DAMION GOSA MEMORIAL FOUNDATION.PDF

Last updated: 02/22/2018
General information
Organization Damion Gosa Memorial Foundation
Contact First name Wesley
Contact Last name Harris
Contact e-mail wwharris@msn.com
Contact phone number 6024322871
Address
Street 14802 N. Coral Gables Dr.
City Phoenix
State AZ
ZIP Code 85023
From what tribe is the Gila River Indian Community
organization requesting the
grant?
Total grant amount request 500000.00
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The Gila River Indian Community offers multi-year awards. If your organization is
requesting a multi-year grant for this project or program from the Gila River Indian
Community, enter the amount to be requested each year.
Amount
Year 1 (Gila River Indian
100,000.00
Community Grants Only)
Year 2 (Gila River Indian
100,000.00
Community Grants Only)
Year 3 (Gila River Indian
100,000.00
Community Grants Only)
Year 4 (Gila River Indian
100,000.00
Community Grants Only)
Year 5 (Gila River Indian
100,000.00
Community Grants Only)
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Gila River Indian Community Grant Application
Grant Cycle 2018
Cover Sheet
Municipality Information
1. Date of Application: 20, February, 2018. (NOTE: Click or use up/down arrow keys to move
among fields)
2. Name of City, Town or County: Phoenix, Maricopa, Arizona
3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Steve Chucri County
Chair…Phoenix major City
4. Mailing Address: 301 W. Jefferson St.
5. City: Phoenix State: Arizona Zip Code: 85003
6. Acknowledgement of Submission by Authorized Municipality Representative:
County: Steve Chucri Signature:
Typed Name/Title: Debra Stark City Council Signature:
Applicant Information
7. Department/Organization Name: Damion Gosa Memorial Foundation
8. Is this a 501c non-profit Organization? No x Yes 45-5441868
9. Application Contact Person: Wesley W. Harris Title: Chief Financial Officer and Board of Directors
Member
10. Phone Number: 602-432-2871
11. Mailing Address: 14802 N. Coral Gables Dr.
12. City: Phoenix State: Arizona Zip Code: 85023
13. Email Address: wwharris@msn.com Website Address: www.dgm-f.org
Project Information
14. Project Name: DGMF Annual Expense Coverage
15. Purpose of Grant: Cover 1 year annual expenses to enable the organization to start a Charter S.T.E.M.
School
16. Priority Funding Area Choose an item.
17. Annual amount requested $100,000.00
18. Number of years that funding is 5 years
requested
19. Total amount requested (annual $500,000.00
amount x number of years)
20. Has your organization received past No
funding from GRIC? If yes, list each year
and amount
South Phoenix between Broadway South to Baseline between
21. Geographic area served
16th St. and 32nd St.
For Office Use Only:
Data Entry Receipt Evaluation
Outcome A Approval Recommended/Amount $ A Denial

Gila River Indian Community Grant Application
Grant Cycle 2018
Narrative
Please structure your proposal to provide the following information in the order indicated. Provide the narrative
in paragraph form in the text field provided. Please be thorough but strive for brevity.
1. Briefly describe the organization’s history, mission and goals.
It is our mission to Educate, Encourage and Equip At-Risk youth to steer away from violence while
providing a safe environment for them! Minority violence is raging. Greater than 80% of crime takes
place in the inner city; we seek to lower this percentage to less than 20% by 2025
2. If the applying organization is non-municipal or a non-profit 501c, please describe your relationship with
Arizona municipalities including past and present support, whether through partnerships, collaborations,
in-kind contributions, grants, tax-based funding or other. Describe the supporting municipality’s role in
this project. If the applying organization is a municipality governmental sub-division please enter the
text “Not applicable.”
We receive $10,000 from Maricopa County Attorney’s Office which is currently the only Governmental
Agency that supports what we do in Phoenix.
3. Describe the proposed project and planned goals and activities.
Education and Public Safety
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the
Gila River Indian Community.
Our Program…E.M.P.L.O.Y.; Encourage and Motivate Positive Leadership Opportunity for Youth.
5. Identify the needs/problems to be addressed, target population and number of people to be served by
the project.

Gila River Indian Community Grant Application
Grant Cycle 2018
Gang violence is fostered by the lack of belonging. We utilize a curriculum of drug, gang and bullying
prevention, nutrition, Self Esteem, Sports, Field Trips, Music, Arts & Crafts, Tutoring, Drama/Arts,
Computer, Financial Literacy and Choir. We target children from 5 through 15 years of age. The youth
learn how to give through our Food Box, Clothing & Household Goods Distributions. Currently we work
with 30 to 60 children and are pushing to expand this number substantially.
6. Define the project as a new or continuing program.
Damion Gosa was murdered in June of 2009. His Mother, Cynthia Gosa Lazaro, started the foundation
in 2010.
7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
Our after School and Summer Youth Programs run Monday thru Thursday 3:00 PM to 6:30 PM, &
Summer is every Monday thru Friday 9:00 AM to 3:00 PM through July 31st
8. Identify other organizations, partners or funders participating in the project and their roles.
Superstition Springs Chrysler, Dodge, Jeep, Ram; American Woodmark; Wal-Mart/Sam’s Club; Mr.
Alvin Heggs; Dr. John Loewen; Maricopa County Attorney Office.
9. Would you be able to implement the proposed plan if your organization received partial funding for this
project?
Yes but with great difficulty
10. Describe your plan for project financial sustainability beyond the grant period. If this is a
program/project previously funded by the Gila River Indian Community describe efforts made towards
the previously described sustainability plan.
As evidenced by the fact that DGMF has been viable since 2010, with support beyond that of the Gila
River Indian Community we will be able to survive but will not be able to grow enough to expand our
program to other needy children.

Gila River Indian Community Grant Application
Grant Cycle 2018
11. Describe your plan to document progress and results.
We maintain records both financial and program wise and will be able to provide the necessary data to
insure our donors that their funds are being put to the best possible uses through quarterly or semi
annual reports.
12. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community
for state shared revenues for this and any other project for the past five (5) years. If this information is
included in a separate attachment, please indicate that here.
DGMF has received no funding or revenue sharing from any Indian tribe ever.

Gila River Indian Community Grant Application
Grant Cycle 2018
Project Budget
Budget Period: Click here to enter text.
For each budget item listed here please provide a narrative description on the following Project Budget Detail
page.
Proposed Budget Expense Amount Amount In Kind Total Budget
(list each budget item) requested from requested or contributions
GRIC secured from
other funders
1. Food Bank Costs $4,800.00 $0 $2,400.00 $7,200.00
2. Utilities $6,600.00 $0 $0 $6,600.00
3. Supplies $3,000.00 $0 $1,500.00 $4,500.00
4. Events $4,800.00 $2,400.00 $0 $7,200.00
5. Insurance $5,280.00 $0 $0 $5,280.00
6. Printing $3,000.00 $0 $1,000.00 $4,000.00
7. Consultant & Professional Fees $3,600.00 $0 $2,000.00 $5,600.00
8. Staff Payroll $48,000.00 $12,000.00 $0 $60,000.00
9. Equipment $1,200.00 $1,200.00 $1,200.00 $3,600.00
10. Transportation (Gas, $3,600.00 $2,000.00 $0 $5,600.00
mntnce,tires)
11. Misc. Expenses $2,400.00 $0 $0 $2,400.00
12. Event Costs: Freedom From $4,000.00 $1,000.00 $0 $5,000.00
Violence Walk
13. Basketball Tournament $10,000.00 $2,000.00 $0 $12,000.00
14. Start Up STEM Charter School $0 $50,000.00 $0 $50,000.00
15. Click here to enter text. $0 $0 $0 $0
16. Click here to enter text. $0 $0 $0 $0
17. Click here to enter text. $0 $0 $0 $0
Total Budget $100,280.00 $70,600.00 $8,100.00 $178.980.00

Gila River Indian Community Grant Application
Grant Cycle 2018
Project Budget Detail
Please provide a narrative description for each of the project budget items listed on the previous page. Include
the dollar figure and how it was derived.
1. Every Thursday DGMF provides Food Boxes, clothing and Household goods to the neighborhood’s needy
families. We purchase food from St. Mary’s Food Banks and obtain donations from various other agencies of
food and other items.
2. Our facility located on Alta Vista is known as the House of Helps. Electricity, gas, water, waste water,
internet expenses are included here.
3. Supplies such as toilet paper, paper towels, paper plates, cleaning supplies and stationary are included
here.
4. Event expense includes the cost mainly of field trips to the park, library, museums, etc.
5. Van expense is the carrying cost of financing the 15 passenger van we use to cart the students to various
events, etc.
6. Insurance is the cost to insure the two vans and the House of Helps
7. Printing costs include flyers, brochures, business cards and other printed forms.
8. Consultation and professional fees include costs to provide counseling etc. to the children which are needed
from time to time
9. Staff Payroll: while DGMF operates primarily with volunteer help, two positions are full time and should be
paid.
10. Equipment costs include the copy machine and other machines rented from time to time
11. Transportation costs include gasoline, maintenance and tires for the two vehicles utilized by DGMF plus
gas for volunteer’s vehicles used for DGMF business.
12. Misc. Expenses are those small items that come up from time to time and are not normally a line item
budget item.

Gila River Indian Community Grant Application
Grant Cycle 2018
13. Freedom From Violence Walk held once each year that runs for from 2.5 to 5 miles. This year’s march will
include an all day picnic in the park shared by two other neighborhood organizations. No fees are charged so
all expenses are absorbed by DGMF.
14. Once each late spring DGMF sponsors a basketball tournament for grades 1st and 2nd, 3 & 4th, 5th and 6th,
&7th & 8th grades with a champion for each group crowned on the last day of the three day tournament. Costs
for gym fees, trophies, etc. are included under this budget item.
15. It is no secret that some of the schools in the inner city are less than stellar. To augment these
shortcomings, DGMF offers help with homework, tutoring, and actual classes to our students. We lack a
S.T.E.M. school in the neighborhood so DGMF is working to start a Charter School that will offer S.T.E.M.
curriculum K-12.
16. Click here to enter text.
17. Click here to enter text.
Other explanation: Click here to enter text.