SOUTHWEST HUMAN DEVELOPMENT 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: 09/11/2015
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General information
Organization Southwest Human Development
Contact First name Lisa
Contact Last name Olivas-Cook
Contact e-mail grants@swhd.org
Contact phone number 602-633-8178
Address
Street 2850 N 24th St
City Phoenix
State Arizona
ZIP Code 85008
What is the name of the program or project for which your organization is requesting grant funds?
Birth to Five Helpline/Fussy Baby Program
For what grant amount does the organization plan to request funding?
20,000
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; Al C interrial Depart:meld. Revcilm, of ti TreamiFy Service,
P.O. Box 2508 In reply refer to: 0248459775
Cincinnati OH 45201 June 16, 2010 LTR 4168C E0
86-0407179 000000 00
00028241
BODC: TE
• SOUTHWEST HUMAN DEVELOPMENT
2850 N 24TH ST
PHOENIX AZ 85008-1004
0250E30
Employer Identification Number: 86-0407179
Person to Contact: MISS CSINSI
Toll Free Telephone Number: 1-877-829-5500
Dear TAXPAYER:
This is in response to your June 07, 2010, request for information
regarding your tax-exempt status.
Our records indicate that your organization was recognized as exempt
under section 501(c)(3) of the Internal Revenue Code in a
determination letter issued in MAY 1983.
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.
Beginning with the organization's sixth taxable year and all
succeeding years, it must meet one of the public support tests under
section 170(b)(1)(A)(vi) or section 509(a)(2) as reported on Schedule
A of the Form 990. If your organization does not meet the public
support test for two consecutive years, it is required to file Form
990-PF, Return of Private Foundation, for the second tax year that the
organization failed to meet the support test and will be reclassified
as a private foundation.
If you have any questions, please call us at the telephone number
shown in the heading of this letter.
Sincerely yours,
71(kibziE._:7)( 4 I
Michele M. Sullivan, Oper. Mgr,
Accounts Management Operations I

August 6, 2015
Ms. Angela Salazar‐Willeford
Intergovernmental Relations Project Manager
Office of Congressional and Legislative Affairs
Salt River Pima‐Maricopa Indian Community
10005 E. Osborn Road
Scottsdale, AZ 85256
Via Email: angela.willeford@srpmic‐nsn.gov and cc: gary.bohnee@srpmic‐nsn.gov
Subject: 2015‐16 12% Gaming Grant
Dear Ms. Salazar‐Willeford,
Please extend my heartfelt thanks to the Salt River Pima‐Maricopa Indian Community’s 12%
Grants Committee. We are grateful to have been invited to participate in the 2015‐16 12% grant
cycle.
Attached please find our completed 12% Gaming Contributions Application and a project
budget. Please contact me directly if you have any questions or require anything further. In the
meantime, thank you for your consideration of our proposal.
Sincerely,
Lisa Olivas‐Cook, CFRE
Grants Manager
602‐633‐8178 (direct)
Email: grants@swhd.org
Southwest Human Development • 2850 N. 24th Street • Phoenix, Arizona 85008 • (602) 266-5976

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: August 6, 2015
Organization Name: Southwest Human Development
Organization/Municipal Government Street & Mailing Address:
2850 N 24th Street, Phoenix AZ 85008
Contact Person and Project Manager if different from Contact Person: Lisa Olivas-Cook
Title: Grants Manager
Address: 2850 N 24th Street, Phoenix AZ 85008
Phone: 602-633-8178
Fax: 602-274-8952
Email Address: grants@swhd.org
Project Name: Birth to Five Helpline/Fussy Baby Program
Please provide a brief description of the project submitted to the 12% SRPMIC Grant program.
The Birth to Five Helpline/Fussy Baby program is Arizona’s only toll-free line for
parents/caregivers of children ages birth to five. The purpose of the program is to provide
parents and caregivers with accurate child development information to increase their
competence, confidence and joy in their child, while reducing factors that can lead to child
maltreatment. Parents, caregivers, or early childcare professionals can call the Helpline (1-887-
705 KIDS(5437)) and have immediate access to a caring, highly-trained early childhood
specialist. Topics addressed include sleeping, behavior, health and wellness, feeding and
eating, potty training, fussiness/colic, safety, general child development, and more. The Helpline
staff combine supportive listening with sound information about child development, parenting
and caregiving, and offer resource and referral information as needed. The Helpline is available
Mon. to Fri. 8:00 am to 8:00 pm, and messages can be left 24/7.
A call to the Helpline is the portal to the Fussy Baby program, designed specifically to help
parents of infants who cry excessively and are hard to soothe. In these situations, parental
stress is elevated, increasing the possibilities for child abuse and even Shaken Baby Syndrome.
All Helpline specialists are trained and certified as Fussy Baby Specialists through the
prestigious Erickson Institute in Chicago. The Specialists work with parents/caregivers to find
ways to soothe, care for, and enjoy their baby. They also offer ways to reduce stress while
supporting parents in their role. If the Specialist believes it necessary and appropriate, in-home
visitations are offered to help parents address their issues within their home setting. There may
be several phone or in-home contacts over the course of several days or weeks. While phone-
in support is available throughout the state, home visitations are only available in Maricopa
County at this time due to funding limitations.

Unrealistic expectations are identified as a risk factor for harsh parenting and child abuse, while
greater knowledge of child development is associated with more sensitive parenting and
children with fewer behavior problems. Prevent Child Abuse America reports that education and
support programs for parents are integral to preventing and breaking cycles of violence.
Parenting based on understanding age-appropriate emotional, social, cognitive, and language
development is most effective and best prepares all children for success in school and later life.
Feeling successful as a parent strengthens the family unit; while, in the extreme, parental stress
and feelings of incompetency and hopelessness can be contributing factors to child abuse. With
a free call and consultation with a caring professional, that situation can be averted.
In FY16 we project the Birth to Five Helpline/Fussy Baby program will support approximately
8,500 calls of all types (inbound, outbound, parents/caregivers), make 470 referrals for health,
mental health and inclusion consultation, and conduct 150 Fussy Baby home visits.
Beginning Date of Project: 7/1/15 End Date of Project: 6/30/16
Geographic Area to be served: State of Arizona
** Detailed Budget is Attached**
Amount of Total Project: $291,825 Amount of 12% Request: $20,000
(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):
The FY16 budget for the Birth to Five Helpline/Fussy Baby program is $291,826 with revenue
that breaks down as follows: First Things First Contract 35% / Fundraising 50% / Fee for
Services (consultation, training, etc.) 15%. Recent grants awarded include $20,000 from APS
and $30,000 from the Child Abuse Prevention License Plate Donation Program. Pending
corporate and foundation grants include Dr. Scholl Foundation $7,500, Phoenix Suns Charities
$10,000 and Union Pacific Foundation $5,000. The following prospects will be solicited in FY16:
Cracker Barrel Old Country Store, Dalton & Elaine Knauss Foundation, Richard & Nancy
Marriott Foundation, Holbrook Pyle Foundation, and AZ Republic Season for Sharing. In
addition, SWHD practices a robust and comprehensive fund development plan that includes
individual giving, direct mail, special events, grant seeking, sponsorships, community outreach,
and volunteer engagement. Your support is vital to maintaining these services for Arizona.
If you receive SRPMIC 12 % funding, will it be spent (Check One):
 Monthly
Quarterly
Lump Sum
If awarded, funds would be used to support professional staff, thereby maintaining the quality of
program services. All Helpline Specialists have college degrees, are experienced in early child
development, have extensive additional training, and have achieved Fussy Baby Specialist
certification from the prestigious Erickson Institute of Chicago.
List of SRPMIC 12% funds you have received in the past.
December 2010: $40,000 for the Birth to Five Helpline

List any other 12 % grant funds your organization may be seeking from other Tribal Governments
in 2015-2016.
Ft. McDowell Yavapai Nation via Maricopa County (pending): $30,000 for our Reach Out and
Read program in the East Valley
Gila River Indian Community via City of Phoenix (awarded, awaiting transfer of funds): $75,000
for our Good Fit Counseling Center
List any other funds you have received from the Salt River Pima-Maricopa Indian Community
(Enterprises Included) and identify the amount and the source:
September 2004: $5,000 for a golf tournament sponsorship; source not identified in database
July 2003: $5,000 for our Good Fit Counseling Center; source not identified in database
June 2002: $5,000 for our Good Fit Counseling Center; source not identified in database
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.
Funding at any level will be gratefully accepted and appreciated. Our priorities are as follows:
A.) Personnel costs and employee related expenses total 82% of the program's expense, and
are therefore the first priority for funding.
B.) The second highest program expense is for program materials ($14,950 / 5%) which is used
to purchase program information cards and magnets that are distributed throughout the
state.
Which municipal governmental entity will serve as your pass through or accept 12% funds on your
behalf?
We have active relationships with Maricopa County and City of Phoenix, either of which could
serve as pass through on our behalf.
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.
raof
Signature for the Applicant I Da
Ginger Ward, 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.

SOUTHWEST HUMAN DEVELOPMENT, INC.
BIRTH TO FIVE HELPLINE/FUSSY BABY PROGRAM
INCOME/EXPENSE BUDGET
FISCAL YEAR JULY 1, 2015 TO JUNE 30, 2016
REVENUE Program SRPMIC
First Things First Contract 100,000
Fee‐for‐Services (consultation, training, sponsorships,
pediatric partnering) 45,000
Fundraising 146,825 20,000
Total Revenue 291,825 20,000
EXPENSES
Salary 188,289 14,600
Benefits 50,838 5,400
Travel 3,500
Mileage 3,433
Telephone/Communications Svcs 2,663
Program Supplies (Helpline cards & magnets) 14,950
Office Supplies 757
Training 820
Total Direct Expense 265,250 20,000
Overhead (@Agency Rate approx. 10%) 26,575 ‐
Total Expense 291,825 20,000
Gain (Loss) 0 0