phone' 513-263-3756 Fax Federal Identification Number: ,95 -4612931 Based on the information you recently submitted,we have classified your organization as one that is not a private,foundation within the meaning of section 509(a)of 'the Internal Revenue Code because'you are described in section 509(a)(2). The exempt status under organization described of the Internal Revenue Code as an still in effect. ,This classification is based on the assumption that your operations will continue as you stated.If your sourqes of support,or your purposes, character,or method of oper~tion change,please let us know so we can ,consider the effect of the change on your exempt status and foundation status~This letter supersedes our previous letter in which your organization was classifi~d within the meaning of sections 509(a),(1)and 170 (b)(1)(A)(vi). Grantors and contributors 'may rely on this dete~ination unless the Internal Revenue SerVice publishes notice to the contrary.'However,if you lose your section 509(a)(2)status,'a grantor or contributor may not rely on th~s determination if he or she was in part responsible for,or was 'aware of,the act or failure to 'act,or the substantial or material change on the part of the organization that resulted in your loss of such status, 'or if he or she acquired knowledge that the'Internal Revenue Service had given notice thaD you would ~o longer be classified as a section 509(a)(2) ,orsanization. You are require~to file Form 9~0 only if your gross receipts each year are normally more than '$25,000.For guidance in determining whether your gross receipts are normally more than $25,000,see the instructions for Form 990. If a return is required,it must'be filed by the 15th day 'of the fifth, month after the end of your annual accounting period.A penalty of,$20 a day is charged when a return is filed late,unless there is reasonable c'ausefor delay.E:owever,the maximum penalty charged cannot exceed $10 ".000 or 5 percent of your gross receipts for the year,which ever is less.For organizations with gross receipts exceeding $1,000,000 in any year,the penalty is $100 per day: ATTACHMENTS 2-89 March 8,2011 The Kiwanis Club of Rolling Hills Estates is not a political organization,nor is it affiliated with any other political organization. The Kiwanis Club of Rolling Hills Estates offers an opportunity for personal involvement in the leadership and improvement of the community,the nation and world.While service is what Kiwanians are known for,their clubs offer much more.Meetings and projects provide fellowship while focusing on the needs of chil en in the community. Bobbi Jones Treasurer,KRHE KIWANIS CLUB OF ROLLING Hn.LS ESTATES.P.O.BOX 2856-PALOS VERDES PENINSULA.CA 90274ATTACHMENTS 2-90 ~Form 990-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 501 (c),527,or 4947(a)(1)of the Internal Revenue Code (except black lung benefit trust or private foundation) ~Sponsoring organizations of donor advised funds and controlling organizations as defined in section 512(b)(13)must file Form 990.All other organizations with gross receipts less than $500,000 and total assets less than $1,250,000 at the end of the year may use this form. ~The organization may have to use a copy of this return to satisfy state reporting requirements. OMS No.1545-1150 2009 20109/302009dd'10/01 q b .dA F th 2009ore ca en ar year,or tax year eglnnrng ,,an en rng , ~Check if applicable:C 0 Employer identification number Please1==Address change use IRS Kiwanis Club of Rolling Hills Estates 95-4612931 =Name change label or Foundation E Telephone number[int or1==Initial return pe.P.O.Box 2856ee==Termination Specific Rolling Hills Estates,CA 90274 1==Amended return Instruc·F Group Exemptiontions.~Application pending Number............ •Section 507(cX3)organizations and4947(a)(7)nonexempt charit;~/e trusts G Accounting method:~Cash 0 Accrual must attach a completed Schedule A (Form 990 or 990-EZ.Other (specify)~ H Check ~U,if the organization is not I Website:~www.palosverdes.com/kiwanis required to attach Schedule B (Form 990, J Tax-exempt status (check onlY one)-IXI 50lCc)(3 )~(insert no.)I 14947(a)(1)or I 1527 990·EZ,or 990·PF). K Check ~\~if the organization is not a section 509 (a)(3)supporting organization and its gross receipts are normally not more than $25,000. A orm 990-EZ or Form 990 return is not re uired,but if the organization chooses to file a return,be sure to file a complete return. 162 658LAddlines5b,6b,and 7b,to line 9 to determine gross receipts;if $500,000 or more,file Form 990 instead of Form 990·EZ..........,......................., ,.................,............,................., li.Pi'lrt,.I(:=;:::':.'.1 Revenue Expenses and Chanaes in Net Assets or Fund Balances (See the instructions for Part I.) 1 Contributions,gifts,grants,and similar amounts received .............................................1 1,208. 2 Program service revenue including government fees and contracts .....................................2 3 Membership dues and assessments..................................................................3 :a ~;oes~:~n;~~~~r:~~'~I~'~f ~';;~t~'~th~~'th~'~'i~~~~t~~~: : : : : : : : : : : : : : : : : : : : .f .5~i .....................4 494. b Less:cost or other basis and sales expenses .......".,..................I 5bl R C Gain or (loss)from sale of assets other than inventory (Subtract In 5b from In 5a).......................................5cE V 6 Special events and activities (complete applicable parts of Schedule G).If any amount is from gaming,check here.. . . ...~0 E N a Gross revenue (not including $of contributionsu reported on line 1).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...I 6al 160,956.E b Less:direct expenses other than fundraising expenses ....................1 6bl 99 924. c Net income or (loss)from special events and activities (Subtract line 6b from line 6a)·········f···.Ii .....................6c 61,032. 7a Gross sales of inventory,less returns and allowances.. . . . . . . . . . . . . . . . . . . . 7a b Less:cost of goods sold.................................................I 7bl c Gross profit or (loss)from sales of inventory (Subtract line 7b from line 7a).............................7c 8 Other revenue (describe ~)...8 9 Total revenue.Add lines 1,2,3,4,5c,6c,7c,and 8.................................................9 62,734 . 10 Grants and similar amounts paid (attach schedule)....................................................10 E 11 Benefits paid to or for members ............................'.........................................11 x 12 Salaries,other compensation,and employee benefits .................................................12 P E 13 Professional fees and other payments to independent contractors ..........-\.................'".,.....13 N 14 Occupancy,rent,utilities,and maintenance ..........................................................14s E 15 Printing,publications,postage,and shipping .........................................................15s 16 other expenses (describe ~See Statement 1 )....16 42,464. 17 Total expenses.Add lines 10 through 16..........................................................~17 42,464. 18 Excess or (deficit)for the year (Subtract line 17 from line 9)....................'.......................18 20,270. A 19 Net assets or fund balances at beginning of year (from line 27,column (A))(must agree with end.of.year li@?:!N s E S figure reported on prior year's return). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...19 51,730. TE T 20 Other changes in net assets or fund balances (attach explanation).....................................20s21Netassetsorfundbalancesatendofyear.Combine lines 18 throuQh 20 ..............................21 72,000 . IPartll>I Balance Sheets.If Total assets on line 25,column (B)are $1,250,000 or more,file Form 990 instead of Form 990·EZ. (See the instructions for Part II.)(A)Beginning of year I (B)End of year 22 Cash,savings,and investments ....................................................51,730.22 72,000. 23 Land and buildings ................................................................23 24 Other assets (describe ~)....................24 25 Total assets .............................,....,.........,....,...............,....51,730.25 72,000. 26 Total liabilities (describe ~.)..................O.26 O. 27 Net assets or fund balances (line 27 of column (B)must agree with line 21)..........51,730.27 72,000. BAA For Privacy Act and Paperwork Reduction Act Notice,see separate instructions. TEEAOB03L 01130/1 0 Form 990-EZ (2009) ATTACHMENTS 2-91 ibrm 990-EZ (2009)Kiwanis Club of Rollina Hills Estates 95-4612931 Paae 2 ~1l(nHIJi~q:1 Statement of Proaram Service Accomplishments (See the instructions.)Expenses<j;,__'..::":.>~"_.".Z.:.: What is the organization's primary exempt purpose?See Statement 2 ~Re~uired for section 01 c)(32.and (4). Describe what was achieved in carrying out the organization's exempt purposes.In a clear and concise manner,orf!anlzatlons and section describe the services provided,the number of persons benefited,or otlier relevant information for each 49 7~)(1)trusts;optional program title.for ot ers.) 28 --------------------------------------------------- --------------------------------------------------- --------------------------------------------------n(Grants $)If this amount includes foreign grants,check here ................~28a 29 --------------------------------------------------- --------------------------------------------------- --------------------------------------------------n(Grants $)If this amount includes foreign grants,check here ................~29a 30 --------------------------------------------------- -----------------------------------------------------------------------------------------------------n(Grants $)If this amount includes foreign grants,check here ................~30a 31 Other program services (attach schedule).............................................................h (Grants $)If this amount includes foreiqn arants,check here ................~31 a 32 Total program service eXDenses (add lines 28a through 31 a)...........................................~32 ItR'i'jffiHM@il List of Officers,Directors,Trustees,and Key Employees.List each one even if not compensated.(See the instrs.) (b)Title and average hours (c)Compensation (If (d)Contributions to (e)Expense account (a)Name and address per week devoted not paid,enter -0·.)emJeIOyee benefit plans and and other allowances to position eferred compensation Ken Duke President O.O.O. )2~2=(~~oE~c:F~~~B£asC ====0 Rancho Palos Verdes,CA 9027 b Bobbi Jones Treasurer O.O.O. )2[~1!ie!=~~~~~~=====0 Rollina Hills Estates,CA 90 74 John Williams Vice President O.O.o. ~22(E!~~~===========0 Rancho Palos Verdes,CA 9027 b Richard Sherman Secretary O.O.O. --~-------------------3226 Carolwood 0----------------------Torrance,CA 90505 ---------------------- --------------------- ---------------------- --------------------- ---------------------, --------------------- --------------------- --------------------- --------------------- --------------------- --------------------- --------------------- --------------------- --------------------- --------------------- ---------------------- BAA TEEA0812L 01/30110 Form 990·EZ (2009) ATTACHMENTS 2-92 990-EZ (2009)Kiwanis Club of Rollin Hills Estates Other Information Note the statement re uirements in the instrs for Part V. 95-4612931 Page 3 See Statement 3 Yes No 33 Did the C?rganization engage in any activity not previously reported to the IRS?If 'Yes,'attach a detailed description of each activity.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 X 34 Were any changes made to the organizing or governing documents?If 'Yes,'attach a conformed copy of the changes..34 X 35 If the organization had income from business activities,such as those reported on lines 2,6a,and 7a (among others),but not reported on Form 990-T, attach a statement explaining why the organization did not report the income on Form 990-T. a Did the organization have unrelated business gross income of $1,000 or more orwas it subject to section 6033(e)notice, reporting,and proxy tax requirements?,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35a X b If 'Yes,'has it filed a tax return on Form 990-T for this year?r3.=.;5:...:b=-t-_+__ 36 Did the organization undergo a liquidation,dissolution,termination,or significant disposition of net assets during the year?If 'Yes,'complete applicable parts of Schedule N , , , , , ,... . ....36 X 37a Enter amount of political expenditures,direct or indirect,as described in the instructions.~37a O. b Did the organization file Form 1120-POL for this year?.,, ,. 38 a Did the organization borrow from,or make any loans to,any officer,director,trustee,or key employee or were any such loans made in a prior year and still outstanding at the end of the period covered by this return?. b ~~~~~~Fn~~FvI:d~.~:~.e.~~I:.~:.~~~~~I.~~.d.:.n.t::.t.h.~~~~~I . 39 Section 501 (c)(7)organizations.Enter: a Initiation fees and capital contributions included on line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .N/A b Gross receipts,included on line 9,for public use of club facilities ,..39b N/A 40 a Section 501 (c)(3)organizations.Enter amount of tax imposed on the organization during the year under: section 4911 ~O.;section 4912 ~O.;section 4955 ~O. b Section 501 (c)(3)and 501 (c)(4)organizations.Did the organization engage in any section 4958 excess benefit . transaction.during the year or is it aware that it engaged in an excess benefit transaction with a disqualified person In a Rrior ,year,and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?If Yes,complete Schedule L,Part I . c Section 501 (c)(3)and 501 (c)(4)organizations.Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955,and 4958 . . . . ...~0 . d Section 501 (c)(3)and 501 (c)(4)organizations.Enter amount of tax on line 40c reimbursed by the organization.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...~0 . e All organizations.At any time during the tax year,was the organization a party to a prohibited tax shelter transaction?If 'Yes,'complete Form 8886-T :. 41 List the states with which a copy of this return is filed ~...:N::.:o~n~e~_ 42 a The organization's books are in care of ~Bobbi Jones Telephone no.~(310)541-4518 Located at ~~~~§r!:_vj"!-_s.p:!T~-§.Q-'!CL-gQ.II_f~qJ:!1.s_-g~t..:-_"t~~-_-_-_-_-_-_-_-~ZIP +4 ~)Q?)]C ======== b At any time during the calendar year,did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account,securities account,or other financial account)?. If 'Yes,'enter the name of the foreign country:..~-'-_ See the instructions for exceptions and filing requirements for Form TD F 90-22.1,Report of a Foreign Bank and Financial Accounts. c At any time during the calendar year,did the organization maintain an office outside'of the U.S.?. If 'Yes,'enter the name of the foreign country:..~_ 43 Section 4947(a)(1)nonexempt charitable trusts filing Form 990-EZin lieu of Form 1041 -Check here ~D N/A and enter the amount of tax-exempt interest received or accrued during the tax year ··~~N/A Yes No 44 Did the organization maintain any donor advised funds?If 'Yes,'Form 990 must be completed instead of Form 990-EZ .....".."..............."............................,.........................................44 X 45 Is any related organization a controlled entity of the organization within the meaning of section 512(b)(13)?If 'Yes,' Form 990 must be completed instead of Form 990-EZ...........................,......,.....,.................,....45 X BAA TEEA0812L 01/30/10 Form 990-EZ (2009) ATTACHMENTS 2-93 (2009)Kiwanis Club of Rollin Hills Estates 95-4612931 Page 4 Section 501 (c)(3)organizations and section 4947(aX1)nonexempt charitable trusts only.All section 501 (c)(3)organizations and section 4947 (a)(1 )nonexempt charitable trusts must answer questions 46-49b and complete the tables for lines 50 and 51. 46 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates Yes No for public office?If 'Yes,'complete Schedule C,Part I ,..........,.................,..........................,.....46 X 47 Did the organization engage in lobbying activities?If 'Yes,'complete Schedule C,Part II ......,....................,..47 X 48 Is the organization a school as described in section 170(b)(1)(A)(ii)?If 'Yes,'complete Schedule E ....................48 X 49a Did the organIzation make any transfers to an exempt non-charitable related organization?...., "...,...,..'........,49a X b If 'Yes,'was the related organization a section 527 organization?..,.........,......'"...,...,......"...'".......,49b 50 Complete this table for the organization's five highest compensated employees (other than officers,directors,trustees and key I ) h h . d th $100 000 f . f th .f If h''N'employees w o eac receive more an ,0 compensation rom e organlza Ion.t ere IS none,enter one. (a)Name and address of each employee paid (b)Title and average (c)Compensation (d)Contributions to e'1'oyee (e)Expensehoursperweekbenefitplansanaccountandmorethan$100,000 devoted to position deferred compensation 'other allowances None------------------------ ------------------------ ------------------------ -- --- - -- -- -- --- --- --_.--- ------------------------ f Total number of other employees paid over $100,000 . ,. ,...~_ 51 Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization.If there is none,enter 'None.' (a)Name and address of each independent contractor paid more than $100,000 (b)Type of service (c)Compensation None------------------------------------------ d Total number of other independent contractors each receiving over $100,000 ,~_ Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief,it istrue,correct,and complete.Declaration of preparer (other than officer)is based on all information,of which preparer has any knowledge. Sign ~s'.I Here Ignature of officer Date ~T 't .ype or pnn name and litle,,IDate Check if [XlI Preparer's Identiring Number Paid Preparer's ~self-(See instructions Pre- signature Tamara Schuh Hansen employed ~X N/A Barer's Firm's name (or Tamara Schuh Hansen,CPA se yours if self-~734 Silver Spur Rd.#306 ~N/Aemt,IOyed),EIN Only ad ress,and Rollinq Hills Estates,CA 90274 Phone no.~(310)541-2441ZIP+4 May the IRS discuss this return with the preparer shown above?See instructions ..".,. ,..,..............,.,...,.......~rxl Yes r 1 No BAA Form 990·EZ (2009) TEEA0812L 01/30110 ATTACHMENTS 2-94 2010·2011 FOUNDATION BUDGET Date Paid Grants: 10/11 BUDGET Annual Gift to K International 110 pd out of the general acct Feb 2011 Boys &Girls Club,Harbor City 1,500 Boys &Girls Club,LA Harbor 1,500 Feb-11 Cabrillo Beach Boosters 1,000 Children's Outings 1,500 Communities Child 1,000 Compton Junior Posse 500 Dec.2010 Freedom4U (Teen Outreach)1,000 Friends of the Cabrillo Museum 500 oct.2010 Gloria Toberman Auxiliary 1,000 H.E.L.P.1,000 Harbor Interfaith 1,000 High School Athletic Program/school challenge 1,500 Jonathan Jakes Cancer Center 1,750 Key Club 1,000 Kiwins 1,000 LA Challenge 500 Oct.2010 MISC.1,500 Peninsula Education Foundation 1,000 Project Shoe /Backpacks 2,000 Reach 3,000 S.P.&Pen.YMCA 2,000 Scholarship,Cliff Welsh Memorial 2,000 Scholarship,Joe Kelly Memorial/Bay Cities Nat'l Bank 1,000 Scholarship,June Staudhammer Nursing 1,000 Scholarship,Kristina Ripatti "Train for life"1,000 Scholarships 11,000 Seaside Church /Concert Tix to VOA &B&G clubs 1,000 Oct.1,2010 The Jester &Pharley Fund 2,000 VOAlB&G Xmas Party 1,300 Oct.2010 ---1"'\. Proposed Expenses:,/L.I '11 I (VI / Scholarship Dinner ---1,500 $300 Feb 2011 D &0 Insurance 1,300 $49,960 ATTACHMENTS 2-95 ?2010 SPONSOR MONEY RECEIVED!Thank you Date Rec'd $Amount Company Name Purpose Member UrSent 3/9/2010 200.007-11 (25th Street StorelTeddy)School Challnge Bobbi 4/9/2010 2/25/2010 100.00 Ailene Staggs 2 CONES Georgette/Sherry XXXXXX 2/4/2010 1,500.00 Bay Cities National Bank Sponsorship Bobbi 4/9/2010 3/2/2010 1,000.00 Beach Cities Orthopedics Scholarship Joanie done 3/15/2010 200.00 Bob Barnwell 4 CONES Joanie done 1/14/2010 50.00 Bobbi Jones 1 CONE Bobbi xxxxxx 3/25/2010 50.00 Bruce Weiner 1 CONE Bruce XXXXXX 3/5/2010 50.00 Carolyn Doherty 1 CONE George XXXXXX 4/15/2010 250.00 Center for Learning Unltd Water Station Bobbi 4/16/2010 4/15/2010 750.00 Conoco Phillips Joanie done 3/4/2010 50.00 Craig Shorr 1 CONE Natalie XXXXXX 2/23/2010 500.00 Dave Carney's Hillside Automotive Joanie done 4/15/2010 50.00 Derek Gable 1 CONE Derek XXXXXX 3/25/2010 15,000.00 Dick's Sporting Goods Title Sponsor John Jul-10 1/28/2010 100.00 Dr.Allan Jones 2 CONES Joanie done 3/18/2010 500.00 East West Eye Institute Water Station Joanie done 4/15/2010 50.00 Erin Ruymen 1 CONE Erin XXXXXX 6/1/2010 500.00 Farmers Insurance Whitney 6/9/2010 1/21/2010 50.00 Findley's Tree &Landcare 1 CONE Joanie done 6/4/2010 150.00 Fred Held 3 CONES Fred XXXXXX 1/21/2010 500.00 Fred Wallace CPA Peggie 3/25/2010 500.00 Garrick Denny DDS Inc.Peggie 3/18/2010 100.00 George Haddad 2 CONES George XXXXXX 1/28/2010 50.00 Georgette Perez 1 CONE Georgette XXXXXX 1/21/2010 50.00 Gertraud Ideman 1 CONE Natalie XXXXXX 1/21/2010 200.00 Giorgio's 4 CONES Peggie 3/4/2010 500.00 J.Elliot Construction Co.Inc.Sponsor Sherry 4/2/2010 6,500.00 Jacky GlaSS/Gregson Surfing Photography Scholarship Derek joyce did 3/15/2010 2,000.00 Johannessen Trading Company Evelyn Evelyn did it 3/4/2010 150.00 John Williams 3 CONES John XXXXXX 1/28/2010 50.00 Joyce Campbell/Ben Carter 2 CONES Joyce/Ben XXXXXX 3/11/2010 500.00 Kaiser Federal Bank Sponsor Evelyn not needed 4/8/2010 50.00 Kathy Hamlin 1 CONE Kathy XXXXXX 4/22/2010 100.00 Kiwanis Club of Carson 1 CONE George XXXXXX 6/10/2010 3,000.00 Knabe SPONSOR Walt 6/11/2010 2/4/2010 200.00 Ken Duke 4 CONES Ken XXXXXX 2/25/2010 500.00 Malaga Bank -Randy Bowers Bobbi 4/9/2010 2/23/2010 500.00 Marshall Kain/People's Yoga Health &Dance Expo Booth Joanie done 4/13/2010 400.00 Massage Envy Expo Booth Joanie 4/2/2010 500.00 Milo &Mazzie Vancini Scholarships Joanie done 6/17/2010 1,000.00 MorganStanley/SmithBarney John 6/22/2010 1/21/2010 50.00 Natalie Schorr 1 CONE Natalie XXXXXX 3/30/2010 500.00 NHC Insurance -Nancy Colinge Sponsor Bobbi 4/9/2010 2/4/2010 50.00 Nikolina Naumovski 1 CONE Natalie/Geogrette XXXXXX 1/28/2010 50.00 Olivia Ressig 1 CONE Sherry XXXXXX 3/25/2010 500.00 Operation Progress/Kristina Ripatti BoothlWater Bobbi 4/9/2010 1/21/2010 250.00 ISU/Olson Duncan Insurance Water Station Bobbi 4/9/2010 3/25/2010 500.00 PacGloballnsurance Brokerage Inc Peggie 4/5/2010 250.00 Paradise Botanies Inc.(Krause)Expo Booth Joanie done 1/21/2010 50.00 Peggie O'Neal 1 CONE Peggie XXXXXX 2/4/2010 500.00 Peninsula Physical Therapy (Mark Argento)Sponsor Joanie done 1/21/2010 50.00 Phyllis Hansen 1 CONE Natalie XXXXXX 2/2/2010 1,000.00 Preservation PartnerslTerry Szymczak Scholarship Terry 4/9/2010 2/4/2010 750.00 PV Dermatology -Dr.Howard Fein Project Shoe Joanie done ATTACHMENTS 2-96 r'2/8/2010 1,250.00 PV Medical -Dr.Sher SchollBooth Joanie done 3/18/2010 500.00 Redondo Van &Storage Sponsor Peggie 3/9/2010 501.00 Richard Sherman Trio/Joanie Keluche/Bill Hallet $167 each Rich/Joan/Bill XXXXXX 2/18/2010 50.00 Seaside Church 1 CONE Richard XXXXXX 2/25/2010 200.00 Sherry Dewey 4 CONES Sherry XXXXXX 4/15/2010 250.00 Silver Star Mercedes Water Station Fred 2/4/2010 50.00 Shirley Kline 1 CONE Natalie XXXXXX 4/22/2010 500.00 So.Bay Gastroenterology Med.Grp George 3/25/2010 1,000.00 So.Bay Orthopaedic Med.Specialists Center Scholarship Joanie done 4/13/2010 500.00 Spectrum Club Expo Booth Joanie done 2/18/2010 50.00 Swedish Car Clinic -Peter Kjellberg 1 CONE Bobbi 4/9/2010 4/7/2010 250.00 Terranea Resort SponsorlWater Bobbi 4/9/2010 1/21/2010 50.00 The Travel DoorlChris Kilgore 1 CONE Natalie XXXXXX 3/912010 400.00 Trump Foursome sold for $400.00 GeorgeUe/Bobbi 4/9/2010 51?110 250.00 Walt Walston 5 CONES Walt XXXXXX 4/22/2010 500.00 Walton's Automotive Richard 3/11/2010 100.00 Walteria Cleaners 2 CONES Peggie 3/30/2010 150.00 Zedonek &Wolowicz 3 CONES Joanie done $49,501.00 TOTAL RECEIVED -1 ,500.00 Knabe $paid to Walt 48,001.00 Club Profit from Sponsor $$$ ATTACHMENTS 2-97 2010 -2011 OPERATIONS BUDGET Projected Expenses Meeting Lunches Speakers Lunches Prospective Member Lunches Guest Lunches Key Club/Kiwin Lunches Supplies International Dues Member Recruitment (Mixers) New Member Dues District Convention Social Expenes Cards &Flowers DCM/Div 19/Lt Gov Expenses Postage Admin &Misc Exp Installation Dinner Total Expenses Projected Income: Lunches Dues new member Dues happy $$&Fines 50/50 raffle Accrued Interrest Misc Total Income 09/10 Budget 6,500 300 250 100 100 200 2,800 300 300 200 200 600 100 800 500 $13,250 6,500 4,000 300 900 1,000 10 540 $13,250 10/11 BUDGET ATTACHMENTS 2-98 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 (310)371-0360 WINW.pafosverdes.com/tpv CITYGB~ANT APPliCATION For Fiscal Years July 1.2011 to June 30,2012 & July 1,2012 to June 30,2013 Name of Organization:Los Serenos de Point Vicente Address:31501 Palos Verdes Drive West Rancho Palos Verdes CA 90275 Phone Number:310-377-5370 Fax Number:310-544-5379 Website Address:www.losserenos.org Contact Name &Position:Renee Cartwright,President Years with Organization:4 Email:renjon12@msn.com AMOUNT OF SUPPORT REQUIRED: FYll-12 $7,000 FY12-13 $8,000 Please Attach the Following to this Completed Application: A.List the board of directors and the expiration of their term. B.Proof of non-profit status and a statement that the organization is non- political. C.Financial statements (if any)for last completed year. ATTACHMENTS 2-99 1.Please describe the purpose of the organization and the nature of the services provide. Los Serenos is a volunteer organization established in 1984 to assist and support the City of Rancho Palos Verdes'Point Vicente futerpretive Center and its other parks.Staffed with over 100 volunteers,the goals of the Los Serenos docents are to provide education on the natural and cultural history of the Palos Verdes Peninsula and adjacent waters along with the need for the preservation of wildlife and its habitat. Los Serenos members lead tours for visitors that come through the futerpretive Center each year including hikes for the public and schoolchildren at the Forrestal Nature Reserve, Abalone Cove Reserve tide pools,and the habitat on the City's public trails of Trump National Golf Course. Complimenting their daily community service at the museum and on the trails,the members of Los Serenos participate in two major events during the year.1)Whale of a Day event,a public fair in March of each year celebrating the migration of the gray whales along the Pacific coast and 2)California Coastal Cleanup Day where docents participate in the State's annual beach cleanup program at Abalone Cove/Shoreline Park. Docents also provide support to Title I schools in the form of in-class education,work books, and scholarships for transportation and admissions.Docents also target the local Peninsula schools through a specialized Sixth Grade Geology program and their Junior Docent Program which is available to Peninsula High School students. 2.Please indicate the size and type of population served by the organization. Include quantifiable data (census information,number of members,and volume of phone call/referrals).If known please provide the specific numbers of Rancho Palos Verdes residents served and the total number of Palos Verdes Peninsula residents served. The Docents provide educational tours for over 40,000 visitors each year including over 3,000 children who participate in either the tours at the Point Vicente Interpretive Center or hikes at the City of Rancho Palos Verdes'preserve.In addition,over 1,000 of these children each year,participate in the organization's outreach program Whale of a World for Title I schools. This application is to request the City of Rancho Palos Verdes to sponsor and support two programs directly serving the Rancho Palos Verdes and Peninsula youth.The Sixth Grade Geology Program serves approximately 900 students from the three PVPUSD's middle schools Miraleste,Palos Verdes,and Ridgecrest and the Junior Docent Program serving the PVPUSD's three high schools.Sixty-two percent (more than 550)of the students attending the PVPUSD schools live in the City of Rancho Palos Verdes;the remaining 36%of the students live in the neighboring peninsula cities. ATTACHMENTS 2-100 3.Indicate who prepares and who approves organization's budget The treasurer prepares the budget and the Board of Directors approves the budget. 4.Indicate impact of City funding to organization and its ability to provide service. As many of you may know,recent school funding constraints now restrict instruction to only the limited material that appears on the state required exams.This leaves little or no funding to support activities that would allow practical application or enhance the students'understanding of the material being taught or providing the opportunity to teach civic responsibility and community service.If we want to instill in our children the pride we have of our city and community,we need to introduce them to the treasures that they have in their own backyards and their responsibility to preserve them for future generations.Through these programs,the City has the unique opportunity to impact the future leaders of our community and to shape their views towards the preservation of open space,the habitat,and community service. With more than 100 docents and volunteers,with over a 25-year history of continued service,Los Serenos has a proven ability to provide excellent service to the Rancho Palos Verdes residents and surrounding communities. The Sixth Grade Geology Program The program funds the buses to the Forrestal Reserve (and on occasion the Abalone Cove /Shoreline Park Reserve as well,)where Los Serenos Docents instruct the students about the geology and habitat of the Palos Verdes Peninsula in accordance with the California earth science standards for the sixth grade.In the next six years, this specialized program has the opportunity to have touched the lives of every current school-age child and by extension their families. Junior Docent Program The program funds the activities and training of 10 students each year and is open to senior high school students in the PVPUSD.The goal of the program is to inspire young adults to understand and appreciate the dynamics of the natural world and to raise the awareness of the need to maintain the coastal habitat and its impact on wildlife.The program also strives to have the student provide a fulfilling and rewarding experience to the community.Presently there are 14 students participating in the program. 5.Please provide the following f"mancial information: Fiscal Year:Begins:July 1,2010 Ends:June 30,2011 Total Current Year Budget:$28,350 Total Prior Year Budget:$30,160 ATTACHMENTS 2-101 Sources of Funds: List all sources including the following,as applicable:Dues;Contributions (including source and whether on-going or one-time);Special Events/Fund-Raising;and Other. Current Year DONATIONS DOCENT DUES WOAD* WHALE SHIRTS PVIC COUNTER SALES GRANTS** INTEREST INCOME Total Income *Whale Of A Day **Grants: Ibrahim EI-Hefni Foundation Toyota Julius Sumner Miller Foundation Las Candalistas Prior Year DONATIONS DOCENT COLLECTIONS WOAD PAVER SALES WHALE SHIRTS PVIC COUNTER SALES GRANTS INTEREST INCOME Total Income $800 $2,100 $4,950 $1,700 $100 $18,100 $600 $28,350 $7,000 $1,200 $4,900 $2,500 $2,400 $1,500 $5,500 $12,000 $1,200 $360 $6,000 $1,200 $30,160 Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs,Material and Supplies,and Other. Current Year DOCENT EXPENSES WOAD EXPENSES WHALE SHIRTS -MATERIALS ADMINISTRATION INSURANCE EDU PROGRAMS -Grant Funded EDUPROGRAMS-LSFunded STATE TAXES Total Expenses $2,690 $1,440 $1,100 $250 $1,150 $14,700 $7,000 $20 28,350 ATTACHMENTS 2-102 Prior Year BEACH CLEANUP CALIFORNIA FILING FEE CURATION &EDUCATION DOCENT EXPENSES PAVER EXPENSES WOAD EXPENSES WHALE SHIRTS -Materials PVIC EXHffiITS ADMINISTRATION OUTREACH Total Expense $150 $20 $100 $3,990 $1,430 $2,160 $1,000 $11,000 $1,200 $9,000 $30,050 ATTACHMENTS 2-103 Los Serenosde Point Vicente 2010-2011 Officers and:Board of Directors * Name Position Affiliation Position Renee Cartwright President Renee Cartwright Real Estate Services Broker-Owner Lynn Scollo 1st Vice President Los Angeles Unified School District K-5 Teacher (Retired) Cindy Blindbury 2na Vice President Telecredit,Inc.Customer Services Manager (Retired). Fran Simon 3ra Vice President Consultant Publicity and Media Relations Pat Ericson Secretary Automotive O.E.M.Companies in Sr.IT Manager for Dealer Electronic Communication Southern California Systems Dan Crane Treasurer Epson America,Inc.Sr.VP Marketing (Retired) Don Eichhorn Past President Seiko Corporation of America Manager,Human Resources,Western Region (Retired}'" *All Board of Directors term of office will end as of June 30,2012 A T T A C H M E N T S 2 - 1 0 4 Internal Revenue Service Date:February 25,2000 .Los Serenos de Point Vicente,Inc. City of RPV -Holly Starr 30940 Hawthorne Blvd. City Ranch Palos Verdes,CA 90275 Dear Sir: Department of the Treasury P.O.Box 2508 Cincinnati,OH 45201 Person to Contact: Lisa-Prather #31-07263 Customer Service Specialist Toll Free Telephone Number: 877-829-5500 Fax Number: 513-263-3756 Federal Identification Numbert 95-4191603 We have received your correspondence of November 29,1999,along with the copy of your Certificate of Amendment of Articles of Incorporation filed with the State of California on February 27,1998,indicating that your name has been changed from Friends of the Point Vicente Interpretive Center,Inc.to the name shown above. Our records indicate that a determination letter issued in October 1993 granted your organization exemption from federal income tax under section 501 (c)(3)of the Internal Revenue Code.That letter is still in effect. Based on information subsequently submitted,we classified your organization as one that is not a private foundation within the meaning of section 509(a)of the Code because it is an organization described in section 509(a)(2). This classification was based on the assumption that your organization's operations would continue as stated in the application.If your organization's sources of support,or its character,method of operations,or purposes have changed,please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization. Your organization is required to file Form 990,Return of Organization Exempt from Income Tax,only if its gross receipts each year are normally more than $25,000.If a return is reqUired,it must be fiied by the 15th day of the fjfth month after the end of the organization's annual accounting period.The law imposes a penalty of $20 a day,up to a maximum of $10,000,when a return is filed late,unless there is reasonable cause for the delay.. All exempt organizations (unless specifically excluded) are liable for taxes under the Federal Insurance Contributions Act (social security taxes)on remuneration of $100 or more paid to each employee during a calendar year.Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA). Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code.However,these organizations are not automatically exempt from ether federal excise taxes. Donors may deduct contributions to your organization as provided in section 170 of the Code.Bequests, legacies,devises,transfers,or gifts to your organization or for its use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055,2106,and 2522 of the Code. ATTACHMENTS 2-105 -2- Los Serenos de Point Vicente,Inc. 95-4191603 Your organization is not required to file federal income tax returns unless it is subject to th~tax on unrelated business income under section 511 of the Code.If your organization is subject to this tax,lit must file an income tax return on the Form 990-T,Exempt Organization Business Income Tax Return.In this letter,we are not determining whether any of your organization's present or proposed activities are unrelated trade or business as defined in section 513 of the Code.. The law requires you to make your organization's annual return available for public inspection without charge for three years after the due date of the return.You are also reqUired to make available for public inspection a copy of your organization's exemption application,any supporting documents and the exemption letter to any individual who requests such documents in person or in writing.You can charge only a reasonable fee for reproduction and actual postage costs for the copied materials.The law does not require you to provide copies of public inspection documents that are widely available,such as by posting them on the Internet (World Wide Web).You may be liable for a penalty of $20 a day for each day you do not make these documents available for pUblic inspection (up to a maximum of $10,000 in the case of an annual return). Because this letter could help resolve any questions about your organization's exempt status and foundation status,you should keep it with the organization's permanent records. If you have any questions,please call us at the telephone number shown in the heading of this letter. This letter affirms your organization's exempt status. Sincerely, Robert C.Padilla Manager,Customer Service ATTACHMENTS 2-106 9:50AM 07/25/10 Cash Basis Los Sere nos de Point Vicente Balance Sheet As of June 30,2010 ASSETS Current Assets Checking/Savings 001 . B of A CD (4-14-2010) 002 •GENERAL CHECKING 004·B of A CD (11/10/09) 008 .Prepaid Services 008-001 .First Student Prepaid 008-003 .American transport Prepaid Total 008 .Prepaid Services Total Checking/Savings Total Current Assets TOTAL ASSETS LIABILITIES &EQUITY Equity 30000 .Opening Bal Equity 32000 .Retained Earnings Net Income Total Equity TOTAL LIABILITIES &EQUITY Jun 30,10 11,410.77 18,735.01 65,993.21 -1,040.35 2,266.34 1,225.99 97,364.98 97,364.98 97,364.98 50,878.67 44,412.87 2,073.44 97,364.98 97,364.98 Page 1 A T T A C H M E N T S 2 - 1 0 7 11:22AM 07/24110 Cash Basis Los Serenos de Point Vicente Profit &Loss July 2009 through June 2010 Jul'09 -Jun 10 Ordinary Income/Expense Income 101·DONATIONS 102 .DOCENT COLLECTIONS 1021·FUNDRAISING PROCEEDS 103·WOAD 104·Paver Sales 105·WHALE SHIRTS 106·PVIC COUNTER SALES 500·GRANTS 900 •INTEREST INCOME Total Income Gross Profit Expense 201 .DOCENT EXPENSES 204 •Paver Expenses 207 .WOAD Expenses 210·WHALE SHIRTS·MATERIALS 270 .PVIC EXHIBITS 280 .FUNDRAISING EFFORTS 360·ADMINISTRATION 400 .EDU PROGRAMS -Grant Funded 410·EDU PROGRAMS -LS Funded 700 .BANKING CHARGES 950'STATE TAXES Total Expense Net Ordinary Income Net Income 863.25 2,545.00 9,155.00 4,022.44 11,398.00 1,459.00 187.50 7,000.00 869.95 37,500.14 37,500.14 3,538.44 3,989.76 1,610.22 929.50 824.65 2,177.29 1,405.00 15,597.79 5,219.05 0.00 135.00 35,426.70 2,073.44 2,073.44 Page 1 A T T A C H M E N T S 2 - 1 0 8 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 (310)377-0360 www.palosverdes.comlrpv CITY GRANT APPLICATION For Fiscal Years July 1,2011 to June 30,2012 & July 1,2012 to June 30,2013 Name of Organization:Norris Center for the Performing Arts Address:27570 Norris Center Drive,Rolling Hills Estates,CA 90274 Phone Number:310-544-0403 Fax Number:310-377-2997 Website Address:www.norriscenter.com Contact Name &Position:James Gruessing,Executive Director Years with Organization:6 Years Email:jgruessing@norriscenter.com AMOUNT OF SUPPORT REQUESTED: FY 11-12:$10,000.00 FY 12-13:$10,000.00 Please Attach the Following to this Completed Application: A.List the board of directors and the expiration of their term.(attached) B.Proof of non-profit status and a statement that the organization is non- political.(attached) C.Financial statements (if any)for last completed fiscal year. Attached is FY ended 6/30109.The FY ended 6/30/10 are being audited and not available for release. ATTACHMENTS 2-109 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 2 1.Please describe the purpose of the organization and the nature of the services provided. Our purpose is to provide the community with a performing arts center,enriching its members'lives with professional and educational performances and classes as well as making the spaces available for their private use. 2.Please indicate the size and type of population served by the organization. Include quantifiable data (census information,number of members,volume of phone callslreferrals).If known,please provide the specific number of Rancho PalQs Verdes residents served and the total number of Palos Verdes Peninsula residents served. The main geographic area we serve is the Palos Verdes Peninsula four-city community of (in order of household population):Rancho Palos Verdes,Palos Verdes Estates,Rolling Hills Estates,and Rolling Hills.Here is a breakdown of NCPA patrons versus 2010 census date,on a household level: Ci1'L #Total HH(1)#NCPA HH (2)%of Total NCPA HH Total -5,546 - Rancho Palos Verdes 40,636 1,601 29% Palos Verdes Estates 13,335 829 15% Rolling Hills Estates 7,664 341 6% Rolling Hills 1,871 271 5% (1)According to 2010 census data (P016)(2)Norris Center for the Performing Arts households (HH)for 2009 calendar year 3.Indicate who prepares and who approves organization's budget. The budget is prepared collaboratively by department heads,the Managing Director,and Finance Director.It is reviewed and approved by the Board of Directors. 4.Indicate impact of City funding to organization and its ability to provide service. A grant received from the City of Rancho Palos Verdes will enable the Norris Center for the Performing Arts to improve our services to the community.We will be able to offer more and higher quality professional performances;expanded dance,singing,and acting classes to adults and youth;expanded summer camps;and repair and upgrade our facilities used by the community for parties,weddings,and fundraising events.We will be able to continue to offer scholarships as needed and fund tickets and buses for local school students to attend our outreach performances. We will host city events and assist other non-profit organizations. \\Norris-fileserv\g\Development 201 0-2011\Grants\RPV City Grant Application for July 1,2011-June 30,2013.doc ATTACHMENTS 2-110 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 3 5.Please provide the following financial information: Fiscal Year:Begins:July 1 Ends:June 30 Total Current Year Budget:$2,163,225.00 Total Prior Year Budget:$2,327,421.00 Sources of Funds: List all sources including the following,as applicable:Dues;Contributions (including source and whether on-going or one-time);Special Events/Fund-Raising;and Other. Current Year Support Groups (on-going):Encore Circle,Bravo!,Act II,Chorusliners,Backstage,FACES,Cab- Jazz Fanatics,MAP,Honorary Producers,and Valentine Ball Friends Campaign:on-going,twice a year Texas Hold 'Em Night-one-time In Memoriam Donations-on-going Prior Year Support Groups:Same with the exception of Backstage Texas Hold 'Em Night-one-time Friends Campaign-on-going,twice a year MAP Benefit Concert-one-time Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs, Material and Supplies,and Other. Current Year (Attached) Prior Year (Attached) \\Norris-fileserv\g\Development 2010-2011 \Grants\RPV City Grant Application for July 1,2011-June 30,2013.doc ATTACHMENTS 2-111 BOARD OF TRUSTEES CALENDAR 2010 ,-.2.011 YEAR OF THIRD YEAR OUTGOING ENTRY KAREN BIRD 2010 2013 2016 KIMBERLY BROTHERS 2010 2013 2016 SCOTT CALFAS 2007 2010 2013 BLAIR CONTRATTO 2010 2013 2016 JACKIE CROWLEY 2007 2010 2013 CHARLES DREXEL 2009 2012 2015 ROSA EASTON 2010 2013 2016 MARYLYN GINSBURG 2007 2010 2013 LYNN GRANGER 2010 2013 2016 FRED HELD 2006 2009 2012 KATHERINE JOHNSON 2010 2013 2016 STEVE LAMPE 2009 2012 2015 MICHAEL LEBOVITZ 2008 2011 2014 MARK LEHMAN 2007 2010 2013 JULIE MOE REYNOLDS 2008 2011 2014 STEPHEN SHULTZ 2007 2010 2013 CARRIE STOCK 2007 2010 2013 IAN TEAGUE 2005 2008 2011 DAVID TOMBLIN (PRESIDENT)2007 2010 2013 DENISE VAN DEUREN (CFO)2008 2011 2014 ATTACHMENTS 2-112 ,)~-.'..,.'.~....~':.~'<l:r.,=--..:..:..._.._.•••••_ ______•.1--_-..4 :7.·_~---~:'-:"'.__.._.4 .-__•••••....-.._..- _ I .. ~PR 13 1983 It6drlSS anY rtP1 to:P.O.Box 2360,Loc Angil..,Calif.9<Xl53 ~~®fl 00u@~1iW ....-._.- [ID~@Qrrtksn @)~f?@@Q@l? Internal Rev·enue Service . Community A~sociation of the Peninsula [>PaO.:Box ~465 Palos Verdes Peninsula,CA ,. Dlte: April 8,1983 lin reply ,..fer to:'.. 'EO:BM:JL . Gentlemen: Date of .ExempUo,:,: Intemal Revenue COde Section:!501(c)() Thank you for submitting the information shown below.We have made it a part of your file. The ohanges indicated do not adversely affect your exempt status and the exemption letter.issued to yo~continues in effect.. Please let us know about any future change in the character, purpose,method of operation,name or'address of your organization. This is ~requirem~nt fo~retaining your exempt status. Thank you for your cooperatio~. SinoetelY yours, LJ /pv./{:.~~'P1 Distriot Director .,~,.-.'- I~eDl Changed ~rame From.;-. Palos Verdes Peninsula Cornm.unity~Center Assn. To Above'. Letter 976(00)(7-77).;,ATTACHMENTS 2-113 ~Palos Verdes Peninsula Community Center AssQciation 6405 Chartres Drive Rancho Palos'Verdes,CA 90274 Our Letter Dated:. . July 27,1978 Person to Contact: I.Hill Contact Telephone Number: (213)688..4889 " Internal Revenue Service District Director Date: NOV 211983 ., \l"·.:'rlment althe rreasu?\.J ': 'ffi~~ Dear Applicant: This modifies our letter of the above date in which we stated th~t . you would be treated as an organization which is not a priYate foundation until the expiration of your advance ruling period.. Based on the information you submitted,we have determ~ned that you are not a private foundation within -the meaning of section 509(a)of the Internal Revenue Code,because you are an organization of the type described in section .509(a)(1)**.Your exempt status under section 50l(c)(3)of the' code is still in effect. Grantors and contributors may rely on this determination until the Internal Revenue Service publishes notice to the contrarY.However,a grantor o'r a contributor .may not·rely on this determination if he.or she was' in part responsible for,or was aware of,the act Qr failure to act that resulted in your loss of section '509(aY(1)*"~status,or acquired knowledge that the Internal Revenue Service had given notice that you would be removed from classification as a section 509(a)(1)**organization. Because this letter could help resolve any questions about your private foundation status,please keep it in yoJ,.1r .permanent records .. If you have any questions,please contact the person whose name and telephone number are shown above. **ana section 170(b)(1)(A)(vi)• ..,...,'. P.O.Box 2350,Los Angeles,Calif.90053 ';.'. Sincerely yours,":-.:.,.tNt-f '·(;\-~u+·' .District .Director Letter 1050 (DO)(7-77) ATTACHMENTS 2-114 ---- / .,_/c?LA:EO:78::;),II @)FJ@;fili'O@U @Olf@@fi@!i' htiar'riai Ra1jeru.H~Ser~ica". O"re:JUL 27 1978 lin ,rePly rtler to:•J.Jones . i L-39l,Code *2:tEOG-2:fZ Determination Sec.tion (213)688-4~5"3·::·.~: Palos Verdes Peninsula Community Center Association p405 Chartres Drive Rancho Palos Verdes,California 90274... AccountIng Period t::ndlng:June 30 :Form 990 Required:ex Yes IJ No Advan~e R'uJing Period Ends:June 36,1983 Dear Applicant-~ Based on the information s~pplied.~nd assuming:your operations will be as stated in your application for recognition of exemption.we have det&rmined you are exemot from Federal income tax under section 501(0)(3)of the Internal Re~enue Code..,-""':"..--.......--:~--- ,'.-_·-w -;"""-.-: Because you ~re a newly created organization.we are not now making a final determination of your foundation status under section 509(a)of ", the Code.~owever,we have determined that you can reasonably be expected to be a pUblicly suppprted organization of the type described in section 509(a)(2) ••/....,.I Accordingly,you will be'treated as a publicly supported organi~ation,and no~as a private foundation,durjng_~n ~dvance ruling period.This advance'ruling period begins on the date of your inception and ends on the date shown ab~ve. Wi th·in:90 days after the end of you:-advance n,11.ing period,you must submit to us information ne9ded to detercine whether'you have met the requi-rements of the app:Ucable support .t:est __during the ad~ance ..... ruling period.If you establish that you have been a publicly supported organization.you will be cl~ssified as a sec~ion 509(a)(1)or 509(a)(2) organization sq long as you continua to meet the reqUirements of the 'ap'pl~caole su'ppox:t ·test.:I~f.howeve.r'i 'yo.1.i do not meet the'puqlio.support 'requirements dUling'the advance ruling'period.you'wi!l'be classified, as a private foundation for future periods.Also,in the event you are classified.as a privati·foundation.you will be treat~d as a private foundation from the date of your inception for purposes of sections 5071d)and 4940. ,...._•.,'G,ra,qtors'and dc;mQz:'l:r.lilc,l.Y re,ly.on the ·detemination t·ha.t you are . not a pr1vat"s-foundation un 1:'1'1 "90.days"after'the .Pond·ot your.'advance '.';. ruling'period.In addition,'it you submit the required information (over)Form L-391 (4-73). l \ •••O'••. . ..:-.•..:!.~........",.......' 0"..... ....':-.. ..:':0..:.r;:.. ...•....... ......... '. ."..'ATTACHMENTS 2-115 .......... -. wi thin the 90 JS...·antors and donors may COl lUG oJ rely on the advance det"lrClini\tioll until th,;Servic-e maktis n final.determination of 'your foundaticn stntus.Howevor,if notice that you will no longer be treated as a section _509(~H.V....·"_orgilniztl.tion is published in the Internal Revenue Bulletin.grantors and donors may not rely on this .datermination c:.rtcr the.date of S11Cll publication.Also,a grantor:or '.donor.may 'not rely ·Qn this·determin~tion if he .was in .part responsible'.:. for,or was'a~are of,the act or failure to act that resulted in your . loss of ~ection 509(a)(2)__status,or acquired knowledge that the Internal Revenue Service had given notice that you would be removed .from classification as Cl:secticn __..~09{!)1?)_..organization. .,. Donors may deduot contributions to'you as provided in section 170 .~....:":::.::.:::,,.:':":' of the Code.Bequests,legacies,devises,transfers,or gifts to you Or 'for your use are deductible for Federal estate and gift tax purposes if they meet the applic~ble provisions of sections 2055,2106,and 2522 of the Code. .~.... :~'. '."";:"~....... •Yn11 n~~not reqUired to fil~Federal income tax returns unless ioti are subject t6 the tax on.unrelated business ihcome under s~ction 511 of'the Code.If you are ~ubject to this.tax,y6u must rile an income' tax return on Form 990-T.In this letter we are not determining whether any of your present or proposed activities are unr~lated tr~de or business as defined'in section 513 of the Code.. ..You arA not liab~e for social security (FICA)taxes unless you . file a waiver of exemption certificate as provided in the Federal "'.'.":':~'::.-:~.;:.,.."...-~.:~.~;:Insurance Contributions Act~You are not liable for the taxes imposed . under the Federal Unemployment Tax Act (FUTA)..... Organizations that are not privata foundations are not subject to . the eXQise taxes under Chapter 42 of the Code.Ho',ve'/er,you are not . automatioally exempt from other Federal 'exoisa taxes.If you have any ~:~:..."-''':~':'~;;:'': questions concerning these taxes,please let us kno',r{,'...::.}~';;.::;:.,~:;::'j:;;;j If your sources of support.or your purposes,character,'or metho~;:·:/::~~~~:~·:·5~~ of operation is ohan·ged,·you should let us know so we can consider the -;i!:~~l:: effect of the change on your status.Also,you should inform us of all :}~~?~ chan.gds in your name or .address..':.;:~../;...)H If the yes box at the top of this letter is checked,you are .:....:"...:.:!.: required to rile Form 990.Return of Organization Exempt From Income ·'.:c:-~:·::·::.'··.1t=;:f}i Tax.only if your gross receipts each year are normally more than $10,000 :~.~~;\ SS~.The return 1's due by the 15th day of the fif th t:!on'th ariel"the ::..:'f :'::.,.... end of your annual accounting period.The law imposes a penalty of $lq .,::.:"'\~'~:~:' a day,up to a maximum of $5,000.for failure to file the return on .:).;;::..;;::;-.:: .",'::t.::::;'-(,time.·..:X:.~....::'.:....:.::z~..~:...'.. ......:..:... ;•"0 Sincerely yours . ...... . ·er.:p.l.o~~~S ~e;~.:~::~.i~~:~i~~~~~~~~:.~~~~~.~:~:~..:~:n n.~.~.~~~.e~:~~o~,~....~.·:,':~.~.!..~·,:";,,,,:~_:,:::~,;...·:..·:.:;.:::..:.:...,:;..:..~.:.i.:.-:'.~.-..~.}.,:!..i:~.~.'.~.~.:.:'.':::!.you.r applicatfori',.a number will be assigned to you 'and you ·wIll be.._.._~~: aq.vised of it.Please use that number O'n all retur~s you rile and in ....,-.';":".:":':';'. ••'e.'·' all correspondence .wi th the Internal Revenue Service.'"~"f.{<..:.;~:\.!::.~.:: '••••••••0'•••...·;~~9:5;~~}·~ja~tt~):...,:{):\-)'/~:'~:rj ....·)rJ···~: Dis trict Director Form L-391 (4-73) ATTACHMENTS 2-116 BUSINESS Fft.l!/G AHO REGISTRA TIOH 11'T"'l'l'.kIUSTAEET.AOOM ,oe t.OS AHGEt.ES,CA\.IFORNIA SOO12 "'"'-Y.•I(y~11-1/-S"~ o F1I$1 FiIi~O REMINDER ,:SlIllmil OtiOl~1 at>d 3 cio~ies.o 1le........~1 Filino .2..Fllil\ll FH SIO.IX),. tunenl Re;i$IIIlion HO..3.Pro-ride telurn En.elope.If maile<!. l~Remo.e CIIDOn$belote ll'ollilil\ll.,".:SE.E~BivERs£SIDE.~)~SlRUcnONS.:~..-.....~..'...-...:....- FICTITIOUS BUSINESS NAME STATEMENT THE FOLLOWING PERSON(S}IS'(ARE)DOING BUSINESS AS: Fictitious BusIness Name(s) 1... Norr"i$Theatre For The Periorrnin Arts Street Address,City &.State 01 Principal place 01 Business In Calirornia Zip Code, 2. 27570 Crossfield Dr. Full name of Regislrant Rolling Hills Estates,CA 90274' (if corporation.show state of Incorporation) 3. Community Association of the Peninsula (Galii.) Residence Address .City Slate " Zip Code 27570 Crossfield Drive Full nam of Registrant Rolling Hills Estates,CA 90274 (if corporation.show state or incorporation) Residence Address City State Zip <;:ode F~II name of Registrant (if corporation.show state of incorporation) Residence Address City State Zip Code Full name of Registrant (if corporation·show state of incorporation) Residence Address City State Zip Code 4. This busines~l.s cOf1ducted by ( )an individual ()a general partnership ( . )a.limited partnership ( )an unincorporated association ol~er ,than a partnership~;.j a corporation ( )a business trust ()co-pallners ()husband &.wire ()joint venlure ( )other . (CHECK'ONE ONLY) putnam,Managing-Ditecto THE REGISTA NT COMMENCED TO TRANSACT BUSINESS UNDER II Registran.t a corpora~ion sign below:THE FICTIC US NAME OR NAMES L1STEDA60VE ON _ .Typed or P:intedM i c b ae J s. This statem'en\~as filed with the County Clerk of Los Angeles county-~n dale indicated by rue stamp above NOTICE ..:.,.....'. THIS FICTITIOUS NA:ME STATEM'ENT EXPIRES ON DECEMBER 31;19 . A NEW FICTITIOUS BUSINESS NAME STATEMENT MUST BE FILED PRIOR TO DECEMBER 31,19 _ CERTIFICATION l.h'erebY ~ertHY :tl)aqt;e lore'going is'~dO-rrect.CO·P~or :~e.ori.gi on file in my office... FRANK S.ZOLIN..• cOunty Clerk/~ecvtive Ofll~er By -_---oeputy FILE NO.--:----- ATTACHMENTS 2-117 NORRIS CENTER FOR THE PERFORMING ARTS A Non-profit 501©3 organization MISSION STATEMENT To provide a peiforming arts center which enriches the South Bay community by fostering the performing arts through professional peiformances,community use for cultural activities and the provision ofeducational and outreach programs. The Norris Theatre The Norris Theatre was built in 1983 by a visionary group of individuals who formed the Community Association of the Peninsula (CAP).Local residents contributed the bulk of the construction costs for the theatre,supplemented by local businesses.The most notable of its early and annual contributors is the Kenneth T.&Eileen L.Norris Foundation; after whom the theatre is named. The 450 seat Norris Theatre is a state-of-the-art facility.It has attracted many internationally famous,award-winning entertainers,and has become the cornerstone of performing arts on the Palos Verdes Peninsula.Over 90 local community organizations utilize the theatre for community events,live theatre performances,concerts,business meetings and seminars. Harlyne J.Norris Pavilion In 1999,the Harlyne J.Norris Pavilion was built to serve as an adjunct to the Norris Theatre.It is a rental facility for special events,Negri Learning Center classes,theatrical performances,business meetings and many community events. Constituency and Community -Community's constituency. Number:20,000-30,000 visitors come to our center annually Visitors Geography:Majority is local,within a 25 mile radius of Rolling Hills Estates, CA Norris Theatre Patrons:8,000 NTP Geography:90%+local,within a 25 mile radius of Rolling Hills Estates,CA -Community. Located in the South Bay of Los Angeles,California,on the Palos Verdes Peninsula. Majority of patrons come from Rolling Hills,Rolling Hills Estates,Palos Verdes Estates, Rancho Palos Verdes.A smaller,but growing,patrons base come from San Pedro, Lomita,Torrance,Redondo &Manhattan Beach. ATTACHMENTS 2-118 2010-2011 Season The 2010-2011 Season,which wraps up in August,includes 23 different shows,not counting theater rentals;3 Norris Produced plays,5 Presented shows,4 Cabaret Jazz groups,5 Chamber Orchestra of the South Bay performances,and 6 Education department productions. Administrative Infrastructure The Norris staff consists of the Executive Director/Artistic Director,Finance &HR Director,Administrative Assistant,Marketing Director,Sales Director, Website and IT Management person,PR Director,Box Office Manager,2 Box Office Assistants, Pavilion Events Coordinator,Technical Director,Assistant Technical Director,Senior House Manager &Volunteer Coordinator,Director of Education,Business Manager for Education,and the Production Manager &Resident stage Manager for Education. Furthermore,there are 5 Event Supervisors that rotate for Pavilion events,28 Technicians available,26 Education Instructors,and 86 Volunteers,which include 6 House Managers. ATTACHMENTS 2-119 NORRIS CENTER FOR THE PERFORMING ARTS Expenditures Expenditures Expenditures Last fiscal year Current fiscal year Budgeted 12 months 7 months 12 months ended 6130110 ended 1131111 ended 6130111 EXPENSES PRODUCTION EXPENSE PROFESSIONAL PRODUCTIONS $389,790 $146,390 $353,513 EDUCATION CLASSES 54,111 60,473 85,928 EDUCATION CAMPS 21,212 30,645 39,010 EDUCATION PRODUCTIONS 281,230 171,116 269,332 TOTAL PRODUCTION EXPENSE $746,343 $408,624 $747,783 FUND DEVELOPMENT EXPENSE SUPPORT GROUPS $26,950 $26,244 $47,100 EVENTS 39,572 27,809 63,500 SCHOLARSHIPS &OUTREACH 24,000 14,480 25,000 TOTAL FUND DEVELOPMENT EXPENSE $90,522 $68,533 $135,600 ADMINISTRATIVE &OPERATING EXPENSE EMPLOYEE PAYROLL $901,922 $391,187 $674,953 PROFESSIONAL SERVICES 44,240 10,981 41,425 OFFICE EXPENSE 39,465 23,720 37,830 BOX OFFICE &CONCESSIONS 47,378 34,499 66,215 FACILITY RENTAL &INSURANCE 104,536 59,049 95,851 MARKETING &PUBLIC RELATIONS 147,992 88,960 148,000 FACILITY MAINTENANCE 72,605 25,875 85,148 JANITORIAL FEES 42,302 22,727 40,000 UTILITIES 86,860 56,876 90,420 TOTAL OPERATING EXPENSE $1,487,300 $713,874 $1,279,842 TOTAL EXPENDITURES $2,324,165 $1,191,031 $2,163,225 ATTACHMENTS 2-120 NORRIS CENTER FOR THE PERFORMING ARTS (A Not-far-Profit Corporation) FINANCIAL STATEMENTS AND SUPPLEMENTARY INFORMATION Years Ended June 30,2009 and 2008 with Independent Auditors'Report ATTACHMENTS 2-121 TABLE OF CONTENTS Page IN DE PEN DENT AU D ITORS'REPORT------------------------------------------------------------1 FINANCIAL STATEMENTS Statements of Fi na ncia I Pas itio n ------------------------------------------------------------2 Statements of Activities --------------------------------------------------------------------3·-'4 Statements of Cash Flows --------------------------------------------------------------------5 Notes to Financial Statements -----------------------------------------------------------6-11 SUPPLEMENTARY INFORMATION Schedules of Support and Revenues -----------------------------------------------------13 Sched ules of Operating Expenses --------------------------------------------------------14 Schedules of Allocation of General and Administrative Expenses ------------15-16 ATTACHMENTS 2-122 Stefan Wolowicz Patricia Bell Harik Alexis M.Jensen Sergio Minassi Retired:Hank Zdonek CERTIFIED PUBLIC ACCOUNTANTS •BUSINESS CONSULTANTS •MEMBER OF THE AICPA &CSCPA INDEPENDENT AUDITORS'REPORT The Board of Trustees Norris Center for the Performing Arts RoJling Hills Estates,California We have audited the accompanying statements of financial position of the Norris Center for the Performing Arts (a not-for-profit corporation)as of June 30,2009 and 2008,and the related statements of activities,and cash flows for the years then ended.These financial statements are the responsibility of the Organization's management.Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with auditing standards generally accepted in the United States of America.Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement.An audit includes examining,on a test basis,evidence supporting the amounts and disclosures in the financial statements.An audit also includes assessing the accounting principles used and significant estimates made by management,as well as evaluating the overall financial statement presentation.We believe that our audits provides a reasonable basis for our opinion. In our opinion,the financial statements referred to above present fairly,in all material respects,the financial position of the Norris Center for the Performing Arts as of June 30, 2009 and 2008,and the changes in its net assets and its cash flows for the years then ended in conformity with accounting principles generally accepted in the United States of America. Our audits were conducted for the purpose of forming an opinion on the basic financial statements taken as a whole.The supplementary information on pages thirteen to sixteen is presented for the purposes of additional analysis and is not a required part of the basic financial statements.Such information has been subjected to the aUditing procedures applied in the audits of the basic financial statements and,in our opinion,is fairly stated in all material respects in relation to the basic financial statements taken as a whole. December 23,2009 M M G I •WORLDWIDE SERVICES THROUGH MIDSNELL GROUP INTERNATIONAL ••. 25500 Hawthorne Boulevard,Suite 2120,Torrance,CA 90505-6833 •(310)378-9911 •Fax (310)378-3591 http://www.zwcpa.com •E-Mail:zw@zwcpa.comATTACHMENTS 2-123 See accompanying notes. 2 ATTACHMENTS 2-124 NORRIS CENTER FOR THE PERFORMING ARTS STATEMENTS OF ACTIVITIES Year Ended June 30,2009 Temporarily Permanently Unrestricted Restricted Restricted Total Support and revenues Contributions $1,203,324 $48,466 $$1,251,790 Theatre operations 960,042 960,042 Education 402,417 80,000 482,417 Investments 19,680 19,680 Net assets released from restrictions 15,508 (15,508) Total support and revenues 2,600,971 112,'958 2,713,929 Operating expenses Program services Theatre operations 1,132,887 1,132,887 Education 708,730 708,730 Supporting services Advertising and marketing 272,056 272,056 Fund development 205,077 205,077 General and administrative 259,563 259,563 Provision for income taxes 800 800 Depreciation 242,952 242,952 Total operating expenses 2,822,065 2,822,065 Change in net assets (221,094)112,958 (108,136) Net assets -beginning of the year 4,898,150 1,225,824 6,123,974 Net assets -end of the year $4,677,056 $112,958 $1,225,824 $6,015,838 See accompanying notes. 3 ATTACHMENTS 2-125 NORRIS CENTER FOR THE PERFORMING ARTS STATEMENTS OF ACTIVITIES Year Ended June 30,2008 Temporarily Permanently Unrestricted Restricted Restricted Total Support and revenues Contributions $924,553 $$$924,553 Theatre operations 1,004,172 1,004,172 Education 505,556 505,556 Investments 56,184 56,184 Total support and revenues 2,490,465 2,490,465 Operating expenses Program services Theatre operations 1,047,398 1,047,398 Education 647,220 647,220 Supporting services Advertising and marketing 275,324 275,324 Fund development 156,590 156,590 General and administrative 121,907 121,907 Provision for income taxes 1,860 1,860 Depreciation 218.998 218,998 Total operating expenses 2,469,297 2,469,297 Change in net assets 21,168 21,168 Net assets -beginning of the year 4,876,982 1,225,824 6,102,806---- Net assets -end of the year $4,898,150 $$1,225,824 $6,123,974 See accompanying notes. 4 ATTACHMENTS 2-126 NORRIS CENTER FOR THE PERFORMING ARTS STATEMENTS OF CASH FLOWS Years Ended June 30,2009 and 2008 June 30,2009 June 30,2008 CASH FLOWS FROM OPERATING ACTIVITIES: Change in net assets $(108,136)$21,168 Adjustments to reconcile change in net assets to net cash (used)provided by operating activities: Depreciation 242,953 218,998 Unrealized losses (gain)on marketable securities 60,354 (26,636) Realized losses on marketable securities 12,269 Decrease (increase)in Pledges receivable (66,927)(6,880) Accounts receivable 2,878 (5,580) Prepaid expenses (49,574)21,372 Other assets (2,295)1,961 License 1,003 Increase (decrease)in: Accrued expenses 35,886 (43,864) Accrued payroll 21,882 13,993 Income taxes payable (1,060)1,860 Deposits received 16,323 (48,773) Deferred revenues and contributions (318.285)144.037 Net cash (used)provided by operating activities (153,732)292,659 CASH FLOWS FROM INVESTING ACTIVITIES: Equipment purchases (104,591)(58,369) Purchases of marketable securities (147.000)(43.495) Net cash used by investing activities (251 ,591)(101 .864) Net increase in cash (405,323)190,795 Cash balance: Beginning of year 1.079.132 888.337 End of year $673809 $1 079132 SUPPLEMENTAL DISCLOSURES Cash paid for: Interest $$ Income taxes $1,860 $170 See accompanying notes. 5 ATTACHMENTS 2-127 NORRIS CENTER FOR THE PERFORMING ARTS NOTES TO FINANCIAL STATEMENTS June 30,2009 and 2008 (1)SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Nature of Activities The Norris Center for the Performing Arts (the Center)is a not-for-profit community corporation chartered by the State of California in 1978 to provide exclusively charitable and educational services.The specific and primary purposes are to initiate,sponsor,promote and carry out plans,policies and activities to establish and operate charitable and educational facilities.The Center is supported through theatre and pavilion operations and donor contributions. Management Responsibilities and Use of Estimates The financial statements and notes are the representation of the Center's management,which is responsible for the fairness of presentation.The preparation of the financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect certain reported amounts and disclosures.Accordingly,actual results could differ from those estimates. Contributed Services During the year,many individuals volunteered their time and performed a variety of tasks that assisted the Center but these services do not meet the criteria for recognition as contributed services.The previous Managing Director,the IT Manager,and the attorney have donated their services and consequently their salaries and fees are recognized at the annual fair value of $189,1 09 and $125,000 for the years ended June 31,2009 and 2008,respectively,as donated services that are considered part of general and administrative expenses. Pledges Receivable Contributions are recognized at the time the pledge is made.Certain corporate matching contributions are recognized as promises to give based upon prior receipt of the underlying donations. Cash and Cash Equivalents Cash includes all cash,certificates of deposits and money market accounts.Certain accounts may be subject to penalties if withdrawn prior to maturity.For purposes of the statements of cash flows,the Organization considers all highly liquid instruments available for current use with an initial maturity of three months or less to be cash equivalents. Income Taxes The Organization is exempt from federal income taxes under Section 501 (c)(3)of the Internal Revenue Code and exempt from California income taxes under Section 23701 (d)of the California Revenue and Taxation code;except for amounts representing unrelated business income. 6 ATTACHMENTS 2-128 NORRIS CENTER FOR THE PERFORMING ARTS NOTES TO FINANCIAL STATEMENTS June 30,2009 and 2008 (1)SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued) Investments Investments in marketable securities and all investments in debt securities are reported at their fair values in the statement of financial position. Fair Value of Financial Instruments The following methods and assumptions were used by the Center in estimating its fair value disclosures for financial instruments: Cash,cash equivalents,pledges receivable: The carrying amounts reported in the statement of financial position approximate fair values because of the maturates of those instruments., Short-term and endowments investments: The fair values of investments are based on quoted market price for those or similar investments. Property,Equipment.and Depreciation Property and equipment are stated at cost.Donations of property and equipment are re~orded as contributions at their then estimated fair value.Depreciation is provided for by using the straight-line method over the estimated useful lives of the respective assets,which ~re: Computers and software EqUipment Furniture Buildings and improvements 5 years 3 - 7 years 5 years 10 -40 years The Norris Community Theatre building consisting of the donated building shell and payments for other construction costs are being depreciated on a straight-line basis over its estimated useful life of forty years. The Center constructed the Harlyne J.Norris Pavillion for the Performing Arts building which is being depreciated on a straight-line basis over its estimated useful life of thirty-one and half years. 7 ATTACHMENTS 2-129 NORRIS CENTER FOR THE PERFORMING ARTS NOTES TO FINANCIAL STATEMENTS June 30,2009 and 2008 (1)SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued) Property,Equipment,and Depreciation (continued) Repairs and maintenance are charged to expense as incurred.Significant improvements which materially increase values or extend the useful lives of the assets are capitalized over $1,000 and depreciated over the estimated useful lives of the respective assets. Advertising and Marketing Costs Advertising and marketing costs are expensed as incurred and amounted to $272,056 and $275,324 for the years ended June 30,2009 and 2008,respectively. Deferred Revenl:les and Contributions Deferred revenues represent payments for ticket sales to theatre productions that are to be performed during the next fiscal year. Deferred contributions represent donations from individuals and businesses that relate to theatre activities and general operations for the next fiscal year. Basis of Accounting The Center follows Statement of Financial Accounting Standard (SFAS)No.117,Financial Statements for Non-for-Profit organizations.Under this statement,the Center is required to report information regarding its financial position and activities designated in three classes of net assets:unrestricted net assets,temporarily restricted net assets,and permanently restricted net assets. 8 ATTACHMENTS 2-130 NORRIS CENTER FOR THE PERFORMING ARTS NOTES TO FINANCIAL STATEMENTS June 30,2009 and 2008 (1)SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued) Reclassification Certain reclassifications have been made to the 2008 financial statements to conform to current years presentation.These reclassifications had no effect on previously reported results of operations or retained earnings. (2)CONCENTRATION OF CREDIT RISK The Center maintained cash balances in bank deposit accounts in excess of federally insurable limits by approximately $378,908,and $845,636 at June 30,2009 and 2008 respectively.. (3)INVESTMENTS Investments as of June 30,2009,are summarized as follows: Cost Fair value Carrying Amount Auction rate securities $75,065 $72,130 $72,130 Cash position 339,199 339,199 339,199 U.S.Equities 100,025 67,492 67,492 Taxable Fixed Income 690,255 757,761 690,255 Mixed Assets 37,323 37,395 37,323 $1,241,867 $1,273,977 $1,206,399 Unrealized losses of $60,354 and realized losses of $12,269 which are reported with investment income. Investments as of June 30,2008,are summarized as follows: Auction rate securities Cash position Certificates of deposits Assets backed securities Corporate bonds and notes Government securities Mutual funds Cost $175,091 359,884 95,000 19,258 101,082 406,332 50,005 $1,206,652 Fair Value Carrying Amount $171,430 $171,430 363,270 363,270 95,764 95,000 20,072 19,258 94,882 94,882 407,364 406,332 49,428 49,428 $ 1,202,21 °~$==1.1::!:,~19~9~,6~0:l;b0 Unrealized gains are $26,636 which are reported with investment income. 9 ATTACHMENTS 2-131 NORRIS CENTER FOR THE PERFORMING ARTS NOTES TO FINANCIAL STATEMENTS June 30,2009 and 2008 (4)PROPERTY AND EQUIPMENT Property and equipment consisted of: Computers and software Equipment Furniture and fixtures Land Buildings and improvements Less: Accumulated depreciation June 30,2009 $99,994 21,910 309,273 514,308 7,244,922 8,190,407 3,879,623 $4,310,784 June 30.2008 $24,250 20,328 306,787 514,308 7,220,143 8,085,816 3,616,438 4,469,378 Depreciation expense amounted to $242,953 and $218,998 at June 30,2009 and 2008, .respectively. (5)NET ASSET RESTRICTIONS AND DESIGNATIONS Permanently Restricted Net Assets The land and the basic shell portions of the Norris Community Theatre building were donated with the specific restriction that they be used only for the purpose in the original charter as described in Note 1 under Nature of Activities.The gift of the land and building gave rise to permanently restricted net assets;the amount reprorted as permanently restricted net assets represents the fair value at the time of donation. (6)INCOME TAXES Federal State Total $ These taxes are due to the unrelated business income from advertising revenue net of related expenses. 10 ATTACHMENTS 2-132 NORRIS CENTER FOR THE PERFORMING ARTS NOTES TO FINANCIAL STATEMENTS June 30,2009 and 2008 (7)SUBSEQUENT EVENT In August 2009 the Center entered into a ten year operating lease agreement for the operation of a dance studio and performing arts academy.The building is expected to be operational in mid-2010.The Organization expects to make payments on the building in the fall 2010.The Center has th'e option of two,five year renewals.The first two years rent payments will be $10,500 per month with annual rent adjustments thereafter. 11 ATTACHMENTS 2-133 SUPPLEMENTARY INFORMATION ATTACHMENTS 2-134 NORRIS CENTER FOR THE PERFORMING ARTS SCHEDULES OF SUPPORT AND REVENUE Years Ended June 30,2009 and 2008 June 30,2009 June 30,2008 Contributions Support groups and events Bravo $96,835 $121,225 Valentine Ball 150,775 94,090 Encore Circle 79,000 86,000 Honorary Producers 123,334 75,000 Act II 37,000 42,411 Cabaret Jazz 25,584 41,930 Chorusliners 30,156 18,849 Friends 53,158 11,705 Rising Stars 9,246 Other 155,833 3,450 751,675 503,906 Corporations and foundations 280,500 252,452 Value of donated services 189,984 125,000 Endowment 29,631 43,195 $1,251,790 $924,553 Theatre operations Programs produced and presented $503,352 $474,674 Facilities rentals 338,765 344,473 Processing and ticket fees 27,961 52,889 Program advertising 43,523 39,004 Concession sales 15,824 20,268 Other 30,617 72,864 $960,042 $1,004,172 Education $482,417 $505,556 Investments Interest $69,797 $29,548 Dividends 22,506 Realized gains and (losses),net (12,269) Unrealized gains and (losses),net (60,354)26,636 $19,680 $56,184 See accompanying notes. 13 ATTACHMENTS 2-135 NORRIS CENTER FOR THE PERFORMING ARTS SCHEDULES OF OPERATING EXPENSES Years Ended June 30,2009 and 2008 June 30,2009 June 30,2008 Program Service Theatre operations Artists fees $208,382 $214,680 Production 97,593 58,205 Technical labor 52,134 48,709 Other 55,748 111,426 General and administration -Theatre 505,637 439,195 General and administration -Pavilion 213,393 175,183 $1.132887 $1 047.398 Education Direct expense $379,294 $507,238 General and administration 329,436 139,982 $708730 $647.220 Supporting Service Advertising and marketing $272056 $275324 Fund development Bravo $20,957 $19,758 Valentine Ball 44,089 40,320 Encore Circle 11,361 4,589 Honorary Producers 2,861 2,933 Act II 16,059 20,203 Cabaret Jazz 1,557 20,327 Chorusliners 18,439 7,497 Friends 3,183 1,765 Other 2,327 844 General and administration 84,244 38,354 $205077 $156590 General and administrative $259563 $121 907 Depreciation $242952 $218998 See accompanying notes. 14 ATTACHMENTS 2-136 NORRIS CENTER FOR THE PERFORMING ARTS SCHEDULE OF ALLOCATION OF GENERAL AND ADMINISTRATION EXPENSES Year Ended June 30,2009 Program Services Supporting Services Adverting/Fund Theatre Pavilion Education Marketing Development G&A Total Cable/computer supplies $1,794 $599 $1,270 $1,562 $519 $621 $6,365 Compensation Full time staff 168,000 51,000 135,433 40,000 35,000 118,999 548,432 Part time staff 42,050 34,300 2,945 79,295 Copy machine rental 170 132 4,815 3,748 90 89 9,044 Donated services 31,518 31,518 31,518 31,518 31,518 31,518 189,108 Employee benefits 7,924 1,639 6,458 2,637 5,639 5,648 29,945 Insurance 40,477 13,678 13,970 342 342 1,305 70,114 Labor 23,545 10,488 34,033 License/Fees 659 220 235 825 1,045 1,265 4,249 Marketing 152,933 152,933 Office supplies 782 568 3,002 826 545 671 6,394 Other 1,919 609 1,209 609 865 604 5,815 Payroll taxes 25,206 10,236 16,252 5,153 4,200 14,241 75,288 Postage 1,369 543 1,002 11,486 175 160 14,735 Professional services 11,732 15,334 53,683 14,362 1,320 58,783 155,214 Recruitment 674 17,399 18,073 Repairs and maintenance 59,434 9,229 12,715 1,200 1,200 3,295 87,073 Supplies 11,590 6,770 5,949 24,309 Taxes 4,033 2,279 2,238 8,550 Telephone 4,483 350 1,900 510 308 1,010 8,561 Travel/conference 401 200 400 478 1,295 2,774 Ticketing 31,077 1,554 8,097 161 40,889 Utilities Electrical 30,000 17,480 23,342 500 500 1,599 73,421 Gas 1,800 856 780 3,436 Trash 3,000 1,975 3,045 400 400 700 9,520 Water 2,000 2,036 2,323 100 100 200 6,759 Total General and Administration $505,637 $213,393 $329,436 $272,056 $84,244 $259,563 $1,664,329 See accompanying notes. 15 ATTACHMENTS 2-137 See accompanying notes. 16 ATTACHMENTS 2-138 March 7,2011 -" Connecting People,Information,and Ideas City of Rancho Palos Verdes Ms.Carolynn Petru,Deputy City Manager 30940 Hawthorne Boulevard Rancho Palos Verdes,CA 90275 Re:City Grant Application for FY 11/12 &FY 12/13 Dear Ms.Petru: " II U ,MAR ~'2611 The Palos Verdes Library District (PVLD)is pleased to submit this application for City support of PVLD's teen library/teen center The Annex.The Annex is operated by PVLD and the Peninsula Friends of the Library. The Annex is open to students in grades 6 through 12 and provides supervised group study, recreational space,a collection of popular reading material,games,internet-enabled computers, structured programming and more all in a safe,positive and fun place for community members. Our proposal requests $10,000 for fiscal year 2011/2012 and $10,000 for fiscal year 2012/2013 to help ensure the long-term viability of the Annex regardless of the success of the Friends of the Library fundraising efforts or variations in PVLD's tax revenues. The Palos Verdes Library District thanks the City of Rancho Palos Verdes for its review and consideration of this request and looks forward to continuing to make the Annex a welcoming and safe place for not only teenagers,but for all members of the Peninsula Community. Sincerely, t:~{/~ Katherine R.Gould Director ENCLOSURES 701 Silver Spur Road,Rolling Hills Estates,CA 90274 P 310.377.9584 F 310.541.6807 www.pvld.orgATTACHMENTS 2-139 CITY OF RANCHO PALOS VERDES 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 www.palosverdes.com/rpv Application for City Support of Social Service Organizations For Fiscal Years: July 1,2011 to June 30,2012 And July 1,2012 to June 30,2013 Name of Organization:The Annex (Peninsula Friends ofthe Library) Address:P.O.Box 2361,Palos Verdes Peninsula,CA 90274 Phone Number:(310)541-2757 Fax:(310)-541-6807 Website:pvldfriends.org Contact Name &Position:Judy Hessick,Development Director Years with Organization:1 Email:ihessick@pvldfriends.org AMOUNT OF SUPPORT REQUESTED: $10,000.00 for 2011-2012 $10,000.00 for 2012-2013 Please Attach the Following to this Completed Application: A.List the board of directors and the expiration of their term. Please find attached. B.Proof of non-profit status and a statement that the organization is non-political, Please find attached. C.Financial statements (if any)for last completed fiscal ye~r. Please find attached. ATTACHMENTS 2-140 ,- 1.Please describe the purpose of the organization and the nature of the services provided. The Annex is a teen library/teen center operated by the Palos Verdes Library DistrictlPeninsula Friends of the Library.The Palos Verdes Library District (PVLD)operates the Annex Monday through Thursday from 3PM to 7PM.During vacation periods,the Annex is open 1PM to 5PM, which is more convenient to teens'vacation and summer school schedules.Local non-profit Freedom4U subleases the space and operates the Annex Friday from 3PM to 7PM and on occasional weekend days for special programs. The Annex is open to students in grades 6 through 12 and provides supervised group study and recreational space,a collection of popular reading material (books,magazines,graphic novels), games (both board games and video games),five Internet-enabled computers and one homework computer.Structured programming provided during PVLD hours of operation includes craft and food programs,mQvie nights,game and trivia competitions,and participation in special events such as National Gaming Day,Teen Read Week,and Teen Tech Week.The Annex also has begun hosting Press Friends Newswriting workshops aimed at 4th and 5th graders and conducted by middle school journalism students.These workshops will take places on several Saturdays a year. The Annex has been the subject of several articles on Teen Spaces in Libraries:most recently in School Library Journal,November 2010.It is also featured in Teen Spaces:The Step by Step Library Makeover 2nd Edition by Kimberly Bolan,American Library Association,2009. Beginning in 2007,PVLD expanded the use of the Annex to include all-ages programs on weekday mornings and weekends.Every Tuesday there is a special all-ages program at the Annex hosted by PVLD staff.Programs include Classic Movies at Noon,The Crafter's Circle,a book discussion group and more. PVLD is currently working with Peninsula Seniors to open The Annex one or more additional mornings each week as a "drop-in"space where older adults can come for coffee,conversation and activities such as board,card or video games.This program is expected to begin in April 2011. The Peninsula Friends of the Library is a non-profit organization that raises funds through membership,monthly book sales,the Library Shop at the Peninsula Center Library,and private donations.The organization provided over 75%of the funding to establish and operate the Annex during the 2006/2007 and 2007/2008 fiscal years.The Friends also fund the Sunday hours at the Peninsula Center Library,technology and facilities upgrades,the Summer Reading Program,all of PVLD's special speakers,performers,and movies and other programs for all ages and contribute to the purchase of books and other materials for the collections at all PVLD locations including The Annex.Many of these programs would not be possible through PVLD's tax revenues alone. 2.Please indicate the size and type of population served by the organization.Include quantifiable data (census information,number of members,and volume of phone calls/referrals).If known,please provide the specific number of RHE residents served and the total number of Palos Verdes Peninsula residents served. The Annex is open to all 6th through 12th grade students on the Palos Verdes Peninsula.For the 2010111 school year,total enrollment in these grades in the Palos Verdes Peninsula Unified School District was approximately 2,855 Intermediate students (6 th _8 th grade)and 4,358 high school students (9 th _12 th grade). City of Rancho Palos Verdes Grant Application Page 2 of5 ATTACHMENTS 2-141 Annex usage by teens during PVLD hours of operation is listed in the table below.Please note usage statistics do not include usage during Freedom4U hours of operation or PVLD all-ages or older adults programs and activities. Annex Door Count Jan 2010 -January 2011 Month Door Count January 2010 266 February 2010 289 March 2010 368 April 2010 315 May 2010 376 June 2010 220 July 2010 158 August 2010 199 September 210 393 October 2010 349 November 2010 390 December 2010 235 January 2011 312 Note:School breaks during July,August and December result in lower teen attendance during those months. There is no means of collecting Annex usage data by city.However students who visit the Annex during PVLD operating hours are required to show their student I.D.to enter the Annex.We have collected sample data on usage by school Annex Attendance by School (based on sample data from the months of Januarv and Februarv 2009) School Percent of Total Attendance Peninsula High School 49% Ridgecrest Intermediate School 41% 3.Indicate who prepares and who approves organization's budget. From the start of the Annex project in 2006 until June 30,2008 the primary facility and operational funding was provided by the Peninsula Friends of the Library.Beginning on July 1, 2008,the Annex facility and operational costs were absorbed into the PVLD operating budget, although both the Friends of the Library and PVLD continue to seek grants and donations in support of the Annex. The Annex budget is prepared by PVLD staff and approved as part ofPVLD's annual budgeting process.The level of funding provided by Peninsula Friends of the Library is approved by the Friends of the Library Board as part of that organization's annual budgeting process. City of Rancho Palos Verdes Grant Application Page 3 of5 ATTACHMENTS 2-142 4.Indicate impact of City funding to organization and its ability to provide service. The Peninsula Friends of the Library is a non-profit organization that raises funds through membership,monthly book sales,the Library Shop at the Peninsula Center Library,and private donations.The organization provided over 75%of the funding to establish and operate the Annex during the 2006/2007 and 2007/2008 fiscal years.The Friends also fund the Sunday hours at the Peninsula Center Library,technology and facilities upgrades,the Library Update Newsletter, special speakers,workshops and events,the Summer Reading Program and the Library's Annual Volunteer Recognition Luncheon.Many of these programs cannot readily be supported through PVLD's tax revenues. Any funds provided by the City of Rancho Palos Verdes will help ensure the long-term viability of the Annex regardless of the success of the Friends of the Library fundraising efforts or variations in PVLD's tax revenues.City funding would enable PVLD and the Friends of the Library to continue to make the Annex a fun,safe and welcoming place not only for teenagers, but for all members of the Peninsula community. 5.Please provide the following rmancial information: Fiscal Year:Begins:July 1 Ends:June 30 Total Current Year (2010-2011)PVLD Budget:$6,702,400 Total Prior Year (2009-2010)PVLD Budget:$6,429,300 Sources of Funds: List all sources including the following,as applicable:Dues;Contributions (including source and whether on-going or one-time);Special EventslFund-Raising;and Other. Current Year (2010-2011) Rental income (Freedom4U sublease)-$3,000 Grant from Peninsula Friends of the Library -$0 Grant from the City of RHE --$0 Grant from the City of Rolling Hills --$0 Other gifts (excluding "in kind"gifts)- 0 Grant from the City of -RPV -$10,000 Palos Verdes Library District (General Fund)--$S7,100 2010-2011 TOTAL=$70,100 City of Rancho Palos Verdes Grant Application Prior Year (2009-2010) Rental income (Freedom4U sublease)$3,268 Grant from Peninsula Friends of the Library -$0 Grant from the City ofRHE --$10,00Q Grant from the City of Rolling Hills --$3,000 Other gifts (excluding "in kind"gifts)- 0 Grant from the City ofRPV --$10,000 Palos Verdes Library District (General Fund)$S6,878 2009-2010 TOTAL=$83,146 Page 4 ofS ATTACHMENTS 2-143 Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs,Material and Supplies,and Other. Current Year (2010-2011) Salaries and related-$40,700 Telecommunications -$400 Insurance -$1,200 Maintenance -$1,000 Utilities -$6,000 Rent -$18,100 Library materials and collections -$700 Furniture and equipment -$0 Young Adult Programming -$2,000 2010-2011 TOTAL=$70,100 City of Rancho Palos Verdes Grant Application Prior Year (2009-2010) Salaries and re1ated-$35,895 Telecommunications -$356 Insurance -$1,016 Maintenance -$1,000 Utilities -$5,345 Rent -$18,100 Library ltlaterials and collections -$872 Furniture and equipment -$0 Young Adult Programming -$562 2009-2010 TOTAL=$63,146 Page 5 of5 ATTACHMENTS 2-144 Attachment A Peninsula Friends of the Library Board of Directors -2010·2012 October 2010 Jane Jones (Jim) President 2747 Vista Mesa Dr,RPV,90275 Home:310-831-3372 (also fax) Cell:310-483-5330 E-mail:janejones-pv@juno.com Gene Roeder Vice President-Operations,Book Sale Chair 5711 Ravenspur Dr.#317,RPV,90275 Home:310-544-5508 (also fax) Cell:310-213-8391 E-mail:belkin@earthlink.net Book sale Room PC 377-9584 x264 Book sale Room MC 377-9584 x553 Kitty Edler Vice President-Major Gifts/Endowments 32 Pepper Tree Lane,RHE,CA 90274 Home:310-541-8221 Office:310-541-8271 Cell:310-283-8790 E-mail:kittvedler@aol.com Richard B.Lohrer (Ruth) Chair -Investment Committee 1609 Chelsea Rd,PVE,90274 Home:310-378-4687 Cell:310-699-5073 E-mail:rlohrer@aol.com Nell Mirels (Hal) Secretary 3 Seahurst Road,RHE,90274 Home:310-377-9468 Fax:310-544-2779 E-mail:hmirels@aol.com Alan Kennan (Bonnie) Treasurer 30146 Avenida de Calma,RPV,90275 Home:310-377-8221 Cell:310-503-8711 Fax:310-377-2941 E-mail:kennana@cox.net Debby Stegura (Larry Vanden Bos) Director -Membership 4706 Sugarhill Dr,RHE,CA 90274 Home:310-373-7527 E-mail:stegabos@aol.com Florence Marshall (Walt) Director 28817 Cedarbluff Dr.,RPV,90275 Home:310-377-6536 Fax:310-541-6355 E-mail:fmarshaIl4@verizon.net *The Board does not have expiration on their terms. Ted Paulson (Pat) Past President 5248 Valley View Rd,RPV,90275 Home:310-541-2757 Cell:310-480-6229 E-mail:retmg@cox.net Aileen Hoy (Eugene) Director -Library Shop 1425 Via Cataluna,PVE,90274 Home:310-373-3125 (also fax) E-mail:aandehoy@aol.com Glenous Absmeier Director 85 Rocking Horse Rd,RPV,90275 Home:310-547-5895 E-mail:gabsmeier@aol.com Mary Bavafa (Reza) Events Chair 4 Diamonte Lane,RPV,CA 90275 Home:310-547-5195 E-mail:mbavafa55@gmail.com Fran Pullara Communications Chair 317 S.Broadway #F,Redondo,90277 Home:310-316-0817 Work:310-541-6763 x4141 (T,W,Th) E-mail:redondowriter@verizon.net Marion Martelli (Vincent) Newsletter 11530 Via Coronel,PVE,90274 Home:310-377-3729 Cell:310-529-3090 E-mail:vinmar@cox.net Non Board Members Judy Hessick Director of Development Office:310-377-9584 x251 Cell:310-890-1620 E-mail:jhessick@pvldfriends.org Diana Morgan Development Assistant Office:310-377-9584 x250 Cell:310-591-6604 Fax:310-541-6807 E-mail:dmorgan@pvldfriends.org ATTACHMENTS 2-145 "Interna~Revenue,Service District Direc~or (.\,'.~.ff!cc...·,1 .........:..\ "-"~.-j c.:'I ,4 ~...\- I...~4:>~l.~'t::t""~"f •t C<..;~ Attachment B Department of the Treasury LA:EO:79 g..C.c:~~y Employer Identification Number: 95-3275918 -Accountlni Period Endini:.....-. December 31 Form 990 Required:l:xJ Yes 0 No JPeninsulaFriendsoftheLibrary Post Office Box 2361 Palos Verdes Peninsula,California 90274 Dear Applicant: Person to Contact: B.Brewer Contact Telephone Number: (213)688.4889 Based on information supplied,and assuminK your operations will be as stated in your application for recognition of exemption,we have·determined you are exempt from Federal income tax under section 501(c)(3)of the Internal R~venue Code. We have further determined that you are not a private foundation within the meaniftg of section 509(a)of the Code,because ~ou are an organization described in section 170(b)(1)(A)(vi)and 509(a)(1). If your sources of support,or your purpo~es,character,or method of operation change,please let us know so we can consider the effect of the change on your 9XQmp~status and foundation status.Also,you should inform us of all changes in your name or address. " Generally,you are not liable for social 5eourity (FICA)taxes unless you file a waiver of exemption certificate as provided in the Federal Insurance Contributions Act.If you have paid FICA taxes without filing the waiver,you should contact us. You are not liable for the tax imposed under the Federal ~nemployment Tax Act (FUTA). Since you are not a private foundation.you are not subject to the excise taxes under Chapter 42 of the Code.However,you are not automatically exempt from other Federal excise taxes.If you have any questions about excise,employment.or other Federal taxes,please let us know. Donors may deduct contributions to you as provided in section 170 of the Code. Bequests.legacies.devises.transfers.or gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106,and 2522 of the Code . ..'The box checkecr 1.n the heading of this letter shows whether you must file Form ,990,Return of Organization Exempt from Income tax.If Yes is checked,you are require~t~flle Form 990 only it your gross receipts each year are normally more than S10.000.If a return is required,it must be filed by the 15th day of of th~fifth month after the end of your annual accounting period.The law imposes a penalty of 110 a day,up to a maximum of $5,000,when a return is filea late,.~ unless there is re~sonable cause for the delay . ... P.O.Box 2350,Los Angeles,Calif.90053 Letter 947(00)(5-77) ATTACHMENTS 2-146 Yo~_are not ~equired to file Fe4eral income tax ret~rns.unless you are subject to the tax on unrelated business income under section 511 of the Code.If you are subject to this tax.you must file an income tax return on Form 990-T.In this letter.we are not determining whether any of your present or proposed activities are unrelated trade or business as defined in section 513 of the Code. You need an employer identification number even if you have no employees. If an employer identification number was not·entered on your application.a number will be assigned to you and you will be advised of it.Please use that number on all returns you file and in all correspondence with the Internal Revenue Service. Because this letter could help resolve any questions about your exempt status and foundation status,you should keep it in your permanent records. ~Ir you have any questions.please contact the person whose name and telephone number are shown in the heading of this letter. Sincerely.yours. District Director iw This letter supersed~s .our determination letter dated September 28,1978. ,'. letter 947(00)(5-77) ',t;' I '.~~~~~~~;;;,t~~~~~;rillf[~~\I~j~~~&k'i~~'~I·;·;\:!if~~;~~~.'~c"""lt;;."\'•.';,i·n,·i""""'·"',)!i;,lli"'c·:".'·.ii,i,·,;.,<;.~".:.'ATTACHMENTS 2-147 PENINSULA FRIENDS OF THE LIBRARY FINANCIAL STATEMENTS JUNE 30,2010 AND 2009 ATTACHMENTS 2-148 TABLE OF CONTENTS ACCOUNTANTS REPORT FINANCIAL STATEMENTS Statements of Assets,Liabilities and Net Assets -Tax Basis Statements of Revenues,Expenses and Changes in Net Assets -Tax Basis Statements of Cash Flows -Tax Basis Notes to Financial Statements SUPPLEMENTARY INFORMATION Detailed Statement of Assets,Liabilities and Net Assets -Tax Basis (FYE 6/30/10) Detailed Statement of Assets,Liabilities and Net Assets -Tax Basis (FYE 6/30109) Detailed Statement of Revenues,Expenses and Changes -Tax Basis (FYE 6/30/1 0) Detailed Statement of Revenues,Expenses and Changes -Tax Basis (FYE 6/30109) Detailed Statement of Expenses -Tax Basis (FYE 6/30/10) Detailed Statement of Expenses -Tax Basis (FYE 6/30109) Page No. 2 3 4 5 8 9 10 11 12 13 ATTACHMENTS 2-149 O'BRIEN &CO. CERTIFIED PUBLIC ACCOUNTANTS 23545 CRENSHAW BLVD.,SUITE 103 TORRANCE,CA 90505 (800)431-4272 (310)784-2330 FAX (310)534-3975 www.cpa-oc.com INDEPENDENT AUDITOR'S REPORT Board of Directors Peninsula Friends of the Library Palos Verdes Peninsula,California We have audited the accompanying statements of assets,liabilities,and net assets-tax basis of the Peninsula Friends of the Library (a California non-profit corporation)as of June 30,2010 and 2009 and the related statements of revenues,expenses,and changes in net assets-tax basis,and cash flows-tax basis for years then ended.These financial statements are the responsibility of the Peninsula Friends of the Library's management.Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with generally accepted auditing standards.Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement.An audit includes examining,on a test basis,evidence supporting the amount and disclosures in the financial statements.An audit also includes assessing the accounting principles used and significant estimates made by management,as well as evaluating the overall financial statement presentation.We believe that our audits provide a reasonable basis for our opinion. As described in Note 1,these financial statements were prepared on the basis of accounting the Peninsula Friends of the Library uses for income tax purposes,which is a comprehensive basis of accounting other than generally accepte:d accounting principles. In our opinion,the financial statements referred to above present fairly,in all material respects,the assets,liabilities, and net assets of the Peninsula Friends of the Library as of June 30,2010 and 2009,and its revenues,expenses, and other changes in net assets for the years then ended,on the basis of accounting described in Note 1. Our audit was made for the purpose of forming an opinion on the financial statements referred to in the first paragraph taken as a whole.The accompanying supplementary information is presented for purposes of additional analysis and is not a required part of the above financial statements.Such information has been subjected to the auditing procedures applied in the audit of the financial statements referred to above;and,in our opinion,the information is fairly stated in all material respects in relation to the financial statements taken as a whole. November 22,2010 ATTACHMENTS 2-150 The accompanying notes are an integral part of these financial statements.Page 2 ATTACHMENTS 2-151 PENINSULA FRIENDS OF THE LIBRARY STATEMENTS OF REVENUES,EXPENSES AND CHANGES IN NET ASSETS·TAX BASIS FOR THE YEARS ENDED JUNE 30,2010 AND 2009 2010 2009 UNRESTRICTED NET ASSETS SUPPORT AND REVENUE Support: Contributions $51,072 $75,934 Events 149,993 Memorial contributions 1,195 1,745 Membership dues 56,958 36,932 Total support 259,218 114,611 Revenue: Donated book sales 283,578 277,724 Library Shop 39,495 42,969 Investment income 22,392 15,530 Total revenue 345,465 336,223 TOTAL SUPPORT AND REVENUE 604,683 450,834 Net assets released from restrictions Restrictions satisfied by payments 44,751 1,000 649,434 451,834 EXPENSES Library Shop -cost of sales 22,882 17,558 General and administrative expenses 81,587 24,714 Fund-raising expenses 108,243 37,582 Books for Troops expenses 2,930 3,814 Total expenses 215,642 83,668 UNALLOCATED PAYMENTS TO AFFILIATE Palos Verdes Library District 256,063 211,437 TOTAL EXPENSES AND TRANSFERS 471,705 295,105 INCREASE IN UNRESTRICTED NET ASSETS 177,729 156,729 TEMPORARILY RESTRICTED NET ASSETS Support:Contributions 147,861 27,561 Net assets released from restrictions (44,751)(1,000) INCREASE IN TEMPORARILY RESTRICTED NET ASSETS 103,110 26,561 INCREASE IN NET ASSETS 280,839 183,290 NET ASSETS,BEGINNING OF YEAR 1,094,798 911,508 NET ASSETS,END OF YEAR $1,375,637 $1,094,798 The accompanying notes are an integral part of these financial statements.Page 3 ATTACHMENTS 2-152 PENINSULA FRIENDS OF THE LIBRARY STATEMENTS OF CASH FLOWS -TAX BASIS FOR THE YEARS ENDED JUNE 30,2010 AND 2009 2010 2009 CASH FLOWS FROM OPERATING ACTIVITIES Increase in net assets $280,839 $183,290 Adjustments to reconcile changes in net assets to net cash provided by operating activities: (Increase)decrease in: Inventory -Library Shop 3,575 (2,630) Prepaid expenses 2,577 (3,570) Increase (decrease)in: Sales tax payable (14)86 Net cash provided by operating activities 286,977 177,176 CASH FLOWS FROM INVESTING ACTIVITIES Purchases of investments (1,300,713) Proceeds from sales.of investments (1,300,713) NET INCREASE (DECREASE)IN CASH .(1,013,736)177,176 CASH,BEGINNING OF YEAR 1,075,021 897,845 CASH,END OF YEAR $61,285 $1,075,021 The accompanying notes are an integral part of these financial statements.Page 4 ATTACHMENTS 2-153 PENINSULA FRIENDS OF THE LIBRARY NOTES TO FINANCIAL STATEMENTS JUNE 30,2010 AND 2009 NOTE 1-SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Nature of Operations The Peninsula Friends of the Library (the Friends)is a California non-profit corporation organized and operated exclusively for charitable purposes. The Friends sell used books donated by members of the community.Each month,a sale is conducted at two branches of the Palos Verdes Library District (PVLD):Peninsula Center and Malaga Cove.Smaller, unadvertised sales of books are conducted at these branches as well as at the Miraleste branch.Books are also listed for sale at two internet sites. 1[1 addition,the Library Shop,located in the Peninsula Center branch,sells gift items,school supplies,stationery and new and used books. The Friends are supported through the resale of donated books,public contributions,fund-raising events, membership dues and investment income. The funds raised from these endeavors support the Palos Verdes Library District (PVLD)and are transferred to PVLD in accordance with the approved budget amounts. The Friends coordinate the "Books for Troops"program.Contributions designated to support this program are used exclusively to offset the related expenses. Basis of Presentation The accompanying financial statements present financial results on the cash basis of accounting used for federal income tax purposes which differs from the accrual basis of accounting required under generally accepted accounting principles.Generally accepted accounting principles require that contributions of goods and services be recorded at their estimable fair market values when received.Due to the difficulty in valuing the donated books,the Friends have elected not to report the value of these donations. Generally accepted accounting principles require that marketable securities be recorded at fair value while the income tax basis of accounting requires that marketable securities be recorded at cost. Classification of Net Assets FASB Accounting Standards Codification (ASC)Topic 958 Not-for-Profit Entities requires the Friends to report information regarding its financial position and activities in three classes of net assets-unrestricted,temporarily restricted and permanently restricted-based upon the existence or absence of donor-imposed restrictions. Temporarily restricted net assets are amounts restricted by the donor for specific purposes or designated for future periods. Permanently restricted net assets are subject to donor-imposed restrictions that will be maintained in perpetuity.The investment income generated from these assets is available for general support of the Friends'programs and operations.Permanently restricted net assets as of June 3D,2010 and 2009 were $10,100 and $10,1 DO, respectively. Page 5 ATTACHMENTS 2-154 PENINSULA FRIENDS OF THE LIBRARY NOTES TO FINANCIAL STATEMENTS JUNE 30,2010 AND 2009 NOTE 1-SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued) Cash and Cash Equivalents The Friends consider all short-term debt securities purchased with a maturity of three months or less to be cash equivalents. The Friends maintain bank accounts at different institutions.Accounts are insured by the Federal Deposit Insurance Corporation (FDIC)up to $250,000.At times,cash may be in excess of the FDIC insurance limit.The Friends have not experienced any losses in such accounts and believe they are not exposed to any significant credit risk on cash and cash equivalents. Additionally,the Friends maintain accounts with an investment manager as directed by the Friends'Investment Committee.Cash is insured by the Securities Investor Protection Corporation (SIPC)up to $100,000.Additional insurance of $1.9 million is provided by the investment manager for cash accounts. Inventory -Library Shop Inventory is presented at cost. Contributions All contributions are considered to be available for unrestricted use unless specifically restricted by the donor. Amounts received that are designated for future periods or restricted by the donor for specific purposes are ·reported as temporarily restricted or permanently restricted support that increases those net asset classes.When a temporary restriction expires,temporarily restricted net assets are reclassified to unrestricted net assets and reported in the statement of activities as net assets released from restrictions.Contributions received with donor- imposed restrictions that are met in the same year in which the contributions are received are classified as unrestricted contributions. Income Taxes The Friends are exemptfrom federal income and California franchise taxes under Sections 501 (c)(3)of the Internal Revenue Code and 23701 (d)of the California Revenue and Taxation Code.In addition,the Internal Revenue Service has classified the Friends as other than a private foundation.There was no unrelated business income for the years ended June 30,2010 and 2009.Accordingly,no provision for federal income or state franchise taxes has been included in these financial statements. Estimates The preparation of financial statements in conformity with the basis of accounting used for income tax purposes requires management to make estimates and assumptions that affect certain reported amounts and disclosures. Accordingly,actual results could differ from those estimates. NOTE 2 -FAIR VALUE MEASUREMENTS The carrying amounts reflected in the balance sheets for cash and cash equivalents,prepaid expenses,and sales tax payable approximate the respective fair values due to the short maturities of those instruments. Page 6 ATTACHMENTS 2-155 PENINSULA FRIENDS OF THE LIBRARY NOTES TO FINANCIAL STATEMENTS JUNE 30,2010 AND 2009 NOTE 3-CASH AND CASH EQUIVALENTS Balances of cash at financial banking institutions exceeded the federally insured limits at December 31,2009 but were insured by additional coverage provided by the investment manager.Management and the Friends'Investment Committee regularly monitor the financial condition of the institutions in which the Friends have depository accounts and believe the risk of loss is minimal. Funds deposited in money market accounts with a national investment firm totaling $27,556 and $986,872 at June 30,2010 and 2009,respectively,are included in cash and cash equivalents in the accompanying financial statements. NOTE 4 •INVESTMENTS PFL has invested in a mutual fund comprised primarily of high-and medium-quality bonds with short-term maturities. The fund invests in corporate bonds,pooled consumer loans,and U.S.government bonds.In accordance with the income tax basis of accounting,PFL reports this investment at cost.Based on unadjusted quoted prices for identical assets in an active market,the fair value of this mutual fund over cost (unrealized appreciation)increased $16,433 during the year.Dividends of $20;713 were received during the year and are included in investment income.There were $1,300,713 in purchases for the year ended June 30,2010 and no purchases in 2009. NOTE 5-RESTRICTIONS/LIMITATIONS ON NET ASSETS The Friends'Board of Directors has chosen to place the following limitations on unrestricted net assets: 2010 2009 PVLD Support $300,000 $ PVLD Capital Projects 586,488 PFL Operations 225,000 250,000 Library Shop 23,787 Undesignated 707,546 Unrestricted Net Assets $1,135,275 $957,546 Temporarily restricted net assets are available for the following purposes: Library Improvements Equipment and Furnishings Fund-Raising Books for Troops Temporarily Restricted Net Assets 2010 $163,155 35,056 25,000 7,051 $230,262 2009 $120,538 6,614 $127,152 Temporarily restricted net assets released from their implicit restrictions totaled $44,751 and $1,000 for the years ended June 30,2010 and 2009,respectively, Permanently restricted net assets consist of endowment fund assets to be held indefinitely,The income from the assets can be used to support the Friends'general activities. The investment objective for permanently restricted net assets is to produce growth in fund assets and a growing stream of current income for PFL operations by following a consistent long term investment approach.For money market investments,the objective would be the median of the ten largest money market funds. Each year,the income earned on the permanently restricted net assets will be made available for PFL operations, Funds not required for operations will be retained and invested. Page 7 ATTACHMENTS 2-156 SUPPLEMENTARY INFORMATION ATTACHMENTS 2-157 PENINSULA FRIENDS OF THE LIBRARY SCHEDULE OF SUPPLEMENTARY INFORMATION·TAX BASIS JUNE 30,2010 ASSETS Operations Library Shop Combined CURRENT ASSETS Cash and cash equivalents $49,917 $11,368 $61,285 Investments 1,300,713 1,300,713 Inventory 13,242 13,242 Prepaid expenses 1,220 1,220 TOTAL ASSETS $1,351,850 $24,610 $1,376,460 LIABILITIES AND NET ASSETS CURRENT LIABILITIES Sales tax payable $$823 $823 Total Current Liabilities 823 823 NET ASSETS Unrestricted:1,111,488 23,787 1,135,275 Temporarily restricted 230,262 230,262 Permanently restricted 10,100 10,100 Total Net Assets 1,351,850 23,787 1,375,637 TOTAL LIABILITIES AND NET ASSETS $1,351,850 $24,610 $1,376,460 PageS ATTACHMENTS 2-158 PENINSULA FRIENDS OF THE LIBRARY SCHEDULE OF SUPPLEMENTARY INFORMATION·TAX BASIS JUNE 30,2009 ASSETS Operations Library Shop Combined CURRENT ASSETS Cash and cash equivalents $1,065,633 $9,388 $1,075,021 Inventory -Library Shop 16,817 16,817 Prepaid expenses 3,797 3,797 TOTAL ASSETS $1,069,430 $26,205 $1,095,635 LIABILITIES AND NET ASSETS CURRENT LIABILITIES Sales tax payable $$837 $837 Total Current Liabilities 837 837 NET ASSETS Unrestricted:932,178 25,368 957,546 Temporarily restricted 127,152 127,152 Permanently restricted 10,100 10,100 Total Net Assets 1,069,430 25,368 1,094,798 TOTAL LIABILITIES AND NET ASSETS $1,069,430 $26,205 $1,095,635 Page 9 ATTACHMENTS 2-159 PENINSULA FRIENDS OF THE LIBRARY SCHEDULE OF SUPPLEMENTARY INFORMATION -TAX BASIS FOR THE YEAR ENDED JUNE 30,2010 Operations Library Shop Combined UNRESTRICTED NET ASSETS SUPPORT AND REVENUE Support: Contributions $47,064 $4,008 $51,072 Events 149,993 149,993 Memorial contributions 1,195 1,195 Membership dues 56,958 56,958 Total support 255,210 4,008 259,218 Revenue: Donated book sales 283,578 283,578 Library Shop 39,495 39,495 Investment income 22,376 16 22,392 Total revenue 305,954 39,511 345,465 Intracompany transfers 22,000 (22,000) TOTAL SUPPORT AND REVENUE 583,164 21,519 604,683 Net assets released from restrictions Restrictions satisfied by payments 44,751 44,751 627,915 21,519 649,434 EXPENSES Library Shop -cost of sales 22,882 22,882 General and administrative expenses 81,369 218 81,587 Fund-raising expenses 108,243 108,243 Books for Troops expenses 2,930 2,930 Total expenses 192,542 23,100 215,642 UNALLOCATED PAYMENTS TO AFFILIATE Palos Verdes Library District 256,063 256,063 TOTAL EXPENSES AND TRANSFERS 448,605 23,100 471,705 NET INCREASE (DECREASE)IN UNRESTRICTED NET ASSETS 179,310 (1,581 )177,729 TEMPORARILY RESTRICTED NET ASSETS Support:Contributions 147,861 147,861 Net assets released from restrictions (44,751)(44,751) INCREASE IN TEMPORARILY RESTRICTED NET ASSETS 103,110 103,110 NET INCREASE (DECREASE)IN NET ASSETS 282,420 (1,581)280,839 NET ASSETS,BEGINNING OF YEAR 1,069,430 25,368 1,094,798 NET ASSETS,END OF YEAR $1,351,850 $23,787 $1,375,637 Page 10ATTACHMENTS 2-160 PENINSULA FRIENDS OF THE LIBRARY SCHEDULE OF SUPPLEMENTARY INFORMATION FOR THE YEAR ENDED JUNE 30,2009 Operations Library Shop Combined UNRESTRICTED NET ASSETS SUPPORT AND REVENUE Support: Contributions $74,991 $943 $75,934 Events Memorial contributions 1,745 1,745 Membership dues 36,932 36,932 Total support 113,668 943 114,611 Revenue: Donated book sales 277,724 277,724 library Shop 42,969 42,969 Investment income 15,503 27 15,530 Total revenue 293,227 42,996 336,223 Intracompany transfers 23,000 (23,000) TOTAL SUPPORT AND REVENUE 429,895 20,939 450,834 Net assets released from restrictions Restrictions satisfied by payments 1,000 1,000 430,895 20,939 451,834 EXPENSES library Shop -cost of sales 17,558 17,558 General and administrative expenses 23,983 731 24,714 Fund-raising expenses 37,582 37,582 Books for Troops expenses 3,814 3,814 Total expenses 65,379 18,289 83,668 UNALLOCATED PAYMENTS TO AFFILIATE Palos Verdes library District 211,437 211,437 TOTAL EXPENSES AND TRANSFERS 276,816 18,289 295,105 INCREASE IN UNRESTRICTED NET ASSETS 154,079 2,650 156,729 TEMPORARILY RESTRICTED NET ASSETS Support:Contributions 27,561 27,561 .Net assets released from restrictions (1,000)(1,000) INCREASE IN TEMPORARILY RESTRICTED NET ASSETS 26,561 26,561 INCREASE (DECREASE)IN NET ASSETS 180,640 2,650 183,290 NET ASSETS,BEGINNING OF YEAR 888,790 22,718 911,508 NET ASSETS,END OF YEAR $1,069,430 $25,368 $1,094,798 Page 11 ATTACHMENTS 2-161 PENINSULA FRIENDS OF THE LIBRARY SCHEDULE OF SUPPLEMENTARY INFORMATION·TAX BASIS FOR THE YEAR ENDED JUNE 30,2010 Operations Library Shop Combined GENERAL AND ADMINISTRATIVE EXPENSES: Accounting and legal $8,306 $$8,306 Dues and subscriptions 245 245 Honoraria 22 22 Insurance 3,080 3,080 Miscellaneous 162 174 336 Office expenses 8,038 8,038 Postage and shipping 7,592 44 7,636 Printing and pUblications 8,643 8,643 Salaries and benefits 40,834 40,834 Staff recognition 4,447 4,447 $81,369 $218 $81,587 FUND·RAISING EXPENSES: Capital campaign $$$ Events 105,590 105,590 Miscellaneous 2,653 2,653 $108,243 $$108,243 Page 12 ATTACHMENTS 2-162 PENINSULA FRIENDS OF THE LIBRARY SCHEDULE OF SUPPLEMENTARY INFORMATION·TAX BASIS FOR THE YEAR ENDED JUNE 30,2009 Operations Library Shop Combined GENERAL AND ADMINISTRATIVE EXPENSES: Accounting and legal $4,500 $$4,500 Dues and subscriptions 402 402 Honoraria 744 744 Insurance 1,504 1,504 Miscellaneous 122 321 443 Office expenses 2,930 334 3,264 Postage and shipping 8,585 76 8,661 Printing and publications 1,688 1,688 Salaries and benefits Staff recognition 3,508 3,508 $23,983 $731 $24,714 FUND-RAISING EXPENSES: Capital campaign $30,681 $$30,681 Events Miscellaneous 6,901 6,901 $37,582 $$37,582 Page 13 ATTACHMENTS 2-163 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 (310)377-0360 www.palosverdes.com/rpv CITY GRANT APPLICATION For Fiscal Years July 1,2011 to June 30,2012 & July 1,2012 to June 30,2013 Name of Organization:Palos Verdes Peninsula Chamber of Commerce and Visitors' Center Address:707 Silver Spur Road Suite 100,Rolling Hills Estates,CA 90274 Phone Number:(310)377-8111 x222 Fax Number:(310)377-0614 Website Address:www.palosverdeschamber.com Contact Name &Position:Keri Gilbert,Interim CEO (new CEO is expected in March) Years with Organization:6 years as Board Member (1 as chair),3 months as Interim CEO Email:keri@palosverdeschamber.com AMOUNT OF SUPPORT REQUESTED: FY 11-12:$5,000 FY 12-13:$5,000 Please Attach the Following to this Completed Application: A.List the board of directors and the expiration of their term. B.Proof of non-profit status and a statement that the organization is non- political. C.Financial statements (if any)for last completed fiscal year. ATTACHMENTS 2-164 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 2 1.Please describe the purpose of the organization and the nature of the services provided. The Palos Verdes Peninsula Chamber of Commerce has been serving the Peninsula since 1956 and is a non-profit,non-governmental,volunteer organization comprised of local businesses and leaders interested in enhancing the Peninsula communities.The Chamber serves as a Visitors'Center and is a resource for residents,businesses and visitors to obtain referrals for products and services,information on local events and activities and community statistics.The Chamber promotes economic development in the community,working to support a vibrant commercial center and to stimulate the local retail sector.The Chamber is a valuable link between businesses,local government,community organizations and the general public. Our mission is to enhance the quality of life through the promotion of economic development opportunities for the individuals and businesses in the communities we serve. 2.Please indicate the size and type of population served by the organization. Include quantifiable data (census information,number of members,volume of phone calls/referrals).If known,please provide the specific number of Rancho Palos Verdes residents served and the total number of Palos Verdes Peninsula residents served. The Palos Verdes Peninsula Chamber of Commerce has 430 members,including 77 organizations from Rancho Palos Verdes (18%)and 252 from the entire Peninsula (59%). Many of the Chamber's programs (including our free seminars)are open to the public and our Local First campaign is designed to benefit all of the retailers in Palos Verdes -and the residents.We are planning a second Local First Extravaganza which will be designed to encourage residents to shop on the Peninsula.We had a decent turnout last year and are discussing ways to increase attendance of the residents. 3.Indicate who prepares and who approves organization's budget. The budget is prepared by the President/CEO,staff,the Treasurer and the Finance Committee and approved by the Board of Directors. K:\RPv\FY 11-12 GraAt Application -PVPCC.doc ATTACHMENTS 2-165 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 3 4.Indicate impact of City funding to organization and its ability to provide service. The Chamber's main focus this past year has been the Local First campaign -encouraging people to shop locally and spend their dollars on the Peninsula -and we invested over $21,000 in 2010 to promote this effort.We purchased and hung banners and advertised in the Palos Verdes Peninsula News,Daily Breeze,Peninsula People and our own Peninsula Business Journal and Chamber website.We gave away Local First T-shirts and tote bags and held several seminars promoting Local First. Over the past few years,our membership dues and corporate sponsorships have not kept up with our expenses and it has been difficult to maintain our high level of service to the Peninsula community,let alone add a new program such as Local First.Unfortunately, the Chamber will not be able to invest any more funds into Local First without a grant from the City. 5.Please provide the following financial information: Fiscal Year:Begins:January 1 Ends:December 31 Total Current Year Budget:$376,000 Total Prior Year Expenses:$378,000 Sources of Funds: List all sources including the following,as applicable:Dues;Contributions (including source and whether on-going or one-time);Special Events/Fund-Raising;and Other. Current Year (2011 Budget) Dues Street Fair Events (inc.Local First) Chairman's Circle Other Prior 'Year Dues Street Fair Events (inc.Local First) Chairman's Circle Other K:\RPv\FY 11-12 Grant Application -PVPCC.doc $106K $158K $42K $46K $24K $97K $148K $41K $42K $11K 28% 42% 11% 12% 7% 29% 44% 12% 12% 3% ATTACHMENTS 2-166 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 4 Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs, Material and Supplies,and Other. Current Year (2011 Budget) Payroll and Benefits Materials and Supplies Other Prior Year Payroll and Benefits Materials and Supplies Other. $283K $37K $56K $283K $35K $60K 75% 10% 15% 75% 9% 16% The Palos Verdes Peninsula Chamber of Commerce is not a political organization. K:\RPv\FY 11-12 Grant Application -PVPCC.doc ATTACHMENTS 2-167 Palos Verdes Peninsula Chamber of Commerce Board of Directors &Officers Roster -2011 David Adishian 2013 Nantucket Crossing 867 Silver Spur Road Rolling Hills Estates,CA 90274 377-7201 Allen Bond 2011 VICE CHAIR -MEMBERSHIP Bank of America Home Loans 430 Silver Spur Road Suite 202 Rancho Palos Verdes,CA 90275 791-5757 Randy Bowers 2012 Malaga Bank 2514 Via Tejon Palos Verdes Estates,CA 90274 375-9000 Gerry Carrese 2011 Coldwell Banker 600 Deep Valley Drive Rolling Hills Estates,CA 90274 544-0303 David Conforti 2011 Trump National Golf Club 1 Ocean Trails Drive Rancho Palos Verdes,CA 90275 265-5000 Direct:303-3244 Steven Coy 2012 CL!X Portrait Studios 550 Deep Valley Drive Suite 142 Rolling Hills Estates,CA 90274 377-2555 Jackie Crowley 2013 RE/MAX Palos Verdes 450 Silver Spur Road Rancho Palos Verdes,CA 90275 703-1805 Kelly Curtis Intagliata 2012 VICE CHAIR -BUSINESS ADVOCACY Marymount College 30800 Palos Verdes Drive East Rancho Palos Verdes,CA 90275 377-5501 Kathy Gould 2012 CHAIR OF THE BOARD Palos Verdes Library District 701 Silver Spur Road Rolling Hills Estates,CA 90274 377-9584 ext.200 Liz Griggs 2013 VICE CHAIR -ECON.DEVEL. Promenade on the Peninsula 550 Deep Valley Drive Suite 101 Rolling Hills Estates,CA 90274 541-0688 ext.112 Melissa Griswold 2012 Griswold and Griswold Insurance 25550 Hawthorne Boulevard Suite 200 Torrance,CA 90505 377-7172 Terri Haack 2011 Terranea Resort 100 Terranea Way Rancho Palos Verdes,CA 90275 265-2801 Steven Kovary 2013 SECRETARVTREASURER Steven A.Kovary,CPA 609 Deep Valley Drive Suite 200 Rolling Hills Estates,CA 90274 265-4495 Sherry Kramer 2013 Continental Development Corp. 2041 Rosecrans Avenue Suite 200 EI Segundo,CA 90245 640-1520 Marilyn Lyon 2013 CHAIR-ELECT South Bay Environmental Services Center 15901 Hawthorne Bvd.,Suite 110 Lawndale,CA 90260 371-7222 x204 Marc Massari 2011 Raymond James &Associates 608 Silver Spur Road #380 Rolling Hills Estates,CA 90274 265-6060 541-4709 (F) Shawn Nejad 2011 Rancho Palos Verdes Flowers 28041 Hawthorne Boulevard Rancho Palos Verdes,CA 90275 750-6480 750-6504 (F) Sharon Ryan 2013 PAST CHAIR An Uncommon Journey 52 Malaga Cove Plaza Palos Verdes Estates,CA 90274 540-4304 Andrea Sala 2012 CA State University at Dominquez Hills 1000 E.Victoria Street Carson,CA 90747 243-2182 Teresa Scott 2011 Ho,a member of the Regus Group 609 Deep Valley Drive Suite 200 Rolling Hills Estates,CA 90274 265-4400 George Walker 2012 Vi stage 6035 Ocean Terrace Drive Rancho Palos Verdes,CA 90275 541-3614 [all area codes are (310)unless noted] EX-OFFICIO (NON-VOTING) Keri Gilbert Interim President/CEO PVP Chamber of Commerce 707 Silver Spur Road,Suite 100 Rolling Hills Estates,CA 90274 377-8111 377-0614 (F) ATTACHMENTS 2-168 JUN-OZ-06 15:43 " I I , I, ~5@~rrtI@l11 @)lJlf@(iIlC§)/? Interna.Revenue Service ,I).~.,In h1Plr I'lIfIr tlI!Wendelb1rg DEC l!21975 L-179.Cede DlEDG#2:l'C t1etemInadcm.tiC on ' b PalO$V.t'das l!iita.~s Chaltl.~:t'of Coumerc. P.O.Box 2484 672 Silvlir SpLU:Rd. J!lalos Verdes Penn"Ca1tfOr.nia 90274 fnttlmll ftnrlnLl.Cad.:a.et:lon !5D2(c)(6) FDnTI Iltc Il$qlollrcd;ZJ 'tie [J No. A=r:lLlr.tln,"jrl~Endlnf:.Deo-.b&u'31 •I'.' B~eed on intotm~t~bn 5~~pliea.~d aeauminl ~Qur cperat10ns w~ll be as Itat$d 1n pour &pP~!Qation fot recogn1tion or e~ampt1on.W$have detenD1ned y~~ara exempt from Federal income tax unaer the prcvi~ions ~r th~Internal R,vsnuG Code section ind!cat_d ag=ve. Unless speQ~tiQally e~oepted.'you are 1iable tot taxes uRd~r th$ tederal Insurance ODntr~but1ons tot lsooial secur1ty taxes~on re~u~er~i1~n Qt 150 o~m~t$to lach ~t your 'mplOY=~~during a calendar q~rtir,And,unless exoepted,~ou a~8 als~11~bl$f~r tax ~n~.r the Fad~u"a.l Unel1lploym.;nt 'tax Aot on remuneration c,t 'SO 01:"IUOtEl to each of y~~r ~plO~.9S d~rins a calengar q~att~r it.du~tn&th&currant o~ ~recBding oalendar ,sar.you have cne or ~or9 emplo¥ses at any ti=e in each at 20 calendar w.ek~or.pay w~ge~ot 11,500 or ~Qre ~n ~ny Qalenaar quarttr.It you A&VI any qU9sttcns about ixc1sl ••mployment,or other recsral taxes.please addr'$$ihem to thi$ottioa. ,, It ,our PUl"pOSlllli.'Gb.lt.i'acter,or met.hod of opet-aiiOtl 1.s ch anee a, ~Ou must J.t us knew &0 we oa~con~3de~tb~ettect of \h.cb~se on your l!);,&mpt-status.Also.;Yoo \1Il.1st inform 'i.lS or all chanZ83 in your nUi C)r addr.~s"" ,' The bleck checked at the top ct this letter shQwa whetber lOU mUU tilt Form 9510 I ftQtu~or OrgfJ;l:Iiu'ticm l:bl:&Ulpt Fz<cm InCOlti$Tax,If" th'S Yes 'box :1.13 cheeked.you are only required to tile 'arm 990 it you:, grosa'r.eeiptp $Ach year ~re fto~all1 mora than '5.000.Xt a ~atu~1a fDQuired.1t mU5t be r11e~b¥tbe l~tn day at the t1ttb month ~rter the e~d of ,our ann~al aocguntins p!r1~d,Th~law imp~a$s a pen~lt,or $10 a day.u.p to II.flu1'1'U.1l1 ot $15.000.for taUUt'f1 to tile tM return on time. TAXPAYER'$COpy loveRl ATTACHMENTS 2-169 i I) , I I ', I r t J, I JUN-02-06 15:44 FROM-SeWS 310-542-71ga T-062 P.002/002 ~'~.?('au are DOt 1\")1:'ld 'to ti15 ••5~1 iIl~QallJ ~,q ;)'tlJn,'u,'\lnliB5 JQu .~B .~bJ.ct to tbe tax an un~.d business income under seotlQb 511 /:It thl Ocd,a,.It 'O'ti ai'e lI~bj DCt.to tb1.fJ tax,:fe'll &ust rUe I.r&:!.nncm. tax :"1li'hu'l1 Oe ll'orm 990...'.1'.In thLI!~.'Ue.r ••are-l10i cletEU''1II1E1ing ll'hothor an.~or rOgr pt.sent O~~roposed act1~it!.S are unrelated trade or business IS detinia 1n "etten 613 Qr ibe Ood&. Yo~~.Gd an'employer identitiQ.t1on numbet even it rOU haYo bO° tmployees,It In Implore~~~ent1t1cat~on n~ber was not .ntlr.~on 10~r -.ppUoaticm I a nwbe:r ~.ul bt Qs:1,1nltd tD ',ou and yDU "ill be lld'll'18er:! ot it,fil.h.use that DWlber em .1.1.retut;UI :vou .ti18 Mel ill aU o~rre!p~n4enee with t~8 Internal Revenue ~rv~a •... P15a~e keep th1S determ1naticn l.tt.~~n YQur ~tr.zanerit ~.cords. tp ",~. ',. Hel ATTACHMENTS 2-170 Palos Verdes Peninsula Chamber of Commerce Profit &Loss 2010 Income Total 4000 Memberships Total 4500 Events Total 4600 Chairman's Circle Sponsorship Total 4700 Street Fair Total 4760 Local First Campaign 4800 Other Receipts 4890 Grant Income 4895 Local First Extravaganza 4900 Scholarship 4970 Professionals Expenses 6091 Health Insurance 6092 General &Workers'Comp Insurance 6100 Conferences/EntertainmenUMeetings 6110 Membership Expense 6130 Office/Computer Supplies &Expense 6160 Professional Fees 6170 Payroll 6190 Rent,Telephone,Utilities f:Ig.t~jjIi¥~~n;§,~§!ilf!I!1i~ii!I:i!:Ii!i!iI!~I!:!Hi!!!iI!!!I!!!!Iii:1iI!!I!~I!Ii~!!:I':IU;:!i;!!!t!i:: Net Operating Income 9000 Interest Income $96,744 29% $55,264 16% $41,940 12% $147,594 44% ($16,270)(5%) $6,996 2% $6,000 2% $2,076 1% ($1,379)0% $315 0% $15,014 4% $6,769 2% $15,633 5% $148 0% $34,040 10% $5,526 2% $268,371 79% $31,291 9% :ii$iif~1-eW!l~2W~~Mii }::ii1ao/&f=t ($37,512)(11%) $1,222 0% ATTACHMENTS 2-171 Palos Verdes Peninsula Chamber of Commerce Balance Sheet As of December 31,2010 Total ASSETS Current Assets Bank Accounts Total Current Assets Fixed Assets 1400 Office Furniture &Fixtures 1402 Leasehold Improvements 1403 Telephone System 1404 Camera 1500 Accumulated Depreciation Net Fixed Assets Other Assets 1600 Prepaid Rent 1700 Prepaid Expenses Street Fair Total Other Assets TOTAL ASSETS LIABILITIES AND EQUITY Liabilities Current Liabilities 2210 SF Prepaid Income Total Current Liabilities Total Liabilities Equity 3000 Fund Balance 3900 Retained Earnings Net Income Total Equity TOTAL LIABILITIES AND EQUITY $137,648 $137,648 $5,257 $2,060 $3,023 $985 ($2,910) $8,415 $2,254 $23 $2,277 $148,340 $30,405 $30,405 $30,405 $35,792 $118,433 ($36,290) $117,935 $148,340 ATTACHMENTS 2-172 " J .' 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 (310)377-0360 www.palosverdes.com/rpv CITY GRANT APPLICATION For Fiscal Years July 1,2011 to June 30,2012 & July 1,2012 to June 30,2013 Name of Organization:Palos Verdes Symphonic Band Address:POB 2041,Palos Verdes Peninsula,CA90274-9998 Phone Number:310-373-2442 (for Howard Korman,President,Board of Directors) Fax Number: Website Address:http:www.palosverdes.com/pvsb/ Contact Name &Position:Larry Weeks,Vice President,Board of Directors Years with Organization:14 years Email:WeeksLH@cox.net AMOUNT OF SUPPORT REQUESTED: FY 11-12:$1200 FY 12-13:$1200 Please Attach the Following to this Completed Application: A.List the board of directors and the expiration of their term. B.Proof of non-profit status and a statement that the organization is non-political. C.Financial statements (if any)for last completed fiscal year. ATTACHMENTS 2-173 1.Please describe the purpose of the organization and the nature of the services provided. The Palos Verdes Symphonic Band has been serving the Palos Verdes Peninsula with quality band music continuously since 1962.We perform typically 7 or 8 concerts annually in support of civic functions and celebrations,including seasonal concerts at the Botanic Garden and Norris Theatre. 2.Please indicate the size and type of population served by the organization. Include quantifiable data (census information,number of members,volume of phone calls/referrals).If known,please provide the specific number of Rancho Palos Verdes residents served and the total number of Palos Verdes Peninsula residents served. The concerts provided by the band draws on Redondo Beach and Torrance as well as the Palos Verdes Peninsula.The music ranges from classical to jazz and popular,and is appealing to all age groups.The outdoor concerts are very popular with families.The aggregate audience is estimated at 2500.In addition,for last year's Memorial Day concert at Green Hills,the audience was about 5000. 3.Indicate who prepares and who approves organization's budget. Barry Hildebrand (treasurer)prepares the bUdget with the support of Suzy Seamans and Larry Weeks.The budget is approved by the Board of Directors. Since we are operating close to the margin,the original budget is revised typically 2 times during the fiscal year,incorporating actuals to date.The timing of that activity is set by the Board of Directors. 4 .Indicate impact of City funding to organization and its ability to provide service. There are several contingencies that strongly impact the operating budget for the band. One driver includes the size of the concert audience.The last two years was very favorable,in this regard,especially the outdoor concerts at the Botanic Garden.Another is the cost of music which can vary greatly from one piece to another.The music cost has so far been unfavorably high this fiscal year. ATTACHMENTS 2-174 RANCHO PALOS VERDES These last two fiscal years for which we had no RPV (or RHE)grant funding support, several external events worked in our favor.(Please see Budget Issues for FY09/10 and FY1 0/11,backup chart.)Without the benefit of last years'Memorial Day concert,the one time memorial fund for a concert-goer,and the 4th of July concert funding by RPV,we would have had to make some painful choices or eliminate much of our reserves.And our meagre $4000 director honorarium is hardly sufficient to recruit and retain high quality music directors. The $1200 grant from RPV would help provide much needed stability to our bUdget. 6.Please provide the following financial information: Fiscal Year:Begins:September 1 Ends:August 31 Total Current Year Budget:$11700 Total Prior Year Budget:$12900 Sources of Funds: List all sources including the following,as applicable:Dues;Contributions (including source and whether on·going or one·time);Special EventslFund·Raising;and Other. Current Year Concert Income (except Norris) Program Ads Interest Member Dues Member Gifts Spring Concert Income Prior Year Concert Income (except Norris) Program Ads Member Dues Member Gifts Memorial Fund Spring Concert Income $2370 2380 Note:Additional advertisers 50 1800 100 5000 $3974 Note:One time Memorial Day concert 1055 1740 70 980 Note:Beneficiary for memorial fund 5082 ATTACHMENTS 2-175 RANCHO PALOS VERDES Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs, Material and Supplies,and other. Current Year Concert Expenses (except Norris) Director Honorarium Equipment Guest Conductor Insurance Miscellaneous Music Rehearsal Hall Socials Spring Concert Supplemental Players Total PriorY,ar Concert Expenses (except Norris) Director Honorarium Equipment Guest Conductor Insurance Miscellaneous Music Rehearsal Hall Socials Spring Concert Supplemental Players Total $360 4000 500 300 1220 300 1000 1800 50 3200 1000 $13730 $267 3875 210 325 1214 432 115 Note:Substantial gift of music purchases 1456 50 2804 875 $11620 ATTACHMENTS 2-176 The Palos Verdes Symphonic Band ...is an independent community band dedicated to the musical enrichment of the South Bay for 49 years . ...consists of approximately 50 members under the artistic direction of music director and conductor Grant Sevdayan . ...serves the Palos Verdes Peninsula with about eight seasonal concerts at the South Bay Botanic Garden,the Norris Center and at various community events such as the RPV Country Fair and the RHE birthday. ...is a non-profit organization that depends upon revenue generated from concerts, augmented by member dues,printed concert program advertisements,and grants,as available. A T T A C H M E N T S 2 - 1 7 7 Budget Issues for FY09/10 and FY10/11 Worked exceptionally hard to compensate for simultaneous loss of grants from both RPV ($1200)and RHE ($1200) Secured recurring income from five new ads in printed programs ($1650 for FY1 0/11 ) Increased member dues,doubling to $50,sacrificing some members Supported by several one time events in FY09/10 Chosen for Memorial Day concert at Green Hills ($1000) Named as beneficiary in memorial fund for deceased concert-goer ($980) Supported by RPV for 4th of July performance at Country Fair ($500) Resumption of the $1200 annual grant by RPV would provide more stability to our income contingencies,helping to insure our continued success. A T T A C H M E N T S 2 - 1 7 8 ...."'J~:JO,~.: .'-!II F---""----_...-.-_'"-----_..._._--- ..... ",.-'Ittvtnye ~ ....DIJtrlet Director D4lar AppU.cant: land on S.1l£Ol'1l&Uon nppUed.and 111&,.u.r .,.S'ILUOU will b ...'"::",, D eNl'beaUoa '.1'...oocn1tLcm 01 un...bay.M't*l"lIlaed 10'1 ar..ap~I'o~.....-:1 irlooa.tax W'lder HOUOft 101(0)fa}ot t.M tot.F.-at .....ft1l.COd••*'bave fu.rtb.t det.....1Ded that :fOG al'l not.a pr1Yat.topaUon wl\bln tb. IlHnlnl ot •.cUon sot(a)of ttl'Cob.Mea'll"yOU are 8ft orpaluttoa GeIOr'i.bld 1a ..etlan 509(.)(2). U you.r 108r".of _"rt..01',our pufPOUll.ohal'aot....or Mtbod ot .-raUOA chilli"pllUI l.t u bent H ..co COU1MI'the .ttet.ot t ..chan,.em ,our exe.pt .tatu.aDd fltundaUon .tat....A11O.rOll .0001d liltor-118 or aU .....in ,,"I'.....or addHn. o.n'I'6117'70-.....not Hable 1'01'I"sat "O"lU'1",('ZCA)to.....al•••7ft fib ..nJ,VIf Or ....UOI1 otf<t1rlcat•••p!'CW1c1ecl 1llI tbl rldlral luul'UlCl'Catr1but.10d Act.It:rou h•.,.,pald ,:.tCA t .....withollt.hUac til,wal.er.JOU ebcnald ocnaaot II'. YeMa aN .t liable to'l'the tax bpoHd UDder the ...d....l UntllPl~t 'tax Aot (I'U'tA). lb.rou.an Dot a'l'bat.taudaUOD••011 aN aot ..~eot to th...ei..ta.. under m-....t.t "2 or tbe Code.H......r.,ou aJO.aot atouUeall,••..,t t1'OII othll'".tal Noi••tu It JOG ba.,•..",",.tuu aboot Mol ...Mpl.,..t.or oU.lr ,..,..1 tUH.Dl 1.t _1m... Donora..,deduct oootl'inUou '0 ,••u ,roYUttl 1ft ..otlcm l.1fO of till CoeI,. Bequeata.1.,.Cl...dad....tl"anate....or attu to rou 01'tor JOUr ..are dHuotlbl.tor '.ral .tat.toDd CUt tu Pl&1'P08I8 11 til.,MIt til•.,l1Cl.~l. ,..ovs..UU 0'..oU..I0Il.aloe.U4 1112 ot lhe Code. ft.box oblaktel b til.h.a41q 0'till.1"'.1'.......t»,~..,til. rona teo."tun or Orcu1D.tlOft tn.pt '1'011 181"boa.It ,..U .....FO'" .,..requ1,teI to t11.r.na teO .1,it rout .....nOll:L,t....11.".1'are aorulb aore thlll tlO.OOO.It •"''''1'11 1.NClUUM.U ..,1M fU"br the 1.U...,ot ot u.rUth IIOltth att.r tJae eDd ot ,.11,1'uaw aOOOUUDI period.!be 1..iJt~ a pn&1t,ot,lO ...,.1IP '\0 ..-.aiIrIIt of ••000 .......Nt"n 1.fl1M lat•• unl..tb....1e r ...onabl.oav..tor 'k'4.1.,. ATTACHMENTS 2-179 ·.."....,...•..'.,.tv .. ~~.~~~l~~,~~~ _.__..-.-...-.--..............--...._,......_..~~1t4~ You at.Dot tequ1rtcl to tU.'ld.,&l UOOIII t.u r,turn.tlCl ...'011 art pbj.ot \0 the tax on unrelated b~'lDe"iaooal .ndtr ••ot1oo 111 or tb.Code.It JOY a,. IQbject to tbl.tu.,ou .at.t11.a"1DOOft tax ret.,.on 'ona ....,.In thl. l.tt.t,11'ILl"not d.t.....llllq .etber .,01 JOUr pr......OJ',ropoud uU.1U.. art ur.lated trade 01'buibU ..d,tlM4 1ft ,Qtioa 1511 Of tb.Gob. You n.'"61\..,10rlt ldeftUt,.UOft _11 10"...".no ..10,"'. It .....,1.1'iclt..tUloaUo~_ae.1'DOt ,at.",4 Oft JOur applioation,a au.ber _.\11 be .....ped to 'OU and 7W will be "'1 ,it.Pl......tut Duber on t11 returns ,ou tUt ud 111 all oorzoeapoZldno 1tb fob.Intimal ,,",ma. 5.u·Y10'. leo.."..th.ia 1.U....",,14 belp ,.*01..u.r qatet1O'ft1 about ,our IX.,t .tat,.. and tOUDd&t1on statut.lOU pou1d 1&••p it ill 1wr pe,...nt.HOOPdl. tt 'OY II.".~4U"U.o~.»1....GOll.'aot tbl "1'''_hue ....and te1.oel oVllber .....own u ttl.beadle.or thi.lit,.,. SlJ\oertl,,our•. yr9J.~ ;' ........W(DO)(W1t ATTACHMENTS 2-180 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 (310)377-0360 www.palosverdes.com/rpv CITY GRANT APPLICATION For Fiscal Years July 1,2011 to June 30,2012 & July 1,2012 to June 30,2013 Name of Organization:Peninsula Education Foundation Address:300 Pas eo del Mar,Palos Verdes Estates,CA 90274 Phone Number:310-378-2278 Fax Number:310-378-2078 Website Address:www.pvpef.org Contact Name &Position:Kathy Pape,Executive Director Years with Organization:one Email:kathy@pvpef.org AMOUNT OF SUPPORT REQUESTED: FY 11-12:$55,000 (average salary for one teacher)or a portion thereof FY 12-13:None requested at this time Please Attach the Following to this Completed Application: A.List the board of directors and the expiration of their term. B.Proof of non-profit status and a statement that the organization is non- political. C.Financial statements (if any)for last completed fiscal year. ATTACHMENTS 2-181 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 2 Please describe the purpose of the organization and the nature of the services provided. The Peninsula Education Foundation raises money to support the Palos Verdes Peninsula Unified School District in meeting its funding priorities,in partnership with other groups, to assure continued excellence in our local public schools. • 4 PENINSULA ~..EDUCATION • •FOUNDATION TOTAL GRANT TO PVPUSD $2.5 million Teacher's Salaries*$1 ,300,000 *To keep our class sizes small.Only PEF can raise money for salaries! Program Staffl Specialty Teachers $1,200,000 Elementary Schools Library/Media Aides/Discretionary Aides Music Teachers World Language Program (from PEF Endowment Fund) Intermediate Schools Safe Schools Counselors New!STEM (Science,Technology,Engineering and Math)Start Up Funds High Schools Academic Counselors College &Career Center Staff PVIT/SMERT Advanced Engineering Programs Other Science Fair Funding Chuck Miller Grants to teachers The Peninsula Education Foundation (PEF)has supported the Palos Verdes Peninsula Unified School District (PVPUSD)for the last 31 years to provide a high-quality public education for all K-12 students in the district.As funding from the State of the California for public education continues to decline due to the state budget crisis,the funds raised by PEF have become even more vital in providing academic enrichment and securing smaller classroom sizes by funding teachers'salaries. G:\data\word\City &Community Organizations\RPV Grant Application FINAL.doc ATTACHMENTS 2-182 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 3 Funding for public schools in our school district has been among the lowest in Los Angeles County,35th out of 41 in per student funding as shown in the chart below (data supplied by the L.A.County Office of Education).Our district also is one of the lowest in per student administration expenses. State "promised"revenue (revenue limit)per student Comparison among school districts in Los Angeles County Data supplied by the L.A.County Office of Education Rank by funding Revenue Other Other level District Enrollment Limit Federal State Local Total Admin. Revenue Revenue Revenue Revenue Expenses Beverly 3 Hills 5,125 $6,154 $778.00 $1,428 $2,753 $11,114 $820 Santa Monica- 6 Malibu 11,591 $5,811 $780.00 $1,004 $3,182 $10,776 $621 9 San Marino 3,202 $5,687 $623.00 $737 $2,787 $9,834 $805 20 EISegundo 3,263 $6,091 $526.00 $1,368 $1,070 $9,055 $666 Manhattan 23 Beach 6,481 $6,111 $478.00 $1,243 $1,162 $8,993 $493 26 La Canada 4,023 $5,819 $567.00 $1,288 $1,240 $8,914 $488 PV 35 Peninsula 12,033 $5,778 $591.00 $1,306 $867 $8,562 $340 Redondo 36 Beach 8,277 $6,079 $606.00 $1,404 $399 $8,488 $422 41 Torrance 24,758 $5,699 $768.00 $1,704 $199 $8,370 $411 The funding formula we live by today was set in 1972,based on each district's prior year expenditures.Our school board was particularly frugal and proactive in 1972 cutting the district budget before changes in funding caused by Prop 13 took effect,without realizing we would be kept at this lower level of funding forever. The Peninsula Education Foundation has been able to make up some of this funding discrepancy with donations from parents,businesses and foundations.With the current State budget in flux,further cuts to our public schools are certain.With the state budget crisis that began in 2007,PEF increased its pledge to $2 million in 2009-2010,and now has increased its commitment again to $2.5 million for the 2010-2011 school year.This is the second year that PEF has deemed it necessary to allocate half of the grant to the district in G:\data\word\City &Community Organizations\RPV Grant Application FINAL.doc ATTACHMENTS 2-183 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 4 order to save teachers'jobs,thereby keeping class sizes smaller. 11,845 students 7,305 (or 62%ofPVPUSD students)** 11,537 students Please indicate the size and type of population served by the organization. Include quantifiable data (census information,number of members,volume of phone calls/referrals).If known,please provide the specific number of Rancho Palos Verdes residents served and the total number of Palos Verdes Peninsula residents served. Population served: RPV residents served: Palos Verdes Peninsula residents served: 2. **This is only the number of students living in RPV.The total number of residents served could be closer to 20,000 when parents are included in this count 3.Indicate who prepares and who approves organization's budget. PEF's staff accountant and executive director prepare the budget,which is submitted to the V.P.of Finance,who presents it to the Board of Trustees for approval. 4.Indicate impact of City funding to organization and its ability to provide service. City funding would be a meaningful commitment to our public schools and Rancho Palos Verdes residents they serve.With 62%of our nearly 12,000 students residing in Rancho Palos Verdes the impact on city residents is clear. If we do not reach our pledge of $2.5 million made to the district,the impact will be felt in the classroom.Layoff notices will go out March 15 (details below).Without funding from the foundation,20 additional teachers would receive layoff notices.PEF is the only organization that can raise funds for salaries. Layoff notices (March 15):Effective Fall 2011 •24 Elementary teachers •17 Middle school and high school teachers •17 Support Services (nurses,psychologists,counselors) Without funding from the foundation:20 additional teachers would receive layoff notices. 5.Please provide the following financial information: Fiscal Year:Begins:July 1 Ends:June 30 Total Current Year Budget:$2,643,100 Total Prior Year Budget:$2,425,100 G:\data\word\Cily &Community Organizations\RPV Grant Application FINAL.doc ATTACHMENTS 2-184 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 PageS Sources of Funds: List all sources including the following,as applicable:Dues;Contributions (including source and whether on-going or one-time);Special Events/Fund-Raising;and Other. Current Year:2010-2011 Contributions (all are one-time): Parents of Alumni (non-school)$56,188 Major Donors (school families and business supporters $1,000-plus)$1,470,731 Real Estate Honor Roll $46,000 Tributej Memorial donations $1,500 School Families $482,282 Program revenue (Summer Schoolj Summer Break)$260,000 Special Events income (Main Event)$235,000 Prior Year:2009-2010 Contributions (all are one-time): Parents of Alumni (non-school)$56,880 Major Donors (school families and business supporters $1,000-plus)$1,290,890 Real Estate Honor Roll $00 Tribute!Memorial donations $1,500 School Families $562,980 Program revenue (Summer Schoolj Summer Break)$260,000 Special Events income (Main Event)$179,350 Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs, Material and Supplies,and Other. Current Year:2010-2011 Personnel costs:$255,000 Operating costs:$37,900 Prior Year:2009-2010 Personnel costs:$246,928 Operating costs:$35,850 G:\data\word\City &Community Organizations\RPV Grant Application FINAL.doc ATTACHMENTS 2-185 Intemal Revenue Service Date:January 9,2001 Palo.s Verdf!S Peninsula EducatiOn FoundatIon PO Box 2632 Roiling Hills Estate,CA 90274 ..8632 Department of1he Treasury P.O.Box 2508 Clnclnn.ti,OH 45201 Person to Contact: Ms.E.Eckert 31-07436 Customer Service Specialist Toll Free Telephone Number: I:DO a.rn.lo 8:38.p.m.EST 817-829.;5500 Fax Number: 513~263-3756 Federal Identification Number: 95-3498211 Dear Sir or Madam; This ~etter lsfn response t~your letter dated No.vem~r 2.20QO for a copy of your organization's determination letter.This letter will take the place ofthe copy you request~d. Our records indieatethata determInation Jetter issued In Augu,st 1980,granted your organization exempijon from federal in~me tax under seetion501(c)(3)of the Intemal Revenue Code.That lettsr is still in effect. Based on Information subsequently SUbmitted,we classified your organization as.one that is not a private foundation Within thi;!meaning of section 509(a)of the Code because [tis an organization described in sections 509{a)(1)and 170(b)(1)(A){vi). This classification Was hased on the assumptJon that your orga"izaUon'soperatlons would col,ltinue as stated In the application.If Y01Jr organization's S()~rces of support,or Its oharacter,method of operations,Or purposes have changad 1 please let us know so we can consider the effect of the change on the exempt status ~nd toundation status or your organization. Your org~n)zat,on is reqUired toflle Form 990,RettJm ofOrgal1iz4ti.on EXempt from Income Tax,only if.its gross receipts each year are normally more than $25,000.If a return is required,it must be filed by the 15th <:lay of the fifth month after the end of the organlzation'·s anriualaccountlng period,ihe law impose6 a penalty of $20 a dew.up to a maXimlJm of $10,000,when a retum fs flied late,untess there is reasonable cause for the delay. All e.xempt organizations (un~en specifically exClUded)are Ifabl~'fo(taxes under the Federal Insurance Contributions Act (social se.eurtty taxes}on remuneration of $100 or more paid to each employee dUring a <:alendaryear.Your organization Is not liable fC)r the tail.imposed under the Federal Unemployment Tax Act (FUTA), Organi~don6that are not private foundatIOns are notsubjeci to the excise taxes under Chapter 42 of the Code.However,thase organizatIons are not aut()matjc~liy exempt from olherfyderal excise taxes. Donors may deduct contributions to your organil.8t1on as p(ovi~In section 170 of the Code.13eque5ts, tegacies,devise$,transfers.or gifts to your organization or for its use are deductibie for federal estate and gIft tax pUrpoHS if they meet theapplleable provi$ions of sections 205~,2106,.and 2522 of the Code. ATTACHMENTS 2-186 -2- p~ros Verdes Peoinsula Education Foundation 95-3498211 Your organization is not required ~file fede:ral'income tax returns unlessU is subject to the tax on ut'Irelated business Income under section 511 of the Code.If your organization is subject to this tax,it must file an income tax return on the Form 990·T,Exempt Org;inlzationBusfness Income Tax Rerum.In this Jetter,we are not determIning whether any of yourorg~nilation's'presel1tor proposed activities are unrelated trade or bu~lnes5as defined in section 5130ftheCodG; The lawrequlreSi ~outo make yourorgal"lization'$~nnual return available for public inspection without charge for three years after the.due date of the r~um~If your organization had a copy of Its application for recognition of _mption on July 15,1$67,It is alsorequrred to:make aVaijable for pUblic:inspectIon a copy of the exemption application,any supporting documents and the·exemptJonlefter to any !ndiVIdual who re1:tuests such documents In person or in \\'if'jting.'1"0.\.1 c~n c~arge only,a reasonable fee for raproductionand actual postage costs fOT the copied mat~ria's,The law does not require you to provide copies of pubtic inspection documents lhatarewldely av~i1abJe,such as by posting them on the Internet (World Wide Web).You may be liable for a Penalty of $20 a day for each da'~you do not make these·documents available for public inspection (up to a maximum of $10,OOOlnthi1!<:8ge of an annual retum). Because this letter could help tesolveany qtl.estJons ab.out yourotganization's exempt status and foundatiol1 status,y:ooshouJd keep it with the organlzafion',S permanent records. If you have any qu~s(jons,please can us at thetalephone nuniber shown in the heading of this letter. This h~tter affirms your organizatiOn's exempt status. Sincerely, ~!!~ John E.Ricketts,Director,TEiGE Custonui!rAccount Services ,. --_.._---' ATTACHMENTS 2-187 PENINSULA EDUCATION FOUNDATION BOARD OF TRUSTEES 2010 .2011 OFFICERS: KATE COCKE,President DEIDRE MANNS,Executive V.P./Board Governance BOB PERRY,V.P.Major Donors JENNIFER KING,V.P.Finance DONNA MARIE ERICSON AND CATHY VILICICH,V.P.Fundraising Kristin Curren,V.P.Community relations SUSAN HAY,Secretary TRUSTEES: JOHN BACICH TRACY BRACKEN MARK CORREA KRISTIN CURREN PHIL DAIGNEAULT EMILEY DALY MARTY DODELL JUDY FLANAGAN NOELLE GIULIANO SHEELA INUGANTI KRISHNA KUMAR MARTA MEROLA M'LISSA MEYER LENA MILLER-HORII RICK PHILLIPS AMY RICCI NED SASAKI DEREK SMITH LINDA SUN JULIE VIRJEE DAVID WAGMAN ED WIRTZ ATTACHMENTS 2-188 Excerpt from AMENDED BYLAWS * OF PALOS VERDES PENINSULA EDUCATION FOUNDATION A California Nonprofit Public Benefit Corporation 2.16 POLITICAL INVOLVEMENT (a)The President of the Palos Verdes Peninsula Education Foundation shall not publicly endorse or oppose any candidate for any Palos Verdes Peninsula elected office. (b)No trustee shall endorse,in his or her capacity as an officer or trustee of the Foundation, any candidate for public office or any measure in a ballot measure or any issue which is the subject of public debate. *Approved by the Foundation Board of Trustees on October 23,2002. ATTACHMENTS 2-189 PALOS VERDES PENINSULA EDUCATION FOUNDATION FINANCIAL STATEMENTS -MODIFIED CASH BASIS Years Ended June 30,2010 and June 30,2009 (With Independent Auditors'Report Thereon) ATTACHMENTS 2-190 PALOS VERDES PENINSULA EDUCATION FOUNDATION FINANCIAL STATEMENTS -MODIFIED CASH BASIS Years Ended June 30,2010 and June 30,2009 TABLE OF CONTENTS Page INDEPENDENT AUDITORS'REPORT 1 FINANCIAL STATEMENTS: Statement of Financial Position -Modified Cash Basis 2 Statement of Activities Years Ended June 30,2010 -Modified Cash Basis 3 Statement of Activities Years Ended June 30,2009 -Modified Cash Basis 4 Statement of Functional Expenses Years Ended June 30,2010 -Modified Cash Basis 5 Statement of Functional Expenses Years Ended June 30,2009 -Modified Cash Basis 6 Statement of Cash Flows -Modified Cash Basis 7 Notes to Financial Statements -Modified Cash Basis 8 ATTACHMENTS 2-191 Mayer Hoffman McCann P.C. An Independent CPA Firm 2301 Dupont Drive,Suite 200 Irvine,California 92612 949·474-2020 ph 949-263-5520 fx www.mhm-pc.com INDEPENDENT AUDITORS'REPORT Board of Trustees Palos Verdes Peninsula Education Foundation Palos Verdes Peninsula,California We have audited the accompanying statement of financial position -modified cash basis of the Palos Verdes Peninsula Education Foundation (the "Foundation"),a nonprofit corporation,as of June 30,2010 and June 30,2009 and the related activities,cash flows and functional expenses - modified cash basis for the year then ended.These financial statements are the responsibility of the management of the Foundation.Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with auditing standards generally accepted in the United States of America.Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining,on a test basis,evidence supporting the amounts and disclosures in the financial statements.An audit also includes assessing the accounting principles used and significant estimates made by management,as well as evaluating the overall financial statement presentation.We believe that our audit provides a reasonable basis for our opinion. As described in note 1,these financial statements were prepared on the modified cash basis of accounting,which is a comprehensive basis of accounting other than accounting principles generally accepted in the United States ofAmerica. In our opinion,the aforementioned financial statements present fairly,in all material respects,the fmancial position of the Foundation as of June 30,2010 and June 30,200,9 and its activities,cash flows and functional expenses -modified cash basis for the year then ended on the basis of accounting described in note 1. Irvine California January 21,2011 -1 - ATTACHMENTS 2-192 PALOS VERDES PENINSULA EDUCATION FOUNDATION STATEMENT OF FINANCIAL POSITION -MODIFIED CASH BASIS June 30,2010 and June 30,2009 ASSETS 2010 2009 ASSETS Cash and cash equivalents (note 2)$1,758,420 1,152,467 Investments (note 3)2,982,852 2,911,034 Prepaid expenses 48,475 6,598 TOTAL ASSETS $4,789,747 4,070,099 LIABILITIES AND NET ASSETS LIABILITIES Deferred summer program income $527,186 207,356 TOTAL LIABILITIES 527,186 207,356 NET ASSETS (note 4) Unrestricted 4,242,004 3,842,033 Temporarily restricted 5,337 5,490 Permanently restricted 15,220 15,220 TOTAL NET ASSETS 4,262,561 3,862,743 TOTAL LIABILITIES AND NET ASSETS $4,789,747 4,070,099 See accompanying notes to fmancial statements. -2- ATTACHMENTS 2-193 PALOS VERDES PENINSULA EDUCATION FOUNDATION STATEMENT OF ACTIVITIES -MODIFIED CASH BASIS Year Ended June 30,2010 Temporarily Permanently Unrestricted Restricted Restricted Total SUPPORT AND REVENUE Individual contributions $1,983,085 1,983,085 Foundation support 89,042 89,042 Special events,net (note 6)323,365 323,365 Tuition 945,373 945,373 Donated facilities,services and materials 96,406 96,406 Interest and dividend income 122,606 347 122,953 Net realized and unrealized gain(loss)on investments 241,997 241,997 TOTAL SUPPORT AND REVENUE 3,801,874 347 3,802,221 Net assets released from restrictions (note 5): Satisfaction of program restrictions 500 (500) TOTAL SUPPORT AND REVENUES 3,802,374 (153)3,802,221 PROGRAM EXPENSES Education support and school 2,950,301 2,950,301 TOTAL PROGRAM EXPENSES 2,950,301 2,950,301 SUPPORT EXPENSES Management and general 157,319 157,319 Fundraising 294,783 294,783 TOTAL SUPPORT EXPENSES 452,102 452,102 TOTAL PROGRAM AND SUPPORT EXPENSES 3,402,403 3,402,403 Increase (decrease)in net assets 399,971 (153)399,818 NET ASSETS,BEGINNlNG OF YEAR 3,842,033 5,490 15,220 3,862,743 NET ASSETS,END OF YEAR $4,242,004 5,337 15,220 4,262,561 See accompanying notes to financial statements. -3- ATTACHMENTS 2-194 PALOS VERDES PENINSULA EDUCATION FOUNDATION STATEMENT OF ACTIVITIES -MODIFIED CASH BASIS Year Ended June 30,2009 Temporarily Permanently Unrestricted Restricted Restricted Total SUPPORT AND REVENUE Individual contributions $1,777,936 1,777,936 Foundation support 83,333 83,333 Special events,net (note 6)213,339 213,339 Tuition 177,381 177,381 Donated facilities,services and materials 49,960 49,960 Interest and dividend income 129,874 129,874 Net realized and unrealized gain(loss)on investments (645,339)(645,339) TOTAL SUPPORT AND REVENUE 1,786,484 1,786,484 Net assets released from restrictions (note 5): Satisfaction of program restrictions 250 (250) TOTAL SUPPORT AND REVENUES 1,786,734 (250)1,786,484 PROGRAM EXPENSES Education support and school 2,961,139 2,961,139 TOTAL PROGRAM EXPENSES 2,961,139 2,961,139 SUPPORT EXPENSES Management and general 139,020 139,020 Fundraising 350,456 350,456 TOTAL SUPPORT EXPENSES 489,476 489,476 TOTAL PROGRAM AND SUPPORT EXPENSES 3,450,615 3,450,615 Increase (decrease)in net assets (1,663,881)(250)(1,664,131) NET ASSETS,BEGINNING OF YEAR 5,505,914 5,740 15,220 5,526,874 NET ASSETS,END OF YEAR $3,842,033 5,490 15,220 3,862,743 See accompanying notes to financial statements. -4- ATTACHMENTS 2-195 PALOS VERDES PENrnNSULA EDUCATION FOUNDATION STATEMENT OF FUNCTIONAL EXPENSES -MODIFIED CASH BASIS Year Ended June 30,2010 Program Services Supporting Services Education Support and Management Total School and General Fundraising Total Expenses Contributions to PVPUSD $2,320,000 2,320,000 Salaries and other related expenses Salaries 392,087 52,893 132,698 185,591 577,678 Employee benefits 6,773 623 1,563 2,186 8,959 Payroll taxes 44,894 3,011 7,555 10,566 55,460 Total salaries and other related expenses 443,754 56,527 141,816 198,343 642,097 Other expenses Audit expense 1,200 8,800 10,000 10,000 Advertising and marketing 1,910 84,793 84,793 86,703 Bank service charges 21,129 38 16,939 16,977 38,106 Computer expenses 2,950 1,143 8,383 9,526 12,476 Contracted services 16,302 16,302 Conferences and meetings 147 1,077 1,224 1,224 Dues &subscriptions 64 466 530 530 Insurance expense 2,500 622 4,560 5,182 7,682 Facilities and rentals 61,510 61,510 Office expenses 397 2,914 3,311 3,311 Postage,shipping &printing 4,020 114 20,185 20,299 24,319 Scholarship and grants 60,449 60,449 Supplies 8,009 8,009 Telephone 773 233 1,708 1,941 2,714 Other 6,995 428 3,142 3,570 10,565 Total other expenses 186,547 4,386 152,967 157,353 343,900 Total expenses before donated items and program 2,950,301 60,913 294,783 355,696 3,305,997 Donated facilities,services &materials 96,406 96,406 96,406 Total functional expenses $2,950,301 157,319 294,783 452,102 3,402,403 See accompanying notes to financial statements. -5- ATTACHMENTS 2-196 PALOS VERDES PENINSULA EDUCATION FOUNDATION STATEMENT OF FUNCTIONAL EXPENSES -MODIFIED CASH BASIS Year Ended June 30,2009 Program Services Supporting Services Education Support and Management Total School and General Fundraising Total Expenses Contributions to PVPUSD $1,653,849 1,653,849 Save Our Teachers Now campaign (note 8)1,299,000 1,299,000 Salaries and other related expenses Salaries 75,312 188,941 264,253 264,253 Employee benefits 941 2,360 3,301 3,301 Payroll taxes 6,397 16,047 22,444 22,444 Total salaries and other related expenses 82,650 207,348 289,998 289,998 Other expenses Audit expense 1,097 8,046 9,143 9,143 Advertising and marketing 38,832 38,832 38,832 Bank service charges 38 14,008 14,046 14,046 Computer expenses 2,473 18,134 20,607 20,607 Conferences and meetings 84 617 701 701 Dues &subscriptions 62 457 519 519 Insurance expense 674 4,944 5,618 5,618 Office expenses 495 6,330 6,825 6,825 Postage,shipping &printing 20 40,979 40,999 40,999 Scholarship and grants 250 250 Supplies 1,137 8,342 9,479 9,479 Telephone 330 2,419 2,749 2,749 Total other expenses 250 6,410 143,108 149,518 149,768 Total expenses before donated items and program 2,953,099 89,060 350,456 439,516 3,392,615 Donated facilities,services &materials 49,960 49,960 49,960 Program services 8,040 8,040 Total functional expenses $2,961,139 139,020 350,456 489,476 3,450,615 See accompanying notes to financial statements. -6- ATTACHMENTS 2-197 PALOS VERDES PENINSULA EDUCATION FOUNDATION STATEMENT OF CASH FLOWS -MODIFIED CASH BASIS Years Ended June 30,2010 and June 30,2009 CASH FLOWS FROM OPERATING ACTMTIES Increase (decrease)in net assets Adjustments to reconcile change in net assets to net cash (used in)provided by operating activities: Net realized and unrealized loss (gain)on investments Changes in assets and liabilities: (Increase)decrease in prepaid expenses Increase (decrease)in deferred summer program income NET CASH PROVIDED BY (USED FOR) OPERATING ACTIVITIES CASH FLOWS FROM INVESTING ACTMTIES Proceeds from sales or maturities of investments Purchase of investments NET CASH PROVIDED BY (USED FOR) INVESTING ACTIVITIES Net increase (decrease)in cash and cash equivalents CASH AND CASH EQUIVALENTS,BEGINNING OF YEAR CASH AND CASH EQUIVALENTS,END OF YEAR 2010 2009 $399,818 (1,664,131) (241,997)645,339 (41,877)(5,912) 319,830 112,069 435,774 (912,635) 1,510,727 200,500 (1,340,548)(100,426) 170,179 100,074 605,953 (812,561) 1,152,467 1.965,028 $1,758,420 1,152,467 NONCASH INVESTING AND FINANCING ACTMTIES There were no significant noncash investing and fmancing activities for the years ended June 30,2010 and June 30,2009. See accompanying notes to financial statements. -7- ATTACHMENTS 2-198 PALOS VERDES PENIN:SULA EDUCATION FOUNDATION Notes to Financial Statements -Modified Cash Basis Years Ended June 30,2010 and June 30,2009 (1)Summary of Significant Accounting Policies (a)Organization and Nature of Services The Palos Verdes Peninsula Education Foundation (the Foundation)is a non-profit corporation in the State of California.The Foundation was founded in 1980 to maintain,provide and enhance vital education programs in the Palos Verdes Peninsula Unified School District.A 35 member volunteer Board of Trustees governs the Foundation,which is staffed by over 400 volunteers who help on the fundraising activities throughout the year. (b)Basis of Accounting The Foundation prepares its fmancial statements on the basis of cash receipts and disbursements,except that marketable securities are carried at fair value. Accordingly,unrealized gains or losses on marketable securities are recorded based on changes in the fair value of such investments;revenues and the related assets are recognized when received rather than when earned;and expenses are recognized when paid rather than when the obligation is incurred. Modification to a pure cash basis of accounting also includes recording deferred income arising from cash transactions for summer school and summer activities and recording expenses related to those activities as prepaid expenses as of year-end. (c)Financial Statement Presentation -Net Assets The Foundation's fmancial statements are presented in accordance with Accounting Standards Codification (AS C)958-605,Financial Statements of Not-for-Profit Organizations for net assets.Accordingly,the net assets of the Foundation are reported in each of the following three classes:(a)unrestricted net assets,(b) temporarily restricted assets,and (c)permanently restricted assets. (a)Unrestricted net assets are those currently available for use in the operations of the Foundation under the direction of the Board.The operating funds are used to account for general activity and Board designations are intended to generate investment income for the ongoing support of the Palos Verdes Peninsula Unified School District. -8- ATTACHMENTS 2-199 PALOS VERDES PENINSULA EDUCATION FOUNDATION Notes to Financial Statements -Modified Cash Basis (Continued) (1)Summary of Significant Accounting Policies (continued) (c)Financial Statement Presentation -Net Assets (continued) (b)Temporarily restricted net assets are those stipulated by donors for specific operating purposes or for the acquisition of property and equipment,or those not currently available for use until commitments regarding their use have been fulfilled. (c)Permanently restricted net assets are those stipulated by donors that the corpus be invested in perpetuity and only the income be made available for program operations in accordance with donor restrictions. (d)Contributions The Foundation recognizes all contributions received as income in the period received.Contributions are reported as unrestricted,temporarily restricted,or permanently restricted depending on the existence of donor stipulations that limit the use of the support. Support that is restricted by the donor is reported as an increase in unrestricted net assets if the restriction expires in the reporting period in which the support is received.All other donor-restricted support is reported as an increase in temporarily or permanently restricted net assets,depending on the nature of the restriction. When a restriction expires (that is,when a stipulated time restriction ends or purpose restriction is accomplished),temporarily restricted net assets are reclassified to unrestricted net assets and reported in the statement of activities -modified cash basis as net assets released from restrictions. (e)Income Taxes The Foundation is a tax-exempt organization ("other than a private foundation") under Internal Revenue Code Section 501(c)(3)and is exempt from state franchise taxes under Section 23701 (d)of the California Revenue and Taxation Code; accordingly,no provision for income taxes has been reflected in the accompanying fmancial statements. -9- ATTACHMENTS 2-200 PALOS VERDES PENINSULA EDUCATION FOUNDATION Notes to FinancialStatements -Modified Cash Basis (Continued) (1)Summary of Significant Accounting Policies (continued) (f)Cash and Cash Equivalents The Foundation considers all unrestricted highly liquid investments with an initial maturity of three months or less to be cash equivalents.Cash and cash equivalents consist of bank deposit,money markets and certificate of deposit accounts. (g)Investments The Foundation's fmancial statements are presented in accordance with ASe 958- 605,Accounting for Certain Investments Held by Not-for-Profit Organizations. Under Ase 958-605,the Foundation is required to report certain information related to the fair value and type of investments held and their related performance. Marketable debt and equity securities are stated at the respective securities'fair value based upon quotations obtained from national securities exchanges.Donated investments are recorded at the market value at the date of donation and thereafter carried in accordance with Ase 958-605.Net appreciation (depreciation)in the fair value of investments,which consists of the realized and unrealized gains or losses on those investments,is shown in the statement of activities -modified cash basis as part of investment income (loss). Investment income or loss is allocated to unrestricted and temporarily restricted investment accounts based on each accounts respective average percentage of the total investment portfolio. (h)Fair Value Measurements In September 2006,the Financial Accounting Standards Board ("FASB")issued ASC 958-605,Fair Value Measurements,which establishes a framework for measuring fair value using generally accepted accounting principles,and expands disclosures related to fair value measurements.The Statement does not expand the use of fair value in any new circumstances.ASC 958-605 is effective for financial statements issued for fiscal periods beginning after November 15,2007.This standard defmes fair value and establishes a hierarchy for reporting the reliability of input measurements used to assess fair value for all assets and liabilities. -10- ATTACHMENTS 2-201 PALOS VERDES PENINSULA EDUCATION FOUNDATION Notes to Financial Statements - Modified Cash Basis (Continued) (1)Summary of Significant Accounting Policies (continued) (h)Fair Value Measurements (continued) The hierarchy prioritizes fair value measurements based on the types of inputs used in the valuation technique.The inputs are categorized in the following levels: •Level 1 -Observable inputs such as quoted prices in active markets for identical assets or liabilities •Level 2 -Directly or indirectly observable input for quoted and other than quoted prices for identical or similar assets and liabilities in active or non- active markets •Level 3 -Unobservable inputs not corroborated by market data,therefore requiring the entity to use the best information available in the circumstances, including the entity's own data Although ASC 958-605 increases the level of disclosures required,it did not have a material impact on the financial statements. (i)Functional Allocation of Expenses The costs of providing the various programs and other activities have been summarized on a functional basis in the statement of activities.Accordingly,certain costs have been allocated among the programs and supporting services benefited. G)Estimates The preparation of financial statements in accordance with the modified cash basis of accounting requires management to make estimates and assumptions that affect the reported amounts of assets,liabilities and net assets and the reported amounts of revenues and expenses during the reporting period.Actual results could differ from those estimates. (2)Cash and Cash Equivalents Cash and cash equivalents consist of demand deposits and money market funds in the amounts of $1,758,420 and $1,152,467 at June 30,2010 and June 30,2009,respectively. -11 - ATTACHMENTS 2-202 PALOS VERDES PENINSULA EDUCATION FOUNDATION Notes to Financial Statements -Modified Cash Basis (Continued) (2)Cash and Cash Equivalents.(Continued) The Foundation does not have demand deposits in excess of federally insured limits at June 30,2010.Malaga Bank is participating in the FDIC's Transaction Account Guarantee Program.Under that program,through December 31,2010,all non-interest bearing transaction accounts are fully guaranteed by the FDIC for the entire amount in the account.Coverage under the Transaction Account Guarantee Program is in addition to and separate from the coverage available under the FDIC's general deposit insurance rules. The Foundation had demand deposits in excess of federally insured limits in the amount of $782,226 at June 30,2009. (3)Investments Investments consist ofthe following at June 30: Mutual funds Total investments 2010 $2,982,852 $2.985,852 2009 2,911,034 2,911,034 Investment income is comprised of the following for fiscal years ended June 30: Interest and dividends Net unrealized gain (loss) Net realized gain (loss) 2010 $122,953 241,997 129,874 (645,268) (71) Significant Unobservable Inputs <Level 3) Significant Other Observable Inputs <Level 2)Fair Value Total investment income (loss)$364,950 (515.465) Fair values of assets measured on a recurring basis at June 30,2010 are as follows: Quoted Prices InActive Markets for Identical Assets <Levell) Mutual funds $2,982,852 2,982,852 -12- ATTACHMENTS 2-203 PALOS VERDES PENINSULA EDUCATION FOUNDATION Notes to Financial Statements -Modified Cash Basis (Continued) (3)Investments.(Continued) Significant Unobservable Inputs (Level 3) Significant Other Observable Inputs (Level 2)Fair Value Fair values of assets measured on a recurring basis at June 30,2009 are as follows: Quoted Prices InActive Markets for Identical Assets (Levell) Mutual funds $2,911.034 2,911.034 (4)Net Assets Net assets consist ofthe following at June 30: Unrestricted net assets: Available for operations Board designations Total unrestricted net assets $1,259,152 2,982,852 4,242,004 946,709 2,895,324 3,842,033 Temporarily restricted net assets: Restricted for: Jack Bagdasar Scholarships Special projects -Eric Johnson donation 337 5,000 490 5,000 Total temporarily restricted net assets 5,337 5,490 Permanently restricted net assets Restricted for: Jack Bagdasar Memorial Endowment Fund Total net assets 15,220 $4,262,561 15,220 3,862,743 -13 - ATTACHMENTS 2-204 PALOS VERDES PENfflSULA EDUCATION FOUNDATION Notes to Financial Statements -Modified Cash Basis (Continued) (5)Net Assets Released from Restrictions Net assets released from restrictions as of June 30: Purpose restrictions accomplished: Bagdasar-graduating senior scholarship Total net assets released from restrictions (6)Special Events The Foundation held one major fundraising event during the year ended June 30,2010, which consisted ofthe following: Dinner and Car Dance Auctions Drawing Total Contributions $31,725 273,580 40,688 345,993 Event revenue 158,335 265,997 59,155 483,487 Less expenses 075,041)(288,268)(42,806)(506,115) Net Support $15.019 251.309 57.037 323.365 For the year ending June 30,2010,merchandise and services with an estimated value of $337,517 were contributed for the fundraising events. The Foundation held one major fundraising event during the year ended June 30,2009, which consisted of the following: Dinner and Car Dance Auctions Drawing Total Contributions $63,553 171,175 40,923 275,651 Event revenue 96,586 201,229 56,200 354,015 Less expenses (191,488)(181,144)(43,695)(416,327) Net Support $(31.349)191.260 53.428 213.339 For the year ending June 30,2009,merchandise and services with an estimated value of $269,830 were contributed for the fundraising events. -14- ATTACHMENTS 2-205 PALOS VERDES PENINSULA EDUCATION FOUNDATION Notes to 'Financial Statements -Modified Cash Basis (Continued) (7)Donated Facilities.Materials and Services The Foundation recognizes as support only those donated facilities,services or materials which create or enhance nonfmancial assets or which require specialized skills and which the Foundation would otherwise have purchased. Administrative During the years ended June 30,2010 and June 30,2009 the Foundation received $96,406 and $49,960,respectively,of donated facilities and services.The Foundation .received donated office space from the Palos Verdes Peninsula Unified School District. The fair value of the space is estimated at $46,440 and $38,112 annually.The remaining fair value of $49,966 and $18,848 consisted of professional services,small office furniture and materials donated to the Foundation for general purposes. Special Events. During the fiscal years ended June 30,2010 and June 30,2009,the Foundation received certain professional services such as advertising,typesetting,printing,and security services in connection with its annual main event.Also,in connection with producing the event the Foundation received donated materials,merchandise and site usage.These services and materials have been recorded as part of special events as noted in Note 6. Throughout the year,the Foundation also received donated services from over 400 dedicated volunteers.Fair market value of these services does not meet the criteria of requiring a specialized skill and therefore no valuation is shown. (8)Save Our Teachers Now Campaign Save Our Teachers Now was an additional Fundraising Campaign to raise funds to maintain teaching positions within the PVPUSD school district for the 2008~2009 school year only. (9)Subsequent Events Management has evaluated subsequent events through January 21,2011 (the date the fmancial statements were available to be issued).Management believes no events have occurred subsequent to the statement of fmancial position date and through January 21, 2011 that would require adjustment to or disclosure in the Foundation's fmancial statements. -15 - ATTACHMENTS 2-206 PENINSULA SENIORS OFFICERS Ann Shaw President Kathy Edgerton 1st Vice President Treasurer Gene Hollander ZW Vice President Robert Visser :fd Vice President Juanita Davis Secretary DIRECTORS Stephanie Enright Paul Ginsburg Robert Gulcher Marcia Haber Karen Hill Elizabeth Lukas Michael Medby Jack Newman Diane Robinson Mary Toomey Jarel Wheaton HONORARY LIFE Edith Mayerson Russ Herrington EXECUTIVE DIRECTOR Maryann Rimoin ASSISTANT DIRECTOR Louise Sowerby March 11,2011 Mayor Thomas Long and Council Members City Of Rancho Palos Verdes 30940 Hawthorne Boulevard Rancho Palos Verdes,CA 90275 Dear Mayor Long and Council Members, Thank you for the opportunity to apply for a city grant.Your support of Peninsula Seniors has been critical to our organization in the past and we hope that you will be able to continue your support. Please fmd attached to this letter the following documents: 1.Completed City Grant Application. 2.List of our current Board members and the expiration dates oftheir terms. 3.Proof of non-profit status and statement that the organization is non-political. 4.Statement of fmancial position for years ending December 31,2010 and 2009. 5.2011 approved budget. 6.Financial statements prepared by an independent CPA for years ending December 31,2009 and 2008. 7.Statement of Peninsula Seniors'Vision,Mission and Goals. 8.List of current activities and services. I look forward to attending the Budget Review Session on Tuesday,March 29 at 7:00 PM.Please let me know ifyou have any questions prior to the meeting.I can be reached at my home number (310)544-9916 or anndshaw@msn.com. Sincerely, ~~ Ann Shaw,President 30928 Hawthorne Boulevard Rancho Palos Verdes.CA 90275 P.310.3n.3003 F.310.544.6147 Email:seniors@pvseniors.org Web Site:pvseniors.org ATTACHMENTS 2-207 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 (310)377-0360 www.palosverdes.com/rpv CITY GRANT APPLICATION For Fiscal Years July 1,2011 to June 30,2012 & July 1,2012 to June 30,2013 Name of Organization:PENINSULA SENIORS Address:30928 Hawthorne Blvd.,RPV,CA 90275 Phone Number:(310)377-3003 Fax Number:(310)544-6147 Website Address:WWW.pvseniors.org Contact Name &Position:Ann Shaw,President Years with Organization:13 Email:anndshaw@msn.com AMOUNT OF SUPPORT REQUESTED: FY 11-12:$12,000 FY 12-13:$12,000 Please Attach the Following to this Completed Application: A.List the board of directors and the expiration of their term. B.Proof of non-profit status and a statement that the organization is non- political. C.Financial statements (if any)for last completed fiscal year. ATTACHMENTS 2-208 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 2 1.Please describe the purpose of the organization and the nature of the services provided. Peninsula Seniors is the only organization serving seniors throughout the Palos Verdes Peninsula.The 2000 census showed that over 20%of the Peninsula population are age 65 or greater and we anticipate that the 2010 census (which is currently unavailable)will put this figure at 30%or higher.We provide numerous social and intellectual activities that I have attached to this document.In 2010 6,385 persons participated in our on-site activities and 4,362 attended our off-site activities. We believe that our organization is Vitally important and necessary for this community.In 2010 our Board adopted a new Vision statement,Mission statement and Goals,which I am enclosing.We believe these goals will provide a framework for improving our activities and services in the future as we look for innovative ways to provide activities and services for our more elderly members as well as address the different needs of the retiring baby boom generation. 2.Please indicate the size and type of population served by the organization. Include quantifiable data (census information,number of members,volume of phone calls/referrals).If known,please provide the specific number of Rancho Palos Verdes residents served and the total number of Palos Verdes Peninsula residents served. We have members from all four cities on the Palos Verdes Peninsula and a small number from the surrounding communities.Our current membership is 970 as of February 28 and 511 of these members live in Rancho Palos Verdes. We received 4,409 phone calls in 2010,of which approximately 15%-20%were for social service referrals.Members can avail themselves of consultations with an attorney, podiatrist,financial advisor and geriatric care specialist by appointment at the Senior Center.We also offer a caregivers support group.These are in addition to our referrals to social agencies. 3.Indicate who prepares and who approves organization's budget. The budget is prepared by our treasurer and approved by the Board of Directors. C:\Documents and Settings\Ann Shaw\My Documents\Peninsula Seniors\RPV Grant Application[1 ].doc ATTACHMENTS 2-209 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 3 4.Indicate impact of City funding to organization and its ability to provide service. Our income is limited to dues,donations and grants.Your grant is very important to our ability to continue to provide our program as outlined above.As you will be able to see by our financial statements,we struggle to meet our expenses with our income.We have 1.25 full time employees.Volunteers are an essential component of our organization and we couldn't exist without them.In 2010 we logged 16,768 volunteer hours. 5.Please provide the following financial information: Fiscal Year:Begins: Ends: January 1 December 31 Total Current Year Budget:$Adopted 2011 financial plan (bUdget)is attached. Total Prior Year BUdget:$Pro-forma 2010 financial statements are attached. We are also including our audited 2009 financial statements. Sources of Funds: List all sources inclUding the following,as applicable:Dues;Contributions (including source and whether on-going or one-time);Special Events/Fund-Raising;and Other. Current Year Please see our attached financial statements.We are hoping to have a few small fundraising activities but these are not yet planned. Prior Year Please see our attached financial statements. C:\Documents and Settings\Ann Shaw\My Documents\Peninsula Seniors\RPV Grant Applieation[1].doc ATTACHMENTS 2-210 City of Rancho Palos Verdes Grant Application FY 11·12 &FY 12·13 Page 4 Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs, Material and Supplies,and Other. Current Year Our major expenses are salaries for our 1.25 full time employees and the rent on our two modules.These are detailed in our attached financial statements. Prior Year Our expenses are as above. Should you have any questions or need more information do not hesitate to contact me at my home number (310)544..9916 or bye-mail atanndshaw@msn.com. C:\Documents and Settings\Ann Shaw\My Documents\Peninsula Seniors\RPV Grant Application[1].doc ATTACHMENTS 2-211 Peninsula Seniors 2011 Board Of Directors Officers: President:Ann Shaw* Secretary:Juanita Davis* Treasurer:Kathy Edgerton Board Members: 18t VP:Kathy Edgerton 2nd VP:Gene Hollander* 3rd VP:Robert Visser* Stephanie Enright Marcia Haber Jack Newman Mike Medby Paul Ginsburg Karen Hill Diane Robinson Jarel Wheaton* Robert Gulcher Betty Lukas Mary Toomey* *Elected for a two-year term ending in January 2013 All other Board members will complete the second year of their term in January 2012. They are eligible for a second two-year term at that time. ATTACHMENTS 2-212 Dear Applicant: Penlnsuln Seniors P.O.8QX 7000-151 Palos Verdes Peninsula,CA Date:DE'rn n 1!83 90274 Department of the Treasury .:.i; .~;;~~~:-''''Hum"'"I) A~:~~::::;'Ic;c'l End,nC::\ltl Foundation StatuI Classlflcatlon:'WJ ~ 170(b)(1)(A)(vl)and 509(a)(t. Advance Rullnc Ptrlod Encll:{it ~ December 31,1984\-;.' '.'Ion 10 Contltt::<:1.'~...I.Hl11 l' Contact Ttl.phone Numbe,:'"; (213)688-4889 .. C .'~, :'~. 'f .. Based on information supplied,and aSGum1ng your operations will be as stated 1n your application for recognition of exemption.we hav~determined you are exempt trom Federal income tax under ~~vtion 501(c)(3)ot the Internal Revenue Code. .~. •j- ·t C \ Because you are a newly ~reated organizatlon.we are not now making a tinal determination of your foundation status under section 50~(a)of the Code.Howover. we have determined that you can reasonably be expected to be a publicl1 supported organization describ~d in section 170(b)(t)(A)(vl)and 509(a)(I). Within 90 days after the end of your advance ruling period,you must submit to us information needed to determine whether you have met the requirements of the applicaolo support test durlng the advance ruling period.If you establish that you have benn a publicly supported organization,you will be classifled as a section 509(a)(1)or 509In)(2)organizatlon as long as you continue to meet the requ~rements of the appl il;atlc SUP~.Irt tost.If you do not meet the pUblic support requirements during the advance ruling period.you will be classifitd as a prhate foundation tor future periods.Also,If you are classif.ied as a private four.dalion,you will bo treated as a private foundatlon from the date of your inception for purposes of sections 507(d)and 4940. Aecording11,10U will be treated as a publicl~supported organization,and not as a private foundation,during an 3dvance ruling period.This advance ruling period bel~ins on tlte da to 0 f you r inception and ends on the date shown above. Grantors and donors may rely on the determination that you are not a private foundation until 90 days after the end ~f your advance ruling period.If you submit the required intormation within the 90 days,grant~rs and do~o:'s ~ay continue to rely on the advance determinatlon until the S~rvice makes a final determination or your foundation status.However,if notice that you will no longer be treated as a seetion 50')('J)(t)~n't organ1Zation is pUblished in the Intornal Revenue Bulletin.Y i, grantors and donors may not rely on this determination after the date of suCh t \:~~l;~:t~~n~a~~O~~s:o~~~~i:r f~~,d~~O~a:n~'N:~~~~~y t~:~~~so~e~:f~~~:t~~na~~~~a~r '.•.•.I..·.:.,...n resulted in your loss ot section 509(a)(1)\"*status,or acqUired kno'N!edge that;,?,~ the Int~rnn~Revenue Servico had given notice that you.would he re::oved trom.~·l classiflcatlon as a section 509(01)(01't1':organizatlor;':1/,1 :;'0.~~~2s3:cO;I~:::~~~';~(~~I;~)~~~~~-leller 1045(00)(6-:11 ",ATTACHMENTS 2-213 District Director -"m-m Wn n c.,e_r lIII'••'IIiII'_'Pt ,·,__•_ctt ·__ • If ::ou ~avo any questions.please contact the person whose name and telephone numha~~re ~hown in the heading ot this letter. Sincerely yours. B~causo this letter could help resolve any questions about your exempt status ell'l toundat:'on sta tU!3.you should keep'tt in your permanant rocords. Organizations that are not private roundations are not sUbjeot to the exciso taxes under Chapter 42 of the Code.Howover.you are not automatically exempt rrp. other Fedoral excise taxes.If you have any questions about excise.employment.or otho:"Fedoral taxes.please let us know. You n£ed an employer identification number even if you have no employees.It ~n e",ploy~r identification number was not entered on your application.a number will be assigned to you and you will be advised or it.Please use that number on all roturns yo~file and in all correspondence with the Internal Revenue Service. You are required to fUeForm 990.Return of Organization Exempt trom Income Tax.only H your gros·s receipts each year are normally more than $lO.OOOt It a r..,turn is requi red.it must be riled by the 15th day ot the titth month after the ~nd of y~cr annual accounting period.The law imposes a penalty of SlO a day.up to a ma:<iml..:r.or $5.000.when a return is filed late.unless therl!t is reasonable cause to l'tho :tola.y. You ~re not required to file Federal income tax returns unless you are subject to the tax on cnrelated business income under section 511 ot the Code.If you are subj~ct t~this tax,you must tile an income tax return on Form 990-T.In this le~lor.wo are nol determining whether any of your present or proposed actiVities are unrE!latcd trade or business as detined in section 513 of the Code. Generally.you are not liable tor social security (FICA)taxes unless you tl1e a waivor or exemption certiticate as provided in the Federal Insurance Contributions Act.It you have paid FICA taxes without tiling the waivor,you should call us.You are not liable for tho tax imposod under the Federal Unemployment Tax Act (FUTA). Doncrs may deduct contributions to you as prOVided ln secHon 170 of the Code. BeGu~9ts.logacies.deVises.transfers.or gitts to you or tor your use are deductiblo for Federal estate and gift tax purposes if they meet tho applioable provisions of sections 2055.2106.and 2522 or the Code. If your sources or support,or your purposes,charactor,or method or oPl,ra~t1!Qft chan&e.p~eaQo let us know so we can consider the ert.ct ot the ohango on your cxorap't st.atus and fcundation status.Also,you should inform us of all c·'8nl.8 1n your :laDe or address. ".'Sf.'":II15 ,m,..,.M.•S••'W.Itt ATTACHMENTS 2-214 ,i.. .., ---_..,.__--------_-. t •• 501(c)(3)Orp,anl1.3tlons Beginning January 1,1984,unless specifically excepted,you must pay taxes under the Federal Insurance Contributions Act (social security taxes)for each employee who is paid $100 or more in a calendar year. This determination supersedes our determination issued on May 18,1983. •For tax years ending on and after December 31,1982,organizations whose gross receipts are not normally more than $23,000 are excused from filing Form 990.For guidance in determining if your gross receipts are "normally"not ~ore than the $25,000 limit,see the instructions for the Form 990. ... 1.1, ATTACHMENTS 2-215 Application for Recognition of Exemption,3/1/1983 Permitted and Prohibited Activities Summary rmitted Activities: 1.Fund Raising of all kinds. 2.Facilitate and plan activities for the Senior Adult Community of Palos Verdes. 3. a. b. c. d. e. f g. Dues Advocacy Center. Luncheons. Discussion groups and forums. Volunteer Training Intergenerational Activities Senior Services Directory. Referral services. 'ohibited Activities:(Unless a re-application for an exemption as a 501(c)(3)org.) 1.Financial accountability to another organization. 2.Control by another organization. 3.Have elected or appointed public officials as members of the Board of Directors.. 4.Cannot influence legislation. 5.Cannot intervene in any way in political campaigns. DATA\PEN SR\Applieation for Exemption.doc 1212812002 ATTACHMENTS 2-216 I' Rev.1:3/11/11 Peninsula Seniors Statements of Fiancial Position December 31,2010 and 2009 Assets 2010*2009 Current Assets: Cash $66,104 $52,373 Restricted Cash -Building Fund 53,752 53,282 Restricted Cash -Travel Fund 352 Prepaid Expenses 4,384 4,800 Deposits Paid -Trips 428 3,959 Security Deposit -Office Lease 1,010 1,010 Total Current Assets $126,030 $115,424 Property and EqUipment: Computer Equipment 9,069 9,687 Donated Computer EqUipment 1,200 incl.above Furniture and Equipment 647 16,266 Donated Furniture and Equipment 5,632 1,422 Leasehold Improvements 7,422 8,972 Donated Leasehold Improvements 21,550 20,000 Office Machines 649 3,849 Telephone System 920 5,148 Donated Television 700 700 incl.above in Video Camera System 4,229 Telephone Sys. Building -Construction in Progress 54,084 Total Property and Equipment 52,018 120,128 Less:Accumulated Depreciation (30,609)(37,275) Net Property and Equipment 21,409 82,853 Total Assets $147,439 $198,277 *Figures for 2010 are preliminary,as they have not yet been reviewed by an independent CPA. 1 ATTACHMENTS 2-217 Rev.1:3/11/11 Peninsula Seniors Statements of Financial Position December 31,2010 and 2009 Liabilities and Net Assets Current Liabilities: Scholarship Fund (in Geriatrics field) Accrued SalarylWages and Payroll Taxes Deferred Revenue -X-mas Family Fund Deferred Revenue -Membership Dues Deferred Revenue -Newsletter Ads Deferred Revenue -Exercise Classes Deposits Received -Trips Total Current LiabilitieslTotal Liabilities Net Assets: Unrestricted Net Assets Temporarily Restricted Net Assets Total Net Assets $ 2010'" 3,000 2,747 3,155 6,450 1.907 17,259 76,020 54,160 130,180 2009 1,500 960 1,050 18,307 875 3,306 25,998 118,997 53,282 172,279 Total Liabilities and Net Assets $147,439 ...$1.-98""",2_7.....7 "'Figures for 2010 are preliminary,as they have not yet been reviewed by an independent CPA. 2 ATTACHMENTS 2-218 ,, Peninsula Seniors Rev.l:3!11!1l Statements of Activities For the Years Ended December 31,2010 and 2009 2010*2009 Unrestricted Net Assets: Unrestricted Support and Revenues Donations &Grants $24,874 $23,272 Donations In-Kind 3,250 6,113 Member Dues 71,507 47,008 Exercise Programs 16,045 10,336 Special Events and Parties 12,630 13,393 Trips 49,533 60,136 Commission Income 2,405 2,304 Newsletter Ad Income 5,480 3,050 Other Services 2,090 864 Interest Income 220 403 Total Unrestricted Support and Revenues 188,034 166,879 Expenses: Program Services Membership Expenses 605 819 Newsletter Expenses 9,098 8,308 Other Services 931 22 Bank Charges 20 40 Exercise Program Expenses 11,523 8,038 Youth Programs 6,105 Scholarships (in Geriatrics field)3,000 Trip Expenses 41,714 48 1177 Trip Expenses -Donated Services (See Comment #3) Support Services Management and General -Schedule 1 109,814 108,668 (See Comment #3) Building Construction-in-Progress Write-off 54,084 Total Expenses 230,789 180,177 Net Increase/(Decrease)•Unrestricted Net Assets (42,755)(13,298) Temporarily Restricted Net Assets: Donations 352 50,040 Interest Income 470 107 Net Increase·Temporarily Restricted Net Assets 822 50,147 Totallncrease/(Decrease)in Net Assets (41,933)36,849 Net Assets at Beginning of Year 172,279 135,430 Net Assets at End of Year $130,346 $172,279 3 ATTACHMENTS 2-219 ,, Peninsula Seniors Rev.1:3/11/11 Statements of Activities For the Years Ended December 31,2010 and 2009 2010 2009 Schedule 1 ..Management and General Expenses: Publicity $391 $287 Miscellaneous 235 1,064 Building Elements!Contents 5,178 Insurance 5,480 4,059 Licenses &Permits 200 50 Maintenance and Repairs 5,926 8,482 Wages &Salary 48,070 47,083 Payroll Taxes 4,627 4,311 Postage &Delivery 467 736 Professional Fees 2,590 2,590 Rent 24,625 21,605 Equipment Rental 796 936 Security 840 840 Supplies 2,560 2,847 Telephone 1,803 2,538 Non-Depreciable Equipment 302 108 Donated Small Equipment 268 293 Depreciation!Amortization Expense 10.634 5.662 Total Management and General Expenses $109,814 $108,669 4 ATTACHMENTS 2-220 Peninsula Seniors Statements of Activities For the Years Ended December 31,2010 and 2009 Comments Regarding Preliminary Statement of Activities (Previous Pages) Rev.1:3/11/11 1.Figures for 2010 are preliminary,as they have not yet been reviewed by an independent CPA. 2.2010 in-kind donations (and corresponding support services expenses)exclude the value of volunteer labor hours that do not meet the standards of generally accepted accounting principles for inclusion in financial statements.The total estimated value of volunteer services during 2010 is over $370,000.Over 16,750 hours of volunteer services were received -approximately 7,700 for general management/administration of the organization and 9,050 to administer our programs. 3.In the 2009 figures on the previous page,the value of donated services for travel ($22,701)and management/general support services ($321,711)have been deducted from the applicable lines to facilitate comparison with 2010 figures.Otherwise,the figures shown are the same as those shown in the attached 2009 financial statements prepared by the independent CPA. 4.The 2010 figures for member dues include recognition of dues deferred from 2009 amounting to $18,307.Beginning in January 2010,member dues are recognized as income when received -as there is no commitment by Peninsula Seniors to refund dues and no expectation on the part of members that dues may be refunded for any reason. 5.In 2003,Peninsula Seniors incurred approximately $54,000 to design a building for holding senior activities on a parcel of land to be donated for that purpose as part of the Crestridge Estates senior housing project under consideration at that time.However,plans for that project (and subsequent ones by that owner)have been abandoned.Consequently,Peninsula Seniors'building project is no longer under consideration,and the costs incurred for planning that project were written off in 2010. 6.Depreciation/amortization expense is substantially higher in 2010 than in previous years due to increased leasehold Improvement amortization.Previously,construction of leasehold improvements had been donated by Trump National Golf Course personnel when Peninsula Seniors moved to the trailers on the RPV City Hall campus in the latter part of 2006.The cost of the leasehold improvements was being amortized over a 15-year period beginning in 2007.However,the organization now plans to move from that location at the end of 2012 to allow the planned improvements on the City Hall campus to commence. In recognition of the current plans,beginning in 2010,the remaining unamortized leasehold improvement costs are being allocated to the 3-year period prior to vacating the property (2010-2012). 5 ATTACHMENTS 2-221 Peninsula Seniors 2011 Approved Budget The attached budget for 2011 was approved by the Peninsula Seniors Board of Directors on January 19th.The budget differs slightly from the formal year-end financial statements in that it is prepared on a cash basis,rather than an accrual basis.Income and expenses are managed internally on a cash basis.Accruals are generally an insignificant aspect of the organization's financials and cash flow management is considered the preferable method for management of the day-to-day operations. The actual 2010 revenue and expenses are included on a cash basis in the budget report for comparison purposes.Therefore,they differ from the formal financial statements prepared on an accrual basis. The initial budget indicated a likely cash shortfall of $3,200.However,Board members approved the budget,with the commitment that they would immediately work together to develop a plan to cover the anticipated shortfall,to monitor our progress over the coming months in achieving a balanced budget,and to make modifications during the year,as needed,to assure that we achieve that goal.Until a detailed plan to achieve a balanced budget is completed and approved by the Board,the additional income needed to cover the shortfall is shown in the budget as a bottom-line "needed-to-find" adjustment. 1 3/11/11 ATTACHMENTS 2-222 Peninsula Seniors 2011 BUdget Assumptions Goal:Balanced bUdget (as required by PS By-laws) Revenue Assumptions: 1.Income from the following sources similar to income derived in 2010: •Financial support from Rancho Palos Verdes and Rolling Hills •Numbers and levels of membership continue at year-end 2010 level (989);50%of February 2012 memberships assumed to be renewed before end of 2011,as occurred in 2010. •Member donations (over and above membership dues)continue at same level (including largest donors) •Trips and tours •Exercise classes •Newsletter ads •Anniversary luncheon •Fashion show •Adia fundraiser 2.Consistent approach to pricing of all programs (to cover direct cost to administer program plus a proportionate share of general office expenses),except: •Hesse Park lecture series (donation bowl will be placed prominently at entry) •Video production program 3.New programs must have a funding source. 4.Non-cash donations are not included in 2011 budget (revenue would be impacted by non-cash donations,but cash would not be affected by such donations) 2 1/19/11 ATTACHMENTS 2-223 1/19/11 Peninsula Seniors 2011 Budget Assumptions Cost Assumptions: 1.Adia fundraiser: •$3,000 scholarships included in 2011,using receipts from 2010 fundraiser •Participation in 2011 fundraiser assumed,with corresponding scholarship or other activity costs paid in 2012 (Adia plans a competitive process for selecting benefitting non-profit organizations in 2011.) 2.Total payroll dollars remain unchanged from 2010 (headcount:1.25 full-time equivalents) 3.Trailer lease cost continues at current level in 2011 ($1,895 per month);no facility relocation during 2011 4.No change in cost of existing service agreements: •Exercise instructor •Copier rental •Security •Cleaning service •Pest control 5.Payroll tax processing service added in mid-2011 (estimated to be $800 per year) 6.Modest increases (approx.5%)in insurance,telecommunications and software costs,consistent with recent experience. 7.Unrelated business income tax included for tour commissions and newsletter ads (for 2010 plus estimated payments in 2011);rough estimate at $500 to $1,000 per year 8.No computer hardware or software upgrades are included. 9.No capital expenditures or other major nonrecurring expenses are included. 10.No costs for a facilities relocation are included. Overall Results/Conclusions: A somewhat aggressive/optimistic budget with a gap (shortfall)of $3,200 that must be filled. Possible ways to reduce or eliminate income shortfall are included in package. 3 ATTACHMENTS 2-224 .,Peninsula seniors -. 2010 Actusls 2011 Budget 2010 2010 2010 Net 2011 2011 2011 Net Revenue Expenses Income Revenue Expenses Income Membership Dues 53200 $53200 48.625 48625 Cash Donations &Grants 24,874 $24,874 24.875 24,875 DavTrlDS 49477 41,714 $7763 49.500 41,700 7,800 Tour Commissions 2,950 845 $2,105 2150 50 2,100 exercise Classes 16045 11,523 $4522 16000 11,500 4,500 Anniversary Luncheon 4100 2,748 $1352 4100 2,750 1,350 Adla Fundralser 5020 1500 $3.520 5000 3,000 2000 Fashion Show 5,404 2,609 $2795 5,400 2,600 2,800 Restricted Donation (Travel)408 ·$408 .· · Other Activity Income 4,812 892 $3920 4710 1,050 3660 Newsletters 7,691 ·$7,691 7000 ·7000 Other Income 1,094 ·$1,994 880 ·880- Total Cash $175,075 $61,831 $113,244 168.240 62650 105,590 Non-eash Contributions $4519 4519 $. .· · Total Revenue Assoc.ExD8l188S,&Income $179,594 $66,350 $113244 168,240 62,650 105,590 Pavroll exPenses &Taxes 51.009 51000 Facility Lease 24,625 22,750 Newsletter EXPenses (57001121315)9097 9,100 Pavroll Tax Processlna Service ·800 Membership Expenses 605 620 Insurance exPense 5,588 5,900 Volunteer Appreciation Event 214 250 SUDDlies &Genl Postaae 3.561 3,645 Bldg/Eqpt Melntenance &Repelr 5,940 6,320 Eqpt Rental &Purchase 1,681 1,050 Telecommunlcetions (67003/4)1,803 1,900 Professional Fees 2590 3000 PubllcltyNldeo Productions 391 495 Misc.exPenses 484 485 Christmas Donation 700 · Unrelated Business Income Tax ·1,500 Total Support Costs $108,268 $108,268 $108,815 $108,815 Total Revenue,Total Expenses,&Net Income/(Loss)Before Covering Shortfall $179,594 $174,638 $4,956 $168,240 $171,465 $(3,225) Add'llncome Needed to Cover Shortfall ~.22." Total Plan (Balanced Budaet)$· 4 1/19/11 ATTACHMENTS 2-225 Potential Liens to 2011 Budget (Possible Ups and Downs) Items Not Included in Budget $$Impactto Income 1/19/11 Forty-five 2012 membership renewals not paid until due in 2012 (2011 renewals were paid prior to year-end 2010)$ Epson Projector light bulb replacement (for Hesse Park lectures)$ Video Production Software Upgrades $ Increase in bulk mailing CO$ts 5 (3,000) (200) (475) (TBD) ATTACHMENTS 2-226 1/19/11 Possible Ways to Reduce or Eliminate Income Shortfall Action $$Impact Increase board member memberships at least one level $320 -$4,700 10%increase in membership (approximately 100 new members)$5,000 Request existing members to increase membership levels TBD Hold 2-3 add'i profitable "fun"events (primarily for members &potential members)$4,000 -$6,000 Negotiate a facility lease reduction TBD Organize additional 1 or 2 fundraising events (with corporate sponsorships)TBD Initiate a drive to obtain matching donations from companies that employ or employed members TBD Obtain corporate,foundation or government grants TBD 6 ATTACHMENTS 2-227 PENINSULA SENIORS Financial Statements With Report of Certified Public Accountants Years Ended December 31,2009 and 2008 ATTACHMENTS 2-228 PENINSULA SENIORS Financial Statements And Supplemental Financial Information For the Years Ended December 31,2009 and 2008 TABLE OF CONTENTS Report of Certified Public Accountants...1 Statements of Financial Position ~......................................2-3 Statements of Activities....4 Statements of Cash Flows ~.......................................................................5 Notes to Financial Statements........................................................................................6-8 Supplemental fufonnation........9 ATTACHMENTS 2-229 CHARLES McDONOUGH ACCOUNTANCY CORPORATION Charles D.Mc:Donough,C.P.A.Del Amo Financial Center Telephones:(310)540-9559 Gregory G.Wilson,C.P.A.21515 Hawthorne Boulevard,Suite 580 (800)540-9569 Torrance,California 90503 FAX:(310)543.2844 Members of: American Institute of C.P A's california Society of C.P.A.'s March 29,2010 To the Board of Directors Peninsula Seniors 30928 Hawthorne Blvd. Rancho Palos Verdes,CA 90275 We have reviewed the accompanying statements of financial position of Peninsula Seniors (a nonprofit organization)as of December 31,2009 and 2008 and the related statements of activities and cash flows for the years then ended,and the accompanying supplementary information contained in Schedule 1 which is presented only for supplementary analysis purposes,in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. A review consists principally of inquiries of Organization personnel and analytical procedures applied to financial data.It is substantially less in scope than an audit in accordance with generally accepted auditing standards,the objective of which is the expression of an opinion regarding the financial statements t~en as a whole.Accordingly,we do not express such an opinion. Based on our review,we are not aware of any material modifications that should be made to the accompanying financial statements in order for them to be in conformity with generally accepted accounting principles. Charles McDonough Accountancy Corporation ATTACHMENTS 2-230 PENINSULA SENIORS Statements of Financial Position December 31,2009 and 2008 ASSETS 2009 2008 'Current Assets: Cash $52,373 $64,921 Restricted Cash -Building Fund 53,282 3,135 Prepaid Expenses 4,800 4,840 Deposits Paid -Trips 3,959 2,292 Security Deposit -Office Lease 1,010 1,010 Total Current Assets 115,424 76,198 Property and Equipment: Computer Equipment 9,687 9,687 Furniture and Equipment 16,266 16,266 Donated Furniture and Equipment 1,422 1,422 Leasehold Improvements 8,972 8,972 Donated Leasehold Improvements 20,000 20,000 Office Machines 3,849 3,849 Telephone System 5,148 5,148 Donated Telephone System 700 700 Building -Construction in Progress 54,084 53,121 Total Property and Equipment 120,128 119,165 Less:Accumulated Depreciation (37,275)(31,613) Net Property and Equipment 82,853 87,552 Total Assets $198,277 $163,750 See Accompanying Notes and Accountants'Report 2 ATTACHMENTS 2-231 PENINSULA SENIORS Statements of Financial Position December 31,2009 and 2008 LIABILITIES AND NET ASSETS 2009 2008 Current Liabilities: Scholarship Fund $1,500 $0 Accrued Payroll Taxes 960 1,095 Deferred Revenue -X-mas Family 1,050 700 Deferred Revenue -Membership Dues 18,307 21,845 Deferred Revenue -Newsletter 875 155 Deposits Received -Trips 3,306 4,525 Total Current Liabilities/Total Liabilities 25,998 28,320 Net Assets: Unrestricted Net Assets 118,997 132,295 Temporarily Restricted Net Assets 53,282 3,135 Total Net Assets 172,279 135,430 Total Liabilities and Net Assets $198,277 $163,750 See Accompanying Notes and Accountants'Report 3 ATTACHMENTS 2-232 PENINSULA SENIORS Statements of Activities For the Years Ended December 31,2009 and 2008 2009 2008 Unrestricted Net Assets: Unrestricted Support and Revenues Donations $23,272 $29,302 Donations In-Kind 350,525 345,737 Member Dues 47,008 53,154 Exercise Programs 10,336 24,735 Special Events and Parties 13,393 13,774 Trips 60,136 91,725 Commission Income 2,304 3,850 Newsletter Income 3,050 539 Other Services 864 1,044 Interest Income 403 993 Total Unrestricted Support and Revenues 511,291 564,853 Expenses: Programs Services Membership Expenses 819 987 Newsletter Expense 8,308 7,124 Other Services 22 414 Bank Charges 40 66 Exercise Program Expenses 8,038 19,755 Youth Program 6,105 9,554 Trip Expenses 48,177 76,916 Trip Expenses -Donated Services 22,701 34,440 Support Services Management and General -Schedule 1 430,379 415,447 Total Expenses 524,589 564,702 Net Increase (Decrease)-Unrestricted Net Assets (13,298)151 Temporarily Restricted Net Assets: Donations 50,040 0 Interest Income 107 108 Net Increase -Temporarily Restricted Net Assets 50,147 108 Total Increase (Decrease)in Net Assets 36,849 259 Net Assets at Beginning of Year 135,430 135,171 Net Assets at End of Year $172,279 $135,430 See Accompanying Notes and Accountants'Report 4 ATTACHMENTS 2-233 PENINSULA SENIORS Statements of Cash Flows For the Years Ended December 31,2009 and 2008 2009 2008 Cash Flows From Operating Activities: Increase (Decrease)in Net Assets $36,849 $259 Adjustments to reconcile increase/decrease in net assets to cash used by operating activities Depreciation 5,662 8,492 (Increase)Decrease in: Prepaid Expenses 40 (509) Deposits Paid -Trips (1,668)2,584 Increase (Decrease)in: Scholarship Fund Payable 1,500 0 Accrued Payroll Taxes (135)(6) Deferred Revenue -X-mas Family 350 260 Deferred Revenue -Membership Due (3,538)(3,634) Deferred Donations -Special Needs 0 (114) Deferred Revenue -Newsletter 720 26 Deposits Received -Trips (1,220)4,525 Total Adjustments 1,711 11,622 Net Cash Flows Provided by Operating Activities 38,560 11,881 Cash Flows From Investing Activities: Cash Payments for the Purchase of Fixed Assets (961)(1,200) Net Cash Flows Used by Investing Activities (961)(1,200) Net Increase in Cash and Cash Equivalents 37,599 10,681 Cash and Cash Equivalents,Beginning of Year 68,057 57,376 Cash and Cash Equivalents,End of Year $]05655 $68.057 See Accompanying Notes and Accountants'Report 5 ATTACHMENTS 2-234 PENINSULA SENIORS Notes to Financial Statements December 31,2009 and 2008 NOTE 1 -NATURE OF ACTIVITIES AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Organization and Nature ofActivities Peninsula Seniors (the "Organization")was established in 1978 as a non-profit organization for the specific and primary purpose of providing social,charitable,and educational service to adults living on the Palos Verdes Peninsula area in California.The Organization is supported primarily through membership dues,program activities and donations.Its current programs include: Exercise Programs:The Organization provides various physical fitness classes for members to promote maintenance of a healthy lifestyle.. J Special Events and Parties:Activities are planned by the Organization to encourage social activity and involvement of its members. Trips:The Organization coordinates numerous trips during the year to provide members with traveling opportunities to local events,as well as tours of attractions both local and out-of-state. Estimates The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect certain reported amounts and disclosures.Accordingly,actual results could differ from those estimates. Recognition ofDonor Restricted Contributions Generally accepted accounting principles require that the Organization present information about its financial position and activities in three classes of net assets:unrestricted,temporarily restricted,and permanently restricted. Support that is restricted by the donor is reported as an increase in unrestricted net assets if the restriction expires in the reporting period in which the support is recognized.All other donor-restricted support is reported as an increase in temporarily or permanently restricted net assets depending on the nature of the restriction.When a restriction expires,temporarily restricted net assets are reclassified to unrestricted net assets. -6- ATTACHMENTS 2-235 Property and Equipment The Organization capitalizes all property and equipment acquisitions in excess of $500.Purchased property and equipment is capitalized at cost.Donations of property and equipment are recorded as support at their estimated fair value at the date of donation.Such donations are reported as unrestricted support unless the donor has restricted the donated asset to a specific purpose. Property and equipment are depreciated using the straight-line method over their estimated useful lives.Leasehold improvements are amortized over the shorter oftheir estimated useful lives or their applicable lease terms. Total depreciation expense for years ended December 31,2009 and 2008 was $5,662 and $8,492 respectively. Functional Expenses Expenses are charged directly to program or management and general categories based on specific identification. Income Tax Status The Organization is exempt from federal and state income taxes under Section 501(c)(3)of the Internal Revenue Code.The Organization has also been classified as an entity that is not a private foundation within the meaning of Section 509(a)of the Internal Revenue Code. Statement ofCash Flows For purposes of the statement of cash flows,the Organization considers all highly liquid investments with an initial maturity of one year or less when purchased to be cash equivalents.The Organization paid $-0- in interest and $-0-in income taxes for the years ended December 31,2009 and 2008. Advertising Costs The Organization charges advertising costs to expense in the period benefited. NOTE 2 -FAIR VALUE OF INSTRUMENTS The Organization's financial instruments are cash and cash equivalents,short-term investments and accrued expenses.The recorded values of cash and cash equivalents,short-term investments and accrued expenses approximate their fair values based on their short-term nature. NOTE 3 -TEMPORARILY RESTRICTED NET ASSETS Temporarily restricted net assets are available for the following purposes and periods: Building Fund Total $53,282 $53,282 -7- 2008 $3,135 $3,135 ATTACHMENTS 2-236 NOTE 4 -CONTRIBUTED SERVICES Peninsula Seniors recognized unrestricted donation revenue in 2009 and 2008 for contributed services related to the program for Trips as well as management and general services.Unrestricted donation revenue from services was measured based on the fair value of those services,and the amounts recognized were as follows: Trips -1,081 and 1,640 hours at $21/hour for a total of$22,701 and $34,440 respectively. Management and General-10,374 and 10,797 hours at $12 -$55 /hour for a total of$321,711 and $309,261 respectively. In addition,approximately 5,168 and 6,539 volunteer hours were provided to Peninsula Seniors during the year ended 2009 and 2008 respectively,for which no value has been assigned. NOTE 5 -LEASES The Organization entered into a lease with GE Modular Space with a minimum period of 24 months for mobile offices beginning November 15,2006.The Organization renewed its lease on October 14,2008 for an additional 24 months.Minimum basic rental payments under the new lease are as follows: Year Ending December 31, 2010 NOTE 7 -CONSTRUCTION IN PROGRESS Amount $18.403 The Organization is in the process of obtaining a site in which to build a new facility.As of December 31,2009,construction in progress costs consists of fees for a building design and related plans. -8- ATTACHMENTS 2-237 ,.. PENINSULA SENIORS Statements of Activities For the Years Ended December 31,2009 and 2008 2009 2008 Schedule 1 -Managment and General Expenses: Publicity $287 $711 Miscellaneous 1,064 1,387 Building Elements/Contents 5,178 40 Insurance 4,059 3,904 Licenses &Permits 50 95 Maintenance and Repairs 8,482 4,915 Moving/Relocation °10 Wages -Donated in Kind 321,711 309,261 Wages 47,083 46,601 Payroll Taxes 4,311 4,617 Postage &Delivery 736 559 Professional Fees 2,590 2,590 Rent 21,605 23,330 Equipment Rental 936 856 Security 840 840 Supplies 2,847 3,658 Telephone 2,538 2,506 Non-Depree Equipment 108 596 Donated Small Equipment 293 478 Depreciation Expense 5,662 8,492 Total Management and General Expenses $430,379 $415,447 See Accountants'Report 9 ATTACHMENTS 2-238 Peninsula Seniors Vision,Mission and Goals Vision Statement: Stay active!Stay healthy!Stay connected! Mission Statement: The mission of Peninsula Seniors is to offer activities and services that enhance and enrich the lives of senior adults on the Palos Verdes Peninsula and in the surrounding community. Goals: •We,Peninsula Seniors,aspire to improve the quality of life of seniors by offering a balanced program of services and activities that: o Promote and support active,healthful and independent living o Encourage social interaction and community spirit o Are educational,intellectually challenging and fascinating to Peninsula seniors o Improve personal safety and foster a safe home environment o Strengthen intergenerational relationships •We seek to become the premier referral service for information on senior services and activities in the Peninsula area. •We will provide a mutual support network that facilitates and encourages independence,self-determination and self-reliance among seniors. •We will continually improve our outreach to seniors of all ages,cultures, ethnicities,and abilities,and improve public awareness of the organization's programs. •We are committed to working collaboratively with other nonprofit organizations and governmental agencies to share talents &resources and to jointly offer senior services in the most effective and economical way. •We recognize the wealth of skills and talents of seniors on the Peninsula and are committed to utilizing them to serve the community. •We will conduct the organization in a business-like manner,which will sustain Peninsula Seniors to reach all the other goals. ATTACHMENTS 2-239 Peninsula Seniors Activities and Services Travel and Tours On-Going Activities Hesse Park Lectures TV Programs Muscle I,II,ill Physical Fitness Classes Yoga Classes Bingo Bridge Let's Do Lunch Movies Writers Group Annual Events New Member Reception Summer Barbecue Fashion Show Thanksgiving Luncheon Volunteer Luncheon Annual Travel Preview Party (Fall) Consultations Caregivers Group Geriatric Care Consultation Podiatrist Attorney Financial Planner AARP Drivers Discount Classes AARP TaxAide 2011 Day TripslTheatre Rediscover LA Hollywood in Style Getty Museum Taste of Temecula Hidden Havens of Orange County Hollywood Bowl Elton John Tribute Andrew Brothers Beverly Hills Glitz &Glamour Dining with the Duke Sizzling Movie Musicals Ronald Reagan Library Solvang -Theater and Chumash Casino Natural History Museum Edwards Air Force Base Viajas Casino 2011 Featured Tours Discover Croatia Ghost &Gamblers Branson Musical Getaway New York City &Empire State South Dakota -The Black Hills &Badlands Washington,DC &Williamsburg Great Pacific Northwest New England Trails Northern National Parks Treasures of Ireland Germany and the Rhine San Antonio Holiday Santa Fe Holiday 2010 -2011 New Activities Coffee &Cars PenVets Ping Pong Weekly Meet &Greet (Library Annex) Point Vicente Docent-Led Walks Let's Dance ATTACHMENTS 2-240 RANCHO PALOS VERDES 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 (310)377-0360 www.palosverdes.com/rpv CITY GRANT APPLICATION For Fiscal Years July 1,2011 to June 30,2012 & July 1,2012 to June 30,2013 Name of Organization:Peninsula Symphony Association Address:P.O.Box 2602,Palos Verdes Peninsula,CA 90274-8602 Phone Number:310-544-0320 Fax Number:same Website Address:www.PenSym.org Contact Name &Position:Nancy Mahr,Development Chair,Board of Directors Years with Organization:7 (seven) Email:nlmahr@verizon.net Office email:music.pensym@verizon.net AMOUNT OF SUPPORT REQUESTED: FY 11-12:$1,000 FY 12-13:$1,000 Please Attach the Following to this Completed Application: A.List the board of directors and the expiration of their term. B.Proof of non-profit status and a statement that the organization is non- political. C.Financial statements (if any)for last completed fiscal year. ATTACHMENTS 2-241 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 2 1.Please describe the purpose of the organization and the nature of the services provided. The Peninsula Symphony Association offers four quality classical concerts each year and one pops concert iffunds permit.The public is invited to attend the concerts free of charge. The orchestra is under the direction of Maestro Gary Berkson.Many of the musicians are local to the Peninsula and South Bay area.The Association hires professional musicians to complete the orchestra.A pre-concert lecture gives insight into the evening's musical selections and featured composers. In cooperation with the Palos Verdes School District,the Association presents an introductory program on Mozart at each elementary school to students in second grade. 2.Please indicate the size and type of population served by the organization. Include quantifiable data (census information,number of members,volume of phone callslreferrals).If known,please provide the specific number of Rancho Palos Verdes residents served and the total number of Palos Verdes Peninsula residents served. Each concert draws an audience of form 800 to 1,000 people.They are primarily from the Palos Verdes Peninsula,which has a population.of 72,000.Some come from San Pedro and from the South Bay area. The Symphony Association has 523 members.Members are primarily Peninsula residents. We do not have a breakdown by city. 3.Indicate who prepares and who approves organization's budget. The budget is developed by a committee of board members headed by Paul Nibarger.It is presented to the Association's elected Board of Directors for approval by that board. 4.Indicate impact of City funding to organization and its ability to provide service. Each concert costs from $16,000 and $20,000 to produce.There is no one revenue source that funds a complete concert.It is the cumulative funding from several sources that enables the Association to provide the community concerts.The grant from the City is one of the sources that is part of this aggregate funding.Each amount,large or small;is important in building the funds needed for a concert. Macintosh HD:Users:nancymahr:Desktop:PenSym:FY 11-12 Grant Application.doc ATTACHMENTS 2-242 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 3 5.Please provide the following financial information: Fiscal Year:Begins:July 1,2010 Ends:June 30,2011 Total Current Year Budget:$140,589 Total Prior Year Budget:$143,000 Sources of Funds: List all sources including the following,as applicable:Dues;Contributions (including source and whether on-going or one-time);Special Events/Fund-Raising;and Other. Current Year Memberships The Friends of the Peninsula Symphony The Norris Foundation The California Arts Council LA County Arts Commission City Grants:RHE,RH Supervisor Don Knabe The Rips Fund Individual donations Prior Year Memberships The Friends of the Peninsula Symphony The Norris Foundation The California Arts Council LA County Arts Commission City Grants:RHE,RH Supervisor Don Knabe The Rips Fund Individual donations Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs, Material and Supplies,and Other. Current Year Personnel:part-time office manager;musicians as needed Administrative costs,including Materials and Supplies,Postage,Insurance,Rent Membership:newsletter -printing/postage Concert costs Mozart Program costs Macintosh HD:Users:nancymahr:Desktop:PenSym:FY 11-12 Grant Application.doc ATTACHMENTS 2-243 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 4 Prior Year Personnel:part-time office manager;musicians as needed Administrative costs,including Materials and Supplies,Postage,Insurance,Rent Membership:newsletter -printing/postage Concert costs Mozart Program costs Macintosh HD:Users:nancymahr:Desktop:PenSym:FY 11-12 Grant Application.doc ATTACHMENTS 2-244 Peninsula Symphony Association Officers and Directors 2010-2011 Officers President Executive Vice President Past President Secretary Treasurer Ken Gash Bob Coffey John Copper Faye Schwartz Barbara Gerber Term Expires 2011 2012 2012 2011 2012 Directors/Chairs Artistic Committee,'Symphony Sounds Ken Gash 2011 Community Affairs John Williams 2011 Concerts,Receptions Marion Ruth 2011 Development,Program Book Nancy Mahr 2011 Facilities Jack Trost 2011 Finance D.Paul Nibarger 2011 Knox Performance Competition Duane Conover 2011 Membership Brendon Bond 2011 Program Ads,Education Jackie Crowley 2011 Strategic Planning Diane Bishop 2011 Friends ofthe Symphony Anita Gash 2011 Harbor College Rep.,Website Development David Humphreys 2012 Directors at Large George J.Bender 2012 Bruce Erickson 2013 Chuck Klaus 2011 Eugene McAdoo 2012 Ben Pogorelsky 2013 Carol Schamp 2011 The Association Board of Directors is a volunteer board that works throughout the year to bring the concert season to you.In addition to duties as board members,officers and directors work in committees to raise funds and produce the concert season. ATTACHMENTS 2-245 ·\mema!Revenue ServIce !ntwrnml R~v~nu~S~rviQQ EP/EC Cimclomur@ Oewk P.O,Box 0950 Lam AnGQlom,CA 900~m PENINSULA SYMPHONY POBOX ~:!EiO~':! PALOS VERDES,CA .. P~rm~n to Contmct: F.Mirmf~or or L. T~l~phon~NumbQr: (c;~j.S))m~:14~'~,~Sa':! \:"~I(,~·F If,ll·l~{"hp J.Y t l:l : 'SIO""S):t,5 Oll~to".: A1.1 f,1 ~:~Sl,:1.'::1 ':~0 ," m:::~!~:).....,()()mt~9 tS PENINSULA SYMPHONY ASaOO Thlm 1m in rGmponmw to your requ~mt for m determination letter af th~mb~v~-nBm~d orQ~niz.tion. t·, A r'01V~,~llW of CI ...""'''Irilt:.:or·cIUl :l.nd~,(::l!~·b1Hl1 ·thld.'t the ll~br.lv.-nll~mGHI org~nizmtionwmm r~eognized to b~~x~mpt fram FQderml inQom~ tmx in F~brumry 1~6',mm un ar~mniz~tion d~mcr1bed in !nt~rnml R@v~nu~Cadw maction ~01(Q'(S'.It 1m furthar clammified am mn ~r~.ni~.tian that 1m nat m privmtlril foundm'\:ion am dafinwd in moatian 509(m)of th~code,bWQmum® :I,t.:1.III UHI Cl ...ClllHI ~,;r.lt1 t :1.lHl d fhfU <:~~':UHiH~~.1'1 II1"IH:~t :i,lHI (.)0 'SI ('A)(~~). Th ;I.":hl'l:'t 'in"~.In 1:l:l v ~IW ~.of Y Y t:H.W ~!X ~)"'P t.mt.ll~'hlfll 111 rl r.1 1:tlf:).r-m(~t 'to t\ll~t 1:,.,~~1:1 ittl'l:lid ,"m~.MIl\·t :\.(,1 fl ~.I{A t t !til r' :I.UJIII IHlll:l 1:""r~ill:)I·UIllI"y :1.~~G'::1 ('.~r.lI')t:l.n\.l6illll '1:1:1 I.'Hit it'wffwct, If y~u Il\"'~in n~ltilcl af furthltilr mmffl1mtmnc@,plltilmma f~~l fr~~ta C 1:1 n t 11'1,(;:t nlfrt III t.t,,',."In b I:'v '"11\d 1:1 ".~ll III If;• Cim~lamure Amm1mtmnt I ATTACHMENTS 2-246 ., The Peninsula SyniphonyAssociation is organized under the IRS.',; Code'501(c)(3).' It is a community cultural organization and is not political or partisan. ,PO Box 2602 Phone:310-544-0320 Palos Verdes Peninsula CA 90274 ,E-mail:music.pensym@verizon.net Tax ID #~3-7008895ATTACHMENTS 2-247 .:02 PM u119,10 :ash Basis Peninsula Symphony Association Balance Sheet As of June 30,2010 Jun30,10 ASSETS Current Assets Checking/Savings 1020·General Fund -Bay Cities 1030·Friends Checking -Malaga Bank 1050 •Event Checking 1062·Edith Knox Liquid CD 1070 •Malaga Bk Credit Card Deposit 1075·Horowitz Memorial Fund 1085·RIPS Fund Malaga Bk CD 1087 •Julian Spear Clarinet Chair 1089 •Holbom Concerbnaster Chair 1350'Citigroup Global-Knox/Finkel 1351 •Citigroup Global -Other Total Checking/Savings Total Current Assets Fixed As!ets 1600·Office Equipment Total Fixed Assets TOTAL ASSETS LIABILITIES &EQUITY Equity 3900 .Fund Balance Prior Years Net Income Total Equity TOTAL LIABILITIES &EQUITY 50,902.88 2,982.67 4,608.25 5,403.05 1,000.63 9,979.88 4,671.74 2,579.50 13,537.12 71,550.30 9,551.21 176,767.23 176,767.23 3,843.00 3,843.00 180,610.23 155,553.65 25,056.58 180,610.23 180,610.23 ATTACHMENTS 2-248 1:09 PM Jul19,10 Cash Basis Peninsula Symphony Association Profit &Loss July 2009 through June 2010 Jul'09·Jun 10 Income 4100·Membership 4101·Contributions 4102·Associate 4105·Benefactor 4106·Contributor 4107 •Founder 4108·Conductor's Circle 4109'Other 4110 •Patron 4113·Sponsor Total 4101 •Contributions 4114·Matching Grants Revenue Total 4100 •Membership 4200 •Membership Next Fiscal Year 4300 •Gifts/GrantsJTransfers 4303 •Spear Chair Fund 4304 •Rips Scholarship Fund 4305 •Govemment 4306 •Corporations 4307·Foundations 4308·Other' Total 4300 •Gifts/GrantsJTransfers 4400 •Fund Raisers 4402 •Refreshment Sales 4403 •Fishbowl Total 4400 •Fund Raisers 4500 •Friends of Symphony 4501 •Friends Transfer 4500 •Friends of Symphony.Other Total 4500 •Friends of Symphony 4600 •Interest/Dividend Income 4601 •Holbum Chair Fund 4602 ·1339 Edith Knox Fund 4604 •Horowitz Fund 4605 .Rips Fund 4606 •Spear Chair Fund 4607 •-Interest,other 4608 •Interest·Bay Cities Total 4600 •Interest/Dividend Income 4700 •Performance Competition 4701 •Entry Fees 4702 .Knox Donations 4703 •Knox Fund Interest 4705 •Award donations Total 4700 •Performance Competition 4800·Program/Ad Book 4801 •Ad Sales Total 4800 •Program/Ad Book 4900 •Miscellaneous 4901 •Prior Year Total Income Expense 5000 .Membership Expense 5001 •Printing 5002 •Postage 5003 .Receptions 5004 •Advertising 9,900.00 4,280.00 7,615.00 10,650.00 2,750.00 156.00 17,475.00 12,050.00 64,876.00 1,745.00 66,621.00 1,100.00 1,000.00 125.00 19,200.00 520.00 11,500.00 10,957.40 43,302.40 475.50 128.00 603.50 20,000.00 742.72 20,742.72 97.28 0.00 100.61 44.01 27.17 63.61 436.78 769.46 520.00 5,150.00 620.71 1,500.00 7,790.71 16,910.00 16,910.00 200.00 45.62 158,085.41 915.19 396.40 167.61 320.69 ATTACHMENTS 2-249 1'09 PM Jul19,10 Cash Basis Peninsula Symphony Association Profit &Loss July 2009 through June 2010 Jul'09·Jun 10 5005 •Credit Card Processing fees Total 5000 •Membership Expense 5100 .Program Ad Book 5101 .PrintinglTypeset 5104·Miscellaneous Total 5100 •Program Ad Book 5200·Gifts and Grants 5202 •Miscellaneous Total 5200 .Gifts and Grants 5400 •Performance Competitions 5401 •Awards 5402 .Judges 5404·Facilities 5405 •Printing and postage Total 5400 •Performance Competitions 5600 .Concert #1 5601 •Conductor 5602 .Musicians 5605 •Auditorium Rent 5606 •Reception 5607 •Music Library 5608 •Orchestra Refresments 5609 •Flyers/Publicity 5610·Payroll TaxesJWorkers Comp Ins. 5613·Union Royalty 5614·Program Inserts 5615 •Payroll processing concert 1 Total 5600 .Concert #1 5700 .Concert #2 5701 •Conductor 5702 •Musicians 5704 •Guest Artists 5705 •AUditorium Rent 5706 •Reception 5707 •Music Library 5708 •Orchestra Refreshments 5709 •Flyers/Publicity 5710 •Payroll TaxesJWorkers Comp Ins. 5713·Union Royalty 5714·Program Inserts 5715'Payroll processing fee Total 5700 .Concert #2 5800 •Concert #3 5801 •Conductor 5802 •Musicians 5805 .Auditorium Rent 5807 •Music Library 5809 .Flyers/Publicity 5810 •Payroll TaxesJWorkers Comp Ins. 5813 .Union Royalty 5814·Program Inserts 5815·Payroll processing Total 5800 •Concert #3 5900 •Concert #4 5901 .Conductor 5902 •Musicians 5905 •Auditorium Rent 5907 •Music Library 5909 •Flyers/Publicty 5910 •Payroll TaxesJWorkers Comp Ins. 559.81 2,359.70 5,282.71 39.60 5,322.31 2,808.00------ 2,808.00 4,150.00 1,806.00 1,880.00 622.86 8,458.86 3,000.00' 9,055.94 1,255.00 280.24 580.00 38.02 205.73 1,130.29 5,896.61 237.06 211.33 21,890.22 3,000.00 7,065.00 1,506.59 1,255.00 121.30 409.89 0.00 43.90 1,284.98 5,896.61 235.42 184.87 21,003.56 3,000.00 8,440.00 1,255.00 695.54 147.21 1,481.28 5,643.55 254.62 196.27 21,113.47 3,000.00 8,540.00 1,255.00 20.00 43.90 1,060.00 Page 2 ATTACHMENTS 2-250 .. ;09 PM u119,10 :ash Basis Peninsula Symphony Association Profit &Loss July 2009 through June 2010 5913·Union Royalty 5914·Proagram Inserts Total 5900 •Concert #4 6100·Prepaid Concert Expenses 6102·Other Total 6100 •Prepaid Concert Expenses 6200 .Prior Period Expenses 6206 •Concerts 6209 •Miscellaneous Total 6200 .Prior Period Expenses 6300 .Scholarship Awards 6301 •Awards Total 6300 •Scholarship Awards 6400 •Symphony Sounds 6402 •Printing Total 6400 •Symphony Sounds 6500 •Administration 6501 .Intemet Access Fee 6503 .Insurance General 6505 .Office Supplies 6506 .Postage 6501·Telephone 6508 •Information Technology 6509 •Conductor's Expenses 6510·Presidents Expenses 6511'Dues and Subscriptions 6513'Accounting 6514·Office -Other 6516 •Office Rent 6517 •Payroll taxes 6519 •Workers Compo Insurance 6521 •Office Manager Salary 6522 .Taxes and Licenses Total 6500 .Administration 6600 .Extraordinary Expense 6601 .(Gain)loss on investments Total 6600 •Extraordinary Expense Total Expense Net Income Jul'09 -Jun 10 5,920.87 238.16 20,077.93 117.30 117.30 89.27 -193.20 -103.93 250.00 250.00 637.53 637.53 509.80 2,584.00 1,444.19 1,573.98 1,031.34 918.01 25.00 316.32 728.00 600.00 1,337.04 8,429.68 773.72 959.56 7,800.00 372.40 29,403.04 -309.16 -309.16 133,028.83 25,056.58 Page 3 ATTACHMENTS 2-251 PET PROTECTORS LEAGUE Founded in 1984 by Ingrid Mitchell Donna Ciminera,President Rita May,Secretary Peta Noble,Treasurer March 10,2011 Carolynn Petru Deputy CityManager City of Rancho Palos Verdes 30940 Hawthorne Blvd. Rancho Palos Verdes,CA 90275 Dear Ms.Petru, Enclosed is grant application outlining a summary of our activities along with the necessary supporting documentation.In our unique capacity of concentrating on the feral cat population there is a 1imit to the amount of financial support we receive from those we help.A grant of $5,000.would enable us to expand our services. If you have any questions or need further information please contact me at 310-265-1204. Sincerely, Donna Ciminera President Pet Protectors League P.O.Box 2082,Palos Verdes Peninsula CA 90274 ATTACHMENTS 2-252 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 (310)377-0360 www.palosverdes.com/rpv CITY GRANT APPLICATION For Fiscal Years July 1,2011 to June 30,2012 & July 1,2012 to June 30,2013 Name of Organization:PET PROTECTORS LEAGUE Address:PO BOX 2082,PALOS VERDES PENINSULA,CA 90274 Phone Number:310-265-1204 or 310-779-3597 Fax Number:310-265-9443 Website Address:None Contact Name &Position:Donna Ciminera,President Years with Organization:10 years Email:dciminera@cox.net AMOUNT OF SUPPORT REQUESTED: FY 11-12:$5,000. FY 12-13:$5,000. Please Attach the Following to this Completed Application: A.List the board of directors and the expiration of their term. B.Proof of non-profit status and a statement that the organization is non- political. C.Financial statements (if any)for last completed fiscal year. ATTACHMENTS 2-253 City of Rancho Palos Verdes Grant Application FY 09-10 &FY 10-11 Page 2 1.Please describe the purpose of the organization and the nature of the services provided. Pet Protectors League is an organization dedicated to the humane control of feral cat populations through TNR (Trap/Neuter/Release)programs;and rescue,rehabilitation and adoption of abandoned and injured domestic cats. 2.Please indicate the size and type of population served by the organization. Include quantifiable data (census information,number of members,volume of phone callslreferrals).If known,please provide the specific number of Rancho Palos Verdes residents served and "the total number of Palos Verdes Peninsula residents served. Pet Protectors League primarily serves the Palos Verdes Peninsula and San Pedro.To date PPL has trapped and neutered feral cat colonies in the following RPV areas:Victoria Apartments,La Cresta subdivision,Berry Hill Rd.,Barkentine Rd.,Ganado Dr.,Sunmist Drive,White Fox Rd.,Ocean Terrace,Circle Verde Dr.,Rothrock Drive,Via Rivera,Queensridge Drive, Indian Valley Rd.,Alta Vista Drive,Clipper Drive,Nuvola Ct.,Rue de la Pierre, La Rotunda,The Bay Club,Narcissa Drive and the Portuguese Bend area, former Marineland site (Terranea),PVIC park,Villa Apartments and homes in the surrounding area.We have also trapped cats and maintained the feral cat colony at the Los Verdes Public Golf Course for the past 13 years and provided numerous individual rescues. In 2010 we handled 162 trapping situations throughout the Peninsula.Of those cats trapped 55 were rehabilitated and adopted.We continue to monitor the other feral cat colonies where caregivers feed every day. 3.Indicate who prepares and who approves organization's budget. President and Treasurer 4.Indicate impact of City funding to organization and its ability to provide service. Unfortunately,due to financial constraints and the small size of our organization we cannot respond to all of the requests we receive.A $5,000. grant would enable us to expand our services to reach more of the individuals requesting our help and support. C:\Documents and Settings\Owner\Desktop\FY 09-10 Grant Application.doc ATTACHMENTS 2-254 City of Rancho Palos Verdes Grant Application FY 09-10 &FY 10-11 Page 3 5.Please provide the following financial information: Fiscal Year:Begins:January 1 Ends:December 31 Total Current Year Budget:$10,000.00 Total Prior Year Budget:$7678.93 Sources of Funds: List all sources including the following,as applicable:Dues;Contributions (including source and whether on-going or one-time);Special Events/Fund-Raising;and Other. Current Year Donations,adoption fees and grants Prior Year Donations,adoption fees and grants Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs,Material and Supplies,and Other. Current Year Operating costs and Veterinary fees are the major expenses Prior Year Operating costs and Veterinary fees C:\Documents and Settings\Owner\Desktop\FY 09-10 Grant Application.doc ATTACHMENTS 2-255 Internal Revenue Service Date:June 5,2003 Pet Protectors League P.O.Box 2082 Palos Verdes Peninsula,CA 90274 Dear Sir or Madam: Department of the Treasury P.O.Box 2508 Cincinnati,OH 45201 Person to Contact: Mrs.Swana Smith -31-07418 Customer Service Specialist Toll Free Telephone Number: 8:00 a.m.to 6:30 p.m.EST 877-829-5500 Fax Number: 513-,263-3756 Federal Identification Number: 33-0007456 This is in response to your request of April 28,2003,regarding your organization's address change request, which is reflected in the heading above. Our records indicate that a determination Jetter issued in March 1984 granted your organization exemption from federal income tax under section 501 (c)(3)of the Internal Revenue Code.That letter is still in effect. Based on information sUbsequently submitted,we classified your organization as one that is not a private foundation within the meaning of section 509(a)of the Code because it is an organization described in section ~,,-509(a)(2). This classincation was based on the assumption that your organization's operations would continue as stated in the application.If your organization's sources of support,or its character,method of operations,or purposes have changed,please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization. Your organization is required to file Form 990,Return of Organization Exempt from Income Tax,only if its gross receipts each year are normally more than $25,000.If a return is required,it must be filed by the 15th day of the fifth month after the end of the organization's annual accounting period.The law imposes a penalty of $20 a day,up to a maximum of $10,000,when a return is filed late,unless there is reasonable cause for the delay. All exempt organizations (unless specifically excluded)are liable for taxes under the Federal Insurance Contributions Act (social security taxes)on remuneration of $100 or more paid to each employee during a calendar year.Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA). Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code.However,these organizations are not automatically exempt from other federal excise taxes. Donors may deduct contributions to your organization as provided in section 170 of the Code.Bequests, legacies,devises,transfers,or gifts to your organization or for its use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055,2106,and 2522 of the Code. ATTACHMENTS 2-256 Board Members Donna Ciminera,President Rita Mays,Secretary Peta Noble,Treasurer Due to the small number of members in our organization there are no term limits. I hereby certify on behalf of Pet Protectors League that the organization is non-political and that all funds and donations will be used for our Trap/NeuterlReturn (TNR)program of feral cats. Donna Ciminera,President ATTACHMENTS 2-257 Audited Financial Statement and Report For PET PROTECTORS LEAGUE For the Fiscal Year Ending 31st December 2010 2010 2009 Bank Balance BIF at 1st January 2010 $4176.12 $2480.39 Income:Donations:4302.50 4678.00 Grants:5000.00 4000.00 Reimbursement 0.00 II 5.04 9302.50 Expenditure:Vet.Care 7613.93 (6830.55) Mailbox rental 60.00 (60.00) Bank Charges 5.00 Supplies 0.00 (206.76) (7678.93) Bank Balance CIF at 31 st December 2010 $5799.69 $4176.12 Auditor's Report: I have examined the books and records of the PET PROTECTORS LEAGUE from 1st January 2010 through 31 st December 2010 and found them to be correct as above.All receipts,checks and bills,and bank accounts for that period are in order. ATTACHMENTS 2-258 PET PROTECTORS LEAGUE -BUDGET 2010-11 CATEGORY 2010 Budget thru 12131/10 2011 Budget thru 2128/11 INCOME CATEGORY Adoption Fees $2,000.00 $1,827.00 $2,000.00 $480.00 Donations $2,000.00 $2,475.50 $3,000.00 $725.00 Grants $2,500.00 $5,000.00 $5,000.00 $1,000.00 Recycling $50.00 TOTAL INCOME $6,550.00 $9,302.50 $10,000.00 $2,205.00 EXPENSE CATEGORY Banking Supplies $25.00 $25.00 Pet Food underwritten $1,000.00 POBox $58.00 $60.00 $60.00 Postage $32.00 $7.92 Veterinarian Fees $4,000.00 $7,613.93 $9,000.00 $2,360.96 Misc.expenses $100.00 $5.00 $100.00 TOTAL EXPENSE $4,183.00 $7,678.93 $10,217.00 $2,368.88 ATTACHMENTS 2-259 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 (310)377-0360 www.palosverdes.com/rpv CITY GRANT APPLICATION For Fiscal Years July 1,2011 to June 30,2012 & July 1,2012 to June 30,2013 Name of Organization:PVPHS Pool Campaign We use the 501 c under the PVPHS Athletic Booster Club Address:27118 Silver Spur Rd.Rolling Hills Estates,Ca 90274 Phone Number:310-377-4888 Fax Number:310-544-1839 Website Address:newpeninsulapool.org Contact Name &Position:Mary DiMatteo Co-Chair Years with Organization:1 year since April,2010 Email:salandmar@cox.net AMOUNT OF SUPPORT REQUESTED: FY 11-12:$100,000 FY 12-13:$0 Please Attach the Following to this Completed Application: ,j A.List the board of directors and the expiration of their term. B.Mary DiMatteo Co-chair April 2012 C.Jennifer Ryan Co-chair April 2012 D.Nancy Scott -Treasurer April 2012 E.Paula Boothe committee member April 2012 ATTACHMENTS 2-260 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 2 B.Proof of non-profit status and a statement that the organization is non- political. C.Financial statements (if any)for last completed fiscal year. 1.Please describe the purpose of the organization and the nature of the services provided. To build a new CIF compliance swimming pool to benefit student athletes at Peninsula High School and the Palos Verdes community. 2.Please indicate the size and type of population served by the organization. Include quantifiable data (census information,number of members,volume of phone callslreferrals).If known,please provide the specific number of Rancho Palos Verdes residents served and the total number of Palos Verdes Peninsula residents served. Peninsula High School has 2,400 students who all use this pool.65%of the entire PVPUSD are RPV residents.The pool is used for PE classes as swimming is part of the curriculum.Solar Cup classes and Physics classes both use this pool as well.The current pool is used by the entire Palos Verdes community which includes the total population of all 4 cities on the hill.The community programs include summer swim lessons,family free swim,club water polo and swim teams. 3.Indicate who prepares and who approves organization's budget. Nancy Scott-Treasurer of the Pool Campaign 310-784-0414 ornankscott@cox,net 4.Indicate impact of City funding to organization and its ability to provide service. The funding from the city of RPV would have a direct impact on the ability to move forward on the plans to build this much needed community asset.Services would be provided to the local YMCA swim programs and other club organizations (Le.Trojan water polo).Community swim programs provide for RPV neighborhood across the street from the school,as well as the rest of the Peninsula community. C:\Documents and Settings\mattw\Local Settings\Temporary Internet Files\OLK14\FY 11-12 Grant Application.doc ATTACHMENTS 2-261 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 3 5.Please provide the following financial information: Fiscal Year:Begins:8/1/10 Ends:6/1/11 Total Current Year Budget:$800,000 funds needed to build the pool Total Prior Year Budget:$0 Sources of Funds: List all sources including the following,as applicabie:Dues;Contributions (including source and whether on-going or one-time);Special Events/Fund-Raising;and Other. Current Year Pool cost =$2.1 Million $1.3 million from the PVPUSD school district Currently have raised $350,000 which leaves $450,000 still needed. Fundraisers: April 10th Benefit Party Comedy Night at the Hermosa Beach Comedy &Magic Club Sponsored dinners at local restaurants Selling of hand-made scarves and blankets and calendars School wide craft boutique Peninsula High School on-Campus school wide opportunity drawing Peninsula High Swim and Water polo team letter writing Campaign Received donation from the Prindle Family of $150,000 so the pool will be known as the Jackie Prindle Pool Prindle Family Potential Donor List Letter Writing campaign Prior Year None Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs, Material and Supplies,and Other. Current Year Primary costs incurred include printing materials,mailing materials,postage and prizes for the school wide competition.All these have been donated.Therefore,there have been no expenditures. Prior Year None C:\Documents and Settings\mattw\Local Settings\Temporary Internet Files.OLK14\FY 11-12 Grant Application.doc ATTACHMENTS 2-262 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 4 C:\Documents and Settings.mattw\Local Settings\Temporary Internet FilesOLK14\FY 11-12 Grant Application.doc ATTACHMENTS 2-263 Internal Revenue Service P.O.Box 2508 Cincinnati,OH 45201 Department of the Treasury PALOS VERDES PENINSULA HIGH SCHOOL ATHLETIC BOOSTER CLUB %JANET WATTERS 26711 HAWKHURST D RANCHO PALOS VERDES CA 90275-2445 110 Date:SEP 222006 Person to Contact: Michelle Jones ID#31-07675 Toll Free Telephone Number: 877-829-5500 Employer Identification Number: 95-4331744 ..-...-'-..-.'-'--'.-..-.-......-.--- Dear Sir or Madam: This is in response to your request received August 9.2006.regarding your tax-exempt status. Our records indicate that a determination letter was issued in March 1993 that recognized you as exempt from Federal income tax.Our records further indicate that you are currently exempt under section 501 (c)(3)of the Internal Revenue Code. Our records also indicate you are not a private foundation within the meaning of section 509(a)of the Code because you are described in section 509(aX2). Donors may deduct contributions to you as provided In section 170 of the Code.Bequests,legacies.devises. transfers,or gifts to you or for your use are deductible for federal estate and gift tax purposes if they meet the applicable prOVisions of sections 2055,2106.and 2522 of the Code. If you have any questions.please call us at the telephone number shown In the heading of this ~etter. Sincerely, ~~:....tj~ Cin Westcott Ma ger.Exempt Organizations Determinations ATTACHMENTS 2-264 ............. ~OPUSBANK 1333 S.Pacific Coast Hwy.•Redondo Beach,CA 90277 28902 S.Western Ave .•Rancho Palos Verdes,CA 90275 395 Silver Spur Rd .•Rolling'Hills Estates,CA 90274 3005 N.Sepulveda Blvd .•Manhattan Beach,CA 90266 23550 Hawthorne Blvd.,Suite 100 •Torrance,CA 90505 PVPHS BOOSTER CLUB SWIM POOL CAMPAIGN FUND C/O NANCY SCOTT 19 AURORA DR. ROLLING HILLS ESTATE CA 90274 Thank you for the opportunity to sel CHECKING ACe BUSINESS MONEY MARKET Account Number Previous Balance 7 Deposits/credits Cheeks/Debits Service Charge Inte.rest Paid Ending Balance 3044998 28,960.29 229,040.00 .00 .00 105.66 258,105.95 Deposits Date 2/01 2/08 2/10 2/10 2/11 2/15 and Credits Description DDA REGULAR DEPOSIT DDA REGULAR DEPOSIT DDA REGULAR DEPOSIT DDA DEPOSIT CORRECTION DDA REGULAR DEPOSIT DDA REGULAR DEPOSIT ATTACHMENTS 2-265 Date 2/28/11 Account Number Enclosures Page 1 3044998 ~ve you.We value your relationship. :OUNT ---- Number of Enclosures Statement Dates 2/01/11 thru Days in the statement period Average Ledger Average Collected Interest Earned Annual Percentage Yield Earned 2011 Interest Paid Amount 1,17Q.OO 3,370.00 26,910.00 100.00 153,150.00 38,850.00 o 2/28/11 28 170,236 145,147 105.66 0.95% 122.75 ATTACHMENTS 2-266 2/22 DDA REGULAR DEPOSIT 2/28 INTEREST PAID 28 DAYS Daily Balance Information Date Balance Date 2/01 30,130.29 2/11. 2/08 33,500.29 2/15 2/10 60,510.29 2/22 ATTACHMENTS 2-267 Balance 213,660.29 252,510.29 258,000.29 5,490.00 105.66 Date 2/28 Balance 258,105.95 See Reverse Side of Document for Important Information ATTACHMENTS 2-268 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 (310)377-0360 www.palosverdes.com/rpv CITY GRANT APPLICATION For Fiscal Years July 1,2011 to June 30,2012 & July 1,2012 to June 30,2013 Name of Organization:Shakespeare by the Sea Address:777 Centre St,San Pedro,CA 90731 Phone Number: Fax Number: 310-217-7596 vm 310-619-0599 Lisa's direct # 310-507-0269 Website Address:www.shakespearebythesea.org Contact Name &Position: Lisa Coffi,Producing Artistic Director Years with Organization:14 Email:lisa@shakespearebythesea.org AMOUNT OF SUPPORT REQUESTED:$4000 FY 11-12:$2000 FY 12-13:$2000 Please Attach the Following to this Completed Application: A.List the board of directors and the expiration of their term. B.Proof of non-profit status and a statement that the organization is non- political. C.Financial statements (if any)for last completed fiscal year. ATTACHMENTS 2-269 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 2 1.Please describe the purpose of the organization and the nature of the services provided. Shakespeare by the Sea (SBTS)is a 501c(3)non-profit arts organization whose mission is to create artistically expressive,theatrical experiences for under-served audiences,in culturally diverse communities. Since 1998,SBTS has presented quality admission free Shakespeare performances in dozens of communities throughout LA and Orange Counties. SBTS annually tours to cities such as RPV providing community members of all ages and backgrounds with admission free Shakespeare performances.We have performed in RPV since 2001. We are scheduled to offer a Free performance of "Much Ado About Nothing"to the RPV community at Fred Hesse Community Park on July 17,2011 at 7pm,and will schedule a date for 2012. 2.Please indicate the size and type of population served by the organization. Include quantifiable data (census information,number of members,volume of phone calls/referrals).If known,please provide the specific number of Rancho Palos Verdes residents served and the total number of Palos Verdes Peninsula residents served. SBTS's primary program areas are San Pedro,Wilmington and Harbor City --collectively known as the Harbor Area.With our Shakespeare Festival Tour,we broaden our scope to include all of Los Angeles County and parts of Orange County.Statistics in 2000 show total populations of 9,519,338 in Los Angeles County (44.6%Hispanic,55.4 %other)and 2,846,289 in Orange County (30.8%Hispanic,69.2%other). SBTS focuses on providing culturally diverse urban areas with exciting professional theatrical experiences. Approximately 22%of our audience lives in the harbor area,9.5%in Los Angeles,36%attend from the South Bay &Palos Verdes Peninsula,29%from Orange County and 3.5%live outside our target counties/state. According to a recent demographic study done by Enertex Marketing on our patron base:21 %of our audience is stay at home moms,10%are single parents,13%are families where both parents work,11 % are just getting started,12%are high-achievers,and 28%are prime of lifers. We have been performing in RPV consistently since 2001.Our average Rancho Palos Verdes audience size at the Hesse Park location is between 700 to 1000 patrons,with attendance totals over the last 10 years of over 11,000 people.According to our 2010 questionnaire roughly 1200 of our patrons live in RPV, and another 800 from Rolling Hills,Palos Verdes,PVE and RHE attend our shows annually. C:\Documents and Settings\mattw\Local Settings\Temporary Internet Files.OLK14\FY 11-12 Grant Application (2).doc ATTACHMENTS 2-270 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 3 3.Indicate who prepares and who approves organization's budget. The organization's budget is prepared by Lisa Cotti,the Founder and Producing Artistic Director and requires approval by the Board of Directors. 4.Indicate impact of City funding to organization and its ability to provide service. SBTS relies upon city funding to be able to provide these productions free to the residents in the communities we serve.Tour Funding makes up only 11 %of our overall budget.It costs an average of $6,500 per performance --without ticket income host city sponsorship is essential. 5.Please provide the following financial information: Fiscal Year:Begins:Jan 1,2011 Ends:Dec 31,2011 Total Current Year Budget:$259,085 (2011 Festival Budget) Total Prior Year Budget:$255,604 (2010 Festival BUdget) Sources of Funds: List all sources including the following,as applicable:Dues;Contributions (including source and whether on-going or one-time);Special Events/Fund-Raising;and Other. Current Year &Prior Year Funding Source 2011 2010 donations/Term *=committed amounts 2011 estimates sponsorships Target 25,000 50,000 One-time OC Community Foundation*20,000 27,500 One-time Marshal Fund OC 6,000 6,000 One-time LACAC 10/11 *7400 7400 On-Going LACAC Intern *3500 3500 One-time Supervisor Don Knabe *5,000 2,500 One-time Union Pacific Railroad*10,000 5,000 One-time Boeing ECF 2,500 2,000 One-time Port of LA 2,500 2,500 One-time Norris Foundation 5,000 5,000 One-time Malaga Bank 2,500 2,500 One-time Conoco Phillips 2,500 2,500 One-time Coastal SP Neighbor.Counc 2,500 2,500 One-time Add'i Corporate Sponsor,Gvt 5,000 10,090 One-time Add'i Fdn Sponsors 2,750 2,750 One-time C:\Documents and Settings\mattw\Local Settings\Temporary Internet FilesOLK14\FY 11-12 Grant Application (2).doc ATTACHMENTS 2-271 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 4 Funding Source 2011 2010 donations/Term *=committed amounts 2011 estimates sponsorships Raffle 18,000 21,635 One-time Personal Donations 52,000 46,829 One-time Tour Venues 19,000 24,000 One-time Earned Income-Merch/Picnics 24,000 27,403 One-time Benefit/F u nd raisers 6,000 12,041 One-time Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs, Material and Supplies,and Other. Item Current Year 2011 Prior Year 2010 Admin &Office 101,200 78,596 Program Expense: Personnel 70,000 90,502 Production: FundraisinQ 19,200 23,056 MarketinQ 47,035 43,092 Gas &Truck 4,050 3,640 Material Supplies 7950 7,900 Other Fees/Food/Dues/F acility 9,650 8,818 Total Expenses 259,085 255,064 C:\Documents and Settings\mattw\Local Settings\Temporary Internet Files.OLK14\FY 11-12 Grant Application (2).doc ATTACHMENTS 2-272 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 PageS SBTS Board of Directors 2011: Lisa Coffi,Producing Artistic Director Print Broker/Graphic Designer,Crest Services Founder and creator of Shakespeare by the Se.a and Little Fish Theatre Suzanne Dean,Development Director Production Manager,RebelFilm Productions /Actress Owns her own film production company and has a lifetime of theatrical training and experience. Aaron Aalcides,Senior VP -Malaga Bank Mr.Aalcides is an active member in the Torrance Area &Rancho Palos Verdes Chambers of Commerce,an alumni of Leadership Torrance,and has recently opened 2 new branches in the Harbor Area. Kathleen Cadien,Community Advocate &Local Artist Ms.Cadien has a lifetime of experience in event planning and is a local arts advocate and fundraiser. David Graham,Teacher -Le Lycee Francais de Los Angeles Mr.Graham has been actively involved with SBTS for 8 years as a director/educator and fund raiser. William A.Pigg,Attorney at Law Mr.Pigg is a freelance Attorney and an Entertainment Producer.He has been actively involved with several theatre companies across the US since 1985. Margaret Sullivan,Retired Teacher LAUSD &Community Advocate Ms.Sullivan sits on the board of the Harbor Free Clinic and is an officer of the Pocahantas.She's a member of the Elks Lodge,and the Point Fermin Lighthouse Association.She also volunteers with the Grand Vision Foundation. Ray Wolfe,Business Development -GMAC Recently retired from Hughes,Mr.Wolfe is engaged in developing new business opportunities,product promotions,and strategic marketing and human resources solutions. Irene Mendoza,Ex Officio,15th District Councilwoman,Janice Hahn's Office Liz Schindler Johnson,Ex Officio,Executive Director Grand Vision Foundation The SBTS board is not limited by terms. C:\Documents and Settings\mattw\Local Settings\Temporary Internet Files\OLK14\FY 11-12 Grant Application (2).doc ATTACHMENTS 2-273 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 6 Mar-30-05 02:04P LISA COFFI 310 507 0269 Shakespeare by the Sea 2011 IRS 501 c3 P.Ol INTERNAL REVENUE SERVICE P.O.BOX .2508 CINCINNATI,OM 45201 Date: 1..1..•\0..:'~oJ ..... SHAKESPEARE BY THE SEA 617 ELVIRA AVE REDONDO BEACH,CA 90277 DEPARTMENT OF THE TREASURY Employer Identification Number: 95-4785457 DLN: 170530718160Q5 Contiilct Person, KIM NGUYEN 10#31525 contact Telephone Number: (a77)829-5500 Public Char~ty status: 170 (b)(l)(A)(vi) Dear Applicant: Our letter dated MAY .2000,stated you WOUld be exempt from Federal income tax under section 501(C)(3)of the Internal Revenue Code,and you would be treated as a pUblic charity,rather than as a private foundation,during an advance ruling period. Baaed on the information you submitted,YOu are,classified as a public charity under the COde section listed in the heading of this letter.Since your exempt status was not under consideration,you continue to be classified as an organization exempt from Federal income tax under section 501(c)(3)of the Code. Publication 55?,Tax-Exempt Status for Your Organization,prOVides detailed information about your rights and responsibilities as an exempt organization. You may request a copy by calling the tOll-free number for forms, (800)929-3S76.Information is alao available on our Internet web Site at www.ira .gov. rf you have general questions about exempt organizations,please call our tol~-free number shown in the nea~1ng between 8:30 a.m.-5:30 p.m.E~stern time. Please keep this ~etter in your permanent records. Sincerely yours, C:,,-'·:;'1'l J'7 f":""'~""""',iJ'';'d ;'"......;....:.;,...~..,,~e.._ LOis G.Lerner Director,ExemPt OrganizaLions Rulings and Agreements Letter 1050 (DO/CO) Shakespeare by the Sea is a non-political non-profit organization. C:\Documents and Settings\mattw\Local Settings\Temporary Internet FilesOLK14\FY 11-12 Grant Application (2).doc ATTACHMENTS 2-274 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 7 Shakespeare by the Sea I Little fish Theatre Balance Sheet As of December 31,2010 Total ASSETS Current Assets Bank Accounts BofA Checking-Foundation Comerlca Checking Comerica Money Market (deleted) Malaga Bank Money Market Petty Cash Total Bank Accounts Accounts Receivable Accounts Receivable Total Accou:nts Receivable Other Current Assets Undeposited Funds Total Other Current Assets Total Current Assets Other Assets Inkind Services Sound EqUipment Total Other Assets TOTAL ASSETS LIABILITIES AND EQUITY Liabilities Current Liabilities Accounts Payable Accounts Payable Total Accounts Payable Credit Cards Visa Alaska Visa BofA Total Credit Cards Other Current Liabilities Sales Tax Payable Total Other Current Liabilities Total Current Liabilities Total Liabilities Equity Opening Bal Equity Retained ,Earnings Net Income Total Equity TOTAL LIABILITIES AND EQUITY 80,521.68 0.00 0.00 0.00 20,088.99 1,541.49 $102,152.16 -1,499.90 $-1,499.90 0.00 $0.00 $100,652.26 0.00 0.00 $0 ..00 $100,652.26 0.00 $0.00 4.008.77 0.00 $4.008.77 0.00 $0.00 $4,008.77 $4.008..77 0.01 83,232.97 13,410.51 $96.643.49 $100.652.26 C:\Documents and Settings\mattw\Local Settings\Temporary Internet FilesOLK14\FY 11-12 Grant Application (2).doc ATTACHMENTS 2-275 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 PageS 2010 95~4785457 E Teloll!'ono number 310-217-7596 Shakespeare By The Sea 777 Centre Street San Pedro,CA 90731-3732 Form 990 A For the 20tO calelldar H(a)1$thiS a group return fOr,affiliates? H(b)Areall affiliatesJricloded? =....;;.;O;;;"'?-F..::..;;-=--------.......----.....--j If'No:atladl.lisl.(...."$Iluet_l Briefly describe the organization's mission or most signilicarn activities:_T.9...I!.r.9!!!Q.t.sU;..:t\sUW'p;r:ttcj.~ti.!,)n _o.L _ ..p..\l.l.~aJ..,e&IU:,eav..otlj:.br.QJJQl1j:be:eu:.l:l..w.$"nEID.ta.w:n.~....._ ----------0'.----------------------------------------------------2 Check this bQx ..if lhe Qrganizalion diSCQnlinued it~operaliOnl;or t:!i~posed of more than 2!i%Of lis netassetl;. 3 NumberolVQling Olembers oft"'e gQverning bQ(ly (parfVI.line 11.1)•.•,••••••••••••••••••""••••••.•• •••.3 8 4 NUOlber of independent voting members of the governing bOdy (Part VI.,line lb).....•..........•.•...•.1--:4:-+-------7 5 Total number of individualSemplQyedin calendar year 2010 (Fart V,Iine2a)•.,.•••....•••..•......•...5 ° 6 Total nUOlber Qfvolunteers (esl/maleU neceSl;ary)....................................................6 4 7a Total unrelated business revenue ffQm Part VIII.cQlumn (C),line 12 ;7a 0. b Nelunrefated bUSt'ness taxable income 1romFQrOl990..T.line34....•..••...7b O. Prio.r Year Current Year 8 CQntribulions and grants (Fart VIII,line lh)1-__-==2.:;;2-=-6.£77;;.57,;-:-;.1-__;:.2;;37,;,..<-8".4.,,0;;-.:... !l 9 Program service revenue (part VIli,line 2g)"f-__~1:.;;4:.:1:.1'..l8:..:6:..:0:..:.:.t-__-=.1.:::5~2L.:::8~4;5..:....J 10 Investment income (Fart VIII,cQlumn (A).lines 3.4.and 7d)f-__--:,..".---:::-:=-+-"""'.......,*7i6..:.... 11 Other revenue (partVIH,colUOln (A),Ii(lfls 5.6<1,ac.9c,IOc.and 11 e)f-_---,,..;1:;.:O~8;.';2~4:.:..+-__.1;;:5;:.r..:3;:.;9;;.;.2p_.. 12 TQlalrevenue -addlinel;8·lhro h 11 must e ual Part VIII cQlumn A,line 12.....379 441.406 153. 13 Grants and similar amounts paid (Fart IX.column (A).lines 1.3)......••......••..""f-------+-------- 14 Benefits pait:!to or for members (Part IX.column (A),line 4),f-----.:-::--:::::-::-+----:-=-==.....,. 15 Salaries,other compensation,employee benefits (Fart IX,column (A),lines 5..10)f-__.-::8~6~..l6:.:0~O:..:.'-I-__-=.1~O~9L.:::5.:::6.:::6..:..... .~16a Professional funt:!rillslng lees (Farlll<,column (A).line 11 e)f---.......,.--"7""+-'7"'".,.,.,.=.....,.,_:---..,.!b Total full(lraislng expensl,ls(part IX,cOlumn (0),li(lfl2!i)..28,797. 17 Othllrexpenses (pari IX,colunm (A).lineslla..lld.111..241).........•..•.f-__e:;t-~?lf-_---,2:;;8~5::'L.:0;:2~7~. 18 TQtal expenses.Add lines 13..17 (must equal Part IX.column (A).line 25)....394 593. 19 Revenue less ex enses.Subtract line 18lrQm line 12.......11 560. Artistic Dir..,Lisa Coffi typo or ponln,me .na bile. 1"=::::::-:==--_---------1';;:;:---- Signature ofCffieer DateSign Here ~~~~1&20 Total as~ets(Fart X.lIne 16)f----=-=.Lf:100 342.11 21 TQtal liabilities (Fart X.line26)....•.•.........•...........•......•...... ............f-----:.:09. 22 Net assel~Qr fund balances.SUbtract line 2t frQOl tine 20••......•.•.,""....••......96 533. c"j Si nature Block Paid Pre parer Use Only PrinllTypo ",ep.ro,·s"_jPrePll,e,'s $igna~./-tlZ-._I'0ala-?/111 ( Fred Hanson CPA Fred Hans~~C~.....~/· Firm's name ..HANSON lit COMPANY F'tm'saddross ..301 FORES'l'AVENtJE Finn',EON ..N/A LAGUNA BEACH CA 92651-2115 Phonano.(949)616-2690 Mav the IRS discuss this return With the Dreo~rer shOwn abOve?(see InstructiQnl;).......•..... .•..•' ..••...•...•.IXI Yes I 1No BAA FQr PapetwQrk Reduction Act Notice,see the la!parate instructions.TEEAOI13L 12Ii!1/le FQrm 990 (2010) C:\Documents and Settings\mattw\Local Settings\Temporary Internet Files.OLK14\FY 11-12 Grant Application (2).doc ATTACHMENTS 2-276 March 8,2011 Ms.Carolynn Petru City of Rancho Palos Verdes Deputy City Manager 30940 Hawthorne Blvd. Rancho Palos Verdes,CA 9027S~$391 RE:GRANT APPLICATION} Dear Ms.Petru, SHAWl: Support for Harbor Area Women's Lives '.! MAR 1 1 It is with great enthusiasm th<.tlSupport for Harbor Areq¥l()ll'I~r'S Lives (SHAWL)respectfullYSHbmitsJpryour consideration our Grant Appll¢:otion to continue the rtlll<;h n~ed services that we proVid~jQwomen in need. SHAWL has been extremelY~dunatein the past to havebeenthef~cipientof a City of RonchoPoJos verd~s9~ant(s). The support of the City of ~~9cho Palos Verdes has eg¢Jbled us to cbnff!gue our greatly needed services irtIhe San Pedro area and we are extremelYgratefull SHAWL has remained at fOil capacity in the past Ye~qnd residents are sUCC~SSfmly~~qcilJqt!ngfr6rnourprimary program and movin~infoHaviiandHouse,our s0t:>~llving facility where they mus~~6fkbhd/otattendschool.Due to the increase in residentsond continually growing Vj(qiting list,we wish to utilize this fQnding to maintoin our Counseling and Case Mana~~ment hours as well as maint~tnthe number of Groups that we p~oVide for our residents.All three of these area~<.t1l9W'usto treat the issues of <.tt:>~sEtand trauma which are so prevalentJ9addicted women.Long term IifestYI~9hqngesqt~9l?rimaryfoc~sgf8lJrI)rogram and according to successful groli;tyates of SHAWL a major factor in t~ejrreCbvery ond theirjrlrlpl~rl)~tqtionofnew life skills has been their consistent individl.l9lsessions and groups with ..$ftAWL·s facilitators.If we ~"awardedfunding,it would be utilized to maintain our currenu~vE110fcounseling and case management along with focnIrotion of groups such as:Chemical Dependency Aworeness,ArrgerMcmagemenf, Relapse Prevention,DomesticViQlence and others. The City of Rancho Palos Verdes'fu/lding will have a direct impact on SHAWL's abilitytocontj\')()e providin9life changing tools to recovery and selNufficiency.The funding will impact the future 0Ulle wOnJen we servel:>yenabling SHA WL to provide them with the tOblsJo become addiction free and independentq¢htribl)ting membe~bfthe community. In advance,I thank you for your consider-otion of our request.If you have any questions,please do hot hesitate to contact me at (310)521-9310 or at laurie@ hawlw menshouse.or . POST OFFICE BOX 948 •SAN PEDRO,CA 90733-0948 TEL 310·521·9310 FAX 310·521 ·0359 WWW.SHAWLWOMENSHOUSE.ORG SHAWL is a non-profit 50 I(c)]organization that provides suppart and services to homeless,addicted women as they begin their journey ofrecovery (rom substance abuse. ATTACHMENTS 2-277 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 (310)377-0360 www.palosverdes.comlrpv CITY GRANT APPLICATION For Fiscal Years July 1,2011 to June 30,2012 & July 1,2012 to June 30,2013 Name of Organization:SHAWL-Support for Harbor Area Women's Lives Address:936 S.Centre Street,San Pedro,CA 90731 Phone Number: Fax Number: (310)521-9310 (310)521-0359 Website Address:www.shawlwomenshouse.org Contact Name &Position:Laurie Whalen-Martinez,Executive Director Years with Organization:1.75 years Email:laurie@shawlwomenshouse.org AMOUNT OF SUPPORT REQUESTED: FY 11-12:$3,000.00 FY 12-13:$3,000.00 Please Attach the Following to this Completed Application: A.List the board of directors and the expiration of their term. B.Proof of non-profit status and a statement that the organization is non- political. C.Financial statements (if any)for last completed fiscal year. ATTACHMENTS 2-278 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 2 1.Please describe the purpose of the organization and the nature of the services provided. SHAWL (Support for Harbor Area Women's Lives)is a non-profit,residential recovery program for women who are suffering from homelessness,substance abuse,mental illness and domestic violence.SHAWL has developed a program model that has demonstrated its effectiveness in helping women achieve long-term sobriety and residential stability. SHAWL is licensed by the State of California as a Residential Rehabilitation Program. Serving up to 13 women at a time for a six month period,SHAWL provides comprehensive services and treatment in two residential facilities.SHAWL's mission is to provide its' residents with the life tools,support and services to remain clean and sober and become productive members ofthe community,achieve emotional and economical self-suffiCiency, secure and maintain residential stability and for certain residents to regain custody and reunite with their children.Haviland House,our sober living program,is where women can remain an additional 18 months to two years while they are in school and employed and can continue their case management plans to maintain ongoing sobriety. SHAWL's highly structured program consists of intensive case management and individual counseling with wrap-around supportive services,including daily AA and NA meetings as well as various groups covering topics such as Relapse Prevention,Domestic Violence, Chemical Dependency Awareness,Anger Management,Parenting,Co-Dependency, Coping Skills,Women's Self Esteem,Health and Nutrition,Basic Life/Communications, Computer and Reading Skills.In addition,SHAWL utilizes a social work model of Case Management.Residents are provided weekly counseling and case management to assist with their recovery efforts.With the support of our counselors,each resident sets her own goals,develops her own timetable and own measurements of success.The case management plan covers all aspects of the resident's life including but not limited to addiction,legal status,education,health issues and family issues.Emotional problems, mental health diagnosis and other personal issues are incorporated into the case management plan as well.In addition,all residents make a commitment to work with an AA or NA sponsor and have a weekly meeting with the sponsor of their choice.Guidelines are set by SHAWL to ensure that residents stay focused on their program and are made accountable for the work that is done with their sponsor.Also,residents participate in a weekly exercise routine,are involved in several community service projects and attend numerous outings that allow the resident to have fun in a clean and sober setting.In addition,SHAWL is able to provide referrals for medical,dental,mental health and legal services. 2.Please indicate the size and type of population served by the organization. Include quantifiable data (census information,number of members,volume of phone calls/referrals).If known,please provide the specific number of Rancho Palos Verdes residents served and the total number of Palos Verdes Peninsula residents served. ATTACHMENTS 2-279 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 3 SHAWL can accommodate 13 women in the residential primary program and 11 women in the Haviland House sober living program.SHAWL's target population is homeless women suffering from substance abuse,co-occurring mental health issues and often times are survivors of domestic violence.SHAWL has provided services to hundreds of women since we opened our doors and serves approximately 50 women per year.The women we serve come from all areas throughout Los Angeles County including the Palos Verdes Peninsula/Harbor Area of Los Angeles County,including Rancho Palos Verdes,San Pedro,Wilmington,Harbor City and Long Beach.SHAWL has no geographic boundaries for a homeless woman in need of the services that we provide. For the period of January 1-June 30,2010 the demographics for SHAWL were as follows: Race/ethnicity: Age: 21%Black 18%'18-24 41 %Hispanic or Latina 38%White 82%25-59 SHAWL usually receives a minimum of 5 calls per day from women seeking assistance. Currently,there is a waiting list to get into SHAWL.SHAWL receives most referrals through probation and parole officers,judges and social workers who have placed other women who have successfully completed the program.Other women call based on recommendation they have received from former residents.SHAWL also participates in the network of residential treatment programs in the Southwest portion of the county.Referrals also come from hospitals and from detoxification facilities. 3.Indicate who prepares and who approves organization's budget. The SHAWL budget is prepared by the Treasurer and Executive Director and approved by the Board of Directors. 4.Indicate impact of City funding to organization and its ability to provide service. City funding will assist in maintaining a quality program and would allow us to continue serving the women who come to SHAWL seeking the help they need to rebuild their lives. 5.Please provide the follOWing financial information: Fiscal Year:Begins:July 1st Ends:June 30th Total Current Year Budget:$362,051.00 Total Prior Year Budget:$299,920.00 ATTACHMENTS 2-280 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 4 Sources of Funds: List all sources including the following,as applicable:Dues;Contributions (including source and whether on-going or one-time);Special Events/Fund-Raising;and Other. Current Year Please see attached "Financial Statements and Independent Auditor's Report"document Prior Year Please see attached "Financial Statements and Independent Auditor's Report"document Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs, Material and Supplies,and Other. Current Year Please see attached "Financial Statements and Independent Auditor's Report"document Prior Year Please see attached "Financial Statements and Independent Auditor's Report" document ATTACHMENTS 2-281 SHAWL Support for Harbor Area Women s Lives BOARD OF DIRECTORS •Ms.Susan Bond (President)Expiration ofTerm:2012 3528 Vigilance Drive Rancho Palos Verdes,CA 90275 •Ms.Becky Clark (Vice President)Expiration of Term:2012 Senior Staff Attorney Housing Authority of the City of Los Angeles 3354 Corinna Drive Rancho Palos Verdes,CA 90275 •Ms.Susan Myers Expiration of Term:2012 Attorney KIA Motor Corporation 1800 S.Pacific Coast Highway #3 Redondo Beach,CA 90277 •Dr.James Hansen Expiration ofTerm:2013 Harbor-UCLA Medical Center 1692 Morse Drive San Pedro,CA 90732 •Ms.Beverly Hansen Expiration ofTerm:2013 1692 Morse Drive San Pedro,CA 90732 •Ms.Emily Hamilton Expiration of Term:2013 Senior Vice President California United Bank 1025 W.190th Street Suite 225 Gardena,CA 90248 ATTACHMENTS 2-282 •Mr.Don Smith,Treasurer 947 Ninth Street Manhattan Beach,CA 90266 Expiration ofTerm:2011 •Mr.Jim Howat (Advisor) Director of Homeless and Substance Abuse Services VOALA 3600 Wilshire Blvd. Suite 1500 Los Angeles,CA 90010 •Ms.Laurie Whalen-Martinez (non-voting) Executive Director SHAWL 936 S.Centre Street San Pedro,CA ATTACHMENTS 2-283 INTERNAL REVENUE SERVICE DISTRICT DIRECTOR 2 CUPANIA CIRCLE MONTEREY PARK,CA 91755-7406 Date:APR 25 1995 SUPPORT FOR HARBOR AREA WOMENS LIVES C/O DONALD A SMITH PO BOX 948 SAN PEDRO,CA 90733 Dear Applicant: DEPARTMENT OF THE TREASURY Employer'Identification Number: 33-0407659 Case Number: 955094056 Contact Person: TYRONE THOMAS Contact Telephone Number: (213)894-2289' Our Letter Dated: August 15,1990 Addendum Applies: No This modifies our letter of the above date in which we stated that you would be treated as an organization that is not a private foundation until the expiration of your advance ruling period. Your exempt status under section 501(a)of the Internal Revenue Code as an organization described in section 501(C)(3)is still in effect.Based on the information you submitted,we have determined that you are not a private foundation within the meaning df section 509(a)of the Code because you are an organization of the type described in section 509(a)(1)and 170(b)(1)(A)(vi). Grantors and contributors may rely on this determination unless the' Internal Revenue Service publishes notice to the contrary.However,if you lose your section 509(a)(1)status,a grantor or contributor may not rely on this determination if he or she was in part responsible for,or was aware of, the act or failure to act,or the substantial or material change on the part of the organization that resulted in your loss of such status,or if he or she acquired knowledge that the Internal Revenue Service had given notice that you would no longer be classified as a section S09(a)(1)organization. If we have indicated in the heading of this letter that an addendum applies,the addendum enclosed is an integral part of this letter. Because this letter could help resolve any questions about your private foundation status"please keep it in your permanent records. If you have any questions,please contact the person whose name and telephone number are shown above. Richard R.Orosco District Director .__._-_._._._-------_.._--,--_.._._._------------_._---,-----------------_._--,.-_._----- Letter 1050 (DO/CG) ATTACHMENTS 2-284 SHAWL Support for Harbor Area Womens Lives Support for Harbor Area Women's Lives -SHAWL is a non-political organization and is not affiliated with any political party. Laurie Whalen-Martinez Executive Director ATTACHMENTS 2-285 Support for Harbor Area Women's Uves Budget July 1,2010 -June 20,2011 Income Corporations Foundations General Public Civic Organizations Churches Individuals Federal Grants FEMAGrant DOJGrant Local Government Grants County DPPS Other Local Government Grants service Fees Total Operating Revenue Interest Income Total Income Expenses Total Payroll Total salaries Total Benefits and Taxes Organizational Membership Dues Development/Public Relations Accounting and Audit Fees Other Professional Fees Computer Expense Total Supplies Reproduction Expense Telephone and Communication Rent Building Maintenance Utilities -GasfWater/Electricity Ucenses and Permits Property Tax Insurance Travel Recreation/activities -Clients Spec Assist/cash Subsd/Stipends Outside Printing Equip Repairs and Maint. Non-consumable Supplies Expense Before Admin Administrative Expense Total Operating Expenses Depreciation Expense -Buildings Depreciation -Improvements Total Expenses Net 3,000 87,000 58,000 22,000 9,000 27,000 170,841 15,000 155,841 38000 35,000 3,000 15,000 371,841 28 371,869 218,662 174,102 44,560 245 120 12,900 2,000 200 9,500 600 3,808 24,000 4,150 12,500 2,500 225 6,628 1,375 2,500 14,811 1,000 50 500 318,274 36,283 354,557 5,034 2,460 362,051 9,818 ATTACHMENTS 2-286 SUPPORT FOR HARBOR AREA WOMEN'S LIVES Financial Statements and Independent Auditor's Report June 30,2010 ATTACHMENTS 2-287 SUPPORT FOR HARBOR AREA WOMEN'S LIYES TABLE OF CONTENTS Independent Auditor's Report Statement ofFinancial Position Statement ofActivities Statement ofFunctional Expenses Statement of Cash Flows Notes to Financial Statements 2 3 4 5 6 7 8 ATTACHMENTS 2-288 3600 WIl.SHIRE BOULEVARD.SUITE 1710 LOS ANGELfS,CA 90010 (213)736-6664 l'ELEPHONE (213)736-6692 FAX www.slmpsonandsimpsoncpas.com SIMPSON &SIMPSON CERTIHED PUIllJC ACCDUNTANTS fOlJNDJNG PAIlTNERS BIWNAJU)c.SIMPSON,CPA MELBA W.SIMPSON INDEPENDENTAUDITOR'S REPORT The Board of Directors Support for Harbor Area Women's Lives San Pedro,California We have audited the accompanying statement of financial position of Support for Harbor Area Women's Lives (SHAWL),a nonprofit organization,as of JWle 30,2010 and 2009, and the related statements of activities,functional expenses,and cash flows for the years then ended.These financial statements are the responsibility of SHAWL's management. Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with auditing standards generally accepted in the United States of America.Those standards require that we plan and perfonn the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement.An audit includes examining,on a test basis,evidence supporting the amounts and disclosures in the financial statements.An audit also includes assessing the accounting principles used and significant estimates made by management,as well as evaluating the overall financial statement presentation.We believe that our audits provide a reasonable basis for our opinion. As discussed in Note 2 to the financial statements,SHAWL adopted the provision of the Statement of Financial AccoWlting Standards No.165,Subsequent Events,for the year ended June 30,2010. In our opinion,the financial statements referred to above present fairly,in all material respects,the financial position of SHAWL as of JWle 30,2010 and 2009,and the changes in its net assets and its cash flows for the years then ended in confonnity with accounting principles generally accepted in the Unites States of America. Los Angeles,California October 22,2010 3 (CPA) The CPA.Never Underestimate The Velue~ ATTACHMENTS 2-289 SUPPORT FOR HARBOR AREA WOMEN'S LWES Statement of Financial Position June 30,2010 (With Comparative Financial Information for the Year Ended June 30,2009) 2010 2009 ASSETS Current Assets: Cash $39,387 $33,276 Accounts Receivable (Note 3 and 6)90,423 112,500 Total Current Assets 129,810 145,776 Fixed Assets: Land 120,000 120,000 Building 75,516 75,516 Buildings Improvements 12,300 12,300 Less:Accumulated Depreciation (62,921)(55,427) Net Fixed Assets 144,895 152,389 Other Assets 1,550 1,550 Total Assets $276,255 $299,715 LIABILITIES &NET ASSETS Current Liabilities: Accounts Payable (Note 6)$64,882 $88,849 Accrued Expenses 13,406 Total Current Liabilities 64,882 102,255 Net Assets: Unrestricted 143,182 122,460 Temporarily Restricted 68,191 75,000 Total Liabilities and Net Assets $276,255 $299,715 The accompany notes are an integral part ofthe financial statements. 4 ATTACHMENTS 2-290 SUPPORT FOR HARBOR AREA WOMEN'S LJYES Statement ofActivities For the Year Ended June 30,2010 (With Comp~tive Financial Infonp,ation for the Year Ended June 30,2009) 2010 2009 Temporarily Unrestricted TemporarDy Unrestricted Restricted Total Total Restricted Total Revenue and Support from Operations: ---------- Contributions (Note 6)$99,385 $-$99,385 $209,034 $75,000 $284,034 Government Grants and Contracts 256,570 -256,570 62,312 -62,312 Program Service Fees 13,556 -13,556 24,030 -24,030 Net Assets Released from Restrictions 6,809 (6,809) Total Revenue and Support from Operations 376,320___(6,809)369,511 295,376 75,000 370,376 Operating Expenses: Program Services 302,658 -302,658 244,545 -244,545 Management and General 52,973 -52,973 42,797 -42,797 Total Operating Expenses 355,631 -355,631 287,342 -287,342 Excess (Deficiency)of Revenue and Support from Operations Over (Under)Operating Expenses 20,689 (6,809)13,880 8,034 75,000 83,034 Nonoperating Gains and Other Revenue: Interest Income 33 -33 229 -229 Total Nonoperating Gains and Other Revenue 33 -33 229 -229 Change in Net Assets 20,722 (6,809)13,913 8,263 75,000 83,263 Net Assets at Beginning of Year 122,460 .75,000 197,460 114,197 -114,197 Net Assets at End ofYear $143,182 $68,191 $211,373 $122,460 $7~,()(}0 ~_197,460====---- The accompanying notes are an integral part ofthe financial statements. 5 A T T A C H M E N T S 2 - 2 9 1 SUPPORT FOR HARBOR AREA WOMEN'S LIVES Statement of Functional Expenses For the Year Ended June 30,2010 (With Comparative Information for the Year Ended June 30,2009) 2010 2009 Supporting Services Supporting Services Program Management Program Management Services and General Total Services and General Total Salaries $161,220 $-$161,220 $136,058 $-$136,058 Pension Expense (Note 4)4,001 -4,001 5,596 -5,596 Other Employee Benefits 21,263 -21,263 16,320 -16,320 Payroll Taxes 12,411 -12,411 10,302 -10,302 Audit Fees (Note 5)-13,940 13,940 -12,900 12,900 Other Professional Fees 4,990 -4,990 12,226 -12,226 Supplies 20,879 -20,879 6,218 -6,218 Telephone 4,146 -4,146 2,778 -2,778 Postage 1,280 -1,280 863 -863 Occupancy Expenses 50,024 -50,024 40,358 -40,358 Insurance 5,928 -5,928 5,359 -5,359 Equipment Rental and Maintenance 108 -108 89 -89 Printing and Publications 305 -305 169 -169 Travel and Vehicle Expense 4,405 -4,405 60 -60 Conferences and meetings 835 -835 Direct Client Expense 3,369 -3,369 655 -655 Administrative Expense (Note 6)-39,033 39,033 -29,897 29,897 Depreciation 7,494 -7,494 7,494 -7,494 Total Expenses $302,658 $52,973 $355,631 $244,545 $42,797 $287,342 The accompanying notes are an integral part ofthe financial statements. 6 A T T A C H M E N T S 2 - 2 9 2 SUPPORT FOR HARBOR AREA WOMEN'S LIVES Statement of Cash Flows For the Year Ended June 30,2010 (With Comparative Financial Information for the Year Ended June 30,2009) 2010 2009 Cash Flows from Operating Activities: Change in Net Assets $13,913 83,263 Adjustments to Reconcile Change in Net Assets to Net Cash Provided by (Used in)Operating Activities: Depreciation 7,494 7,494 Changes in Operating Assets and Liabilities: Accounts Receivable 22,077 (75,000) Accounts Payable (23,967)(53,975) Accrued Expenses (13,406)428 Net Cash Provided By (Used in)Operating Activities 6,111 (37,790) Cash Flows from Investing Activities: Purchases of property,plant,and equipment (12,300) Net Cash Used in Investing Activities (12,300) Net (Increase)Decrease in Cash 6,111 (50,090) Cash at Beginning of Year 33,276 83,366 Cash at End of Year $39,387 33,276 The accompanying notes are an integral part ofthe financial statements. 7 ATTACHMENTS 2-293 SUPPORT FOR HARBOR AREA WOMEN'S LIVES Notes to Financial Statements June 30,2010 1.Organization Support for Harbor Area Women's Lives (SHAWL)is a not-for-profit public benefit corporation under the laws of the state of California.The sole purpose of SHAWL is to provide comprehensive services to homeless women who are also affected by drug addiction,physical and emotional abuse. Effective April 1,2007,SHAWL entered into a business combination agreement with Volunteers of America Los Angeles (VOALA),a California not-for-profit spiritually based human services organization,resulting with a change-of-control of SHAWL. Under the agreement,VOALA has the right to provide a majority ofthe members ofthe SHAWL Board of Directors.SHAWL continues to function as an independent 501(c)(3)nonprofit of the Internal Revenue Code provision,and SHAWL continues to have fiduciary responsibility for its programs. In December 1991,SHAWL opened a residential recovery home,named SHAWL House,which currently accommodates up to ten women in a residential rehabilitation program lasting approximately six months.All residents participate in a structured program,which includes both individual counseling and classes/group sessions in parenting,domestic violence,relapse prevention,drug education,communications, spirituality,health,and nutrition.In addition to in-house support groups,women are required to attend daily twelve-step meetings conducted at various local facilities.In August 1998,SHAWL opened a sober-living residential facility,named Havilland House.This facility has a capacity of ten women,who are usually graduates of the residential SHAWL House program.In this program,while living in a supportive atmosphere that aids recovery,the women work,continue their education and training, and/or do volunteer work.In addition,the sober-living participants receive individual counseling as needed. 8 ATTACHMENTS 2-294 SUPPORT FOR HARBOR AREA WOMEN'S LIVES Notes to Financial Statements June 30,2010 2.Summary of Significant Accounting Policies The accounting policies of SHAWL confonn to accounting principles generally accepted in the United States of America as applicable to voluntary health and welfare organizations.The more significant accounting policies of SHAWL are described below: a.Basis of Accounting SHAWL prepares its financial statements on the accrual basis of accounting. b.Fixed Assets Fixed assets are recorded at cost if purchased or,if contributed,at fair value at date of contribution.SHAWL capitalizes all contributions of or expenditures for fixed assets in excess of $5,000.Any gain and loss on the sale of property,plant,and equipment is reported under nonoperating gains (losses)and other revenue in the statement of activities. Prior to the business combination of April 1,2007,depreciation of property is provided using the straight-line basis over 15 years.After April 1,2007, depreciation is computed using the straight-line modified half-year method over the estimated useful lives ofthe assets,which range from 3 to 40 years. SHAWL reviews fixed assets for impainnent whenever events or changes in circumstances indicate that the carrying value of the fixed assets may not be recoverable.Recoverability is measured by a comparison of the canying amount of the asset to future net cash flows,undiscounted and without interest,expected to be generated by the asset.If such asset is considered to be impaired,the impainnent to be recognized is measured by the amount by which the carrying amount of the asset exceeds the fair value of the asset.During 2010 and 2009,there were no events or changes in circumstances indicating that the carrying amount ofthe fixed assets may not be recoverable. 9 ATTACHMENTS 2-295 SUPPORT FOR HARBOR AREA WOMEN'S LIVES Notes to Financial Statements June 30,2010 2.Summary of Significant Accounting Policies (continued) c.Contributions Contributions are generally recorded only upon receipt,unless evidence of an unconditional promise to give has been received. Unconditional promises to give that are expected to be collected in future years are recorded at the present value of the amounts expected to be collected..Conditional promises to give are not included as support until such time as the conditions are substantially met.All contributions are considered available for unrestricted use unless specifically restricted by the donor.Contributions restricted by donor are reported in the temporarily or pennanently restricted net asset.When a stipulated time restriction ends or purpose restriction is met,temporarily restricted net assets are released and reclassified to unrestricted net assets in the statement of activities.Contribution restricted by donor is reported in temporarily restricted net assets even though restrictions are met in the same reporting period. d.Grants and Contracts SHAWL recognizes revenue from grants and contracts when eligible costs .are incurred for cost-reimbursement grants and when the contracted services are performed for performance based grants.Cost-reimbursement and performance based grants are considered as exchange transactions. Revenue from grants and contracts,considered as contribution,is recognized as revenue upon receipt. e.Operations SHAWL defines operations as all programs and supporting service activities undertaken.Revenue that results from these activities and their related expenses are reported as operations.Gains,losses,and other revenue that result from ancillary activities,such as disposing fixed or other assets,are reported as non-operating. 10 ATTACHMENTS 2-296 SUPPORT FOR HARBOR AREA WOMEN'S LIVES Notes to Financial Statements June 30,2010 2.Summary of Significant Accounting Policies (continued) f.Net Assets SHAWL classifies revenue,gains,expenses,and losses into three net asset categories according to the existence or absence of donor-imposed restrictions. Accordingly,net assets of SHAWL and changes therein are classified and reported as follows: •Unrestricted net assets -Net assets that are not subject to donor-imposed stipulations and that may be expendable for any purpose in performing the primary objectives of SRAWL. •Temporarily restricted net assets -Net assets subject to donor-imposed stipulations that mayor will be met by either actions of SRAWL and/or the passage of time.As the restrictions are satisfied,temporarily restricted net assets are reclassified to unrestricted net assets and reported in the accompanying financial statements as net assets released from restrictions. •Permanently restricted net assets -Net assets subject to donor-imposed stipulations that they must be maintained in perpetuity.The investment income generated from these funds is available for funding of SHAWL's programs and operations on an unrestricted or temporarily restricted basis,as designated by the third-party donor. g.Income Taxes SRAWL is exempt from federal income taxes under the provision of Section 501(c)(3)of the Internal Revenue Code and from California franchise tax under Section 23701(d)of the California Revenue and Taxation Code.Accordingly,no provision for federal or state income taxes is included in the financial statements.In addition,SHAWL has been determined by the Internal Revenue Service not to be a private foundation within the meaning of Section 509(a)ofthe Code. h.Concentration of Credit Risk SRAWL maintains cash balances at a high quality financial institution,where accounts are insured by the Federal Deposit Insurance Corporation (FDIC)up to $250,000 for the years ended June 30,2010 and 2009.As of June 30,2010 and 2009,cash balances of SHAWL did not exceed the FDIC limit. 11 ATTACHMENTS 2-297 SUPPORT FOR HARBOR AREA WOMEN'S LIVES Notes to Financial Statements June 30,2010 2.Summary of Significant Accounting PoHcles (continued) i.Use of Estimates The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assmnptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets·and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period.Actual results could differ from these estimates. j.Subsequent Events Subsequent events have been evaluated through October 22,2010,which is the date the financial statements were issued. k.Adoption of New Accounting Pronouncement SFAS 165,"Subsequent Events"(SFAS 165),as amended by ASU 2010-09, "Amendments to Certain Recognition and Disclosure Requirements",requires management to evaluate events that occur after the balance sheet date through the date that the financial statements are issued.The guidance is similar to current audit guidance and does not change the way subsequent events are assessed.SFAS 165 required that SHAWL disclose the date through which they evaluated subsequent events.ASU 2010-09 removed the requirement for companies that must file financial statements with the U.S.Securities and Exchange Commission. 12 ATTACHMENTS 2-298 SUPPORT FOR HARBOR AREA WOMEN'S LIVES Notes to Financial Statements June 30,2010 3.Accounts Receivable Accounts receivable consist ofthe following at June 30,2010 and 2009: Contracts and grants Due from VOALA (Notc 6) Total accounts receivablc,net 4.Pension 2010 $22,232 68,191 $90,423 2009 $ 112,500 $112,500 SHAWL participates in VOALA's defined contribution pension plan covering substantially all employees who have completed one year of service and have attained the age of 21.The monthly employer contribution on behalf of participants is 4.5%of participant compensation for the years ended Junc 30,2010 and 2009.Pension plan expense totaled $4,001 and $5,596 for the years ended June 30,2010 and 2009, respectively. SHAWL also participates in VOALA's defined contribution plan under the Internal Revenue Code Section 403 (b).All employees can participate in the plan.The monthly employee contribution is based upon individual decision,but not exceeding the maximum contribution of $16,500 annually. 5.Audit Fees Audit fees of $13,940 and $12,900 for the years ended June 30,2010 and 2009, respectively have been accrued in the statement of functional expenses even though the related services will be perfonned in the subsequent period.This is not in accordance with U.S.generally accepted accounting principles but is not considered material in relationship to the financial statements taken as a whole. 13 ATTACHMENTS 2-299 SUPPORT FOR HARBOR AREA WOMEN'S LIVES Notes to Financial Statements June 30,2010 6.Related Party Transactions SHAWL reimburses VOALA for its share of VOALA's administrative fee.SHAWL's share of the administrative fees for the years ended June 30,2010 and 2009 totaled $39,033 and $29,897,respectively. VOALA perfonns cash receipts and disbursements functions for SHAWL.Expenses are paid by VOALA and reimbursed by SHAWL and revenues are collected by VOALA and remitted to SHAWL.As of June 30,2010 and 2009,the balance due to VOALA for disbursements amounted to $64,882 and $88,849,respectively,and amount due from VOALA for contributions received amounted to $68,191 and $75,000, respectively. VOALA's contributions to SHAWL for the years ended June 30,2010 and 2009 totaled $0 and $114,960,respectively. 14 ATTACHMENTS 2-300 C ~~C~1 . ~ill South Bay Children's Health Center •r •••••••• • .".'.."."."'..".. WhZ'ffffff£'WM ZZ ~~ March 10,2011 Carolynn Petru Deputy City Manager City of Rancho Palos Verdes 30940 Hawthorne Blvd. Rancho Palos Verdes,CA 90275 Re:South Bay Children's Health Center Grant Application -2011-2012 and 2012-2013 Dear Carolynn: South Bay Children's Health Center thanks the City of Rancho Palos Verdes for the opportunity to submit the enclosed Grant Application for the fiscal years 2011-2012 and 2012-2013 which will be used for counseling and life skiUs groups already in place in Palos Verdes Unified School District middle and high schools,and Rancho del Mar.It is only through partnerships such as this that we are able to continue the work we do to assist the youth of the Rancho Palos Verdes community,many of whom are referred by local Police and Sheriffs or are seeking help with personal difficulties or crisis intervention at school and at home. Please do not hesitate to contact me or our Executive Director,Tina Harris with any questions. Again,we thank the City of RPV for this opportunity. Very truly yours, ~f), Susan B.Ghormley Development Director SHeRe South Bay Chllclren's HeaHh Center 410 S.Camino Real Redondo Beach,CA 90277 310-316-1212 susan@sbchc.com sbchc.com South Bay Children's Health Center.410 Camino Real,Redondo Beach,CA 90277 •(310)316-1212 •www.sbchc.com Child Guidance Cfinic '"1617 Cravens Avenue,Torrance,CA 90501 ~tel (310)328-0855'"fax (310)328-9636 Lawndale Dental Clinic @ 14722 Hawthorne Blvd.Suite A,Lawndale,CA 90260"tel (310)973-5437 "fax (310)978-8574 501(c)(3)Tax 10 95-6003956 ATTACHMENTS 2-301 South Bay Children's Health Center Grant Application FY 11-12 &FY 12-13 Page 1 of4 Rancho Palos Verdes 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 (310)377-0360 www.palosverdes.com/rpv CITY GRANT APPLICATION For Fiscal Years July 1,2009 to June 30,2010 July 1,2010 to June 30,2011 Name of Organization:South Bay Children's Health Center Address:410 Camino Real,Redondo Beach,CA 90277 Phone Number:310-316-1212 Fax Number: 310-316-4411 Website Address:www.sbchc.com Contract Name/Position:Christina J.(Tina)Harris,Executive Director Year with Organization:10years Email:tina@sbchc.com AMOUNT OF SUPPORT REQUESTED: FY 11-12:$10,000 FY 11-13:$10,000 Please Attach the Following to this Completed Application: A.List of board of directors and the expiration of their term. B.Proof of non-profit status and a statement that the organization is non- political. C.Financial statements (if any)for last completed fiscal year. ATTACHMENTS 2-302 South Bay Children's Health Center Grant Application FY 11-12&FY 12-13 Page 2 of4 1.Please describe the purpose of the organization and the nature of the services provided. The South Bay Children's Health Center (SBCHC)was established in 1947 as a 501 (c)(3)non-profit,tax exempt organization to provide dental and mental health services to children,pre-school through age 24,who come from very low to moderate income families in the South Bay.Our purpose is to provide exceptionally high quality outpatient services to children and their families without regard to ethnicity,gender,religion or ability to pay.Through the South Bay Youth Project,an arm of SBCHC, we are committed to providing individual counseling services and supportive services (tutoring,life skills classes and support groups)for 'at risk'youth and their families throughout the South Bay Communities. 2.Please indicate the size and type of the population serviced by the organization.Include quantifiable data (census information,number or members,volume of phone callsl referrals).If known,please provide the specific number of Rancho Palos Verdes residents serviced and the total number of Palos Verdes Peninsula residents served. South Bay Youth Project under the direction of SBCHC provided counseling and supportive services to 99 Palos Verdes Peninsula residents in FY 2009-2010.Ninety-three of these are students from PVUSD high schools and middle schools.A portion of the 93 students are receiving individual counseling at school and others are receiving support through group participation,also offered at their school.We have two primary therapists who work with students.Carol Wood,MFT,works a full day at Rancho Del Mar on Tuesdays providing individual (she currently has 9 clients)and group counseling (Peer Mediation with 20 participants). Robert Babb,MFT,provides individual,group and Life Skills class at Miralestelntermediate School (2 groups per week),Ridgecrest Elementary (3 groups per week),Palos Verdes Intermediate School (1 group per week),and Peninsula High School (boy's Life Skills Classes). Students are referred from the teaching and disciplinary staff at each school within PVUSD directly to the individual therapist. During FY 2009-2010,12 new clients directly contacted SBCHC's South Bay Youth Project for mental health counseling services.Six of these direct contacts were for youth who reside in Rancho Palos Verdes. ATTACHMENTS 2-303 South Bay Children's Health Center Grant Application FY 11-12 &FY 12-13 Page 3 of4 3.Indicate who prepares and who approves organization's budget The organization's Operational BUdget is prepared by the Christina Harris, Executive Director and is approved by the Board of Directors. 4.Indicate impact of City funding to organization and its ability to provide service. The funding provided by the City of Rancho Palos Verdes is vital to the preservation of the mental health programs currently being offered in the PVUSD schools.South Bay Children's Health Center has a minimum contract with Palos Verdes Unified School District to provide on-site therapeutic services.However,the PVUSD 2011-2012 bUdget has a huge shortfall and the likelihood of a mental health contract for 2011-2012 is very slight.The quantity and quality of services would be impossible without your support,as well as the continuation of care for PVUSD students who so benefit from therapeutic counseling services. 5.·Please provide the following financial information: Fiscal Year:Begins:July 1,2010 Ends:June 30,2011 Total Current Year Budget (FY 2010-2011):$2,185,664.00 for all programs -dental,mental health and South Bay Youth Project. Total Prior Year Budget (FY 2009-2010):$1,789,620.00 for all programs. Sources of Funds:List all sources inclUding the following,as applicable: Dues;Contributions (including source and whether on-going or one-time); Special Events!Fundraising;and Other. Current Year:South Bay Youth Project Only L.A.Co.Substance Abuse Prevention and Control (formerly L.A.Co. Alcohol Drug Program)$125,378;L.A.Co.Probation $45,793;Beach Cities Health District $75,000;City of Rancho Palos Verdes $10,000;City of Hermosa Beach $7,390;City of EI Segundo $40,498;City of Manhattan Beach $21,716;Manhattan Beach Unified School District $95,368;Palos Verdes Unified School District $2,000;Hermosa City School District $29,757.96; South Bay Center for Counseling $110,417;Palos Verdes Juniors $9,300;and The Friends of the South Bay Youth Project $60,000. ATTACHMENTS 2-304 South Bay Children's Health Center Grant Application FY 11-12 &FY 12-13 Page 4 of4 Prior Year:South Bay Youth Project Only L.A.Co.Alcohol Drug Program $135,378;L.A.Co.Probation $45,793;City of Rolling Hills $540;City of Rolling Hills Estates $2,000;City of Rancho Palos Verdes $7,500;City of Hermosa Beach $7,390;City of EI Segundo $40,498;City of Manhattan Beach $3,716;Manhattan Beach Unified School District $95,368;Palos Verdes Unified School District $10,000; Hermosa City School District $26,425;South Bay Center for Counseling $143,018;Palos Verdes Juniors $19,200;and The Friends of the South Bay Youth Project $60,000. All of the above funding sources are 1 year contracts/grants or one-time contributions.The SBYP re-applies annually to obtain funding another year,however,these funding sources have been ongoing for a number of years. Expenditures: List major categories including,but not limited to,Personnel costs, Operating costs,Material and Supplies,and Other. Current Year -2010·2011 Expenditures of the South Bay Youth Project only (extrapolated using July to January figures): Wage/Salary Employees:$110,300 Professional Consultants:$359,000 Materials/Suppliesffelephone:$14,400 Prior Year -2009·2010 Expenditures of the South Bay Youth Project: Wage/Salary Employees:$70,000 Professional Consultants:$510,000 Materials/Suppliesffelephone:$20,000 ATTACHMENTS 2-305 Attachment A SBCHC Board of Directors ATTACHMENTS 2-306 Attachment A South Bay Children's Health Center Roster of Board of Directors -2010-2011 Lisa Montes -President David Leahy -Vice President Paul Barrow -Secretary/Treas. Susanne Alexander Tracy Bracken Chet Craft Lynn Lavezzari O.J.Pandey Denise Pellegrino Martha Sobel Diana Hagerman Bob Holmes Ernie O'Dell Kerry Welsh (honorary) Neal Natsumeda (honorary) ATTACHMENTS 2-307 Attachment 8 S8CHC Proof of Non-Profit Status ATTACHMENTS 2-308 ~. -.''.-...~, ··:····;·,3,ift~~ '/'\.,.1t.'.;.i~·,. s~p 21 19S1 ..,:,~.. .' .I / f / .,.r...,··:,··....,,·e::,· U.S.TREASURY DEPAR,';MENT':':;, ...WASHINGTON 25 "•~I It is the opinionof·thll'r'oti"1ce,based upon the evidence presented,that...Io\.L.ar.e...e~~mp.l.J,r'p'lD Feder~l inccme tax under.the ", provisions .ot seotion 101(6)of the Internal Rev9nufl Code,as it is '/::::'~, shown that yoU are organized and :operate~._.e~o~us1ve~y tor .ri~·"·:., am "'~"«t&1 ~1"OCt. faVi bil tb~'e "'1~ AftOd.'toe,~. )U 1'11'~ ~!.~,C$)..J.t.... ~.... ADD~Ift'I'I.Y T't> COMM'ElIIONEI'l Of'INfYRNAL M:VrHV~ AND Ift'P'EI\TO ',,"'".0Fr1Cll'0Pt.,·;,;,·;COMMISSIONER OF INTERNAL RM1IUE " .~~.:'. Accordingly,you w111 not be required to tile income tax returns unless you change the oharacter ot your organization,the purposes· for which you were organized,or your metho1'of opera,ion,Any such changes should be reDorted immediatelY.to the oollector ot internal revenue for your district in order that,their effect upon your exempt status may be determ~ned.".".:'. '."'.., /-".,. You wllU~J.eqt11.~e.da.however,to tile·nn information return, Form 990A,annually,with the colleotor '01'internrilrevenue for your'd!stri~t so long as this exemption remains in effect.Xhis .. form.may be obtained from the oollector and is required to be filed on or before the fifteenth dDy~r the fifth month rol1~wing the olose of your 8nnu81~8ccounting period. Q.on~rJ.but1ons_mado,.to you.are.deduotible.J?y the donors in computing their taxable net inoom~in the mannRr and to the extent provided by section 23(0)and (Q)of the Internal Revenuo'Code,as' .amended.. ~....... ..' Bequosts,legacies,devises,or transfers,to or for your use ore deductible in computing the value ot the net estate of a d'ecedent for estate tax purposes in the manne"r and toths"extent provided by sections 8l2(d)and BSI{o)(3)ot the Code.Gifts or property to you ore deductibl~in computing not gifts tor gift tox purposes in the manner ond to the extent provided in section 1004 (a)(2)(S)and 1004(b)(2)and (3)01'the Code. .' .......' ._;"I '!.- ATTACHMENTS 2-309 ."'.;.' ST ATE OF CALIFORNI" FRANCHISE TAX BOARD 1025 P STREET ~"CIIAMENTO.CALIFORNIA 951114 South lay Chlldrents ~alth Center As.oclatlon c/o ....s..tbitpery::" 410 South C-'."l Redondo leacb t cA 10277 ....~.,":r'" "1: August 1S t 1971 "..'1"~ ,Purpose:CharItable ,...,R~~~t,.~HUf1!¢:."a~~.~,".~~ft Form:of.Organization:eo:r,orath., Accountil'lig;ileriod Ending:February 28 ...'Privi'~Pou~dation:,Ito . Gentlemen:"",{''COo-r_te "';i ~.',,,,::;:::t,.._...,;':,:'>,:::;:;;,..,,':;'<,,".' Bas~'on the ~~:f;ilt~,'iui~,i:oti'Slibmt1l:~~,ed'~~"~~1:ovi,d.ed,y~~~resent operations c()ntinue.unchanged~~,.con~o~:;~~:~~th~~e,!p~~p'ose~:'1':1 'YJiJU,f:~pp licci tion,you are ·l\txemp.t from Stl[.;.franc'~;s'~c;'):r·"in-co'lIie taxun-der"Sect~on 23701d,Revenue andfaxat:ion Co.de·~;:~Y'chang~':'tti::;operati<ln,chara'cter or purpose of'the org_baUon must li.::';ePotted',1.lnmeC\l';t.atf!!lyto ,ihd.~offie,e sotha·t ,we.may deter1l1ine.theeff~~t~(j~:,~our"~~~ntPt'~itatus:,AIiY',chan~eof name or address also ~s,t be r:~,PGrt,~~'~,:':'':i.1,;>.:{,;,<'," You are'requiredte 'file an~~#u~;1:,,:)t~f~~tion return,report or.statement, as indicatedabove:~,:}Pn Qt.:,bef~;~li5ii~;'iI5th:dayof t~5th month aft'~r the close of yot,tr accoun:t!tlg~,t{~:~i:';....:.:' "'.'.'...:" 'State franchise'~r.:"~We()me'~~~>~:~t~;~s are not teq~ired unless you have income subject'to th:d'lmrelated b;lsihess income tax under Section,23731 of the Code.If )l'ouhave such ,income,Form 109 ,niust be filed annually by the 15th day'of the'3rd inont~following the c1.ose of your accounting period,'"""""':'i '........,., Contribu.tioris m8de't:if.\ioJ;t~re~d~~!tible:d;;lX'don~i~asprt9vided:by Sections 172i4,17215,1721p::~nd 24357 df,the,'Code. .'-''(..".;,...~ Organizations incoip,cirating l:irid!;)o:r~ign.corpo·r~t:i:'c.msqualifying to do business in Cali,forola.have;;30aays to'complete -fn.corporation or quali- fying.This approva'l wiilexpi:t~un1:es$incorpora~ion or quali:t:'ication is completed within 30daY$.,·.,." I Exemptibn from federal income or'other taxes and other state taxes requires separate applications.:".:., '.'0 C~~"f_S"~e.ti.~~;,of',S:.ta.t.~(~o;PJ ,~,," cc:Registr<ir,of;:9h#lta.1?J:~:·:rru~:ts''.~." FTE 4206 (1-70)..'f-~h;:\':~1'~!::',;j:ii':1t c,+':' .•.-._.:.,.....a I ...AA"1,\••:"•",11'.'.":.;.,: Very truly yours, .: :.': "..~. ,..'.Tbt.l:,t~et confi tms pr,wtous exemptst_UtI. 'I",".."... .,.,......~.,..:~>~.;~...,~".~...~:~;":.~,,~..~••- '.",""....:.~. t,':;' ATTACHMENTS 2-310 Attachment C S8CHC Audited Financial Statement FY 2009-2010 ATTACHMENTS 2-311 SOUTH BAY CHILDREN'S HEALTH CENTER ASSOCIATION,INC. Financial Statements and Supplementary Information June 30,2010 (With Accountant's Report Thereon) ATTACHMENTS 2-312 Suarez Accountancy Corporation Richard Suarez,Jr.CPA (licensed in CA and NV) Independent Auditor's Report Board of Directors South Bay Children's Health Center Redondo Beach,California I have audited the accompanying statement of financial position of the South Bay Children's Health Center (a nonprofit organization)as of June 30,2010 and the related statements of activities,cash flows,and functional expenses for the year then ended.These financial statements are the responsibility of the Organization's management.My responsibility is to express an opinion on these financial statements based on my audit. I conducted my audit in accordance with auditing standards generally accepted in the United States of America.Those standards require that I plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement.An audit includes examining,on a test basis,evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management,as well as evaluating the overall financial statement presentation. I believe that my audit provides a reasonable basis for my opinion. In my opinion,the financial statements referred to above present fairly,in all material respects,the financial position of the South Bay Children's Health Center (a nonprofit organization)as of June 30,2010,and the results of its activities and changes in net assets for the year then ended,in conformity with accounting principles generally accepted in the United States of America. L~AA'_.~~:;tu;;Fe~~;2b,2011 ~~ 1891 N.Gaffey Street,Suite 231 San Pedro,California 90731 310-832-7881 Telephone 310-832-6563 Facsimile ATTACHMENTS 2-313 SOUTH BAY CHILDREN'S HEALTH CENTER ASSOCIATION,INC. STATEMENT OF FINANCIAL POSITION JUNE 30,2010 ASSETS CURRENT ASSETS Cash and cash equivalents Short-term investments Accounts receivable Total Current Assets LONG-TERM INVESTMENTS Marketable securities Total Long-Term Investments PROPERTY AND EQUIPMENT Buildings &land Dental and medical equipment Office furniture and equipment Leasehold improvements Less:Accumulated depreciation Total Property and Equipment $142,582 96,500 103,674 342,756 86,310 86,310 128,434 32,747 98,010 111,634 370,825 (267,400) 103,425 $532,491 The accompanying notes are an integral part of these statements. 3 ATTACHMENTS 2-314 SOUTH BAY CHILDREN'S HEALTH CENTER ASSOCIATION,INC. STATEMENT OF FINANCIAL POSITION JUNE 30,2010 LIABILITIES AND NET ASSETS CURRENT LIABILITIES Accounts payable Sales tax payable United Way payable Lines of credit Total Current Liabilities NET ASSETS Unrestricted Temporarily restricted Total Net Assets $54,300 280 301 232,424 287,305 205,056 40,130 245,186 $532,491 The accompanying notes are an integral part of these statements. 4 ATTACHMENTS 2-315 SOUTH BAY CHILDREN'S HEALTH CENTER ASSOCIATION,INC. STATEMENT OF ACTIVITIES YEAR ENDED JUNE 30,2010 UNRESTRICTED NET ASSETS PUBLIC SUPPORT AND REVENUE Public support Received from parents &sponsors Received from public agencies Los Angeles County -Denti-Cal L.A.County -Dept.of Mental Health Local school districts South Bay Youth Project Supporters In-kind support United Way Net assets released from restrictions Restrictions satisfied by payments Total Public Support Other Revenue and Expense Special events (net) Thrift shop income (net) Investment income Miscellaneous income Total Other Revenue and Expense Total Public Support and Revenue EXPENSES Program services Support services Total Expenses Increase in Unrestricted Net Assets $186,970 24,688 745,861 2,108 688,283 52,500 2,198 61,042 1,763,650 74,727 (3,762) 10,364 128 81,457 1,845,107 1,564,046 237,154 1,801,200 43,907 The accompanying notes are an integral part of these statements. 5 ATTACHMENTS 2-316 SOUTH BAY CHILDREN'S HEALTH CENTER ASSOCIATION,INC. STATEMENT OF ACTIVITIES YEAR ENDED JUNE 30,2010 TEMPORARILY RESTRICTED NET ASSETS support for special services Restrictions satisfied by payments Increase in Temporarily Restricted Net Assets Increase in Net Assets Net Assets at Beginning of Year Net Assets at End of Year 76,900 (61,042) 15,858 59,765 185,421 $245,186 The accompanying notes are an integral part of these statements. 6 ATTACHMENTS 2-317 SOUTH BAY CHILDREN'S HEALTH CENTER ASSOCIATION,INC. STATEMENT OF FUNCTIONAL EXPENSES YEAR ENDED JUNE 30,2010 Accounting and legal Auto expenses Advertising Building and ground supplies Dental expenses Depreciation expense Dues and subscriptions Employee benefits Equipment rental Equipment repairs Facility rental Insurance Interest expense Licenses Meetings and conferences Miscellaneous supplies Office expenses Payroll processing Postage Professional fees Rent Repairs and maintenance Salaries SBYP Direct program expenses Scholarship Storage rental Taxes -Payroll Telephone Therapeutic supplies Utilities Workers compensation insurance Program Services 3,522 10,216 1,254 21,634 13,615 188 37,137 11,615 3,831 15,660 15,491 2,587 3,393 13,606 14,991 1,948 1,884 521,218 39,375 23,015- 687,149 28,383 1,807 575 63,928 13,613 1,521 5,386 5,504 $1,564,046 Supporting Services 9,900 6,400 325 275 2,031 572 14,996 3,899 971 6,993 18,631 763 109 2,325 2,742 2,010 657 13,125 4,835 127,699 4,489 7,963 2,449 1,160 1,835 $237,154 The accompanying notes are an integral part of these statements. 7 ATTACHMENTS 2-318 SOUTH BAY CHILDREN'S HEALTH CENTER ASSOCIATION,INC. STATEMENT OF CASH FLOWS YEAR ENDED JUNE 30,2010 CASH FLOWS FROM OPERATING ACTIVITIES: Increase in net assets Adjustments to reconcile increase in net assets to net cash provided by operating activities: Depreciation Unrealized gain on investment Changes in assets and liabilities Decrease in accounts receivable Decrease in prepaid expense Decrease in accounts payable Decrease in sales tax payable Decrease in unearned grants Net Cash Provided by Operating Activities CASH FLOWS FROM INVESTING ACTIVITIES: Acquisition of fixed assets Net Cash Used by Investing Activities CASH FLOWS FROM FINANCING ACTIVITIES Decrease in Lines of credit Net Cash Used by Financing Activities Net Decrease in Cash Cash Balance at Beginning of Year Cash Balance at End of Year $ $ 59,765 15,646 (5,586) 28,897 269 (60,747) (26) (10,000) 28,218 (2,348) (2,348) (38,847) (38,847) (12,977) 155,559 142,582 The accompanying notes are an integral part of these statements. 8 ATTACHMENTS 2-319 SOUTH BAY CHILDREN'S HEALTH CENTER ASSOCIATION,INC. NOTES TO FINANCIAL STATEMENTS JUNE 30,2010 NOTE A -SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Basis of Accounting The financial statements have been prepared on the accrual basis of accounting in accordance with generally accepted accounting principles. Donated Services Donated services have not been reflected in the accompanying financial statements since no obj ective basis is available to measure the value of such services.Nevertheless,a substantial number of volunteers have donated significant amounts of their time in the Organization's fund-raising campaigns. Estimates The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect certain reported amounts and disclosures.Accordingly,actual results could differ from those estimates. Cash Equivalents Cash equivalents consist of highly liquid investments with an initial maturity of three months or less. Accounts Receivable Accounts receivable are considered by management to be fully collectible and accordingly no allowance for doubtful accounts is considered necessary. 9 ATTACHMENTS 2-320 SOUTH BAY CHILDREN'S HEALTH CENTER ASSOCIATION,INC. NOTES TO FINANCIAL STATEMENTS (CONTINUED) JUNE 30,2010 NOTE A -SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED) Marketable Securities Investments in marketable securities with readily determinable fair values are valued at their fair values in the statement of financial position.Unrealized gains and losses are included in the change in net assets. Property and Equipment Property and equipment are stated at cost.Depreciation is computed using the straight-line method over the estimated useful lives of the related assets.Expenditures for maj or renewals and betterments that extend the useful lives of property and equipment are capitalized.Expenditures for maintenance and repair are charged to expense as incurred. NOTE B -NATURE OF THE ORGANIZATION South Bay Children's Health Center Association,Inc.is a nonprofit,voluntary health agency exempt from federal income taxes under Section 50l(c){3)of the Internal Revenue Code.It has been classified as an organization that is not a private foundation under Section 509(a)(2)of the Internal Revenue Code and qualifies as a charitable contribution deduction for individual donors. The Organization provide.s child and family guidance and dental services to children from low and moderate income families.The Organization's objective is to provide exceptionally high quality outpatient services,without regard a child's ethnicity, gender,religion or ability to pay. 10 ATTACHMENTS 2-321 SOUTH BAY CHILDREN'S HEALTH CENTER ASSOCIATION,INC. NOTES TO FINANCIAL STATEMENTS (CONTINUED) JUNE 30,2010 NOTE C -SHORT-TERM INVESTMENTS Short-term investments includes Certificates of Deposit totaling $96,500 which bear interest at 1.25%and .70%and have maturity dates ranging from April 14,2011 to June 26,2011. NOTE D -MARKETABLE SECURITIES Investment in marketable securities consists of 2,100 shares of common stock of PG&E Corporation.The investment is stated at fair value at June 30,2010,as follows: Cost Fair Value Unrealized Appreciation 2,100 Shares PG&E NOTE E -LINES OF CREDIT $35,712 $86,310 $50,598 The Organization has line of credit arrangements for borrowings of up to $287,000.The lines of credit carry interest rates ranging from 3.250%to 8.500%.At June 30,2010,the outstanding balances totaled $232,424.Further,the credit lines are collateralized by certificates of deposit totaling $96,500 and real property. NOTE F -COMMITMENTS -BUILDING LEASES The Organization leases its Redondo Beach facility under a lease that requires annual payments of $1 and expires May 31,2070. The lease was prepaid in 2004 and is non-refundable.The lease agreement requires the Organization to pay for all maintenance and repairs.The facility must be used to provide services in a non-profit setting. 11 ATTACHMENTS 2-322 SOUTH BAY CHILDREN'S HEALTH CENTER ASSOCIATION,INC. NOTES TO FINANCIAL STATEMENTS (CONCLUDED) JUNE 30,2010 NOTE F -COMMITMENTS -BUILDING LEASES (CONTINUED) The fair market rental value of the in-kind support on the above referenced facility has been recorded as a contribution and expense.The fair market rental value for the year ended June 30,2010 was $52,500. The Organization also leases its thrift shop facility under a month-to-month operating lease.The annual rent on the facility for the year ended June 30,2010 was $10,065.The lease may be terminated by either party with 30 days written notice. NOTE G -MAJOR CUSTOMERS Revenue for the year ended June 30,2010 includes revenue from two maj or customers,Los Angeles County Department of Mental Heal th and South Bay Youth Proj ect Supporters,which accounted for 42%and 39%,respectively,of the total public support of the Organization.The Organization currently has signed contracts to provide services for the customer through the fiscal year ending June 30,2010. NOTE H -RETIREMENT PLAN The Organization has a 401(k)Profit Sharing Plan. Participating employees may elect to contribute,on a tax- deferred basis,a portion of their compensation in accordance with Section 401(k)of the Internal Revenue Code.The Organization contributes $.50 per dollar contributed by participating employees up to the first 6%deducted from their compensation.The Organization's matching contribution expense for the year ended June 30,2010 was $6,989. 12 ATTACHMENTS 2-323 SOUTH BAY CHILDREN'S HEALTH CENTER ASSOCIATION,INC. NOTES TO FINANCIAL STATEMENTS (CONCLUDED) JUNE 30,2010 NOTE I -SUBSEQUENT EVENTS The Organization evaluated subsequent events after the balance sheet date of June 30,2010 through February 8,2011,which was the date the financial statements were issued,and concluded that no additional disclosures are required. 13 ATTACHMENTS 2-324 ,. CITY GRANT APPLICATION For Fiscal Years July 1,2011 to June 30,2012& July 1,2012 to June 30,2013 Name of Organization:South Bay Chamber Music Society,Inc. Address:Box 2313 Palos Verdes Peninsula,CA 90274 Phone Number:310-541-3164 Fax Number:310-375-7952 Website Address:htt:/Iwww.palosverdes.com/sbcms Contact Name &Position:Mrs.Jan Simon Years with Organization:14 Email:janandjerald@cox.net AMOUNT OF SUPPORT REQUESTED: FY 11-12:$1,000 FY 12-13:$1,000 Please Attach the Following to this Completed Application: MAR 1 6 20n I , I_J A.list the board of directors and the expiration of their term. B.Proof of non-profit status and a statement that the organization is non- political. C.Financial statements (if any)for last completed fiscal year. ATTACHMENTS 2-325 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 2 1.Please describe the purpose of the organization and the nature of the services provided. The purpose of our organization is to provide professional quality chamber music concerts free of charge and presented in an attractive and accessible location to South Bay and Peninsula residents.We present (7)of our concerts at the Pacific Unitarian Church located in Rancho Palos Verdes. We are a non -political organization. 2.Please indicate the size and type of population served by the organization. Include quantifiable data (census information,number of members,volume of phone calls/referrals).If known,please provide the specific number of Rancho Palos Verdes residents served and the total number of Palos Verdes Peninsula residents served. We average between 250 and 280 audience members at each of the seven concerts we present at Pacific Unitarian Church in Rancho Palos Verdes.We are unable to ascertain the specific number of RHE or Palos Verdes Peninsula residents served because the concerts are free and open to the general public. 3.Indicate who prepares and who approves organization's budget. Our budget is prepared by our Treasurer Ms.Toni Chrichton and approved by our Board President Mrs.Jan Simon before being submitted to our Board of Directors for final approval. 4.Indicate impact of City funding to organization and its ability to provide service. If approved,the City of Rancho Palos Verdes will provide approximately 1%of the funds needed to present seven concerts at Pacific Unitarian Church.SBCMS is an all volunteer organization.We do not employ any paid staff members nor do we rent any office space.Approximately 70%of our budget is used to pay musician's honoraria.The remaining 30%of our budget is used pay for venue rental,printing,mailings piano tunings,custodial care and miscellaneous expenses. C:\Documents and Settings\Owner\My Documents\PV Cities Grant App\RPV Grant Application.09.doc ATTACHMENTS 2-326 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 3 5.Please provide the following financial information: Fiscal Year:Begins:July 1 Ends:June 30 Total Current Year Budget:$38,190 for (15)concerts Total Prior Year Budget:$36,982 for (15)concerts Sources of Funds: List all sources including the following,as applicable:Dues;Contributions (including source and whether on-going or one-time);Special Events/Fund-Raising;and Other. Current Year Individual donors Matching Corporate Grants Peninsula City Grants Prior Year Individual donors Matching Corporate Grants Peninsula City Grants Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs, Material and Supplies,and Other. Current Year Musician's honoraria Venue Rental Concert related expenses Printing and mailing expenses Prior Year Musician's honoraria Venue Rental Concert related expenses Printing and mailing expenses C:\Documents and Settings\Owner\My Documents\PV Cities Grant App\RPV Grant Application.09.doc ATTACHMENTS 2-327 P.O.BOX 2313 •PALOS VERDES PENINSULA.CA •90274 Year-End Financial Statement July 1,2009 through June 30,2010 INCOME Amazon Corporate Matching IndviduaJ Donors Interest Income Jewish Federation Grant Los Angeles Grant Memorial Contributions Rolling Hills Grant TOTAL INCOME EXPENSES Bank Charges Concert Expenses (musicians'lodging) Concert Venue Concert Support Honoraria Insuarance Licenses &Pennits Piano Tuning &Repair Post Office Box Postage Printing Supplies TOTAL EXPENSES TOTAL GAIN (LOSS) Cash on Hand 6130109 Total Gain (Loss) Cash on Hand 6130110 73.94 655.00 29,388.12 344.78 1,000.00 6,700.00 2,275.00 500.00 40,936.84 28.60 952.20 2,520.00 1,720.00 25,225.00 2,097.10 175.00 500.00 60.00 1,001.98 2,653.10 49.95 36,982.93 $3,953.91 31,124.00 3,953.91 35,077.91 ATTACHMENTS 2-328 u.S.TREASURY DEPA:<Tf.;\cNT INTERNAL REVENUE SERVICE DISTIlICt OIRfCTO. P.O.80X ZJI &'os AHGEL£S.C;ALI'-OR'fIA .0051 • • .South Bay Chamber Music Sociat.71 Inc. J34 Via P&6CJ.ua:l Redondo Be-ch..CaH fornia. IN ft(7LY'lOe f"orm L~l', r;~I'I'J Ij llj AOOAEU lNQUIRIES ...ILE:.IH DIITIUCT OfRic;tOi't 01'Hift; - Gent~em.eru •IACCOU,.! ItHOIHG LG..;..,~t:;;.;:s:..-...D-..N;;;,o:;...lI.....J_~_·r._·o....;;;.': On the basts at your stated purposes and the understandinq tn"l )'QUI'ornrntloM wfll h'mllhll '1. evidenced to date or will conform to those proposed In your ruHn'l appli':"ltlol'l,wel,'J'J'!I.'JI<1.·I·..·j that you ore exempt from Federal income tax as an orqanization described In section SOl(c:j(3J of the Internal Revenue Code.Any chonQes in operation {rom those described,or 1n your c:horocteor or purposes,must be reported i::",mediately to your District Director for c:onsideroHon of their cHeer upon your exempt status.You must olso report any chanQe In your nome Of address. You ore not required to file Federal Income tax returns so 10n'1 as you retain on exempt stotus.un- less you ore subfect to the lox on unreloted bu:;iness income imposed by section 511 o{the Code, in which event you are required to HIe Form 990-T.Our determination as to your liability lor lilinq the annual1nformation return.Form gOO-A,1s set lorth above.Thot return.if required,must. be £iled on or helot.,the 15th day ot the UUh month after the'dose 01 your annual occountinq period indicated above. Contribut1ons mode to yC.U OTe deductible by donors as provided in section 170 of the Code.Be- Quests,leQocies,devises,transfers or qiJts to or for your use ere deductible tor Fedetol estate and qUt tax purposes under the provisions of section 2055,2106 and 2522 ol the Code. You are not liable {or \he taxes imposed under the Federal Insuranc@ ConttibuHol'i:i Act (social . security taxes)unless you HIe a waiver of exemption certificate as provided in such oct.You ore not Hable for the tax imposed under the Federal UnempJo)'nlent Tax Act.Inquiries about the waIver of exempUon certificate lor social security taxes should be addressed to lhta aUice,as should any Questions coneernlnq excise,employment at other Federal taxes. ThLa 1.a determination letter. Very truly youes. R.A.Riddell District Director, '. ; l 1 I J/. ATTACHMENTS 2-329 .. South Bay Chamber Music Society Board of Directors There is no expiration date for the term board members serve. Toni (Antoinette)Crichton (toni.crichton@ngc.com) 505 Pacific Avenue,Manhattan Beach CA 90266,(310)374-1337 Roger Dingman (dingmanr@aol.com) 1532 W.238th,Street Harbor City CA 90710-1305,(310)539-3059 Gary A.Gordon (gary gordon@verizon.net) 2001 Ernest Avenue,Redondo Beach CA 90278-1810,(310)379-5213 Peter Landecker (plandecker@yahoo.com) 1736 Nelson Avenue,Manhattan Beach CA 90266-7121,(310)374-0505 Bill (William T.)Malcolm (billmalcolm@verizon.net) 16 Grenada Court,Manhattan Beach CA 90266,(310)545-1747 Jess Morton Cimorton@igc.org) 787 W.4th Street,San Pedro CA 90731-2427,(310)832-5601 Robin and Jim Paterson (robandjpat@verizon.net) 1068 Bayview Drive,Hermosa Beach CA 90254,(310)379-7055 Jan and Dr.Jerry Simon (janandierald@cox.net) 4272 Stalwart Drive,Rancho Palos Verdes CA 90275,(310)375-8501 Madelaine Sokolsky (ssokolsky@cox.net) 4719 Elkridge Drive,Rancho Palos Verdes CA 90275,(310)377-5046 David Speltz (sawtori@aol.com) Pasadena,CA 91101,(818)790-4859 Elaine Trotter and John L.Williams (cipher90254@msn.com) 312 25th Street,Hermosa Beach CA 90254,(310)376-2169 Tom VanHuss (tvh251@cox.net) 2615 Saint Andrews,Tustin CA 92782-1208, (714)417-9940 Wendy Wolf(wendy.wolf63@gmail.com) 2151 Mt.Shasta Drive,San Pedro CA 90732-1331,(310)514-3635 ATTACHMENTS 2-330 South Bay Family Health Care March 9,2011 Carolyn Petru Deputy City Manager City Manager's Office,Rancho Palos Verdes 30940 Hawthorne Blvd. Rancho Palos Verdes,CA 90275 Dear Ms.Petru: 1 MAR 1 0 2011 Ll =__ On behalf of South Bay Family Health Care (SBFHC),thank you for the City of Rancho Palos Verdes'generous past support.Your philanthropic involvement has helped to ensure that low- income residents of Rancho Palos Verdes have access to critical healthcare services,regardless of their ability to pay.At this time,SBFHC respectfully requests fiplding in the amount of $7,500 from the City of Rancho Palos Verdes to continue to provide medical visits to low- income,uninsured and underinsured Rancho Palos Verdes residents.Specifically,your grant will fund 53 medical visits each year (2011-2012 &2012-2013)to Rancho Palos Verdes residents,at our clinic located at 2114 Artesia Boulevard,Redondo Beach,CA 90278. SBFHC is deeply appreciative of the City of Rancho Palos Verdes'past commitment to our work in the community and is hopeful that you will select us for renewed partnership in the coming years.Should you have any questions,or require additional information,please don't hesitate to contact me at (310)802-6177. Sincerely, @-//-(j..,~1,/n'..,,I ~.., \~. Jann Hamilton Lee President &CEO Administrative Office 23430 Hawthorne Blvd I Suite 210 I Torrance,CA 90505 I Appointments 310.802.6170 I Tel:310.802.6177 Fax:310.802.6178 I www.sbclinic.org Redondo Beach Facility 2114 Artesia Blvd I Redondo Beach,CA 90278 Gardena'Harbor Gateway Facility 742 West Gardena Blvd I Gardena,CA 90247 Inglewood Facility,Dr.Claudia Hampton Clinic 1091 S.La Brea Ave. Inglewood,CA 90301 Inglewood OB/Gyn Facility 323 N.Prairie Ave I Ste 210 I Inglewood,CA 90301 ATTACHMENTS 2-331 30940 Hawthorne Boulevard Rancho Palos Verdes,California 90275 (310)377-0360 www.palosverdes.com/rpv CITY GRANT APPLICATION For Fiscal Years July 1,2011 to June 30,2012 & July 1,2012 to June 30,2013 Name of Organization:South Bay Family Health Care Address:23430 Hawthorne Blvd.Suite 210 Torrance,CA 90505 Phone Number:(310)802-6177 Fax Number:(310)802-6178 Website Address:www.sbfhc.org Contact Name &Position:Jann Hamilton Lee,President &CEO Years with Organization:12 years Email:j hamilton lee@sbclinic.org AMOUNT OF SUPPORT REQUESTED: FY 11-12:$7,500 FY 12-13:$7,500 Please Attach the Following to this Completed Application: A List the board of directors and the expiration of their term. B.Proof of non-profit status and a statement that the organization is non- political. C.Financial statements (if any)for last completed fiscal year. ATTACHMENTS 2-332 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 2 1.Please describe the purpose of the organization and the nature of the services provided. Founded in 1969,SBFHC is a 501 (c)(3)nonprofit medical center and federally qualified health center (FQHC),dedicated to providing high-quality healthcare services to economically disadvantaged and uninsured residents of the South Bay and Harbor Gateway communities of Los Angeles County.SBFHC's mission is to provide access to quality health care for individuals and families,regardless of ability to pay.Over the years,SBFHC has expanded significantly from one single storefront location to become one of the largest providers of safety-net medical and dental care in the nation.Today,we provide services at three full-service clinic facilities,in addition to operating an ob-gyn clinic,school-based clinic and mobile health clinic.Located in easily accessible locations across the service area,our Gardena clinic opened in 1980 and doubled in capacity in 2002;our Redondo Beach clinic opened in 1999;our Dr.Claudia Hampton Clinic in Inglewood opened in 2003;our ob/gyn satellite clinic,acquired in July 2007,is also located in Inglewood;and since 1999,we have also provided health services on the campus of Carson High School.In April 2008,we launched Healthy Kids Express,a mobile health services program that serves students of the Hawthorne School District. In 2003,SBFHC was designated an FQHC under section 330 of the Public Health Service Act. This designation confirms that we provide healthcare services to medically underserved patients, and our services and administration meet rigorous federal guidelines.In 2008,SBFHC was named one of the California Community Foundation's top-performing nonprofits,recommended for our outstanding performance,impact and financial efficiency.During fiscal year 2009-10,SBFHC provided care to more than 25,000 patients through more than 70,000 visits. In response to the needs of our diverse patient population,SBFHC offers a continuum of care on an ongoing basis.Services we provide include adult care,pediatric care,chronic disease management,women's and men's health services,family planning,prenatal care,dental care, integrated behavioral health,health education,and ancillary services such as radiology and pharmaceutical dispensary. SBFHC's wide range of health-related services is unmatched by other organizations serving the same population.In addition,our formal partnerships with specialty providers and healthcare agencies further enhance our ability to meet the needs of under-and uninsured patients.SBFHC is also on the leading edge of health information technology among community clinics in Los Angeles County.Building on an already strong technological infrastructure,we are in the process of implementing electronic health records at all of our clinic sites,for example.In addition, SBFHC is the only agency in our community that provides mobile healthcare services,further enhancing access to vital care to meet the needs of residents in our area. ATTACHMENTS 2-333 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 3 2.Please indicate the size and type of population served by the organization. Include quantifiable data (census information,number of members,volume of phone callslreferrals).If known,please provide the specific number of Rancho Palos Verdes residents served and the total number of Palos Verdes Peninsula residents served. SBFHC serves the low-income populations of the urban,greater South Bay and Harbor Gateway regions of Los Angeles County,spanning more than 20 zip codes and encompassing 10 cities. SBFHC is the only section-330 health center within and serving the local Los Angeles County Service Planning Area (SPA)8. According to the U.S.Census Bureau,l there are 959,317 people living in SBFHC's service area. The service area as a whole includes pockets of abject poverty.SBFHC's services specifically target the 208,000 South Bay/Harbor Gateway residents in local communities who live at or below 200 percent of FPL.Approximately 70 percent of our patients live at or below 100 percent of the federal poverty level and 96 percent at or below 200 percent. SBFHC's patient population is ethnically diverse:More than 90 percent of our patient population is from minority communities.We serve both underinsured and uninsured patients. While some of our patients have some form of medical coverage,including Medi.,.Cal,Denti-Cal, Medi-Care or managed care,fully 80 percent are completely uninsured.Further,the number of patients who are completely uninsured is rising,as a result of the current recession.(Many have lost employment-based insurance as a result of recent layoffs.)In addition,patient donations toward the cost of their medical care have decreased of late,as patients are impacted by the current economic circumstances. As noted above,in fiscal year 2009-10,SBFHC provided care more than 25,000 patients through more than 70,000 visits.During this same fiscal year,SBFHC provided care for 70 residents of Rancho Palos Verdes (90275)and 32 residents of Palos Verdes Peninsula (90274). 3.Indicate who prepares and who approves organization's bUdget. SBFHC's organizational budget is prepared by our chief executive officer and chieffmancial officer and approved by our 14-member board of directors.(Please see attached list of board members and the expiration dates of their terms.) 4.Indicate impact of City funding to organization and its ability to provide service. While real estate prices are typically high -leading to perceptions of Rancho Palos Verdes as a wealthy community -data compiled in 2005 by the United Way of Greater Los Angeles for SPA 8 (Service Planning Area 8)that includes Rancho Palos Verdes reveals 669 families with 1 Data compiled from the 2006 American Community Survey and the 2000 U.S.Census.U.S.Census Bureau, 2008. ATTACHMENTS 2-334 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 4 household incomes under $15,000;925 additional households with incomes under $35,000;and a further 1,147 households with incomes under $50,000.Data compiled in 2005 by the United Way of Greater Los Angeles for Service Planning Area 8 (which includes Rancho Palos Verdes zip code 90275 and Palos Verdes Peninsula Zip Code 90274),reveals that almost 15 percent of the entire population of these zip codes lives at or below the federal poverty leveL These low- and moderate-income residents of Rancho Palos Verdes face challenges including overcrowded (shared)living conditions,under-and unemployment,and low levels of adult literacy and formal education,as well as disparities in access to needed medical care.Our patients are those Rancho Palos Verdes residents most in need of subsidized/free medical care.Fully 100 percent of the Rancho Palos Verdes patients utilizing our care services are low-income and are underinsured or completely uninsured.(While some of our patients have some form of medical coverage, including Medi-Cal,Medicare or managed care,fully 80 percent are completely uninsured.) The need for healthcare services for the low-income residents of the Rancho Palos Verdes community is great.Many of these residents are at high risk for life-threatening illness (often as a result oflifestyle choices made with a lack of information),and/or are unaware of their risk factors/health status.Without the services provided by SBFHC,our patients would have no regular or dependable source of care.As a result,they would lack prompt attention for their health needs.Ultimately,they would be forced to resort to costly and already overburdened emergency departments,where care is much more costly -and is frequently sought out too late to prevent irreparable harm.With the services we provide,patients progress toward enhanced health outcomes. Specifically,support from the City of Rancho Palos Verdes will cover costs associated with essential healthcare services for 53 low-income residents of Rancho Palos Verdes each year (2011-2012 &2012-2013).Services will be provided at our clinic located at 2114 Artesia Boulevard,Redondo Beach,CA 90278,which is situated on a major thoroughfare and offers convenient access via car and multiple bus lines from the Palos Verdes area.In addition to services during traditional business hours,the Redondo Beach clinic offers early-morning hours (opening at 7:30 a.m.)and evening hours,several days per week.Saturday appointments are available from 7:30 a.m.through noon. A team of highly qualified and motivated medical professionals staff the clinic.In keeping with the diverse cultural and linguistic needs of our patients, the majority of our staff and many of our volunteer corps -including all medical assistants,appointment schedulers,receptionists and intake workers -are bilingual in English and Spanish and come from a variety of cultural backgrounds.We provide the following broad array of critical healthcare services and programs, helping us improve the health of our under-and uninsured patients: Adult Medical Care:SBFHC provides a full range of primary medical services,including routine physical examinations,as well as screening,diagnosis and treatment of acute and chronic illnesses. ATTACHMENTS 2-335 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 5 Pediatric Care:Through our pediatric clinic,we provide babies and children with immunizations, well-baby and well-child check-ups,and diagnosis and treatment of presenting problems.All initial visits include a full physical.In addition,we provide health education to parents concerning proper nutrition,parenting skills and developmental milestones. Chronic Disease Management:SBFHC provides regular care to help patients manage chronic conditions such as diabetes,asthma and hypertension.The care we provide to patients with chronic health conditions promotes optimal health and prevents concomitant problems from arising/worsening.Through our chronic-disease-management program,we carefully monitor patients'receipt of recommended care,flag clinicians regarding any needed tests/other follow-up, and carefully track patient outcomes.Patients with chronic disease also receive extensive health education,and instruction and support in implementing appropriate self-management techniques. Women's and Men's Health Services:Our gender-specific health services include complete gynecological exams,as well as screenings for breast,ovarian and prostate cancer and for sexually transmitted disease.We also provide treatment for sexually transmitted diseases,colposcopy for abnormal Pap smear results,and referrals to appropriate services and support for patients diagnosed with cancer. Family Planning:Our family-planning services include pregnancy prevention services as well as gynecological care and treatment/education regarding sexually transmitted diseases. Prenatal Care:Our physicians,nurse practitioners,health educators,nutritionists and social workers collaborate to provide patients with comprehensive prenatal care. Dental Care:Dental services include examinations,x-rays,cleaning,and fluoride treatments,as well as primary care such as fillings for cavities,repair of capped teeth,and tooth extractions. Our dentists also provide oral-health education and emphasize the importance of preventive care. Health Education:In addition to general health education provided by physicians and dentists during regular visits,we provide classes on a variety of topics,including chronic-disease management,nutrition,sexually transmitted disease,family planning and parenting skills. Ancillary Services:An on-site dispensary at our Redondo Beach clinic ensures access to needed medications for Rancho Palos Verdes patients who cannot afford to fill their prescriptions.A clinical laboratory at the site allows us to collect specimens for testing,and to conduct basic tests on site (samples are sent to a contracted laboratory provider for specialized test procedures).We also provide patients with radiology services via referral to our Inglewood clinic.The availability of these ancillary services helps ensure that patients receive prompt,accurate diagnosis and treatment. ATTACHMENTS 2-336 City of Rancho Palos Verdes Grant Application FY 11-12 &FY 12-13 Page 6 The renewed involvement of the City of Rancho Palos Verdes will have a profound,positive impact on the health of under-and uninsured Rancho Palos Verdes residents,ensuring their access to primary,safety-net care;ensuring timely and appropriate intervention for patients with chronic diseases;and providing preventive and health-education services.Low-and very-Iow- income residents in Rancho Palos Verdes who otherwise lack access to medical care,increasingly rely on us to meet their immediate healthcare needs.Your support will help promote their well- being.Thank you again for your consideration. 5.Please provide the following financial information: Fiscal Year:Begins:July 1 Ends:June 30 Total Current Year Budget:$10,513,800 Total Prior Year Budget:$10,208,500 Sources of Funds: List all sources including the following,as applicable:Dues;Contributions (inclUding source and whether on-going or one-time);Special Events/Fund-Raising;and Other. Current Year Please see attached current year budget. Prior Year Please see attached prior year budget. Expenditures: List major categories including,but not limited to,Personnel costs,Operating costs, Material and Supplies,and Other. Current Year Please see attached current year budget. Prior Year Please see attached prior year budget. ATTACHMENTS 2-337 South Bay Family Health Care Agency Budget Fiscal Year 2010-11 REVENUE Fee for Service Contracts Foundations and Corporations Special Events Community Groups and Combined Funds Individual Donors Other Total Revenue EXPENSES Personnel Expenses Compensation Tenens Locum Benefits and taxes 21 % Total Personnel Expenses Non-personnel Expenses Dispensary Duplication &Printing Emergency Client Services Facilty Maintenance Health Ed.Materials Incentives Insurance Labs License &Fees Medical Supplies Meeting Expense Memberships MIS Expense Misc.Expense Office Supplies Postage Property Taxes Public Relations Rent Equipment lease/maintenance Social Svcs Subcontractors Special Events Special Projects Consultants Staff &Vol.Recog. Staff Recruiting Staff Training Staff Travel Storage Telephone Utilities X-Rays Legal and professional Bank charges Interest expense Depreciation Total Non-personnel Expenses Total Expenses $ $ $ 5,986,500 2,969,400 972,800 155,000 256,100 144,000 30,000 10,513,800 6,220,000 1,306,200 7,526,200 300,000 70,000 4,000 310,000 8,000 12,000 84,000 210,000 12,000 250,000 10,000 70,000 100,000 4,000 90,000 26,000 18,000 24,000 440,000 12,000 84,000 85,000 150,000 6,000 6,000 18,000 10,000 14,000 130,000 84,100 10,000 36,000 4,500 72,000 224,000 2,987,600 10,513,800 ATTACHMENTS 2-338 South Bay Family Health Care Agency Budget Fiscal Year 2009-10 REVENUE Fees for Services Contracts Foundations &Corporations Special Events Community Groups &Combined Funds Individual Donors Other Total Revenue EXPENSES Personnel Expenses Compensation Tenens Locum Benefits and taxes 21 % Total Personnel Expenses Non-personnel Expenses Dispensary Duplication &Printing Emergency Client Services Facilty Maintenance Health Ed.Materials Incentives Insurance Labs License &Fees Medical Supplies Meeting Expense Memberships MIS Expense Misc.Expense Office Supplies Postage Property Taxes Public Relations Rent Equipment lease/maintenance Social Svcs Subcontractors Special Events Special Projects Consultants Staff &Vol.Recog. Staff Recruiting Staff Training Staff Travel Storage Telephone Utilities X-Rays Legal and professional Bank charges Interest expense Depreciation Total Non-personnel Expenses Total Expenses 6,204,310 2,973,500 900,000 151,000 31,000 30,000 30,000 $10,319,810.00 6,135,000 1,271,600 $7,406,600.00 300,000 70,000 4,000 290,000 6,000 12,000 78,000 210,000 10,000 170,000 10,000 60,000 66,000 3,000 80,000 24,000 20,000 18,000 420,000 10,600 121,000 85,300 120,000 6,000 10,000 18,000 14,000 12,000 130,000 74,000 14,000 40,000 4,000 82,000 210,000 $2,801,900.00 $10,208,500.00 ATTACHMENTS 2-339 SOUTH BAY FAMILY HEALTH CARE BOARD OF DIRECTORS 2010-2011 Trish Anderson Principal,TMA Consulting LLC 2nd term expires 6/30/11 Rus Billimoria Senior Director ofMedical Management,L.A.Care Health Plan 2nd term expires 6/30/11 Mike Garcia Owner,Enviroscape 2nd term expires 6/30/11 Valeria Green Community Volunteer 1st term expires 6/30/11 Florence Guerrero District Director,State Senator Edward Vincent 2nd term expires 6/30/11 J.Gregory Hull Retired CPA 2nd term expires 6/30/11 Mark Kawa Attorney at Law,Law Office ofMark T Kawa 1st term expires 6/30/11 Gary Lane President/Owner,Lane Building Designs 2nd term expires 6/30/11 Graciela Meibar Vice President ofGlobal Sales Training and Global Diversity,Mattei 2nd term expires 6/30/11 Marianne Propst Former Director ofMarketing Communications,Secure Horizons OfCalifornia 2nd term expires 6/30/11 ATTACHMENTS 2-340 Beverly Ricci Former Vice President ofBusiness Development,Med3000;Community Volunteer 1st term expires 6/30/11 Elliott Smith Community Volunteer 2nd term expires 6/30/11 Kim Townsend Hairstylist,Community Volunteer 2nd term expires 6/30/11 Wilma Hooks Wilson Community Volunteer 2nd term expires 6/30/11 ATTACHMENTS 2-341 SBFHC is governed by a 14-member board of directors,comprised of community leaders with expertise in such areas as health care,public health,law,management,business and government. The board of directors holds regular monthly meetings,and special meetings of the board for any purpose may be held as needed.The board is responsible for overall governance,guidance and support of the agency,including strategic planning,overall evaluation of programs,supervision and evaluation of the president/CEO,budget approval and finance,and assistance with fund development.There are three standing committees of the board:fmance committee,quality- improvement committee and audit committee.SBFHC's president and CEO reports directly to the board of directors. ATTACHMENTS 2-342 Internal Revenue Service District Director •South Ba:r ll'!'ea Clinic 1807 Ua.nh3.tt.:m !3each,131'll!. Hanhattan,~each.J CA Lacl:1.esand C.oant~ell1en: Department of the Treasury P.O.Box 2350 Los Angeles,Calif.90053 Person to Contact: Linda RosentJ.'la1 Telephone Number: 213-688 -376) Refer Reply to: EP/RO:EOG-2:LLl. Date: H<J.rch 19 J 1980 Our records indicate that yOIl are e.""Cempt from Federal incOlIle ta."I:UIlder section .501(e)(of the InternaJ.Re'1enue Code. Cur :records furthar s1;1.O\'t thClt you are not a pr:iV':l.ta founcl ..\tion, becau.se you are described 'in section 509(a)(2)of the Code. :M.ncla Rosenthal Tax Latl'Specialist .' ;:-';.... • -0, j '. ATTACHMENTS 2-343 IlIl~!I"nal Re'lellue Service Department of lhe Treasury 1'.O.Box 2506 ..' " Cincinnati,0"1''45201. .:'gra ,:your organization exemption ~~vs3ntie Coda.,That'ieller is stiU in errel:1. Person to Conlact; ",,"Vicki Adams 31·04011 .'.,.Customer Service Specialist ,.r.oll Free Telephone Numb!!r: ••;~.h 1':00 ",.nt.10 9:.10 p.Ut.E:n 87'7·829·5500 Fax Number. 5'13·263·3755 Federal ldentificlltibn l\Iuniber: 2,3·7Q49937,.., This letter is in response lo our r~ei,:ino vour Amanded: ch:anginrJ ll1e name (}(your org<lnr.:ali~l;tow!i .,.'~h ....."~'::..:-"',.. Our '9C~lrcts indicat;r'that:~idefuirilfh'~it6 frem rederal income t~tin'..':'" Based on infornlalio!1s'..'..'........e'aas~iriedycltl"or~lani'l.ation as one thai is net a private foundalion within lhe'hleci1b,'g"otse,e!i~:509(a)of the Code !.l~:aus'.!it is an 'l'rgani4clicn described in sei:lk;n 5C9{aj{:?)...«;;;;",,'",,'',...,..'.. .:.';:.':;.::':.' ,~, This d::lssiricat!c;l1 was'based un the assumption that YOllr organizaUon's operations Vlould continue ~ssta!e\i i"U1e application,l!'yo'Jr organization's sources of s'.ippcrl,or its characler,r'l1athoci Qf.op9raUcns,or . purposes hive d1311\1ed,plea!''!!let us know so we can cCJnsider lhe effect of the'change on the ~xempt s:atlis and r'.'l;ndaUon status of your organiz:oiion. S()UIl!S..v Familv Hea1U1C31P.Center 2>3Q"N.Sep~dve'da Olvd,Sle.10't' Manhattan Sell,e:l,e0266.~735 '" ':':~,. Oaie;/l,p"il ',9,:Z001 Your org3niZ::Iticn is required \0 file Form 990,Relum of Crg;mi;:::t[;cn Ex~mpt frem fncol11<;l Tax.C'niy if its grcss r~cejpts ea::h year are ncrrnaily more 1I1an 525.000.If a r~lurn is ;equired.ft rnust bs fIred by Ihe 15tii t1~\:\~f ~ha fifth I'nc!"Hh aft~r t!l~e!~d of the organization's ar~nlla!aC::Q~rr:tii1g perit'!c:f.The 1:.1\.-;imp()Ses a ~:;;nillty of $2'.1 a day,UP to a millximum of S'IO,OOO,when <l Hllurn I:;'fll'ld latr::.unless thArA is r!'!ascmable (";Z''':SS Ic~U1e dca~ay.' ,A.!I ;~\~i~lt)t t1rg~;ni':<Jtiol1s (unless zoecifically exc!udgd)<Ire liable for taxes under the Federallrls'.lranc!! ~')ntr;:)U!br,s .".'::t 1",,::1::;\security taxes)on remuneratio'n 0('S100 cr more paid to'each ernp\(,,,!,!~during" c;;;lel1dar ye"J'Y'JUr Of9<lni;:,ation is n~t liable.fol'the,(a:<imposed undP.r the Federal Unempl::ymen\'<IX Act. t~UTi\). C'i'O::!';;::.a~:'Jns thal are net private rmlmlations aro:!!not SUbj2c!!n n,,=>~;(dse [axes unoer Chap!'!!'42 of !he C:::jc.I icwe,er.these organizations'are not automalically '!!~er'lpl from other f'!<:1er",1 eKc:ise lax>;ls. D{~!'ors ~rl7:.V deduct contributicr.s Lel your organiz::Jlion ~s pr~vided in sectton 170 of th9 .C(;r1r::!S9(HJ~S~.S. :~'-ia,:;i1~s.<ievises.lrcu~sfers.or gifts lo your organization or for iLs ustl!'are deductible (rJr fedensl E!slate and ',:i'll<t'~".:,!";;;se;if they meet Ihe app!i<::able pr.o'lisiCl"5 of s!!ct'ons 2055.2105 am!2~22 01 n,!!CI~'Je ATTACHMENTS 2-344 -2· South 8ay Family I-Ieallhcare Cen\er . 23·704993'7 ., .:...::)( Your organization is not.req~i~~~~j~',C9me ..,.unles~it is subject lothe tax on unrelated business income underjii!.t!ibn.$:1:.....·e;·C.Ode~iryour o'rganizatiol1 is subject to this'"tax.it must file an income-tax return on':thEt~#bi'n!·~9JJ.:'tN:fxemptb-rg~nizatian Business Income Tax Return.In tNsteller,we <Ire not determining wheiher;a~¥'o'ryd~~drganiZ:alion's present or proposed activities are unrelated trade or bu~il1l?s$as defined fn:sa:\ct!Q'ii";i13i,titlhe,Code,....' "..'.;~~..';.~'.".::~...'... The law requires you to makey(,Jr ;~rga~izatio,i's annual return available'ror public inspection without charge for three years aHer the due date cifthe retum If'your organiz.ation had a copy of its application for recognition of exemption on July 15,1987,it is also required to make available for pUblic inspeclion a copy of Ihe exemption application.any supporting documents and lhe exemption leller to any individual who requests sud'documents in person or in wriling.You can charge only a reasonable fee for reproduction and actual postage costs for the copied materials.The law does not require you.to prov.ide.copI~s"bf public inspection documents that are widefy'availabie,:such as by posting them on·the lnt~rnel::(W~i1CLWtcle Web).You may be liable for a penaltyofSio'..:"gr each day:~oU:dO'not.make;thesecaocu.~e:nts,:a\@itable for public inspection (up \0 a maxrrryu,:,O~QO,~/Ti)7;.·c~se6f nl;aoml~l'rettl"':.;};;ir~.:,·::t,".;;;~~:~W;~'..' 8ecausethis letter cb~ldtjeijj':.e~;'y:~lle,.nS'!3b'....W·'.'...,";'~~~:e~~pt.t~fatusand foundation slattJs,you should keep it ~nu.i~:~:~:b~!:~r~~:::~~!~";~0tt:~~rr;:~~~s'::':'i~·).':?;:;.];·::<,~;;.;;:::i::;;~:;f:'~... If yeu have any que..slions,please.calLus atthe:t~lephone.humbershow.rijii the:~,ead}Tl9fof this telter. .-c.·:.'•...•.,.•,: Tt~js letter affirms yourorganiz:ali~;'~~~xempt status. -.,;.:.~ Sincerely, "'J ----/'I.'<.'Ol(L",,(.·~~(_.~;!,-,k..J r-.,T("'A:'~··~~ {/I John E.Ricke!ts,Director,TElGE CLlstomer Account Services ATTACHMENTS 2-345 SouthBay~ Family Health Care SOUTH BAY FAMILY HEALTH CARE STATEMENT THAT THE ORGANIZATION IS NON-POLITICAL: Founded in 1969,South Bay Family Health Care (SBFHC)is a 501(c)(3)nonprofit medical center that serves as the primary source of health care for many of the residents in the greater South Bay and Harbor Gateway communities of Los Angeles County who are at or below the federal poverty level.The mission of SBFHC is to provide high-quality health care for individuals and families,regardless of ability to pay.South Bay Family Health Care is not a political organization. Administrative Office 23430 Hawthorne Blvd I Suite 2101 Torrance,CA 905051 Appointments 310.802.61701 Tel:310.802.6177 Fax:310.802.6178 I www.sbclinic.org Redondo Beach Facility 2114 Artesia Blvd 1Redondo Beach,CA 90278 Gardena·Harbor Gateway Facility 742 West Gardena Blvd I Gardena,CA 90247 Inglewood Facility,Dr.Claudia Hampton Clinic 1091 S.La Brea Ave. Inglewood,CA 90301 Inglewood OB/Gyn Facility 323 N.Prarie Ave 1Ste 210 1Inglewood,CA 90301 ATTACHMENTS 2-346 SOUTH BAY FAMILY HEALTH CARE AUDITED FINANCIAL STATEMENTS For The Years Ended June 30,2010 and 2009 ATTACHMENTS 2-347 SOUTH BAY FAMILY HEALTH CARE Table of Contents Independent Auditor's Report on Financial Statements and Supplementary Schedule of Expenditures of Federal Awards 1 FINANCIAL STATEMENTS Balance Sheets 2 Statements of Operations and Changes in Net Assets 3 Statements of Cash Flows 4 Notes to the Financial Statements 5 SINGLE AUDIT REPORTS Schedule of Expenditures of Federal Awards 14 I Notes to the Schedule of Expenditures of Federal Awards 15 Report on Internal Control Over Financial Reporting and on Compliance and Other Matters Based on an Audit of Financial Statements Performed in Accordance with Government Auditing Standards 17 Report on Compliance with Requirements Applicable to Each Major Program and on Internal Control Over Compliance in Accordance with OMB Circular A-133 19 Schedule of Findings and Questioned Costs .21 Schedule of Prior Audit Findings 23 ATTACHMENTS 2-348 TeA Partners,LLP A Certified Public Accountancy Limited Liability Partnership 1111 E.Herndon Avenue,Suite 211 Fresno,CA 93720 Phone (559)431-7708 Fax (559)431-7685 INDEPENDENT AUDITORS'REPORT ON FINANCIAL STATEMENTS AND SUPPLEMENTARY SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS Board of Directors South Bay Family Health Care Torrance,California We have audited the accompanying balance sheets of South Bay Family Health Care,Inc.(the "Center"),a not-for-profit organization,as of June 30,2010 and 2009,and the related statements of operations and changes in net assets and cash flows for the years then ended.These financial statements are the responsibility of the Center's management.Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with auditing standards generally accepted in the United States of America and standards applicable to financial audits contained in Government Auditing Standards,issued by the Comptroller General of the United States.Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatements.An audit includes examining,on a test basis,evidence supporting the amounts and disclosures in the financial statements.An audit also includes assessing the accounting principles used and significant estimates made by management,as well as evaluating the overall financial statement presentation.We believe that our audit provides a reasonable basis for our opinion. In our opinion,the financial statements referred to above present fairly,in all material respects,the financial position of the Center,as of June 30,2010 and 2009,and the results of its operations and changes in its net assets and its cash flows for the year then ended in conformity with accounting principles generally accepted in the United States of America. In accordance with Government Auditing Standards,we have also issued a report dated October 1,2010, on our consideration of the Center's internal control over financial reporting and our tests of its compliance with certain provisions of laws,regulations,contracts and grants.The purpose of that report is to describe the scope of our testing of internal control over financial reporting and compliance and the results of that testing,and not to provide an opinion on the internal control over financial reporting or on compliance.That report is an integral part of an audit performed in accordance with Government Auditing Standards and should be read in conjunction with this report in considering the results of our audit. Our audit was performed for the purpose of forming an opinion on the basic financial statements of the Center,taken as a whole.The accompanying schedule of expenditures of federal awards is presented for purposes of additional analysis as required by U.S.Office of Management and Budget Circular A-133, Audits of States,Local Governments and Non-Profit Organizations,and is not a required part of the basic financial statements.Such information has been subjected to the auditing procedures applied in the audits of the basic financial statements and,in our opinion,is fairly stated,in all material respects,in relation to the basic financial statements taken as a whole. TCA Partners,LLP October I,2010 - 1- ATTACHMENTS 2-349 SOUTH BAY FAMILY HEALTH CARE Balance Sheet June 30,2010 and 2009 2010 2009 Assets Current assets Cash and cash equivalents Patient accounts receivable,net Contribution receivables Contracts and grants receivables Estimated third party payor settlements Inventories Prepaid expenses Total current assets Contribution receivable,net Estimated third party payor settlements,net Property and equipment,net Other assets Liabilities and Net Assets: Current liabilities: Line of credit Current maturities of debt borrowings Accounts payable and accrued expenses Accrued compensation and related liabilities Current portion of other liabilities Deferred revenue Total current liabilities Debt borrowings,net of current maturities Other liabilities Total liabilities $102,246 $130,451 587,338 361,202 486,805 368,750 176,208 167,232 306,430 204,416 56,418 60,878 22,746 45,875 1,738,191 1,338,804 425,361 470,502 370,727 2,632,311 2,233,660 56,646 60,267 $5,323,011 $4,003,458 $270,000 $74,215 59,271 55,259 314,166 529,933 736,709 642,916 24,110 35,353 145,972 63,901 1,550,228 1,401,577 767,983 827,419 276,588 286,582 2,594,799 2,515,578 Net assets: Unrestricted Temporarily restricted Total net assets Total liabilities and net assets The accompanying footnotes are an integral part ofthese financial statements. -2- 1,890,518 837,694 2,728,212 $5,323,011 1,097,884 389,996 1,487,880 $4,003,458 ATTACHMENTS 2-350 SOUTH BAY FAMILY HEALTH CARE Statements of Operations and Changes in Net Assets For the Years Ended June 30,2010 and 2009 2010 2009 Unrestricted revenues and other support: Patient and third party revenue,net Grant revenue Contributions and support Other Net assets released from restriction Total unrestricted revenue and other support $7,010,283 2,017,292 3,283,956 99,387 426,968 12,837,886 $6,856,501 1,679,635 4,968,043 46,181 615,004 14,165,364 Expenses: Salaries and wages Salary related taxes and employee benefits Medical supplies and drugs Purchased services Building and equipment rent Repairs and maintenance Medical contractual services Depreciation and amortization Insurance Interest Communications Utilities Travel,conferences and meetings Other Total expenses Excess of revenues and other support over expenses Capital related grants and contributions Increase in unrestricted net assets Temporarily restricted net assets: Contributions Net assets released from restriction Increase (decrease)in temporarily restricted net assets Increase in net assets Net assets,beginning of year Net assets,end of year The accompanying footnotes are an integral part ofthese financial statements. - 3 - 5,642,878 5,584,658 1,160,060 1,041,966 3,190,532 4,923,944 328,909 226,490 455,622 426,430 309,754 280,155 605,460 669,428 253,995 244,882 72,116 72,127 78,391 93,893 119,798 125,494 63,635 62,051 43,673 44,431 314,607 303,914 12,639,430 14,099,863 198,456 65,501 594,178 66,306 792,634 131,807 874,666 880,000 (426,968)(615,004) 447,698 264,996 1,240,332 396,803 1,487,880 1,091,077 $2,728,212 $1,487,880 ATTACHMENTS 2-351 SOUTH BAY FAMILY HEALTH CARE Statements of Cash Flows For the Years Ended June 30,2010 and 2009 2010 2009 253,995 244,882 (35,353)(32,028) 14,116 13,396 (226,136)(91,077) (543,416)46,250 (8,976)(48,552) 4,460 18,017 23,129 (40,292) (201,789)16,857 (215,767)(121,931) 93,793 52,169 82,071 (57,106) 480,459 397,388 (652,646)(133,789) 3,621 (156) (649,025)(133,945) 195,785 (225,335) (55,424)(51,510) 140,361 (276,845) (28,205)(13,402) 130,451 143,853 $102,246 $130,451 Cash flows from operating activities: Increase in net assets Adjustments to reconcile change in net assets to net cash provided (used)by operating activities: Depreciation and amortization Amortization of service notes payable Accrued interest payable added to service note Changes in operating assets and liabilities: Decrease (increase)in patient accounts receivable,net Decrease (increase)in contribution receivables Decrease (increase)in contracts and grants receivables Decrease (increase)in inventories Decrease (increase)in prepaid expenses Decrease (increase)in estimated third-party payor settlements Increase in accounts payable and accrued expenses Increase in accrued compensation and related liabilities Increase (decrease)in deferred revenue Net cash provided by operating activities Cash flows from investing activities: Acquisitions of property and equipment Increases in other assets Net cash (used)by investing activities Cash flows from financing activities: Net borrowings (payments)under line of credit Principal payments on long-term debt Net cash provided (used)by financing activities Net decreases in cash and cash equivalents Cash at beginning of year: Cash at end of year: $1,240,332 $396,803 Supplemental disclosure ofcash flow information: Interest paid The accompanying footnotes are an integral part of these financial statements. -4- $57,023 $72,525 ATTACHMENTS 2-352 SOUTH BAY FAMILY HEALTH CARE Notes to Financial Statements June 30,2010 NOTE A:SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Organization:South Bay Family Health Care (the "Center"),a not-for-profit organization,was incorporated in 1969 for the purpose of providing access to quality health care services to socially and economically depressed sectors of the South Bay area of Los Angeles County.The Center is committed to addressing the special needs of the community's medically under served. The Center was designated as a Federally Qualified Health Center for Medicare and Medi-Cal reimbursement effective in 2003.The Center derives support through grants and contracts with the U.S. Department of Health and Human Services and the State of California Department of Health Services.The largest part of the revenue is derived from patient care services and the remainder from the aforementioned grants and contracts,as well as other state and local grants. Presentation:The financial statements have been prepared to present the financial position,results of operations and cash flows of the Center in accordance with the American Institute of Certified Public Accountants'Accounting and Audit Guide for Health Care Organizations,dated August 1,2009. Use of Estimates:The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period.Actual results could differ from those estimates. Cash and Cash Equivalents:Cash and cash equivalents constitute not only cash held in checking,savings and money market accounts but may,from time to time,include highly liquid investments with maturities of three months or less. Third-Party Contractual Agreements:The Center has agreements with Medicare that provide payments under a cost-based reimbursement (not to exceed the maximum cap)system and with Medi-Cal that provide payments under the Prospective Payment System (PPS).In the case of Medicare,reasonable estimates are made and reported in the period services are rendered,and differences between the estimates and actual receipts are included in the statement of operations in the period in which they are determined.In the case of Medi-Cal,payments under the new payment system are final,unless the number of reimbursable visits is changed as a result of an audit by the State of California,Department of Health and Human Services. Patient Accounts Receivable:Accounts receivable are recorded at gross value along with a corresponding allowance for doubtful accounts.Allowance accounts are estimated for each type of receivable based on the Center's experience in collecting receivables.The Center does not refuse service to patients based on an individual's ability to pay. Charity Care:The Center provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates.The Center does not pursue collection of amounts determined to qualify as charity care and they are not reported as revenue. Income Taxes:The Center has been recognized by the Intemal Revenue Service as a non-profit corporation as described in Sec.501(c)(3)of the Internal Revenue Code (IRe)and is exempt from federal and state income taxes on related income pursuant to Sec.501(a)of the IRC and California Revenue and Taxation code Section 23701(d). Reclassifications:Certain financial statement amounts have been reclassified in these financial statements to conform to the current year presentation.These reclassifications have no effect on previously reported net income. -5- ATTACHMENTS 2-353 SOUTH BAY FAMILY HEALTH CARE Notes to Financial Statements June 30,2010 NOTE A:SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued) Property and Equipment:Property and equipment acquisitions are recorded at cost.The Center capitalizes assets with economic useful lives greater than one year and for value greater than $500.Depreciation of property and equipment is computed on the straight-line method over the estimated lives of depreciable assets.Estimated lives used for building,10-39 years;equipment,furniture,fixtures,4-10 years;and leasehold improvements,7 years. The Center capitalizes interest as a component of the cost of property,and equipment constructed for its own use.At June 30,2010 and 2009,the Center incurred interest expense of $78,391 and $93,893,respectively, of which none was capitalized. Compensated Absences:The Center permits its employees to accumulate vacation hours over their working career and to redeem such unused vacation hours in cash upon termination of employment.Employees earn vacation hours based on length of service and are subject to an accumulation cap.Employees exceeding the cap will not earn any additional hours until previously accumulated excess vacation benefits have been used. Deferred Revenue:The Center recognizes revenue from certain service agreements and grants when earned. Payments received in advance are recorded as a deferred revenue liability until earned. Revenue Recognition:It is the policy of the Center to recognize revenues from federal grants and state contracts to the extent of expenses incurred not to exceed grant and contract awards.When the grant and contract budgets do not coincide with the Center's reporting period,revenues are recognized on a prorata basis. Patient service revenue is recorded at the Center's established rates with sliding fee scale adjustments, provision for uncollectible accounts,and contractual allowances deducted to arrive at net patient service revenue. Revenue from contributions are recognized as revenue when they are received or unconditionally pledged. Donor stipulations that limit the use of the donation are recognized as restricted contributions.When the purpose of the restriction is accomplished,temporarily restricted net assets are reclassified to unrestricted and reported as net assets released from restrictions. NOTE B:CONCENTRATIONS OF CREDIT RISK The Center grants credit without collateral to its patients,most of whom are local residents and are insured under third-party agreements.The mix of receivables from patients and third-party payers at June 30 was as follows: Medi-Cal and related programs Public Private Partnership Medicare Other fee for service programs Patient accounts receivable,net 2010 $456,161 64,605 45,000 21,572 $587,338 2009 $240,118 89,484 9,760 21,840 $361,202 At June 30,2010 and 2009,the Center's cash positions with its leading bank were below the FDIC insurance limits.The Center maintains contractual relationships with various government entities and established foundations thereby limiting credit risk associated with contract,grant and other receivables. -6- ATTACHMENTS 2-354 SOUTH BAY FAMILY HEALTH CARE Notes to Financial Statements June 30,2010 NOTE C:CONTRIBUTION RECEIVABLES The contribution receivables consisted of the following at June 30: 2010 2009 Communities for a better environment $$ Donor grant(s)for primary care at Dr.Claudia Hampton Clinic $574,666 Donor grant(s)for primary care in the Centinela area 225,000 368,750 Other foundation grant receivable 112,500 912,166 368,750 less current portion (486,805) (368,750) $425,361 $ NOTE D:CONTRACTS AND GRANTS RECEIVABLES Contracts and grants receivables consisted of the following government entities at June 30: LA County Department of Health Services $11,216 $13,891 California Family Health Council 30,475 30,325 Beach Cities Health District 10,535 15,316 FQHC-ARRA 18,800 Good Samaritan Hospital 85,237 CHF 72,808 South Bay Coalition 14,475 Other -Community Development Block Grants 24,270 16,092 $176,208 $167,232 NOTEE:NET PATIENT SERVICE REVENUES The Center has agreements with third-party payers that provide payments to the Center at amounts different from its established rates.A summary of the major payment arrangements with third-party payers follows: Public Private Partnership:The Center participates in a Medicaid demonstration project administered through Los Angeles County.Medical and Dental services rendered to eligible beneficiaries are paid under an all inclusive rate per visit subject to an annual contract award.The rates are final.Monthly and at the expiration of the service agreements,claims submitted are subject to the County's eligibility reconciliation. In the opinion of management,any settlement of the reconciliation will not materially affect the financial statements of the Center. Medicare:Medical services rendered to Medicare program beneficiaries are paid under a cost-based reimbursement system.The Center is reimbursed at a tentative ("interim")rate,with final settlement determined after submission of an annual cost report by the Center and audit thereof by the fiscal intermediary.In the opinion of management,any final settlement of the associated cost reports will not materially affect the financial statements of the Center. Others:The Center also has entered into other payment agreements that include prospectively determined rates,discounts from established charges,and capitation arrangements.For the years ended June 30,2010 and 2009;capitation revenue represented 14.2%and 11.2%of net patient and third party revenue. -7- ATTACHMENTS 2-355 SOUTH BAY FAMILY HEALTH CARE Notes to Financial Statements June 30,2010 NOTE E:NET PATIENT SERVICE REVENUES (continued) Medi-Cal:Medical and Dental services rendered to Medi-Cal beneficiaries are paid under a Prospective Payment System,using rates established by the Center's "Base Year -fiscal year ended June 30,2005"cost reports.These rates are adjusted annually according to changes in the Medicare Economic Index and any approved changes in the Center's scope of service.The Center is required to file annual payment reconciliation reports with the state.In the opinion of management,any audit settlement of the payment reconciliation will not materially affect the financial statements of the Center.The Center established an estimated settlement receivable in the amount of $776,932 and $575,143 as of June 30,2010 and 2009, respectively. The following is the mix of patient service revenue for the years ended June 30: 2010 2009 Public private partnership Medi-Cal Other Managed Care Medicare 46.2% 22.7% 6.8% 22.8% 1.6% 51.8% 24.6% 2.6% 19.3% 1.8% NOTE F:VALUE OF DONATED SERVICES AND MEDICATIONS Several of the Center's program services are assisted by the aid of volunteer professionals in various fields including clinical education,medical and dental professions.During fiscal year 2010 and 2009,the Center received skilled volunteer service hours with fair market value of $35,858 and $45,481;respectively.The Center recognized contribution revenue in the amount of $2,659,678 and $4,358,416 during the fiscal year 2010 and 2009,respectively for donated medications for patients and a corresponding charge to medical supplies and drugs expense. NOTE G:PROPERTY AND EQUIPMENT $108,835 $108,835 1,795,926 1,784,343 435,664 395,540 370,019 365,346 886,586 380,096 189,126 184,189 25,000 25,000 111,455 107,317 3,922,611 3,350,666 (l ,365,002)(l ,117,006) $2,557,609 $2,233,660 74,702 $2,632,311 $2,233,660 Construction in progress Property and equipment,net Depreciation expense on leased improvements for fiscal years ending June 30,20109 and 2009;was $50,760 and $48,215 and for all other depreciable assets depreciation expensed for fiscal years ending June 30,2010 and 2009;was $197,235 and $199,780,respectively.Property and equipment is comprised of the following at June 30: Land Buildings Leasehold improvements Medical equipment Computer equipment Office equipment Vehicles Furniture and fixtures Less accumulated depreciation and amortization -8 - ATTACHMENTS 2-356 SOUTH BAY FAMILY HEALTH CARE Notes to Financial Statements June 30,2010 NOTE H:ACCRUED PAYROLL AND RELATED LIABILITIES As of June 30,payroll liabilities consisted of the following: Paid-time-off liability Accrued salaries payable Payroll and related taxes liability NOTE I:OTHER LIABILITIES 2010 $339,456 317,942 79,311 $736,709 2009 $'291,241 277,847 73,828 $642,916 The Center financed in part the purchase and remodel of the Gardena health center with Community Block Grants funds,administered by the City of Los Angeles,documented by service payable promissory notes. The principal par amount of the two notes is $349,000 and $358,011 respectively.Repayment ofthe notes is based on the Center's commitment to provide healthcare services at that site over a 20 year period.Both notes are non interest bearing.The initial note of $349,000 will amortize $40,000 per year over eight years and nine months beginning May 2002.The second note will begin to amortize after the service payback of the first note at $40,000 per year for ten years or until fully amortized.Both of these notes are secured by the building and land.These notes are subordinated to the bank mortgage,further described in the DEBT BORROWINGS note. Face amount of initial note to be repaid in services Discount to present value at 10% Accumulated amortization from previous years Current year amortization of principal Face amount of second note to be repaid in services Discount to present value at 5.25% Accumulated accrued interest payable from previous years Current year accrued interest payable $349,000 (116,769) (172,768) (35,353) 24,110 358,011 (177,694) 82,155 14,116 276,588 $349,000 (116,769) (140,740) (32,028) 59,463 358,011 (177,694) 68,759 13,396 262,472 Following is a summary of the City of Los Angeles service notes payable at June 30: Service note payable-Gardena facility site Service note payable-Gardena building Less:current portion to be amortized $ NOTE J:DEFERRED REVENUE 24,110 59,463 276,588 262,472-----300,698 321,935 (24,110) (35,353) --~--.;.. 276,588 ===$====2::86::E,5:=8=::2 As of June 30,deferred revenue consisted of the following: California Health Facility Financing Authority LA Oral Care Kaiser Permanente Safety Net $4,300 $ 41,672 100,000 63,901 -9- $145,972 =$===6:=3=,90=1= ATTACHMENTS 2-357 SOUTH BAY FAMILY HEALTH CARE Notes to Financial Statements June 30,2010 NOTE K:DEBT BORROWINGS As of June 30,2010 the Center maintains a line-of-credit with a local bank in the amount of $400,000,at a variable interest rate (3.25%at June 30,2010),collateralized by a security agreement.At June 30,2010 and 2009,the Center owed an outstanding balance of $270,000 and $74,215 respectively. On April 15,2008 the Center financed $196,000 of the line of credit into a five year note,which has an outstanding balane of $156,589 as of June 30,2010.The note is collateralized by a security agreement in accounts receivable,inventory and equipment;monthly installments of $3,927,at a fixed interest rate of 7.39%,maturing April 15,2013.The current principal portion of the note is $39,468. The Gardena Health Center is mortgaged by a local bank with an outstanding balance of $726,088 at June 30,2009.The obligation is paid in monthly installments of $5,226,at a fixed interest rate for the first five years (6.06%at June 30,2009),maturing October 21,2014.At the end of five years the rate will adjust to the 5 year treasury constant maturity index plus 3.5%.The current principal portion is $19,803. The principal and interest maturities of debt obligations for each of the next five years subsequent to June 30,2009,are as follows: Principal Interest Year ending June 30,2011 $59,271 $50,579 Year ending June 30,2012 63,450 46,400 Year ending June 30,2013 60,333 41,670 Year ending June 30,2014 23,793 38,930 Year ending June 30,2015 620,407 12,681 $827,254 $190,260 NOTEL:TEMPORARILY RESTRICTED NET ASSETS Temporarily restricted net assets are recognized contributions and grants externally restricted as to purpose or period.During fiscal year 2010 and 2009,temporarily restricted net assets released from the donor restrictions by incurring outlays satisfying the restricted purposes amounted to $426,968 and $615,004; respectively.During the year ended June 30,2010 and 2009,the center recognized $874,666 and $880,000 in new contributions with restrictions,respectively. Temporarily restricted net assets at June 30,2010,were comprised of the following: Awarded Released During From Beginning the Year Restrictions Ending Primary care to South Bay,South LA,and $349,996 349,996 $ Harbor Gateway communities CCF -Inglewood 300,000 25,000 275,000 Oral Dental Grant -Kaiser 40,000 40,000 CCF -Dr.Claudia Hampton Clinic 574,666 11,972 562,694 $389,996 874,666 426,968 $837,694 -10- ATTACHMENTS 2-358 SOUTH BAY FAMILY HEALTH CARE Notes to Financial Statements June 30,2010 NOTE M:CONTINGENCIES Grants and contracts:Continuing program funding from federal and state sources is contingent upon availability of funds and project performance.The funds are awarded on a yearly basis upon receipt and approval of program applications.In addition,expenses made under federal and state grants are subject to review and audit by the grantor agencies. Medical Malpractice Claims:The Center,including officers,governing board members,employees,and contractors who are physicians or other licensed or certified healthcare practitioners,is covered under the Federal Tort Claims Act (FTCA).There are no known claims or incidents that may result in the assertion of additional claims as of the date of this report.The Center maintains additional malpractice and general liability coverage of two million per claim,four million in aggregate.There are no known asserted claims or incidents as of the date of this report. Litigation:The Center may from time-to-time be involved in litigation and regulatory investigations,which arise in the normal course of doing business.After consultation with legal counsel,management estimates that matters existing as of June 30,2010,will be resolved without material adverse affect on the Center's future financial position,results from operations or cash flows. Risks and uncertainties:Laws and regulations governing Medicare and Medicaid programs are complex and subject to interpretation.The Center believes that it is in compliance with all applicable laws and regulations and is not aware of any pending or threatened investigations involving allegations of potential wrongdoings.While no such regulatory inquiries have been made,compliance with such laws and regulations can be subject to future government review and interpretation as well as significant regulatory action including fines,penalties,and exclusion from the Medicare and Medicaid programs. NOTE N:OPERATING LEASES The Center leases its Torrance administrative office,and the Redondo Beach and two Inglewood medical facilities under non-cancelable lease agreements.In the normal course of business,operating leases are generally renewed or replaced by other leases.Rental expense under all operating leases totaled $455,625 and $426,429;respectively for the years ending June 30,2010 and 2009.Future minimum lease payments required under the lease agreements at June 30,2010,are as follows: Year ending June 30,2011 Year ending June 30,2012 Year ending June 30,2013 Year ending June 30,2014 Year ending June 30,2015 NOTE 0:RETIREMENT PLANS $432,200 450,000 455,300 471,800 484,400 $2,293,700 The Center established a flexible benefit plan on July 1,2005 that allowed eligible employees to direct contributions to a 401(a)retirement plan.During the fiscal year ending June 30,2010 and 2009,employees directed $88,954 and $116,389,respectively to the 401 (a)plan which is included in employee benefit expense.The Center also maintains a voluntary plan for the employees in which no employer contributions were made in 20 10 and 2009. -11 - ATTACHMENTS 2-359 SOUTH BAY FAMILY HEALTH CARE Notes to Financial Statements June 30,2010 NOTE P:FAIR VALUE OF FINANCIAL INSTRUMENTS The Center uses certain methods and assumptions in estimating its fair value disclosures for financial instruments.For cash and cash equivalents,the Center uses the carrying amounts which approximate fair value due to the short maturity of any financial instrument considered as a cash equivalent.For debt borrowings the fair values are estimated using discounted cash flow analysis,based on the Center's current incremental borrowing rates for similar types of borrowing arrangements.As of June 30,2010 and 2009,the fair values of cash and cash equivalents,accounts payable and accrued expenses,estimated third-party payer settlements and debt borrowings were not considered to be materially different from the carrying values. NOTE Q:FUNCTIONAL CLASSIFICATION OF EXPENSES Program activities Fund raising General and administrative -12- 2010 $10,117,030 213,294 2,309,106 $12,639,430 2009 $11 ,898,903 152,379 2,048,581 $14,099,863 ATTACHMENTS 2-360 SINGLE AUDIT REPORTS ATTACHMENTS 2-361 SOUTH BAY FAMILY HEALTH CARE Schedule of Expenditures of Federal Awards June 30,2009 Federal Grant/Program Title Federal CFDA Number Federal Awards U.S.Department of Health and Human Services,Public Health Service (DHHS-PHS): Direct Programs: 93.217 125,928 93.917 72,669 93.917 36,758 93.153 27,792 263,147 Community Health Centers Program,Section 330 * Community Health Centers Program,Section 330 -ARRA CIP * Community Health Centers Program,Section 330 -ARRA ISHC * Total Department of Health and Human Services Indirect Programs: State of California Department of Health Services : California Family Health Council,Inc.: Family Planning Program-Title 10 Los Angeles County -mv Case Management &Adherence Los Angeles County -HIV Mental Health Los Angeles Family Aids NetworklPublic Health Foundation Enterprises-mv Case Management Total Department of Health and Human Services 93.224 93.703 93.703 $752,974 754,516 225,600 1,733,090 u.s.Department of Housing and Urban Development City of Carson: Community Development Block Grant -Entitlement City of Manhattan Beach Community Development Block Grant -Entitlement City of Redondo Beach: Community Development Block Grant -Entitlement City of Rancho Pales Verdes: Community Development Block Grant -Entitlement Total Department of Housing and Urban Development Total federal financial assistance *Denotes major program. See accompanying notes. -14- 14.218 9,680 14.218 12,690 14.218 7,507 14.218 5,000 34,877 $2,031,114 ATTACHMENTS 2-362 SOUTH BAY FAMILY HEALTH CARE Notes to Schedule of Expenditures of Federal Awards June 30,2010 NOTE A:BASIS OF PRESENTATION The accompanying Schedule of Expenditures of Federal Awards (the "Schedule")summarizes the expenditures of South Bay Family Health Care,Inc.(the "Center")under programs of the federal government for the year ended June 30,2010.Because the Schedule presents only a selected portion of the operations of the Center,it is not intended to,and does not,present the financial position,changes in net assets,or cash flows for the Center. For purposes of the Schedule,federal awards include all grants and contracts entered into directly between the Center,agencies,and departments of the federal government.The awards are classified into major program categories in accordance with the provisions of Office of Management and Budget (OMB) Circular A-133,Audits of States,Local Government and Non-Profit Organizations. NOTE B:BASIS OF ACCOUNTING For purposes of the Schedule,expenditures for federal programs are recognized on the accrual basis of accounting.Expenditures are determined using the cost accounting principles and procedures set forth in OMB Circular A-122,Cost Principles for Non-Profit Organizations. NOTE C:RELATIONSIllP OF SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS TO FINANCIAL STATEMENTS Consistent with management's policy,federal awards are recorded in various revenue categories.As a result,the amount of total federal awards expended on the Schedule does not agree to total grant revenue on the Statement of Operations and Changes in Net Assets as presented in the Center's Report on Audited Financial Statements. NOTE D:SERVICE NOTES PAYABLE The City of Los Angeles utilized Community Development Block Grants from the U.S.Department of Housing and Urban Development,pursuant to Title I of the Housing and Community Development Act of 1974,Public Law 93-383,as amended,to address the community development needs ofthe City,and also, pursuant to Title IV,Subtitle B of the Stewart B.McKinney Homeless Assistance Act of 1987,Public Law 100-77,to address the needs of the homeless persons in the City,to fund in part the acquisition of land and the renovation of the Gardena clinic site.The Center entered into two long-term service notes payable to the City. -15- ATTACHMENTS 2-363 SOUTH BAY FAMILY HEALTH CARE Notes to Schedule of Expenditures of Federal Awards June 30,2010 NOTE D:SERVICE NOTES PAYABLE continued The principal par amount of the two notes is $349,000 and $358,01l,respectively.Repayment of the notes is based on the Center's commitment to provide healthcare services at the Gardena site over the period of 20 years.Both notes are non interest bearing.The initial note of $349,000 will amortize $40,000 per year over eight years and nine months beginning May 2002 and ending January 2011.The second note,maturing in January 2021 ,will begin to amortize after the service payback of the first note at $40,000 per year for ten years or until fully amortized.Both of these notes are secured by the building and land. These notes are subordinated to a bank mortgage.Title to the assets transfers to the Center upon completion of the repayment. Following is a summary of the service notes payable at June 30,2010 as they are maintained by the City of Los Angeles: Site Renovation Service note payable:#99932 #101278 Face amount $349,000 $358,011 Accumulated amortization (326,667) $22,333 $358,011 -16- ATTACHMENTS 2-364 TeA Partners,LLP A Certified Public Accountancy Limited Liability Partnership 1111 E.Herndon Avenue,Suite 211 Fresno,CA 93720 Phone (559)431-7708 Fax (559)431-7685 Report on Internal Control Over Financial Reporting and on Compliance and Other Matters Based on an Audit of Financial Statements Performed in Accordance with Government Auditing Standards Board of Directors South Bay Family Health Care Torrance,California We have audited the financial statements of South Bay Family Health Care,Inc.(the "Center")as of and for the year ended June 30,2010,and have issued our report thereon dated October 1,2010.We conducted our audit in accordance with auditing standards generally accepted in the United States of America and the standards applicable to financial audits contained in Government Auditing Standards,issued by the Comptroller General of the United States of America. Internal Control Over Financial Reporting In planning and performing our audit,we considered the Center's internal control over financial reporting as a basis for designing our auditing procedures for the purpose of expressing our opinion on the financial statements,but not for the purpose of expressing an opinion on the effectiveness of the Center's internal control over financial reporting.Accordingly,we do not express an opinion on the effectiveness of the Center's internal control over financial reporting. A deficiency in internal control exists when the design or operation of a control does not allow management or employees,in the normal course of performing their assigned functions,to prevent or detect and correct misstatements on a timely basis. A material weakness is a deficiency,or combination of deficiencies,in internal control,such that there is a reasonable possibility that a material misstatement of the Center's financial statements will not be prevented,or detected and corrected on a timely basis. Our consideration of the internal control over financial reporting was for the limited purpose described in the first paragraph of this section and was not designed to identify all deficiencies in internal control over financial reporting that might be deficiencies,significant deficiencies or material weaknesses.We did not identify any deficiencies in internal control over financial reporting that we consider to be material weaknesses,as defined above. Compliance and Other MaUers As part of obtaining reasonable assurance about whether the Center's financial statements are free of material misstatement,we performed tests of its compliance with certain provisions of laws,regulations, contracts,and grant agreements,noncompliance with which could have a direct and material effect on the determination of financial statement amounts.However,providing an opinion on compliance with those provisions was not an objective of our audit,and accordingly,we do not express such an opinion.The results of our tests disclosed no instances of noncompliance or other matters that are required to be reported under Government Auditing Standards. -17 - ATTACHMENTS 2-365 This report is intended solely for the information and use of the board of directors,management,state and federal awarding agencies and pass-through entities and is not intended to be and should not be used by anyone other than these specified parties. TeA Partners,LLP October 1,2010 -18 - ATTACHMENTS 2-366 TeA Partners,LLP A Certified Public Accountancy Limited Liability Partnership 1111 E.Hemdon Avenue,Suite 211 Fresno,CA 93720 Phone (559)431-n08 Fax (559)431-7685 Report on Compliance With Requirements Applicable to Each Major Program and Internal Control Over Compliance In Accordance with OMB Circular A-133 Board of Directors South Bay Family Health Care Torrance,California Compliance We have audited the compliance of South Bay Family Health Care,Inc.(the "Center")with the types of compliance requirements described in the u.S.Office of Management and Budget (OMB)Circular A-133 Compliance Supplement that are applicable to each of its major federal programs for the year ended June 30,2010.The Center's major federal program is identified in the summary of auditor's results section of the accompanying Schedule of Findings and Questioned Costs.Compliance with the requirements of laws, regulations,contracts,and grants applicable to its major federal program is the responsibility of the Center's management.Our responsibility is to express an opinion on the Center's compliance based on our audit. We conducted our audit of compliance in accordance with auditing standards generally accepted in the United States of America;the standards applicable to financial audits contained in Government Auditing Standards,issued by the Comptroller General of the United States;and OMB Circular A-133,Audits of States,Local Governments,and Non-Profit Organizations.Those standards and OMB Circular A-133 require that we plan and perform the audit to obtain reasonable assurance about whether noncompliance with the types of compliance requirements referred to above that could have a direct and material effect on a major federal program occurred.An audit includes examining,on a test basis,evidence about the Center's compliance with those requirements and performing such other procedures,as we considered necessary in the circumstances.We believe that our audit provides a reasonable basis for our opinion.Our audit does not provide a legal determination of the Center's compliance with those requirements. In our opinion,the Center complied,in all material respects,with the requirements referred to above that are applicable to each of its major federal programs for the year ended June 30,2010. However,the results of our auditing procedures disclosed instances of non-compliance with those requirements that are required to be reported in accordance with OMB Circular A-133 and are described in the accompanying schedule of findings and questioned costs as items 10-01. Internal Control Over Compliance The management of the Center is responsible for establishing and maintaining effective internal control over compliance with the requirements of laws,regulations,contracts,and grants applicable to federal programs.In planning and performing our audit,we considered the Center's internal control over compliance with the requirements that could have a direct and material effect on a major federal program in order to determine our auditing procedures for the purpose of expressing our opinion on compliance and to test and report on internal control over compliance in accordance with OMB Circular A-133,but not for the purpose of expressing an opinion on the effectiveness of internal control over compliance.Accordingly,we do not express an opinion on the effectiveness of the Center's internal control over compliance. -19- ATTACHMENTS 2-367 Internal Control Over Compliance (continued) A deficiency in internal control over compliance exists when the design or operation of a control over compliance does not allow management or employees,in the normal course of performing their assigned functions,to prevent,or detect and correct,noncompliance with a type of compliance requirement of a federal program on a timely basis. A material weakness in internal control over compliance is a deficiency,or combination of deficiencies,in internal control over compliance,such that there is a reasonable possibility that material noncompliance with a type of compliance requirement of a federal program will not be prevented,or detected and corrected,on a timely basis. Our consideration of the internal control over compliance was for the limited purpose described in the first paragraph of this section and was not designed to identify all deficiencies in internal control over compliance that might be deficiencies significant deficiencies or material weaknesses.We did not identify any deficiencies in internal control over compliance that we consider to be material weaknesses,as defined above. The Center's response to the findings identified in our audit are described in the accompanying schedule of findings and questioned costs.We did not audit the Center's response and,accordingly,we express no opinion on it. This report is intended solely for the information and use of the board of directors,management,state and federal awarding agencies and pass-through entities and is not intended to be and should not be used by anyone other than these specified parties. TeA Partners,LLP October 1,2010 -20- ATTACHMENTS 2-368 SOUTH BAY FAMILY HEALTH CARE Schedule of Findings and Questioned Costs June 30,2010 Summary of Auditor's Results Financial Statements Type of auditor's report issued:Unqualified Internal Control over financial reporting: Material weakness(es)identified? Significant deficiency(ies)identified? Noncompliance material to financial statements noted? Federal Awards Internal control over major programs: Material weakness(es)identified? Significant deficiency(ies)identified? Type of auditor's report issued on compliance for major programs: Any audit findings disclosed that are required to be reported in accordance with Section 510(a)of Circular A-133? Major Programs: _yes _yes _yes _yes ....!...yes _yes X no ....!...None Reported X no X no _None Reported Unqualified X no CFDA Numbers 93.224 99.703 99.703 Names of Federal Program or Cluster Community Health Center Grant ARRA Capital Improvement Program ARRA Increase Services to Health Centers Dollar threshold used to distinguish Types A and B programs: Auditee qualified as low-risk auditee? -21 - ....!...yes $300,000 no ATTACHMENTS 2-369 SOUTH BAY FAMILY HEALTH CARE Schedule of Findings and Questioned Costs June 30,2010 Financial Statement Findings None Reported Federal Award Findings And Questioned Costs 10-0:Need to Enforce Regulation of the Sliding Fee Eligibility Determination and Compliance CFDA Number: Program: Compliance Requirement: Questioned Cost: 93.224 Community Health Centers B.Eligibility $0.00 Findings: Test of the Center's documentation related to the determination of eligibility for sliding fee discounts reflected instances of documentation that did not clearly support the level of discount taken. Patients were provided sliding fee discounts on accounts that did not agree with the documented eligibility. Cause: Inconsistent use of the eligibility application or forms by staff.Multiple clerical staff involved in the process from application to account adjustment.Legibility of the forms lead to misinterpretation by follow up staff.The timing of the actual adjustment to the patient account in the patient management system is significantly delayed from the time the eligibility determination was made. Effect: Lack of strict enforcement of the of the sliding fee eligibility policy and procedure resulted in the Center providing discounted services greater to or less than the appropriate amounts to beneficiaries.The Center did not adhere consistently to specific grant provisions.Summary financial reporting of sliding fee patients,encounters and discounts may be overstated. Criteria: Grant compliance provisions require that the Center correctly identify a patient's ability to pay and that the rates for services be adjusted accordingly based on the sliding fee schedule. Recommendation: Management should select and hold accountable an individual to be responsible for the sliding fee documentation requirements.The Center's management should continue a quality control review that samples on a test basis the sliding fee discount determinations and calculations of each responsible staff member.Negative occurrences should be documented and actions taken to enhance the staff persons accuracy of determinations and discount calculations at all sites. Management's Response: At the end of the reporting cycle the Center identified a Practice Management System error,which resulted in the misapplication of the sliding fee scale discount,and the adjustment of fees to a greater/lesser extent than appropriate to patient incomes.This has been corrected.The Center's management team added the Sliding Fee Scale(SFS)algorithm to the existing Household Income verification form to increase transparency of SFS calculations,as well as of patient attestation of income. Front office and billing staff will be trained to the new form. -22- ATTACHMENTS 2-370 SOUTH BAY FAMILY HEALTH CARE Schedule of Findings and Questioned Costs June 30,2010 Schedule of Prior Audit Findings None Reported -23- ATTACHMENTS 2-371