ARIANS FAMILY FOUNDATION APPLICATION 2014.DOCX.PDF
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Admin Tribe Selection Created Tuesday, January 20, 2015 Page 1 Please select to which tribe this Organization has applied to: Salt River Page 1 Created Tuesday, January 20, 2015 Page 1 General information General information | Organization Arians Family Foundation General information | Contact First name Steve General information | Contact Last name Webster General information | Contact e-mail stevewebster@cmpr.net General information | Contact phone number 310-426-9900 Address Address | Street 1600 Rosecrans Ave., #2B, 3rd Fl Address | City Manhattan Beach Address | State CA Address | ZIP Code 90266 What is the name of the program or project for which your organization is requesting grant funds? Arians Family Foundation 2nd Annual Arizona Celebrity Golf Classic For what grant amount does the organization plan to request funding? $125,000.00 Page 1 i. INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY P. 0. BOX 2508 CINCINNATI, OH 45201 Employer Identification Number: Date. SEP 1 1 2013 46-2664318 DLN: THE ARIANS FAMILY FOUNDATION 17053179313013 C/O LORRI A DUNSMORE Contact Person: 1201 THIRD AVE 48TH FLR MRS. KREBS ID# 31072 SEATTLE, WA 98101 Contact Telephone Number: (877) 829-5500 Accounting Period Ending: December 31 Public Charity Status: 170(b)(1)(A)(vi) Form 990 Required: Yes Effective Date of Exemption: April 26, 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. Letter 947 (DO/CG) -2- THE ARIANS FAMILY FOUNDATION We have sent a copy of this letter to your representative as indicated in your power of attorney. Sincerely, Y&feiJi C. Director, Exempt Organizations Enclosure: Publication 4221-PC Letter 947 (DO/CG) SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY 10,005 E. Osborn Road, Scottsdale, Arizona 85256 / Phone 480-362-7520 / Fax 480-362-7593 12% Gaming Contributions Application Date of Application: December 20, 2014 Organization Name: Arians Family Foundation Organization/Municipal Government Street & Mailing Address: Jake Arians 3431 S. Vine Street Chandler, AZ 85248 Contact Person and Project Manager if different from Contact Person: Title: Steve Webster President/CEO- CMPR Address: 1600 Rosecrans Ave. Bldg. 2B, 3rd Floor Manhattan Beach, CA 90266 Phone: 310-426-9900 - work 310-872-6088- cell Fax: 310-426-9999 Email Address: stevewebster@cmpr.net Project Name: Arians Family Foundation 2nd Annual Arizona Celebrity Golf Classic In 200 words or less, please provide a brief description of the project submitted to the 12% SRPMIC Grant program. The Arians Family Foundation 2nd Annual Arizona Celebrity Golf Classic will raise funds to support CASA of Maricopa County. The Arians Family Foundation motto is "A Voice For Children" by supporting and developing programs which strives to prevent and ameliorate the abuse and neglect of children. The Arians Family Foundation supports CASA (Court Appointed Special Advocates) in making sure that children who are involved in the court system, as a result of abuse or neglect by their families, receive the love and help they need. Beginning Date of Project: January 2015 End Date of Project: December 2015 Geographic Area to be served: Phoenix/Maricopa County ** Attach Detailed Budget** Amount of Total Project: Amount of 12% Request: (No Multi-Year Request will be accepted) Estimated expenses: $150,000 $125,000 lithe 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 Arians Family Foundation is selling sponsorships to cover the balance of the event's additional costs. If you receive SRPMIC 12 % funding, will it be spent (Check One): 1 Monthly E Quarterly X Lump Sum List of SRP1VIIC 12% funds you have received in the past and a list of other 12 % grants funding you are seeking from other Tribal Governments for the 2013-2014 12% cycle. N/A List any other funds you have received from the SRPMIC (enterprises) 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.) B.) N/A C.) D.) Which municipal governmental entity will serve as your pass through or accept 12% funds on your behalf? Amanda Nash Maricopa County Government Relations nasha001@mail.maricopa.gov work- (602) 506-4485 cell- (602) 319-0498 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. •611-64/414---- Signature for the Applicant Date flq-deVt CfJ1f /(Orti-Ulqi 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.