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Created Wednesday, February 25, 2015 Page 1 General information General information | Organization Southwest Autism Research & Resource Center (SARRC) General information | Contact First name Greg General information | Contact Last name Boone General information | Contact e-mail gboone@autismcenter.org General information | Contact phone number 602-218-8213 Address Address | Street 300 North 18th Street Address | City Phoenix Address | State AZ Address | ZIP Code 8 5006 From what tribe is the organization requesting the grant? Fort McDowell Yavapai Nation Total grant amount request $25000 The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this project or program, enter the amount to be requested each year. Amount Year 1 $ Year 2 $ Year 3 $ Year 4 $ Year 5 $ Page 1 ItA IRS Internal Depaillimilaffiesuly Revenue Service In reply refer to: 0248367576 CINCINNATI OH 45999-0038 June 23, 2014 LTR 4168C 0 31-1496646 000000 00 00029552 BODC: TE SOUTHWEST AUTISM RESEARCH AND RESOURCE CENTER 300 N 18TH ST PHOENIX AZ 85006 024866 Employer Identification Number: 31-1496646 Person to Contact: Ms. Yates Toll Free Telephone Number: 1-877-829-5500 Dear Taxpayer: This is in response to your June 12, 2014, 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 March 1997. 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 We will publish a list of organizations whose tax-exempt status was revoked under section 6033(j) of the Code on our website beginning in early 2011. ECLITYi Southwest Autism et. SARRC Research & Resource Center March 13, 2015 Mrs. Selena Castaneda Fort McDowell Yavapai Nation Tribal Council Secretary P.O. Box 17779 Fountain Hills, AZ 85269 Dear Mrs. Castaneda, On behalf of the individuals and families served by the Southwest Autism Research & Resource Center (SARRC), I am pleased to submit this funding request to the Fort McDowell Yavapai Nation Tribal Council for Web-based Education Tools on Autism. Established in 1997, SARRC is a 501 (c)(3) nonprofit community-based organization with a mission dedicated to advancing research and providing a lifetime of support for individuals with autism and their families. SARRC is requesting a grant in the amount of $25,000 to provide parent education through a new, web- based Applied Behavior Analysis (ABA) & Pivotal Response Treatment (PRT) training series. The online series will provide critical information on evidence-based techniques and teaching methods for families supporting and caring for individuals with autism spectrum disorder (ASD). By offering the option to attend the training through a webinar, access will be increased to a broader audience including families in rural areas with limited services, additional caregivers, and fathers (historically fathers are not as participatory during in-person training programs due to accessibility of trainings and training times). Families who live at a distance or in rural regions of Arizona often have little to no access to quality services. The webinar series provides access to quality training while reducing costs associated with travel. Web-based Education Tools on Autism meets the Fort McDowell Yavapai Nation's priority of Education by providing effective parenting methods, and expanding reach by offering a web-based alternative to communities that may not have access to quality services. SARRC developed the program to address the growing need for quality service for all families impacted by autism and specifically rural and remote populations who do not have access. The program will serve 25 family members throughout the State of Arizona. At this time, there are no other entities supporting the program and no other applications have been made or awards granted by other tribes/nations for this particular program. (SARRC has received past funding from the Gila River Indian Community for its Remote Parent Training Program in 2014.) SARRC will progress toward sustainability by exploring contracts with insurance companies, private pay options 300 N. 18th Street Phone (602) 340-8717 Phoenix, AZ 85006 Fax (602) 340-8720 www.autismcenter.org for families, grants from foundation and corporate donors, and individual donations. To keep the program viable, SARRC will also utilize unrestricted funds as needed. The program is anticipated to begin development of the web-based training series in October 2015. Local government entity contact: Amanda Nash, Legislative Analyst, Maricopa County Government Relations; (602) 506-4485; nasha001@mail.maricopa.gov Your consideration of this grant request is appreciated. If you should need additional information, the main point of contact is Alexis Boglio, Clinical Manager, at (602) 218-8198 or aboglio@autismcenter.org Sincerely, Amy kenzer, Ph.C1,-BtBA-D Clinical Services Director