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Created: 01/07/2016
Last updated: 03/21/2016
Page 1
General information
Organization Central Arizona Dental Society Foundation
Contact First name Elizabeth
Contact Last name Toth
Contact e-mail aikentoth.associates@cox.net
Contact phone number 602-881-2579
Address
Street 5300 N. Central Ave.
City Phoenix
State AZ
ZIP Code 85012
From what tribe is the organization requesting the grant?
Fort McDowell Yavapai Nation
Total grant amount request
10,000
1 of 1
INTERNAL REVENUE SERVICE DEPARTMENT OP THE TREASURY
P. O. BOX 2508
CINCINNATI, OR 45201
Date: Employer Identification Number:
alti 0 6 nit 27-4537263
DLN:
17053130334021
CENTRAL ARIZONA DENTAL SOCISTY Contact Parson:
C/O FOUNDATION PATRICE° RAEOT JENNIFER =COLIN ID* 95152
Contact Telephone Number:
3193 NORTH DRINKNATER BLVD (877) 829-5500
SCOTTSDALE, AZ 85251
Accounting Period Ending:
December 31
Public Charity Status;
170(b) (1) (A) (vi)
Fern 990 Required:
Yee
Effective Date of Exemption:
December 29, 2010
Contribution Deductibility:
Yes
Addendum Applies:
No
Dear Applicant:
We are pleased to inform you that upon review Of your application for tax
exempt status we have determined that you are exempt fron.Fedexal income tax
under section 501(c)(3) of the Internal Revenue Code. Contributions to you are
deductible under section 170 of the Code. You are also qualified to receive
tax deductible bequests, devisee, transfers or gifts under section 2055, 2106
or 2522 of the Code. necduna this letter could help resolve any questions
regarding your exempt statue, you should keep it in your permanent records.
Organizations exempt under section 501(c)(3) of the Code are further classified
as either public charities or private foundations. We determined that you are
a public Charity under the Code section(s) listed in the beading of this
letter.
Please see enclosed Publication 4221-PC, Compliance Guide for 501(c)(3) Pdblic
Charities, for some helpful information about your responsibilities as an
exempt organization.
Letter 947 (.000/47rn
-2-
CENTRAL ARIZONA. DENTAL SOCIETY
We have gent a copy of this letter to your representative as indicated in your
power of attorney.
Sincerely,
(t . 44,40.5.42.446.00
cdte40
Lois G. Lern r
Director, Exempt Organizatione
Enclosure; Publication 4221 -PC
Letter 947 (DO/CU)
Department of Treasury tVocti C1)148A
internal Revenue Service itooII June 22, 2015
Ogden UT 84201-0038
IRS ertployer H mode( Z7.4537263
To contact us Name 1.800.829-0115
Page I of I
3S0416.414 ,524.122011.15110I 0.41,‘ 311
diplinlilltill ibilaullirli11111111111/11111111141/*4101
CENTRAL ARIZONA DENTAL SOCIETY
% PATRIC-0 RABOT
5300 N CENTRAL AVE STE 200
MEND{ AZ 85012-1492
3SO4is
We changed your mailing address
We processed a request to change your address What you need to do
to the address shown above. Om didn't
authorize an address change, please contact us 111P address change is COMM you don't need to do anything.
immediately. If you didn't authorize a change of address, contact us immediately by cAling the
number liste-d above, if you prefer, you can write us at the address hied above:
however, we can process your information more quickly if you call. Please include a
(ivy of this notice with any wallet; communication.
What you need to know If we find any issues With an account we send a letter or notice to your address of
record. We strongly caution any employer aga lizst changing the address of record to
that of a payroll service provider or other third party as it may significantly limit the
employer's ablity to be informed of tax matters invoMog the business. The employer is
ultirnately responsible for depositing and paying all federal employment tax fiabilities.
;or more information, visit wvoicirs.gov and search keywords, 'Change of Address or
"Outsourdng Payroll Dutiff,"
Additional information • Visit www.irs.gov/cp1418a.
• for tax forms, instructions, and pubficatIons r visit sview.irs.gov or rag
1-800-TAX-FORM (1400-829-3676).
• Keep dils mace for yoUr records.
IP/ need assistance, please don't hesitate to Contact us.
Central Arizona Dental Society Foundation
March 21, 2016 5300 N. Central Ave.
Phoenix, AZ 85012
Dear Mrs. Castaneda,
Some of our patients have not been able to eat solid food for 10 years; suffering and in pain, they sleep in
chairs for days to receive dental care at the Arizona Dental Mission of Mercy annual two-day event.
Using a mission of mercy model of volunteer-based dental healthcare delivery, the Central Arizona
Dental Society Foundation’s 1,500 volunteers perform at capacity, over a short period of time to
provide as many dental healthcare procedures for as many patients as possible.
In 2011, five dentists who wanted to provide basic oral care to men, women and children who could not
afford or access healthcare founded the Central Arizona Dental Society Foundation (CADSF). In 2012, the
first Arizona Dental Mission of Mercy (AZMOM) program provided patients with basic dental care such as
oral exams, x-rays, extractions, and fillings. In 2015 the program expanded and was able to restore entire
mouths with complete dentures and crowns, end disease by surgical removal of erupted teeth, and
eliminate pain for over 1,800 patients.
Barriers to dental health care have health implications, but there is also social and economic impact as
well. Anyone who has had access to dental health care knows the social and economic benefits of a
presentable smile. And, conversely, those who have dental disease, damaged, or no teeth have
experienced the shame and embarrassment of poor appearance.
These statistics drive our vision to improve the quality of life for those who suffer from dental disease:
• One out of every two American adults aged 30 and over has periodontal disease, (Centers for
Disease Control and Prevention)
• More than 35 million Americans do not have any teeth, 178 million are missing at least one tooth
(American College of Prosthodontists)
• Oral cancer kills one American every hour of every day (National Cancer Institute)
Lack of dental care can lead to tooth decay and other oral problems. That, in turn, can cause systemic
health issues such as kidney and cardiovascular problems. Poor oral health has a negative effect on birth
outcomes and can exacerbate heart disease, diabetes and other conditions. Decayed, broken and/or
missing teeth also affect self-esteem, employability and communication skills. The good news is that most
decay is treatable and oral diseases are preventable.
The AZMOM, an ongoing program, meets Ft. McDowell Yavapai Nation’s healthcare funding priority. Our
dentists may be the only dental healthcare provider our patients ever see. In 2014, 4% of patients
reported that they could not remember the last time they went to a dentist, for 14% it had been more
than 10 year, and 28% had not been to a dentist in 1 to 3 years.
According to Dr. Pat Rabot, Phoenix Oral Surgeon, “Arizonans suffer from higher rates of dental disease
than many other states, and the Dental Mission of Mercy can provide critical dental care to those who
need it most.” Because AZMOM is capable of addressing this need, the CADSF respectfully requests
$10,000 for this dental mission of mercy.
Because team players can accomplish more, the Central Arizona Dental Society Foundation also fulfills its
mission by continuing to build its community partnerships with the Arizona Department of Health,
Larell dentures, AT Still University, Phoenix Endodontic Group, Price Kong, Delta Dental Foundation, and
others. In 2016, CADSF expanded access even more through a partnership with CityServe’s HopeFest, a
medical mission of mercy, where CADSF volunteers will provide dental care to an additional 400 patients.
The key objectives of the Dental Mission of Mercy program are to eliminate infection, reduce pain, and
provide oral healthcare education for future self-care. This is done by providing the highest quality dental
care performed by hundreds of trained dental professionals volunteering over a two-day period. The
program runs 11 hours a day, for two-days, once a year.
Patients are treated based on the most urgent need, with infection control and pain elimination as the
priority. Secondarily, we will provide restorative services when possible, and if not possible on site
referrals will be given for follow-up care with our partner community dentists.
Planning and funding for the event takes place year-round. Timeline - Jan. to March: program review,
surveys compiled and reviewed, reports created, budget development; April – June: volunteer
recruitment, fundraising strategies reviewed and updated; July – Sept.: venue and logistics review, Lead
volunteer meetings/training, inventory; Oct – Dec.; final logistics, supplies/equipment confirmed &
ordered. Event is December 9th & 10th, 6 a.m. to 5 p.m. each day.
In 2015, 1,467 volunteer dentists, dental assistants and community members provided 13,716 dental
procedures, valued at $1.944 million to 1,825 men, women and children. Services included partial
dentures, full dentures, root canals, extractions, fillings, x-rays, dental cleanings and crowns. For more
information you may visit our website at www.azmom.org.
We estimate that in 2016, 2,000 men, women and children will receive dental care through the program
to be held on December 9th and 10th 2016 at the Arizona State Fairgrounds, Veterans Memorial Coliseum
in Phoenix. Requested funds will be used to help underwrite the operating cost of the 2016 program
including renting dental chairs, instruments, sterilization equipment, and purchasing supplies.
In 2016, CADSF will, for the first time, submit applications to the Gila River Indian Community and
Tohono-O’odham Nation through The Arizona Tribal-State Gaming Compact. Grant support has been
received in the past from the Salt River Pima-Maricopa Indian Community.
Confirmed Funds in support of the 2016 Dental Mission of Mercy program include: $5,000 United
Concordia Dental, $5,000 CNA Foundation, $5,500 CADSF Board Members, $4,000 Arizona Dental
Association Members.
On behalf of our board of directors and those we serve, I thank you in advance for considering
this request.
Sincerely,
Kevin Conroy
Kevin Conroy
Executive Director
CADSF
Attachments: Program Budget, 501© 3 letter, Board List
Local government contact: Amanda Nash, Maricopa County, 301 W. Jefferson, 10th Fl., Phoenix, AZ
85032 (602) 506-4485 nasha001@mail.maricopa.gov
Organization contact: Liz Toth, Central Arizona Dental Society Foundation, 5300 N. Central Ave.,
Phoenix, AZ 85012 (602) 567-3617 info@azmom.org
Central Arizona Dental Society Foundation
FY'15-'16 AzMOM Program Budget
AzMOM Program
Budget
Income
43410 · Corp & FoundationContributions $100,000
43415 · Corp & Foundation Contributions- Restricted $75,000
43450 · Individual Contributions $34,000
43451 · Special Events $0
45030 · Interest-Savings, Short-term CD $0
Total Income $209,000
Expense
62145 · ADCF (Dental Chair Rental) $45,000
62147 - Executive Director $14,000
65040 · AZMOM Event Non Dental Supplies $18,000
62842 · Storage $1,600
62840 · Equip Rental and Maintenance $13,500
65015 · Dental Equipment $25,000
65030 · Printing and Copying $1,350
65040 · Dental Supplies $37,000
65050 · Telephone, Telecom $1,400
65062 · Program coordinator $38,000
65064 · Car Allowance $3,600
65070 · Event Food $7,500
65160 · Delivery Charges (two Men in a Truck) $2,000
68320 · Travel & Meetings $1,000
Total Program $208,950
Net Income $50
INTERNAL REVENUE SERVICE DEPARTMENT OP THE TREASURY
P. O. BOX 2508
CINCINNATI, OR 45201
Date: Employer Identification Number:
alti 0 6 nit 27-4537263
DLN:
17053130334021
CENTRAL ARIZONA DENTAL SOCISTY Contact Parson:
C/O FOUNDATION PATRICE° RAEOT JENNIFER =COLIN ID* 95152
Contact Telephone Number:
3193 NORTH DRINKNATER BLVD (877) 829-5500
SCOTTSDALE, AZ 85251
Accounting Period Ending:
December 31
Public Charity Status;
170(b) (1) (A) (vi)
Fern 990 Required:
Yee
Effective Date of Exemption:
December 29, 2010
Contribution Deductibility:
Yes
Addendum Applies:
No
Dear Applicant:
We are pleased to inform you that upon review Of your application for tax
exempt status we have determined that you are exempt fron.Fedexal income tax
under section 501(c)(3) of the Internal Revenue Code. Contributions to you are
deductible under section 170 of the Code. You are also qualified to receive
tax deductible bequests, devisee, transfers or gifts under section 2055, 2106
or 2522 of the Code. necduna this letter could help resolve any questions
regarding your exempt statue, you should keep it in your permanent records.
Organizations exempt under section 501(c)(3) of the Code are further classified
as either public charities or private foundations. We determined that you are
a public Charity under the Code section(s) listed in the beading of this
letter.
Please see enclosed Publication 4221-PC, Compliance Guide for 501(c)(3) Pdblic
Charities, for some helpful information about your responsibilities as an
exempt organization.
Letter 947 (.000/47rn
-2-
CENTRAL ARIZONA. DENTAL SOCIETY
We have gent a copy of this letter to your representative as indicated in your
power of attorney.
Sincerely,
(t . 44,40.5.42.446.00
cdte40
Lois G. Lern r
Director, Exempt Organizatione
Enclosure; Publication 4221 -PC
Letter 947 (DO/CU)
Department of Treasury tVocti C1)148A
internal Revenue Service itooII June 22, 2015
Ogden UT 84201-0038
IRS ertployer H mode( Z7.4537263
To contact us Name 1.800.829-0115
Page I of I
3S0416.414 ,524.122011.15110I 0.41,‘ 311
diplinlilltill ibilaullirli11111111111/11111111141/*4101
CENTRAL ARIZONA DENTAL SOCIETY
% PATRIC-0 RABOT
5300 N CENTRAL AVE STE 200
MEND{ AZ 85012-1492
3SO4is
We changed your mailing address
We processed a request to change your address What you need to do
to the address shown above. Om didn't
authorize an address change, please contact us 111P address change is COMM you don't need to do anything.
immediately. If you didn't authorize a change of address, contact us immediately by cAling the
number liste-d above, if you prefer, you can write us at the address hied above:
however, we can process your information more quickly if you call. Please include a
(ivy of this notice with any wallet; communication.
What you need to know If we find any issues With an account we send a letter or notice to your address of
record. We strongly caution any employer aga lizst changing the address of record to
that of a payroll service provider or other third party as it may significantly limit the
employer's ablity to be informed of tax matters invoMog the business. The employer is
ultirnately responsible for depositing and paying all federal employment tax fiabilities.
;or more information, visit wvoicirs.gov and search keywords, 'Change of Address or
"Outsourdng Payroll Dutiff,"
Additional information • Visit www.irs.gov/cp1418a.
• for tax forms, instructions, and pubficatIons r visit sview.irs.gov or rag
1-800-TAX-FORM (1400-829-3676).
• Keep dils mace for yoUr records.
IP/ need assistance, please don't hesitate to Contact us.
2016 Central Arizona Dental Society Foundation Board of Directors Roster
Title First Last Specialty Business Name Title CADSF Office
Dr Jacqueline Allen Endodontist Phoenix Endodontic Group Owner President
North Scottsdale Center for Oral &
Dr Pat Rabot Oral Surgeon Maxillofacial Surgery Owner Past-President
Dr Fred Olsen General Dentistry Fred B Olsen DDS, PLLC Owner President- Elect
Dr Brett Dameron General Dentistry Phoenix Cosmetic Dentistry Owner Secretary
Mr Anthony Kong CPA Price-Kong, CPA's, Consultants President Treasurer
Ms Paula Aguayo Attorney Law Firm of Paula D. Aguayo Owner Director
Mr Michael Roelandts Dental services Pacific Dental Services Regional Manager Director
Dr Gary Jones General Dentistry Gary O. Jones, D.D.S. Owner Director
Dr Martin Margetis General Dentistry Martin Margetis, D.D.S. Family Dentistry Owner Director
Dr Terry Ramsey Pedodontist Children's Dental Specialists Owner Director
Dr. Nafys Samandari General Dentistry A Reason To Smile: Samandari N DDS Owner Director
Rep. Paul A. Gosar Arizona House of Representatives AZ State Rep. District 4 Ex-Officio Member
Mr Kevin Earle Arizona Dental Association Executive Director Ex-Officio Member
Mr Jay Connors Patterson Dental Foundation Branch Manager Ex-Officio Member
Mr Tom Lavin Henry Schein District Manager Ex-Officio Member
Mr. Robert Lehm Benco Regional Manager Ex-Officio Member
Last updated: 03/07/2016
Page 1
General information
Organization American Red Cross
Contact First name Barbara
Contact Last name Carey
Contact e-mail barbara.carey@redcross.org
Contact phone number 602-347-6508
Address
Street 4747 N. 22nd St., Suite 100
City Phoenix
State AZ
ZIP Code 85016
From what tribe is the organization requesting the grant?
Fort McDowell Yavapai Nation
Total grant amount request
100,000.00
1 of 1
IRS Department of the Treasury
Internal Revenue Service
P.O. Box 2508 In reply refer to: 0248219411
Cincinnati OH 45201 Jan. 15, 2016 LTR 4205C 0
53-0196605 000000 00
00016028
BODC: TE
AMERICAN NATIONAL RED CROSS
SHARED SERVICES CENTER
% JENNIFER HAWKINS
2025 E ST NW
WASHINGTON DC 20006
020256
Employer Identification Number: 53-0196605
Person to Contact: Laura A. Botkin
Toll Free Telephone Number: 1-877-829-5500
Dear Taxpayer:
This is in response to your Jan. 06, 2016, request for information
regarding your tax-exempt status. You have represented that you are
a chapter, branch or auxiliary of the American National Red Cross.
Our records indicate that in December 1938, the American National Red
Cross was held to be exempt from Federal income tax under section
101(6) of the Internal Revenue Act of 1938, which now corresponds to
section 501(c)(3) of the Internal Revenue Code. In a subsequent
determination, the American Red Cross was classified as a publicly
supported organization described in sections 509(a)(1) and
170(b)(1)(a)(vi) of the Code.
Even though the American National Red Cross was issued an individual
ruling, this ruling covers its chapters, branches, and auxiliaries.
Donors may deduct contributions to you as provided in section 170 of
the Code. Bequests, legacies, devises, transfers, or gifts to them
or for their 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 letter.
Sincerely yours,
/9 4iieviize
Doris Kenwright, Operation Mgr.
Accounts Management Operations 1
Fort McDowell Yavapai Nation: 2016 Arizona Benefits Fund Grant Application
Applicant Information: Primary Contact:
American Red Cross of Greater Phoenix Barbara Carey, Grants Manager
4747 N. 22nd St., Suite 100 barbara.carey@redcross.org
Phoenix, AZ 85016 (602) 347-6508
Narrative:
The project we propose to the Fort McDowell Yavapai Nation — American Red Cross Community
Services — requests that you partner with us, focusing in particular on service delivery and the Home Fire
Preparedness Campaign and Disaster Cycle Services.
Delivering Our Mission: Humanitarian Services Fleet Vehicles
For the past century, the American Red Cross in Arizona has been delivering help and hope to neighbors
down the street and throughout our state. We provide relief in the form of shelter, food and supplies to
families that have lost everything to disasters. We offer the skills and confidence needed to save lives in
an emergency. And we support members of the military, veterans and their families throughout their
service and beyond. With nearly 500 chapters nationwide, every community can count on the Red Cross
to fulfill our promise to alleviate human suffering in the face of emergencies.
Fueled by the power and generosity of thousands of volunteers, the Red Cross stands ready to respond
and deliver our mission 24 hours a day, seven days a week and 365 days a year. We rely on a fleet of
more than 3,100 vehicles to deliver these vital services across the country. Vehicles are used to transport
volunteers, shelter supplies, food and other relief items to disaster sites, including fires, floods and other
natural disasters. They're also instrumental in delivering necessary supplies to health and safety trainings.
Furthermore, we utilize our vehicles to deliver comfort and care items to service members, veterans and
their families. Our fleet of vehicles is on the road every day helping us carry out our humanitarian
mission.
Maintaining a reliable, high-quality vehicle fleet is critical to our programs and services. Our vehicle fleet
includes sedans and wagons, cargo and passenger vans, box trucks and heavy-duty trucks. Each vehicle
travels an average of 18,000 miles each year and can be on the road for up to eight years. Unfortunately,
many current vehicles have reached or exceeded their lifespan. Some are experiencing mechanical
problems and must be replaced in order to meet the needs of the communities we serve.
We are seeking the support of the Ft. McDowell Yavapai Nation to improve our Humanitarian Services
vehicle fleet by adopting a vehicle at the Greater Phoenix Chapter, underwriting the maintenance and fuel
costs, helping us continue our lifesaving legacy in Maricopa and Final Counties.
We respectfully request that the Ft. McDowell Yavapai Nation allocate $35,000
to adopt a vehicle in our Red Cross Humanitarian Services fleet in Maricopa and Pinal counties.
Through partnership with the Ft. McDowell Yavapai Nation, our goal is to maintain our mission-critical
fleet and, most importantly, remain constantly ready to respond at a moment's notice.
Home Fire Preparedness: Reducing Injuries and Deaths from Home Fires by 25%
Nearly 1,000 times a day, fire departments are called to a home fire. Someone dies in a home fire seven
times each day, and a fire-related injury is reported every 45 minutes. Additionally, more than $8.1 billion
worth of property is destroyed by home fires every year. ("Home Fire Structure Fires," National Fire
Protection Association, 2013 and 2014) The Red Cross is working to drastically reduce these statistics
through the Home Fire Preparedness Campaign (HFPC). Working with national, state, regional and local
Ft. McDowell Yavapai Nation Grant Application March 2016
partners, this organization-wide campaign combines grassroots neighbor-to-neighbor engagement with
comprehensive marketing and public relations outreach to decrease injuries and needless loss of life by
reducing the number of home fires. Through the campaign, we are canvassing communities, with
particular focus on areas with populations more vulnerable to home fires, providing lifesaving fire
prevention and preparedness information and tools. We also reach youth in schools and after-school
programs with these tools and information, and we seek to leverage our marking and communication
vehicles to encourage people to take action and become more prepared.
Annually, nearly 2,500 people die and 13,000 people are injured nationwide as a result of home fires.
(National Fire Protection Association, 2013) By 2020, the Red Cross Home Fire Preparedness Campaign
aims to visit more than 1.6 million homes nationwide to install and test smoke alarms, complete home
safety checklists and help families develop an escape plan, and ultimately reduce the number of fire
deaths and injuries in the U.S. by 25 percent. To date, we are proud to claim 77 lives saved as a direct
result of ITFPC efforts.
Taking advantage of our role as a convener, the Red Cross has engaged a coalition of national, state,
regional and local partners in the HFPC, thus broadening our reach and enhancing our impact. We work
with fire departments, faith-based institutions, schools, neighborhood leaders, corporate partners and
others to serve as local campaign advocates and help us effectively communicate a message that resonates
in the community. Activities include:
• Canvassing Neighborhoods: Visiting homes to install smoke alarms, create escape plans and complete
fire safety check lists.
• Engaging Youth: Leveraging programs like the Pillowcase Project and the Paradigm Challenge to
reach youth with fire safety messaging.
• Generating Awareness: Leveraging advertising, social media and earned media to share preparedness
and prevention messages.
In Arizona, Red Cross volunteers, disaster cycle services staff and our community partners are working
with local fire departments to identify high-risk communities and are providing free smoke alarms, fire
prevention tips and disaster plans to households throughout the state. We're recruiting and training teams
of bilingual volunteers to reach out to all of our communities. In Fiscal Year 2015, through I-IFPC
activities, the Greater Phoenix Chapter teams (Maiicopa and Pinal counties) made 1002 in-home visits,
served 3404 persons, installed 1188 smoke alarms, replaced 267 batteries, assisted 865 families, and
engaged 649 3"d to 5th graders through Pillowcase Preparedness presentations. Our goals for FY16 include
installation of 1750 smoke alarms and interaction with 1680 youth through Pillowcase Preparedness.
We respectfully request that the Ft. McDowell Yavapai Nation allocate $65,000
to support Home Fire Preparedness and engage Arizonans in this life-saving campaign.
The overall goal — reducing the number of fire deaths and injuries in the U.S. by 25 percent in five years —
is ambitious. Your Red Cross is committed to meeting the needs of disaster victims and increasing
disaster preparedness in communities across the nation. Immediate response by our disaster volunteers
and smoke alarm installations reach our most vulnerable citizens, meeting their needs, empowering their
recovery, and providing meaningful opportunities for all of us to be part of the solution: Sleeves up,
hearts open, all in to save lives.
Ft. McDowell Yavapai Nation Grant Application March 2016
Funding priority:
Seen through the lens of the priority areas identified by the Ft. McDowell Yavapai Nation, American Red
Cross humanitarian services, with their emphasis on saving lives, relate most directly to health with
secondary linkage to public safety and education.
The Home Fire Preparedness initiative, with its emphasis on reduction of injuries and deaths due to home
fires, represents the ultimate in health care and public safety. And for the cases where a home fire does
occur, first responders and local law enforcement know that the Red Cross will respond promptly and
reliably, providing those immediate emergency services which are vital components of the health and
safety of the victims and the community at large. In the case of a larger response where a respite center or
shelter is opened, the critical role of health care services and public safety is magnified, as the Red Cross
works with local government, emergency management agencies and community organizations to
coordinate the immediate sheltering and feeding of affected populations, providing a safe and secure
environment for disaster victims. Finally, education/preparedness is an over-arching component in all of
our services, in particular through Pillowcase Preparedness and family fire safety and fire escape
planning.
Timetable:
The American Red Cross has been serving the residents of Arizona for 100 years, so in that sense this is a
continuing project, as our efforts are constant and ongoing. The Home Fire Preparedness Campaign is a
five year initiative which began in October 2014.
The timetable for this grant application is for the upcoming fiscal year, namely July 1, 2016 through June
30, 2017. This timeline can be flexible in the sense that it can cover any 12-month period, for example
starting on the date when funds would be awarded.
Funding from Tribal Entities:
We have applied for funding from the Gila River Indian Community. We anticipate applying to the Salt
River Pima Indian Community.
Ft. McDowell Yavapai Nation Grant Application March 2016
the Maricopa homes safety fire advertising, associated
to particular, in the Ft. —visiting fire Pillowcase with and emergency also
Yavapai fleet critical seek to and, in efforts within complete youth leveraging preparedness while injuries
vehicle Greater counties. is not underwrites and like reach immediate disasters and
McDowell Services at the Pinal fleet does but vehicle. Services underwrite permission neighborhoods plans programs to — vital the deaths
Ft. vehicle and vehicle request have a Cycle will your canvass escape Challenge awareness share meet human-caused reducing
of the Humanitarian fleet Maricopa high-quality This we fuel for Disaster Campaign with to create leveraging generate media to seek to or of 2020.
support of a serving services. of vehicles and Cross including Nation, you — Paradigm to We natural goal by
the our adoption reliable, and number costs Red Preparedness alarms, engage and the and earned messages. of meet our by 25%
seeking improve the Chapter, a maintenance of counties, Yavapai smoke to messaging; and victims to fires
are to Phoenix Maintaining programs the support Fire Pinal McDowell install lists; Preparedness media prevention of stretching home
We Nation through our expand the Your Home and to check safety social needs with
Chapter Fire 1,598,306 10,858 1,609,164 581,547 180,690 60,886 407,806 8,701 18,311 55,525 140,128 26,462 86,024 43,084 1,609,164
Home Disaster
Phoenix the
Greater includes Total 2,976,326 14,849 238,268 1,022,393 5,004 4,256,840 1,828,690 591,556 172,338 418,496 59,679 110,796 103,753 326,283 262,386 253,028 106,133 23,702 4,256,840
the which Chapter
for
Phoenix budget Services,
Greater the Cycle Revenue Rentals
of Budget represent Disaster Federated Endowments REVENUE & units EXPENSES
Red Cross below and for Campaign. and Income Services BUDGETED Benefits Meetings Assistance Materials Maintenance Occupancy Fees Services other ARC BUDGETED
American Condensed figures whole Preparedness REVENUE Fundraising Investment Income From Contracts Products & Revenues EXPENSES Compensation Employee & Financial Supplies Program Equipment Buildings & Professional Contractual Depreciation to
FY16 The as a Other TOTAL Travel Support TOTAL
Created: 03/08/2016
Last updated: 04/01/2016
Page 1
General information
Organization Community Information and Referral Services
Contact First name Catherine
Contact Last name Rea
Contact e-mail crea@cir.org
Contact phone number 602.263.8845
Address
Street 2200 N. Central Ave Suite 211
City Phoenix
State AZ
ZIP Code 85004
From what tribe is the organization requesting the grant?
Fort McDowell Yavapai Nation
Total grant amount request
50,412
1 of 1
4." 1/41 M IRS Internal Department Revenue of the Treasury Service
P.O. Box 2508 In reply refer to: 0248344558
Cincinnati OH 45201 Mar. 10, 2015 LTR 4168C 0
86-0374813 000000 00
00017223
BODC: TE
COMMUNITY INFORMATION AND REFERRAL
SERVICES
2200 N CENTRAL AVE
PHOENIX AZ 85004
016912
Employer Identification Number: 86-0374813
Person to Contact: Mr. Burns
Toll Free Telephone Number: 1-877-829-5500
Dear Taxpayer:
This is in response to your Feb. 27, 2015, request for information
regarding your tax-exempt status.
Our records indicate that you were recognized as exempt under
section 501(c)(3) of the Internal Revenue Code in a determination
letter issued in January 1980.
Our records also indicate that you are not a private foundation within
the meaning of section 509(a) of the Code because you are described in
section(s) 509(a)(1) and 170(b)(1)(A)(vi).
Donors may deduct contributions to you as provided in section 170 of
the Code. Bequests, legacies, devises, transfers, or gifts to you or
for your use are deductible for Federal estate and gift tax purposes
if they meet the applicable provisions of sections 2055, 2106, and
2522 of the Code.
Please refer to our website www.irs.gov/eo for information regarding
filing requirements. Specifically, section 6033(j) of the Code
provides that failure to file an annual information return for three
consecutive years results in revocation of tax-exempt status as of
the filing due date of the third return for organizations required to
file. We will publish a list of organizations whose tax-exempt
status was revoked under section 6033(j) of the Code on our website
beginning in early 2011.
March 24, 2016
Mrs. Selena Castaneda
Tribal Secretary Fort McDowell Yavapai Nation Tribal Council
P.O. Box 17779
Fountain Hills, AZ 85269
Attn.: Prop 202 Grant Application
Dear Mrs. Castaneda:
Community Information and Referral Services (CIR) was founded in 1964 and incorporated in 1979 as a
501(c)(3) nonprofit organization. CIR's mission is "CIR transforms lives by linking individuals and
families to vital community services throughout Arizona", and our vision is that "All Arizonans are easily
connected to available health and human services in their communities". Prior to 2011, CIR existed as an
information and referral center for health and human services primarily for Maricopa County. With
Arizona as the last state to have a 211 system, CIR's 2-1-1 Arizona program was created in 2011 and is
now a continuing program in its 4th year of existence. 2-1-1 Arizona is the main source for health and
human service information and referrals in the State of Arizona. With currently over 37,000 services
available in our statewide resources database, 2-1-1 Arizona fulfilled over 1.3 million service requests in
FY 2015 through the 2-1-1 call center, website at www.211arizona.org , Interactive Voice Response
(IVR) system, and iPhone and Android applications.
2-1-1 Arizona provides callers with information and referrals to basic human needs, physical and mental
health resources, employment support, older adult and persons with disabilities referrals, children, youth
and families support, volunteer opportunities and donations, and especially health services as an identified
priority area of the Fort McDowell Yavapai Nation. During 2015, 2-1-1 Arizona provided healthcare
referrals to over 7,000 callers and over 88,000 web searchers. During 2016, 2-1-1 Arizona expects to
assist low to moderate income Arizonans in similar numbers to 2015 quantities.
As the only 211 call center for the State of Arizona, and nationally accredited with the most
comprehensive database of services and providers, the need that 2-1-1 Arizona fulfills is the ability to
connect people to available health, human, community, government and disaster relief services in a free
and efficient manner. Our database contains over 37,000 available services and we work with nearly
10,000 providers who depend on 2-1-1 for efficient and confidential information and referrals.
Our largest funder is the Valley of the Sun United Way with additional funding from United Way of
Northern Arizona, United Way of Yuma County; the cities of Peoria, Tempe and Goodyear; Season for
Sharing, and a contract with the Arizona Department of Housing. During 2016 an application was
Mission:
CIR transforms lives by linking individuals and families to vital community services throughout Arizona.
Vision:
All Arizonans are easily connected to available health and human services in their communities.
submitted for the Gila River Community Grant. 2-1-1 Arizona has been engaged in advocacy efforts
towards a state-wide funding appropriation through the Arizona legislature.
2-1-1 Arizona is requesting $50,412 for FY 2016 to enhance call center capacity by increasing direct
service to callers, and thereby adding hours of availability for guided assistance to callers. Currently, due
to increasing demand for services, 2-1-1 Arizona is experiencing an average 25% call abandonment rate.
Funding from the Fort McDowell Yavapai Nation would greatly assist in increasing tribal resources
accessibility and fulfilling service requests to 2-1-1 Arizona callers, in addition to all the other programs
that depend on us for referrals.
We greatly appreciate and thank you for this opportunity. Please contact me directly with any further
information needed at 602.263.8845 ext. 111 or CRea@cir.org.
My Best Regards,
Catherine Rea
Chief Executive Officer
Mission:
CIR transforms lives by linking individuals and families to vital community services throughout Arizona.
Vision:
All Arizonans are easily connected to available health and human services in their communities.
Attachment:
2-1-1 Arizona
Fort McDowell Grant Application Budget
Service Amount
1.0 FTE 2-1-1 AZ Call Specialist $25,000
.25 FTE Resource Specialist 12,000
Sub Total 37,000
Employee Related Costs 25% 9,250
Sub Total 46,250
Administration 9% 4,162
Total: $50,412
Mission:
CIR transforms lives by linking individuals and families to vital community services throughout Arizona.
Vision:
All Arizonans are easily connected to available health and human services in their communities.
Last updated: 03/14/2016
Page 1
General information
Organization Buckeye Valley Rural Volunteer Fire District
Contact First name Paul
Contact Last name Albertson
Contact e-mail palbertson@aol.com
Contact phone number 623-386-5906
Address
Street 25206 W. MC 85 (P.O. Box 75)
City Buckeye
State AZ
ZIP Code 85326
From what tribe is the organization requesting the grant?
Fort McDowell Yavapai Nation
Total grant amount request
168,500
1 of 1
From: Lori Meclaris - COBX <meclarisligmail_meiricop@.gov>
To: paltirt$on <palb.ertson0aol.corn>
Subject: Special Districts
Date: Mori, Mar 14, 201134:21 pm
Mr_ Alb-ertson,
I think what you are asking for I's in ARS 48-271M) as seen below. Please let rrle know if thiS will suffice. If
not, I will continue to look through the statutes in the morning_
11 For purposes of this section, a special district is any entity proposed to be established on or after
January 1. 1989 with substantially the following characteristics:
1. The status of a political subdivision of this state vested with the rights, privileges and immunities of
a municipality to the extent conistent with its stated purposes.
2. A limited purpose as stated in its authorizing statutes.
3. An independently elected governing body.
4. Exterior boundaries within or coterminous with a single county.
5. The power to impose and collect taxes.
6. Perpetual succession of its governmental existence, purpose, powers and governing body, subject to
a prescribed dissolution procedure.
7. Corporate existence separate and apart from any other unit of government.
Sincerely,
Lori _Medal-is
Management Analyst, Special Districts
Office of the Clerk of the Board
Maricopa County
602-506-3417
nieda ris_lnimailinatisopa.cm
From: Lori Medaris - COBX 4mederisl@rrhail.rriaricopa.gov5.
To: p2lbertson peiltiertscri@aci.com >
Sublet! Fire Districts
Date: Tue, Mar 15. 2016 10:10 am
Mr_ Albertson,
I. found the following ARS 41-2251(12) that identifies a fire district as a special district. More importa.ndiy, fire districts
isre formed and governed by Title 48 Chapter 5 of the ARS which are specific to special districts which you can review
at hitIpliwww.azleg.goviArizonaRevisedStalwifOd aso?Title=40.
I 2. "Special district" means any of the followkig entities established pursuant to titte 48:
(a) Municipal improvement district,
(b Fire district
(e) County improvement district.
(d) Special road district.
(Fe) Sanitary district,
(f) Drainage or flood protection district.
(g) County flood control district.
(h) County jail district
(i.) Reizional public transportation autkoriry_
(i) Regional transportation authority.
I hope this is helpful. If you have any more questions, please contact me at any time.
_Lori Nedaris
Management Analyst, Special Districts
Office of the Clerk of the Board
Maricopa County
602-506.3417
meda.TisiZrnaii.rnaricomaxiov
in onier tic help us provWe the best possible service, we would appreciate your response to the following
questions:
1 Did you receive a response in a timely manner?
ro, IRS internal DeparEmn et RIM-1We te it Senile!.
P.O. Box 2508 In reply refer to: 0752153521
Cincinnati OH 45201 Mar. 09 r 2016 LTR 016C 0
86-0466622 000000 00
Input Op: 0752153521 00022755
BODC: TE
BUCKEYE VALLEY RURAL VOLUNTEER FIRE
DISTRICT
PO BOX 75
BUCKEYE AZ 85326-0006
15151.
Federal Identification Number: 86 - 0466622
Person to Contact l Customer Service
Toll Free Telephone Number: 1 - 877 - 829 - 550-0
Dear BUCKEYE VALLEY RURAL VOLUNTEER:
This responds to your request for information about your federal tax
status. Our records do not specify your federal tax status. However,
the following general information about the tax treatment of state
and local governments and affiliated organizations may be of interest
to vou.
GOVERNMENTAL UNITS
Governmental units, such as States and their political subdivisions,
are not generally subject to federal income tax. Political
subdivisions of a State are entities with one or more of the
Lap powers of . the State such as the power to tax. Typically
they include counties or municipalities an ies or
departments. Charitable contributions to governmental units are
tax-deductible under section 170(c)(1) of the Internal Revenue Code
if made for a public purpose.
ENTITIES MEETING THE REQUIREMENTS OF SECTION 115(1)
An entity that is not a governmental unit but that performs an
essential government function may not be subject to federal income
tax, pursuant to Code section 115(1). The income of such entities is
excluded from the definition of gross income as long as the income
(1) is derived from a public utility or the exercise of an essential
government functlon, and (2) accrues to a State, a political
subdivision of a State, or the District of Columbia. Contributions
made to entities whose income is excluded income under section 115
may not be tax deductible to contributors.
TAX-EXEMPT CHARITABLE ORGANIZATIONS
An organization affiliated with a State r county, or municipal
government may qualify for exemption from federal income tax under
section 501(c)(3) of the Code, if (1) it is not an integral part of
the government, and (2) it does not have governmental powers
inconsistent with exemption such as the power to tax or to exercise
enforcement or regulatory powers). Note that entities may meet the
requirements of both sections 50.1(c)(5) and 115 under certain
circumstances. See Revenue Procedure 2E103-12, 2003-1 C.B. 316. ,..1.1100 -
0752153521
Mar. 09, 2016 LTR A076C 0
86-0466622 000000 00
Input Op; 0752153521 00022754
BUCKEYE VALLEY RURAL VOLUNTEER FIRE
DISTRICT
PO BOX 75
BUCKEYE AZ 85326-0006
Most entities must file a Form 1023, Application for Recognition
of Exemption Under Section 501(c))(3) of the Internal Revenue Code,.
to request a determination that the organization is exempt from
federal income tax under 501(c)(3) of the Code and that charitable
contributions are tax deductible to contributors under section'
170(c)(2). In addition, private foundations and other persons
sometimes want assurance that their grants or contributions are made
to a governmental unit or a public charity. Generally, grantors and
contributors may rely on the status of governmental units based on
State or local law. Form 1023 and Publication 4220, Applying for
501(c)(3) Tax-Exempt Status, are available online at www.irs.govieo.
We hope this general information will be of assistance to you. This
letter, however, does not determine that you have any particular
tax status. If you are unsure of your status as a governmental unit
or state Institution whose income is excluded under section 115(1)
you may seek a private letter ruling by following the procedures
specified in Revenue Procedure 2007-1, 2007-1 1.R.B. 1 (updated
annually).
If you have any questions, please call us at the telephone number
shown in the heading of this letter.
Sincerely yours,
Teri M. Johnson
Operations Manager, AM Dps. 3
Buckeye Valley Rural Volunteer Fire District
dba Buckeye Valley Fire District
25206 W. US Hvey 85, Buckeye AZ 85326
Phone: (623) 386-5906
Chad Lancaster —C'hairperson. Roger Wallace- Bowl Clerk,
Daniel Richardson- Member. Michael Rose -Member
Mike Duran —Fire Chief
March 28, 2016
Mrs, Selena Castaneda
Tribal Secretary
Fort McDowell Yavapai Nation Tribal Council
P.O. Box 17779
Fountain Hills, AZ 85269
Dear Secretary Castaneda.
For the 2016 Fort McDowell Nation 12% Grant Program application period, the Buckeye Valley Rural Volunteer
Fire District (BVFD) is requesting an amount not to exceed $168,500 for the acquisition of a Replacement Water
Tanker. BVFD has entered into an agreement with Maricopa County to receive this funding. Below is the contact
information.
Maricopa County Contact: Buckeye Valley Rural Volunteer Fire District Contact
Melody Henderson, Government Relations Mike Duran, Fire Chief
Phone: (602)506-2796 Phone: (623) 386-5906
Fax: Fax: (623)386-5766
Email: inhenders@maiLmaricopa.gov Email: mikeduran@cox.net
Mailing Address: 301 W Jefferson, 10 th Floor Mailing Address: PO Box 75
Phoenix, AZ 85003 Buckeye, AZ 85326
This acquisition will be part of a continued program. The funds provided would help BVFD purchase a new
Nvater tanker that will replace a tanker which was placed out of service. It had an extended life cycle, parts were
hard to find, and it was frequently out of service for extended periods of time for repairs.
This tanker will fall under the Public Safety and Environment priority areas. It will be used to suppress fires to
help protect people, property, and the delicate Sonoran ecosystem.
The district has rapidly transitioned from a rural agency to an all-hazards suburban fire district that provides fire
protection for 220 square miles. There were 10,267 calls for service in 2014/2015. An article in the trade
magazine FireRescue published in 2012 stated "More people are building houses in wildlandiurban interface and
in areas that we once thought of as farmland—areas that don't have the benefit of a fixed water system." It goes
on to say, "One of the only effective methods we have to get water to these locations is to haul it in tankers,"
According to the Federal Emergency Management Agency, rural communities have a fire death rate twice the
national average.
1
According to the Federal Emergency Management Agency, rural communities have a fire death rate twice
the national average. This tanker will increase BVFD's ability to respond to these threats. The district has
a lot at risk, including 13 threatened and endangered species, 3 protected riparian zones, lives and property.
In the Buckeye Valley Fire District, dependable water sources are few and far between, Buckeye Valley
tankers are also frequently requested in other jurisdictions.
This much needed piece of equipment would provide water for firefighting in the wildland as well as for
structures where water is scarce. Emergencies know no jurisdictional boundaries, so inter-agency
relationships are key to mitigation. The closest appropriate unit to any emergency situation is dispatched
without regard to city boundaries. Additionally, to the south and west, the district has mutual aid agreements
with smaller rural fire departments.
Due to the extreme risk associated with wildfire hazards, the district's wildland program has been and will
continue to be a pivotal portion -of our emergency response. The purchase of this wildland tire engine will
increase BVFD's ability to respond to these threats.
In BVFD's jurisdiction there are over 20,000 people. This figure does not account for the millions of
travelers that pass through the area each year or the neighboring jurisdictions like Goodyear. Avondale and
Harquahala that rely on the district for tanker support. In addition, there are also the 23 departments in the
Phoenix Automatic Aid System and the statewide contract BVFD has with Arizona Department of State
Land.
It will be a much needed and sustainable project.
The district is currently looking into a grant from the US Department of Agriculture to help in equipping
and upgrading the tanker for more water capacity. BVFD has not submitted any applications for assistance.
with this project. The district has never received funds from any tribe for state shared revenues for any
project. In the past, BVFD applied for assistance from the Gila River Indian Community, The Ak-Chin
Indian Community and the Tohono O'odharri Nation, but has never received funding. The district is part
of a statewide partnership of fire service agencies however all additional funding with come from BVFD.
According to the manufacture, it will take 120 to 180 days to build the tanker. After the tanker is built, the
district will need 90 days to equip and add radios to the apparatus. This timeline is extremely flexible due
to the nature of the grant, ordering and receiving components. Despite these challenges, the district will
ensure it will meet grant deadlines.
Thank you for your time and consideration. With your help purchasing this water tanker, we can continue
to deliver high quality, accountable and professional service to our communities.
Respectfully,
2,A
Mike Duran Melody Henderson
Fire Chief Maricopa County, Government Relations
Replacement Tanker Budget
Ex pen aes USDA? SVFO FMIN Total
.} Chassis $132 1000,00 $82,000_00
2.) Tanker Build S136.500.00 $86,500_00
3.) Dual 13-a rid Radio and 2 Carers S9,000_00 $9,000.DO
4.) Misc. To01.5 $ Hose 53,000_00 $3,000.D0
O.) Paint Tanlo'Body $41,500.00 $4.500.00
6.) Safety and Identification Oraphics $4,000.00 $4.000.00
Subtotal $20,500.00 $168,500,00 5189,0100..00
Replacement Tanker Budget
Line Item Explanations
1.) Chassis- $32 IH:10 This single -axle Freightliner chassis was chosen to maintain fleet continuity and was
the most reasonable price of the three vendors that were polled. The actual chassis might be a dual-
axle Freightliner, depending on a possible supplemental grant from the US Department of Agriculture. —
This possible grant from the USDA only pays a percentage of any project and would not pay for the base
tanker.
2.) Tanker Build- $86,500 This figure was derived by polling three reputable venciors. The tank will hold
2,000 gallons of water, unless it is upgraded depending on a possible supplemental grant from the US
Department of Agriculture. —This possible grant from the USDA only pays a percentage of any project
and would not pay for the base tanker.
3.) Dual Band Radio and 2 Chargers - $9,000 These radios will allow BVRVFD firefighters to communicate
with all members of the Valley - Wide Dispatch as well at BVRVFD's mutual aid partners
4.) Misc. Tools & Hose U2C_KI— 3 Various hose including hard suction lines that will allow firefighters to
pull water out of pools, canals, etc. Wrenches, adapters, and various hand tools. —Some of the tools
and hose may come from BVRVID's existing supply but most of it is in need of replacement
5.) Paint Tank/Bodt$4,500- Vendors have indicated that paint will not be absolutely necessary because
the Chassis and Tank may be of colors that are acceptable without adding paint. However, the district
will budget for painting both for protection from the elements and aesthetic purposes that the public
expects.
6.) Safety and identification Graphics $4O00- These reflective graphics will allow the tanker to be easily
identified at emergency scenes and prevent accidents from happening. If desired, the Fort McDowell
Yavapai Nation logo could be placed in strategic locations on tanker with lettering thanking the Nation
for the kind grant.
An illustration of what the replacement tanker will look like without tools and graphics_ (Provided by WW Willi VCI11101)
Last updated: 03/14/2016
Page 1
General information
Organization Arizona Science Center
Contact First name Claudia
Contact Last name Vazquez
Contact e-mail vazquezc@azscience.org
Contact phone number 6027162000
Address
Street 600 E. Washington St.
City Phoenix
State AZ
ZIP Code 85004
From what tribe is the organization requesting the grant?
Fort McDowell Yavapai Nation
Total grant amount request
50,000
1 of 1
FECENED SEP
Internal Revenue Service Department of the Treasury
District Director
P. 0. Box 2508
Cincinnati, OH 45201
Date 25 1999 Person to Contact:
Linda A. Hill 31-01768
Customer Service Representative
Telephone Number:
,ArLz'c,,na Scence Center 877-829-5500
600 E. Washington Fax Number:
Phoenix, AZ 85004-2303 513-684-5916
Federal Identification Number:
86-0390558
Dear Sir or Madam:
This letter is in response to your request for an updated copy of your organization's determination letter. This
letter will take the place of the copy you requested.
Our records indicate that a determination letter issued in October 1982, 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)(1) and 170(b)(1)(A)(vi).
This classification was based on the assumption that your organization's operations would continue as stated
in the application. If your organization's sources of support, or its character, method of operations, or
purposes have changed, please let us know so we can consider the effect of the change on the exempt
status and foundation status of your organization.
Your organization is required to file Form 990, Return of Organization Exempt from Income Tax, only if its
gross receipts each year are normally more than $25,000. If a return is required, it must be filed by the 15th
day of the fifth month after the end of the organization's annual accounting period. The law imposes a
penalty of $20 a day, up to a maximum of $10,000, when a return is filed late, unless there is reasonable
cause for the delay.
All exempt organizations (unless specifically excluded) are liable for taxes under the Federal Insurance
Contributions Act (social security taxes) on remuneration of $100 or more paid to each employee during a
calendar year. Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act
(FUTA).
Arizona Science Center
Hands-On Science Discovery Programming for Low-Income Youth
September 1, 2016 - June 30, 2017
Fort McDowell Yavapai
Arizona Science Center
Staff Nation
Professional Learning & Engagement Specialist, at 5% time $ 1,875.00 $ 1,875.00
One, full-time Outreach Manager, at 20% of time $ 4,000.00 $ 4,000.00
Two full-time Outreach Program Specialists, at 50% of time $ 14,000.00 $ 14,000.00
Reservations, gallery and guest services staff $ 4,225.00 $ 12,775.00
Staff subtotal $ 24,100.00 $ 32,650.00
Benefits
Staff fringe benefits (20% total salaries and wages) $ - $ 13,052.50
Benefits subtotal $ - $ 13,052.50
Program Costs
General admission to Arizona Science Center for 1,875 students $ 11,250.00 $ -
Science on Wheels outreach vehicle expense / travel costs $ 4,000.00 $ -
Science on Wheels outreach supplies to serve 1,875 students $ 5,000.00 $ -
Field trip demonstration supplies $ 1,500.00 $ -
Printing, postage, publicity $ 2,500.00 $ -
Bus parking (for field trips) $ 900.00 $ -
Evaluation $ 750.00 $ -
Program Costs subtotal $ 25,900.00 $ -
TOTAL $ 50,000.00 $ 45,702.50
Overhead
Calculated at 20% of total $ - $ 17,430.50
Overhead subtotal $ - $ 17,430.50
Total Budget $ 50,000.00 $ 63,133.00
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tudent' lagging performance in K–12 i a critical reaon wh. The good new i that the nation' mot eÖective TM education program can
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reource the need. In addition, cience doe not et eem to e a priorit in Arizona. tudent pend little time on cience in elementar grade.
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