HEARD MUSEUM APPLICATION.PDF

Admin Tribe Selection
Last updated: 09/14/2015
This is my Form.
Page 1
Please select to which tribe this Organization has applied to:
Salt River
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Created: 09/14/2015
Last updated: 09/16/2015
Page 1
General information
Organization Heard Museum
Contact First name Dianne
Contact Last name Baker
Contact e-mail dbaker@heard.org
Contact phone number 602-251-0203
Address
Street 231 N. Central Ave.
City Phoenix
State AZ
ZIP Code 85004
What is the name of the program or project for which your organization is requesting grant funds?
Free Admissions Program – School Tours for Students
For what grant amount has the organization requested from the tribe?
50,000.00
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ro IRS Department of the Treasury
Internal Revenue Service
P.O. Box 2508 In reply refer to: 0248164838
Cincinnati OH 45201 Feb. 09, 2012 LTR 4168C E0
86-0107517 000000 00
00025507
BODC: TE
HEARD MUSEUM
2301 N CENTRAL AVE
PHOENIX AZ 85004-1323
019550
Employer Identification Number: 86-0107517
Person to Contact: MR. BROWN
Toll Free Telephone Number: 1-877-829-5500
Dear TAXPAYER:
This is in response to your Jan. 31, 2012, 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 1936.
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status was revoked under section 6033(j) of the Code on our website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.

0248164838
Feb. 09, 2012 LTR 4168C EO
86-0107517 000000 00
00025508
HEARD MUSEUM
2301 N CENTRAL AVE
PHOENIX AZ 85004-1323
If you have any questions, please call us at the telephone number
shown in the heading of this letter.
Sincerely yours,
S. A. Martin, Operations Manager
Accounts Management Operations

SALT RIVER PIMA-MARICOPA
INDIAN COMMUNITY
10005 E. Osborn Road, Scottsdale, Arizona 85256 / Phone 480-362-7520 / Fax 480-362-7593
12% Gaming Contributions Application
Date of Application: July 20, 2015
Organization Name: Heard Museum
Organization/Municipal Government Street & Mailing Address:
2301 North Central Avenue
Phoenix, Arizona 85004
Contact Person and Project Manager if different from Contact Person: Dianne Baker
Title: Grants Manager
Address: 2301 North Central Avenue
Phoenix, Arizona 85004
Phone: 602-251-0203
Fax: 602-252-8840
Email Address: dbaker@heard.org
Project Name: Free Admissions Program — School Tours for Students
Please provide a brief description of the project submitted to the 12% SRPMIC Grant program.
The Heard Museum's Free Admissions Program ensures that schools, especially Title One schools, are able
to provide students a culturally enriching learning experience beyond what can be found in text books. A
visit to the Heard Museum brings to life the uniqueness and importance of Native cultures, and helps
children build a deeper understanding and appreciation for people with histories and life-ways other than
their own. Without free admissions for students, teachers and chaperones, many schools simply would not
be able to provide the cultural enrichment found in the exhibits at the Museum. Teachers can choose among
the many galleries and exhibitions when planning their trip. Grade-appropriate tours are recommended or
teachers can choose their own agendas. Docent-guided school tours are provided year round, Monday-
Friday and self-guided groups are welcome seven days a weeks.
Many teachers choose to follow tours of the galleries with a 1 hour Bonus Tour. During the Bonus Tour,
students participate in a hands-on art-making activity which reinforces the themes of American Indian
culture as seen in the galleries they have just visited. Instruction is provided by one of three American

Indian staff members from the education department. Students learn about the materials traditionally used
to make the piece of art along with its historical and cultural context.
In addition to the free admissions, the Museum makes available additional teaching aides including
Traveling Panels Exhibits and a collection of American Indian Art Resource Posters which are kept by
teachers and updated annually with new posters - all free of charge.
Beginning Date of Project: September 1, 2015 End Date of Project: June 15, 2016
NOTE: The Museum accommodates school tours throughout the year — the project dates are when the
funding will be applied.
Geographic Area to be served: Typically, school tours originate from school districts throughout
Maricopa County with the majority coming from cities in the Greater Phoenix Metropolitan area.
** Attach Detailed Budget**
Amount of Total Project The free admissions for students, teachers, and chaperones represents $88,000
of the annual budget of over $200,000 for the complete Youth Education and Free Admissions Program
Amount of 12% Request: $50,000
If the Amount of funding received is less than the amount needed for the project, do you have other
funds to complete the project? (Please Explain):
The Twiford Family Foundation recently granted $5,000 to the Museum for the coming 2015-2016 school
year's Free Admission Program. Costs in excess of funding will be supported by general operating grants
received each year from the Arizona Commission on the Arts and the Phoenix Office of Arts and Culture.
The Museum's own earned income can also be allocated to costs if necessary.
If you receive SRPMIC 12 % funding, will it be spent (Check One):
X Monthly
I=1 Quarterly
El Lump Sum
List of SRPMIC 12% funds you have received in the past. $770,000 per our recorded amounts
beginning in 2004.
List any other 12 % grants funding you are seeking from other Tribal Governments in 2015-2016.
The Museum may be submitting proposals this coming fiscal year to Gila River Indian Community, and
the Tohono O'odham Nation.

List any other funds you have received from the SRPMIC and identify the source: N/A
Funding for project/programs may be based on available funding. As such, if funding were not
available for the full the amount of request how would you prioritize funding.
A.) Any amount of funding from SRPMIC will be applied solely to supporting the free admissions — the
estimated costs for the coming year's free admissions is estimated to be $88,000.
B.)
C.)
D.)
Which municipal governmental entity will serve as your pass through or accept 12% funds on your
behalf? Maricopa County
By execution of the 12% Gaming Contribution Grant Application the undersigned agrees that the
information contained in the Application is true to the best of the Applicants knowledge. The
Applicant shall notify the SRPMIC if any information in this Application changes.
7, /
Date
John Bulla, Interim Director and CEO
Name and Title
The Application shall be signed by the senior elected official of the local government, or in the case
of a non-profit entity, the Chief Executive Officer authorizes to commit the non-profit entity to
apply for, accept, and implement an award from the SRPMIC utilizing 12% Gaming
Contributions.

herb
Heard
Museum
YOUTH EDUCATION AND SCHOOL TOUR BUDGET
School Year 2015-2016
EXPENSE ITEM TOTAL
Personnel
Education and Public Programs Director - 25%
Youth Education Project Asst. - 100%
Public Programs Manager - 30%
Ins. & Staff Benefits @ 27%
Total Personnel $68,381
Free Admissions for Students, Teachers &
Chaperones
($7.50 per student @10,000 & $13 per adult @1,000) $88,000
Bussing Reimbursements to Schools $37,500
(Est. 150 buses @ $250 each)
Arts Materials and Su' dies
Bonus Tours - Supplies $3,500
Suitcase Exhibits - Replenish materials for
hands-on activities $1,500
2 new Educational Arts Resource Posters $2,000
Total Materials and Supplies $7,000
Sub Total $200,881
Operational Overhead @ 15% • $30,132
TOTAL $231,013