MARICOPA COMMUNITY COLLEGES FOUNDATION APPLICATION.PDF

Admin Tribe Selection
Last updated: 09/14/2015
This is my Form.
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Please select to which tribe this Organization has applied to:
Salt River
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Created: 09/15/2015
Last updated: 09/16/2015
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General information
Organization Maricopa Community Colleges Foundation
Contact First name Mary
Contact Last name O'Connor
Contact e-mail mary.oconnor@domail.maricopa.edu
Contact phone number (480)731-8403
Address
Street 2419 W. 14th Street
City Phoenix
State Arizona
ZIP Code 85281
What is the name of the program or project for which your organization is requesting grant funds?
Native American Students
For what grant amount has the organization requested from the tribe?
120000
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Internal Revenue Service Department of the Treasury
P. 0 Box 2508
Cincinnati, OH 45201
Person to Contact:
Date; August 6, 2003 Cassandra Jackson 31-07417
Customer Service Representative
Mancopa County Community College District foundation Toll Free Telephone Number:
2419 West 14th Street BM rn to MO p rn EST
Tempe, AZ 85281-6941 877-829-5500
Fax Number:
513-263-3756
Federal Identification Number:
86-0327449
Dear Sir or Madam:
This is in response to your request of July 7, 2003 regarding your organization's taxiexempt status
In April 1977 we issued a determination letter that recognized your organization as exempt from federal
income tax Our records indicate that your organization is currently exempt under section 501(c)(3) of the
Internal Revenue Code
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(s) 509(a)( 1) and 1700)(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
(RITA)
Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the
Code However, these organizations are not autematicaliy exempt from other federal excise taxes
Donors may deduct contributions to your organization as provided in section 170 of the Code Bequests,
legacies, devises, transfers, or gifts to your organization or for its use are deductible for federal estate and gift
tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code

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Maricopa County Community Collage District Foundation
86-0327449
Your organization is not required to file federal income tax returns unless it is subject to the tax on unrelated
business income under section 511 of the Code If your organization is subject to this tax, it must file an
income tax return on the Form 990--T, Exempt Organization Business Income Tax Return In this letter we are
not determining whether any of your organization's present or proposed activities are unrelated trade or
business as defined in section 513 of the Code
Section 6104 of the Internal Revenue Code requires you to make your organization's annual return available
for public inspection without charge for three years after the due date of the return The law also requires
organizations that received recognition of exemption on July 15, 1987, or later, to make available for public
inspection a copy of the exemption application, any supporting documents and the exemption letter to any
individual who requests such documents in person or in writing Organizations that received recognition of
exemption before July 15, 1987, and had a copy of their exemption application on July 15, 1987, are also
required to make available for public inspection a copy of the exemption application, any supporting
documents and the exemption letter to any individual who requests such documents in person or in writing
For additional information on disclosure requirements, please refer to Internal Revenue Bulletin 1999
Because this letter could help resolve any questions about your organization's exempt status and foundation
status, you should keep it with the organization's permanent records
If you have any questions, please call us at the telephone number shown in the heading of this letter
T his letter affirms your organization's exempt status
Sincerely,
John E RickettS, Director, TE/GE
Customer Account Services

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: 7-23-15
Organization Name: Maricopa Community Colleges Foundation
Organization/Municipal Government Street & Mailing Address:
2419 West 14th Street
Tempe, Arizona 85281-6942
Contact Person and Project Manager if different from Contact Person: Mary O’Connor
Title: Acting President and CEO
Address:
2419 West 14th Street
Tempe, Arizona 85281-6942
Phone: 480-731-8403
Fax: 480-731-8411
Email Address: mary.oconnor@domail.maricopa.edu
Project Name: American Indian Programs
Please provide a brief description of the project submitted to the 12% SRPMIC Grant program.
In order to best serve the American Indian population, the Maricopa County Community College District
(MCCCD) has instituted two programs: an American Indian Outreach Office (AIO)– an initiative that
is aimed at building and maintaining community and tribal partnerships; and the American Indian
Institute which maintains a physical presence at both Mesa Community College as well as Scottsdale
Community College and provides American Indian students with programs and services.
These programs were created to increase the number of American Indian students enrolling in MCCCD
and support their studies toward completion. All three offices build community and tribal partnerships
that support not only the students, but also their families. Our collective missions encompass providing
comprehensive, culturally responsive academic and personal support that promotes opportunities for
successful and enhanced college experiences for American Indian students.

Taking into account our students’ unique education, cultural, and personal needs, the funds will be used to
assist with:
1) Recruiting more American Indian students
2) Retaining our current students
3) Providing specialized programs for American Indian populations
4) Promoting MCCCD to tribal and community partners to bridge their needs and goals with community
colleges
Beginning Date of Project: January 1, 2016
End Date of Project: December 31, 2016
Geographic Area to be served: Maricopa County
** Attach Detailed Budget**
Amount of Total Project: $120,000
Amount of 12% Request: $120,000
(No Multi-Year Request will be accepted)
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):
We would not have the resources to complete the projects outlined entirely however, should we not
receive funding, we will not abandon the projects. Rather, we will scale it back in accordance with the
resources available.
If you receive SRPMIC 12 % funding, will it be spent (Check One):
Monthly XX
Quarterly
Lump Sum
List of SRPMIC 12% funds you have received in the past. List any other 12 % grant funds your
organization may be seeking from other Tribal Governments in 2015-2016.
The Maricopa Community Colleges Foundation is proud to have partnered with the SRPMIC community
for many years. For fiscal year FY 2016, the Foundation is also seeking funding from the Tohono
O’odham Nation.
List any other funds you have received from the SRPMIC (Enterprises Included) and identify the
source:
The Foundation has received funding from the SRPMIC Children’s Foundation for the FY 2015 in the
amount of $10,000 as well as $20,000 from Salt River Education to support Salt River Junior ACE.
SRPMIC also gave in the amount of $100,000 to SCC for an endowment and scholarships.
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.) Retention activities, projects and events
B.) Student support services/scholarships
C.) Outreach services and programs
D.) Contractual services
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.
_______________________________________________________
Signature for the Applicant Date- July 22, 2015
Mary O’Connor, Acting President & 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.

Maricopa Community Colleges District: American Indian Program Budget
Item Description SRPMIC
12%
Funding
Request
Retention Activities, Honorariums, official functions, and other costs associated with $26,000
Project, and Events project coordinator of speakers. Targeted themes will include
minority male and female programs, STEAM (Science
Technology, Engineering, Art, and Math) programs, and
leadership and empowerment programs. Events such as Native
American Heritage Month, club activities, mentoring programs,
workshops, cultural and leadership speakers, and community
and awareness events.
Student Support Scholarships for students that can include tuition, fees, books, $32,000
Services/Scholarships scholarly awards, bus passes, and food vouchers for students at
the college. Scholarships are also inclusive of American Indian
academic conferences and can cover registration, per diem,
lodging, or travel expenses for qualified students who want to
attend.
Coordinate Bridge Coordinate bridge programs in connection with the Men $11,000
Program Empowerment Network (MEN). Program will target 20-40
middle school boys and work to transition them into the
Maricopa Hoop of Learning Program while exposing them to a
college experience.
Program will be inclusive of retention activities for students and
family members.
Program expenses will cover tuition, registration, classroom
fees and supplies, books, transportation, meals, and official
function items.
Native American Film Curriculum will include: Pre-production, Equipment $5,000
Program at MCC Management, Software, Lighting Techniques Cinematography,
Camera Operation, Acting, Research Documentation, Audio
Office Supplies/Events Science, File Management, Producing, Business, Accounting,
Academic Affairs Current Software Editing , and Post-Production Marketing.
Will meet with students and Native community members first 5
weeks and then will film community b-roll and adobe editing to

produce final project the summer and fall sessions.
Deliverable will be between 8-12 minute PSA documentary
style video production focusing on Native Issues. This year will
include the larger American Indian Community, in terms of
interviewing traditional elders and educators with a central
focus on cultural preservation i.e. language, ritual, and long
term political and religious shifts.
Funding for Native Film festival, Native Speakers and Cultural
Events, and supplies.
Office Supplies (Student Cost for supplies, club t-shirts, field trips, printing, advertising, $13,000
Affairs) media, recruitment, computer technology, supplies, support
items, and contingency.
Contractual Services Student Support Specialists: Would assist and support $33,000
implementation of grant funded efforts and would work under
the guidance of the programs and directors at each campus. We
would seek to hire American Indian students or recent graduates
which help to provide opportunities for students to gain
professional work experience. They would assist students with
financial aid, tribal funding, enrollment, outreach, tutoring, and
retention
Faculty: Eddie Webb Program Coordination for Native Film
Program at MCC; Dr. Penelope Price, Founder Scottsdale
Community College Film School. Co-Editor
Covers contracted services for Summer 2016 Program
Coordination and Production. Instruction for emerging Native
filmmakers utilizing a number of contemporary tools and
methodologies for translating their voice and vision into
effective platforms.
Total: $120,000