AMERICAN RED CROSS APPLICATION - SRPM 2014.PDF

Admin Tribe Selection
Created Friday, October 17, 2014
Page 1
Please select to which tribe this Organization has applied to:
Salt River
Page 1

Created Friday, October 17, 2014
Page 1
General information
General information | Organization American Red Cross Grand Canyon Chapter
General information | Contact First name Barbara
General information | Contact Last name Carey
General information | Contact e-mail barbara.carey@redcross.org
General information | Contact phone number 602-347-6508
Address
Address | Street 6135 N Black Canyon Highway
Address | City Phoenix
Address | State AZ
Address | ZIP Code 85015
What is the name of the program or project for which your organization is requesting grant
funds?
Local Disaster Relief
For what grant amount does the organization plan to request funding?
$125,000
Page 1

IRS ZIP:471T.: 4te. 'sr:AZ?
P.O. Box 35045 In reply refer to: 0752251763
Jacksonville FL 32202-0000 Dec. 30, 2013 LTR 4205C 0
53-0196605 000000 00
00025231
BODC: TE
AMERICAN NATIONAL RED CROSS
SHARED SERVICES CENTER
600 FOREST POINT CIR STE A
CHARLOTTE NC 28273-5736
Employer Identification Number: 53-0196605
Person to Contact: Customer Service
Toll Free Telephone Number: 1-877-829-5500
Dear Taxpayer:
This is in response to your Dec. 18, 2013, request for information
regarding your tax-exempt status. You have represented that you are
a chapter, branch or auxiliary of the American National Red Cross.
Our records indicate that in December 1938, the American National Red
Cross was held to be exempt from Federal income tax under section
101(6) of the Internal Revenue Act of 1938, which now corresponds to
section 501(c)(3) of the Internal Revenue Code. In a subsequent
determination, the American Red Cross was classified as a publicly
supported organization described in sections 509(a)(1) and
170(b)C1)(a)(vi) of the Code.
Even though the American National Red Cross was issued an individual
ruling, this ruling covers its chapters, branches, and auxiliaries.
Donors may deduct contributions to you as provided in section 170 of
the Code. Bequests, legacies, devises, transfers, or gifts to them
or for their 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.
If you have any questions, please call us at the telephone number
shown in the heading of this letter.
Sincerely yours,
Kim D. Bailey
Operations Manager, AM Operations 3

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: May 14, 2014
Organization Name: American Red Cross Grand Canyon Chapter
Organization/Municipal Government Street & Mailing Address:
6135 N Black Canyon Highway Phoenix AZ 85015
Contact Person and Project Manager if different from Contact Person:
Contact Person: Barbara Carey Project Manager: Beth Boyd
Title: Barbara Carey, Grants Manager Beth Boyd, Regional Disaster Program Officer
Address: 6135 N Black Canyon Highway Phoenix AZ 85015
Phone: 602/347-6508
Fax: 602/336-5781
Email Address: barbara.carey®redcross.org
Project Name: American Red Cross Local Disaster Relief
In 200 words or less, please provide a brief description of the project submitted to the
12% SRPIVIIC Grant program.
From home fires to monsoons to wildfires, disasters hurt; the Red Cross helps. Disaster Relief includes
two critical/complementary components. Response designates our efficient, compassionate direct service
program to assess needs and provide immediate emergency assistance: food, clothing, shelter. Volunteers
respond on the scene 24/7/365. Caseworkers follow up to help the family that has lost their infant's crib in
a fire, or the first-grader whose school uniform is destroyed. Nurses assist the physically-challenged
disaster victim with new crutches or the diabetes patient with medication. Caseworkers provide emotional
support, financial assistance for a security deposit or first month's rent, and cover limited expenses for
clients dealing with the emotional devastation of their disaster.
Your Red Cross is committed to increasing Preparedness, building community resilience and prevention
awareness. Before the first emergency shelter is opened, the first volunteer deployed, or the first meal
served, we must have the proper supplies and systems in place to be ready to respond any time or
anywhere.
The American Red Cross makes a simple promise — to be there to answer the call. We are deeply
appreciative of our partnership with the Salt River Pima-Maricopa Indian Community and respectfully
request that you consider this application for renewed funding.
Beginning Date of Project: On-going End Date of Project: 12 mos. from receipt of funds

Geographic Area to be served: The Grand Canyon Chapter serves a 10-county jurisdiction in Arizona:
Apache, Coconino, Gila, La Paz, Maricopa, Mohave, Navajo, Pinal, Yavapai and Yuma counties.
** Attach Detailed Budget**
Amount of Total Project: $1,918,224 Amount of 12% Request: $150,000
(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):
Local Disaster Relief— responding to the immediate needs of victims of disasters and facilitating
resilience — is part of the core mission of the Red Cross. We will honor this mission, fulfilling our pledge
to provide support for all disaster victims in our jurisdiction. All Red Cross disaster relief is provided free
to disaster victims. Funding for Disaster Services is an on-going endeavor for which we constantly seek
corporate, foundation and individual contributions.
If you receive SRPMIC 12 % funding, will it be spent (Check One):
Cx montifiD
€ Quarterly
€ Lump Sum
List of SRPMIC 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.
2008: $ 25,000 from SRPMIC
2009: $ 50,000 from SRPMIC
2010: $ 75,000 from SRPMIC
2011: $100,000 from SRPMIC
2012: $100,000 from SRPMIC
2013: $125,000 from SRPMIC
We have submitted an application to Maricopa County to be included in the applications which they
submit to the Gila River Indian Community for the 2013-2014 12% cycle.
List any other funds you have received from the SRPMIC and identify the source: NA
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.) All funding requested is for Local Disaster Response. If funding is not available for the full amount of
the request, the amount awarded will still be applied to the same program.
B.)
C.)
D.)

Which municipal governmental entity will serve as your pass through or accept 12% funds on your
behalf?
Funding for the immediate past year was handled through the City of Tempe. This is acceptable to us if it
meets with your approval.
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.
opc, fiti nd50 May 14, 2014
Signature 1Wit Date
David Emerson, 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.

AMERICAN RED CROSS GRAND CANYON CHAPTER
FY14 Disaster Budget
REVENUE
Federated $ 568,000
Monetary Contributions $ 1,308,724
Contracts $ 41,500
TOTAL BUDGETED REVENUE $ 1,918,224
EXPENSES
Compensation 835,802
Employee Benefits 254,576
Travel & Meetings 90,092
Direct Financial Assistance to Disaster Clients 396,997
Supplies 3,629
Program Materials 5,640
Equipment Maintenance & Rentals 78,543
Buildings & Occupancy 121,461
Professional Fees 14,754
Contractual Services 51,357
Depreciation 65,374
TOTAL BUDGETED EXPENSES 1,918,224