ARIZONA MASONIC FOUNDATION FOR CHILDREN FM 2017.PDF

Maricopa County — Formal (2017-04-12)

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General information
Organization Arizona Masonic Foundation For Children
Contact First name Arizona
Contact Last name Masonic Foundation For Childre
Contact e-mail 1papapie@comcast.net
Contact phone number 5206612021
Address
Street P.O. Box 32605
City Tucson
State Arizona
ZIP Code 85751-2605
From what tribe is the Fort McDowell Yavapai Nation
organization requesting the
grant?
Total grant amount request 36,000
1 / 1

INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY
DISTRICT DIRECTOR
P. 0. BOX 2508
CINCINNATI, OH 45201
Date: OCT 2 9 1997 Employer Identification Number:
86-0839037
DLN:
ARIZONA MASONIC FOUNDATION FOR 17053100112007
CHILDREN Contact Person:
345 W MONROE E0 CUSTOMER SERVICE
PHOENIX, A2 85003 Contact Telephone Number:
(213) 894-2289
Accounting Period Ending:
December 31
Form 990 Required:
Yes
Addendum Applies:
Yes
Dear Applicant:
Based on information supplied, and assuming your operations will be as
stated in your application for recognition of exemption, we have determined
you are exempt from federal income tax under section 501(a) of the Internal
Revenue Code as an organization described in section 501(c)(3).
We have further determined that you are not a private foundation within
the meaning of section 509(a) of the Code, because you are an organization
described in sections 509 (a) (1) and 170(b) (1) (A)(vi).
If your sources of support, or your purposes, character, or method of
operation change, please let us know so we can consider the effect of the
change on your exempt status and foundation status. In the case of an amend-
ment to your organizational document or bylaws, please send us a copy of the
amended document or bylaws. Also, you should inform us of all changes in your
name or address.
As of January 1, 1984, you are liable for taxes under the Federal
Insurance Contributions Act (social security taxes) on remuneration of $100
or more you pay to each of your employees during a calendar year. You are
not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA).
Since you are not a private foundation, you are not subject to the excise
taxes under Chapter 42 of the Code. However, if you are involved in an excess
benefit transaction, that transaction might be subject to the excise taxes of
section 4958. Additionally, you are not automatically exempt from other
federal excise taxes. If you have any questions about excise, employment, or
other federal taxes, please contact your key district office.
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 509(a)(1) organization.
Letter 947 (DO/CG)

ARIZONA MASONIC FOUNDATION FOR -1-
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 Code sections 2055, 2106, and 2522.
Contribution deductions are allowable to donors only to the extent that
their contributions are gifts, with no consideration received. Ticket pur-
chases and similar payments in conjunction with fundraising events may not
necessarily qualify as deductible contributions, depending on the circum-
stances. See Revenue Ruling 67-246, published in Cumulative Bulletin 1967-2,
on page 104, which sets forth guidelines regarding the deductibility, as Chari-
table contributions, of payments made by taxpayers for admission to or other
participation in fundraising activities for charity.
In the heading of this letter we have indicated whether you must file Form
990, Return of Organization Exempt From Income Tax. If Yes is indicated, you
are required to file Form 990 only if your gross receipts each year are
normally more than $25,000. However, if you receive a Form 990 package in the
mail, please file the return even if you do not exceed the gross receipts test.
If you are not required to file, simply attach the label provided, check the
box in the heading to indicate that your annual gross receipts are normally
$25,000 or less, and sign the return.
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 cause for
the delay. However, the maximum penalty charged cannot exceed $10,000 or
5 percent of your gross receipts for the year, whichever is less. For
organizations with gross receipts exceeding $1,000,000 in any year, the penalty
is $100 per day per return, unless there is reasonable cause for the delay.
The maximum penalty for an organization with gross receipts exceeding
$1,000,000 shall not exceed $50,000. This penalty may also be charged if a
return is not complete, so be sure your return is complete before you file it.
You are required to make your annual return available for public
inspection for three years after the return is due. You are also required
to make available a copy of your exemption application, any supporting
documents, and this exemption letter. Failure to make these documents
available for public inspection may subject you to a penalty of $20 per day
for each day there is a failure to comply (up to a maximum of $10,000 in the
case of an annual return).
You are not required to file federal income tax returns unless you are
subject to the tax on unrelated business income under section 511 of the Code.
If you are subject to this tax, you must file an income tax return on Form
990-T, Exempt Organization Business Income Tax Return. In this letter we are
not determining whether any of your present or proposed activities are unre-
lated trade or business as defined in section 513 of the Code.
Letter 947 (DO/CG)

ARIZONA MASONIC FOUNDATION FOR-2-
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.
In accordance with section 508(a) of the Code, the effective date of this
determination letter is November 7, 1995.
This determination is based on evidence that your funds are dedicated
to the purposes listed in section 501(c)(3) of the Code. To assure your
continued exemption, you should keep records to show that funds are expended
only for those purposes. If you distribute funds to other organizations, your
records should show whether they are exempt under section 501(c)(3). In cases
where the recipient organization is not exempt under section 501(c)(3), there
should be evidence that the funds will remain dedicated to the required
purposes and that they will be used for those purposes by the recipient.
If distributions are made to individuals, case histories regarding the
recipients should be kept showing names, addresses, purposes of awards, manner
of selection, relationship (if any) to members, officers, trustees or donors of
funds to you, so that any and all distributions made to individuals can be
substantiated upon request by the Internal Revenue Service. (Revenue Ruling
56-304, C.B. 1956-2, page 306.)
If we have indicated in the heading of this letter that an addendum
applies, the enclosed addendum is an integral part of this letter.
Because this letter could help resolve any questions about your exempt
status and foundation status, you should keep it in your permanent records.
If you have any questions, please contact the person whose name and
telephone number are shown in the heading of this letter.
Sincerely hours,
District Director
Enclosure(s):
Addendum
Letter 947 (DO/CG)

ARIZONA MASONIC FOUNDATION FOR-3-
Addendum
-Foundation Status Classification: 509(a)(1) and 170(b)(1) (A) (vi)
Letter 947 (DO/CG)

ARIZONA MASONIC FOUNDATION FOR CHILDREN
345 W. Monroe Phoenix, Arizona 85003
Mailing Address P.O. Box 32605 Tucson, Arizona 85751-2605
Ft. McDowell Yavapai Nation/Arizona Masonic Foundation for Children Grant Application
Arizona Masonic Foundation for Children: Model Student Assistance Program: Children at Risk.
Contact: Henry L. Spomer, 1papapie@comcast.net Ph.520 661-2021 Funding Chairman
1. The Arizona Masonic Foundation for Children (AMFC) incorporated in 1995, for the initial and
principal purposes to do only in a charitable manner, all those things that will develop character and
usefulness, improve the spiritual, mental, social and physical condition of youth in the State of Arizona;
foster responsible citizens; combat and curb juvenile delinquency by sponsoring, organizing and
operating, without profit to the corporation, research based and data driven programs directed at
advancing the education, mental health and welfare of youth, thru programs which address early
identification, intervention, and individual implementation plans to combat alcohol/drug abuse, bullying,
suicide, violence, gang membership and school dropout.
We have provided training to over 250 schools and over 3,000 educators trained who provide annually
intervention services to some 23,300 students. We have provided our Workshop to over 80 different
schools in the Phoenix area for over 900 educators – representing a positive change in over 7,200 at risk
children’s lives. Most recently, our workshop was given by request to the Apache Junction Unified
School District. Prior to that we conducted our training for the East Valley Institute of Technology
(EVIT) in Mesa. EVIT programs are tuition-free to high school students who live in 10 East Valley
school districts – Mesa, Scottsdale, Fountain Hills, Tempe, Apache Junction, Chandler, Gilbert, Higley,
Queen Creek and J.O. Combs. In addition to the teams from EVIT, teams from 2 other Phoenix area
Districts attended. We are currently working on scheduling another training for the Apache Junction
Unified School District and another in the Gila River Indian Community area.
Our three day training/workshop is certified by Arizona Department of Education for 21 hours of
Continuing Education.
2. Educators learn to identify High Risk Issues early on and how to intervene with appropriate methods
and actions. Public Safety: Violence, bullying, drug/alcohol use are identified earlier and acted upon by
proven (research based) intervention actions thus the youth community and schools become a safer place
for youth to grow and develop as future leaders of our communities. Education: This program provides
instruction in development of lacking life skills and learning disabilities, which hinder development and
education. Appropriate action plans are developed for the student to address those needs or lack thereof.
(Special Needs students are most often not Special Education students.) High Risk Students are fitted with
specific intervention plans to address their risk and not referred to Special Education. This reduces the
over burden on and the over flow of Special Education classes. With reduced violence, substance abuse
and other outside interference schools are able to provide more and better uninterrupted instruction to
students. Health Care: Some students are burdened with simple issues as personal hygiene or clean
clothes to the more extreme of Physical or Mental Health. Each student is provided with a specific
intervention program to address these needs and to help the student overcome these issues.
Healthier, happier, safer and better educated youth will result in a healthier, happier, safer and
more productive community and society.
3. (We are utilizing 2015 figures as the 2016 stats have not been posted as of this date.) Whether the
issues are related to physical and/or emotional health, safety, education, or quality attention from a caring
adult, statistics show in 2015 Arizona ranked 46th in Overall child well-being, (4th worst state)¹, 44th in
Education Domain, 46th in Family and Community Domain, we lack strong social and cultural
institutions, good role models for children and the resources to provide safe and good schools; 42nd in

Economic Well Being & General Health. 49th in 16-19 year olds who are school dropouts, 47th in Birth
to girls age 15-17, 37th in Juvenile violent crime arrest rate, and we increased from 38th to 41st for Teen
deaths¹¹. 655 youth die each year with 72 children killed by guns and we have 1,737 youth in Juvenile
Justice Custody each day (40th).¹¹¹ There was 64 school shooting the past couple of years with some here
in Arizona. We must increase our intervention efforts before we have more shooting and suicides. We
must continue to provide better protection for our children so they may obtain an education and become
our future leaders.
Just recently, two 15 year old girls were shot and killed at a high school in Glendale AZ, in what appears
to be a murder/suicide - - if only their Elementary, Middle, and High School had a team trained in our
Children at Risk Intervention model? Recently in Diane Sawyer’s interview of Sue Klebold, the mother
of Columbine killer Dylan Klebold about Columbine High School. Sue Klebold said: “I felt that I was a
good mom… That he would, he could talk to me about anything,” Klebold continued. “Part of the shock
of this was that learning that what I believed and how I lived and how I parented was-- an invention in my
own mind. That it, it was a completely different world that he was living in.”
This is exactly what our Foundation has been teaching and informing for years now. The world of
Children has changed and few recognize that, much less have developed an understanding of it and a set
of solutions for it. Parents cannot do this alone – they are not experts in at risk behavior and the
intervention required - we long ago at our inception partnered with Educator to provide our At Risk
Intervention model because they most frequently interface with the children and can provide a safe and
supportive environment necessary for change. However, understand the Educator is not an expert either.
There are no at risk intervention classes at the university. That 21–22 year old College Graduate with an
Education degree doesn’t come with a kit bag full of knowledge on at risk children, their behavior, or
intervention development when they first enter the classroom. We give that tool to use. Even where there
are existing program in the schools, the Educator constantly tells that our model or some portion
supplementing or augmenting their program is of great value to them.
While there is no known absolute head count for “At Risk Children” review of such available data as that
from the Children Defense Fund out of Washington DC www.childrendefense.org and Arizona Children’s
Alliance would lead anyone to the conclusion that this number is very large. Out in their data base alone
is: Child Welfare in Arizona makes the following: Victims of abuse and neglect 8,708; In foster care
10,883; Adopted from foster care 2,275; Grandparents raising grandchildren 64,023.
Youth at Risk in Arizona: Averaged freshman high school graduation rate 77%; Teens not in school and
unemployed 10%; Juvenile arrests 37,596; Children and teens in juvenile residential facilities 1,488;
Children and teens killed by firearms 54
An article in the JAMA reported about a study based on 5.7M CPS confirmed cases between 2004 and
2011 which found that 1in8 or 12.5% of all children in the US experienced a CPS confirmed case of
maltreatment by age 18. In perspective this results in over 9.3M maltreated children in the US and in
Arizona over 200,000. Remember maltreatment consists of (neglect or physical/sexual/mental abuse) and
it is only one cause of at risk children.
Target Population: We have three Schools in Glendale awaiting training. With sixty (60) educators
already signed up for the next scheduled training. Casa Grande and Florence School Districts have been
on the waiting list for two years due to lack of funding to provide the training. We just completed one
training session in Apache Junction area and are working on a second class in that area as well as one in
the Gila River Indian Community Area.
Number of people to be served by the project: Two hundred and forty (240) educators trained and
approximately 1920 students will receive intervention assistance. There is no way to determine how many
other lives will be touched by the reduction of violence, substance abuse, bullying and suicides. Arizona
has an estimated one million (1M) school students, 230 School Districts, 406 charter holders and 13 Joint
Technological Education Districts, over 2000 public schools, including over 1500 district schools, over
500 charter schools and over 60,000 certified teachers.
¹ Annie E. Casey Foundation Kids Count 2015 Data Book: Arizona Profile. ¹¹Children’s Action alliance, Kids Count Arizona.
4. Timetable: Classes scheduled as funding is received and completed within one year of grant approval.

ARIZONA MASONIC FOUNDATION FOR CHILDREN
345 W. Monroe Phoenix, Arizona 85003
Mailing Address P.O. Box 32605 Tucson, Arizona 85751-2605
Ft. McDowell Yavapai Nation/Arizona Masonic Foundation for Children Grant Application
Arizona Masonic Foundation for Children: Model Student Assistance Program: Children at Risk.
Contact: Henry L. Spomer, 1papapie@comcast.net Ph.520 661-2021 Funding Chairman
Ft. McDowell Yavapai Nation and Arizona Masonic Foundation for Children 2017/2018
Children at Risk Intervention Project
Proposed Project Budget:
Proposed Budget Amount Amount In kind Total
Expenses requested from secured Contributions Budget
Ft. McDowell from AMFC
funds
Contracted Instructors $34,000 $0 $0 $34,000
Manuals $0 $1,600 $0 $1,600
Travel for Instructors $2,000 $0 $0 $2,000
Lunch & Refreshments $0 $1,500 $0 $1,500
Certificates $0 $30 $0 $30
Pencils/paper/markers/tape $0 $40 $0 $40
Plates/Cups/Napkins $0 $40 $0 $40
Staff Travel Costs $0 $0 $200 $200
Staff Lodging Costs $0 $0 $1,500 $1,500
Staff Meals Costs $0 $0 $450 $450
Total Budget $36,000 $3,210 $2,150 $41,360