OPPORTUNITY4KIDS APPLICATION.PDF

Admin Tribe Selection
Last updated: 09/11/2015
This is my Form.
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Please select to which tribe this Organization has applied to:
Salt River
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Last updated: 09/15/2015
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General information
Organization Opportunity4Kids (VanNorman Foundation)
Contact First name Alexandra
Contact Last name Munter
Contact e-mail Alexandra@Opportunity4Kids.org
Contact phone number 4807882031
Address
Street 7272 East Indian School Road, Suite 203
City Scottsdale
State Arizona
ZIP Code 85251
What is the name of the program or project for which your organization is requesting grant funds?
Athletic and Extracurricular Activity Sponsorships and Scholarships
For what grant amount does the organization plan to request funding?
35,000
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INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY
P. 0. BOX 2508
CINCINNATI, OH 45201
Employer Identification Number:
Date: JUN192014 46-3403537
DLN:
17053298310003
VAN NORMAN FOUNDATION Contact Person:
C/O KEVIN VAN NORMAN CUSTOMER SERVICE ID# 31954
7272 E INDIAN SCHOOL RD STE 203 Contact Telephone Number:
SCOTTSDALE, AZ 85251 (877) 829-5500
Accounting Period Ending:
December 31
Public Charity Status:
170(b) (1) (A) (vi) _
Form 990 Required:
Yes
Effective Date of Exemption:
August 19, 2013
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 from Federal 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, devises, transfers or gifts under section 2055, 2106
or 2522 of the Code. Because this letter could help resolve any questions
regarding your exempt status, 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 heading of this
letter.
Please see enclosed Publication 4221-PC, Compliance Guide for 501(c)(3) Public
Charities, for some helpful information about your responsibilities as an
exempt organization.
Sincerely,
Director, Exempt Organizations
Enclosure: Publication 4221-PC
Letter 947

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 29, 2015
Organization Name: Opportunity4Kids
Organization/Municipal Government Street & Mailing Address:
7272 E Indian School
Suite 203
Scottsdale, AZ 85251
Contact Person and Project Manager if different from Contact Person: Alexandra Munter
Title: Director of Operations
Address:
7272 E Indian School
Suite 203
Scottsdale, AZ 85251
Phone: 480-397-3550 or Cell 480-788-2031
Fax: 480-481-9021
Email Address: AlexandraOpportunity4Kids.org
Project Name: Athletic and Extracurricular Activity Sponsorships and Scholarships
Please provide a brief description of the project submitted to the 12% SRPMIC Grant program.
Opportunity4Kids believes that no child should be deprived of the opportunity to engage or participate in
any school or extracurricular activity solely on the basis of their financial status. It is our mission to
ensure that children in Arizona have resources- whether that be through providing monetary relief,
equipment, unifoiiiis or sponsoring extracurricular activities.
Through the Opportunity4Kids website, parents can apply for Sponsorship/Scholarship. This online form
requests information about the child such as their age, current school, location, the activity or club they
are in, and what they need in order to participate. To prove that these families are in financial need, they
are asked a series of question in order to pre-qualify their conditions. Parents must also upload a proof of
need, which states that they are truly in need of sponsorship (i.e. tax statement, invoice, financial
documents, etc.) This information is then funneled though the Sponsorship Request process where
information and need are verified. In this confirmation process, we give priority to those individuals with
the most need, meaning those with the lowest income.

With the requested Grant Funding, we plan to create an annual Scholarship program that can provide each
recipient with greater assistance for more advanced programs. Additionally, we will continue to provide
smaller Sponsorships as requested.
Beginning Date of Project: January 2015 End Date of Project: December 2015
Geographic Area to be served: Opportunity4Kids serves the entire Maricopa County. Our organization
does focus specifically on serving underprivileged communities and children first.
** Attach Detailed Budget**
Amount of Total Project: $35,000 Amount of 12% Request: $35,000
(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): Yes, Opportunity4Kids can support our project if the
full amount of funding is not provided. Our organization works year round to raise private and public
funding to support ongoing Sponsorships and Scholarships. With this generous Grant, Opportunity4Kids
would be able to help a greater population of children at a much higher level. The Grant would facilitate
larger Sponsorships and Scholarships for those that truly need assistance.
If you receive SRPMIC 1 a funding, will it be spent (Check One):
X Monthly
I Quarterly
Lump Sum
List of SRPMIC 12% funds you have received in the past. N/A
List any other 12 % grant funds your organization may be seeking from other Tribal Governments
in 2015-2016. N/A
List any other funds you have received from the Salt River Pima-Maricopa Indian Community
(Enterprises Included) and identify the amount and 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.) Sponsorships- These tend to be of a smaller request amount so we would grant these first to help as
many children as possible.
B.) Scholarships- These tend to be of a larger amount. We would first address the amount of funding
provided and then assess to how many children we could provide larger assistance.

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.
7/29/2015
CAjOU'lleAl\
I
Signature for the Applicant Date
Alexandra Munter, Director of Operations
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.

Opportunity4Kids 2015 Budget
Organization Name: Opportunity4Kids
Fiscal Year Period:January 2015-December 2015
Current Org. Current YTD Previous FY Previous FY
Budget Actuals Budaet Actuals
Revenue
Government and Private Grants 35,000
Foundations 5,000
Corporations 5,000 -
United Way, combined federal & other
federated campaigns 1,000 450 - -
Individual contributions 20,000 10,950 20,000 23,955
Fundraising events & products 30,000 5,000 5,500
Other - - -
Total cash revenue 5 96,000 $ 11,400 $ 25,000 $ 29,455
Total in-kind revenue $ 10,000 $ 1,000 $ $
Total Revenue g 106,000 I $ 12,400 I $ 25,000 I $ 29,455
Expenses
Staff salary and wages 1,000 - -
Insurance 200 154 -
Sponsorships 10000 630 3000 2995.27
Scholarships 25000 -
Consultant and professional fees 2,500 1,477 2,000 1953 .
Travel and meetings 1,500 980 -
Legal Fees 50 25 50 20
Supplies 1,000 593.46 600 544
Marketing/Press 3,000 1019.36 3,000 2937.46
Printing & copying 200 15 200 203
Advertising 1,000 537 100 61
Postage & delivery 50 - 50 29
Fundraising Expenses 3,500 - 3,500 3,370
CC Processing Fees 150 15 100 88
Equipment 1,500 1,500 1,284
Other - -
Total cash expenses $ 49,650 $ 6,445 $ 14,100 $ 13,485
Total in-kind expenses $ 1,000 $ 465 $ - $ -
Total Expenses $ 50,650 I $ 6,910 I $ 14,100 $ 13,485
Revenue over Expenses $ 55,350 $ 5,490 $ 10,900 $ 15 970