HEARD MUSEUM APPLICATION - SRPM 2014.PDF
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Admin Tribe Selection Created Tuesday, October 28, 2014 Page 1 Please select to which tribe this Organization has applied to: Salt River Page 1 Created Tuesday, October 28, 2014 Page 1 General information General information | Organization Heard Museum General information | Contact First name Eric General information | Contact Last name S Trevan General information | Contact e-mail etrevan@heard.org General information | Contact phone number 6022510251 Address Address | Street 2301 North Central Avenue Address | City Phoenix Address | State AZ Address | ZIP Code 85004 What is the name of the program or project for which your organization is requesting grant funds? Free Admissions to the Museum For what grant amount does the organization plan to request funding? $35000 Page 1 ro IRS Department of the Treasury Internal Revenue Service P.O. Box 2508 In reply refer to: 0248164838 Cincinnati OH 45201 Feb. 09, 2012 LTR 4168C E0 86-0107517 000000 00 00025507 BODC: TE HEARD MUSEUM 2301 N CENTRAL AVE PHOENIX AZ 85004-1323 019550 Employer Identification Number: 86-0107517 Person to Contact: MR. BROWN Toll Free Telephone Number: 1-877-829-5500 Dear TAXPAYER: This is in response to your Jan. 31, 2012, 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 JANUARY 1936. 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 We will publish a list of organizations whose tax-exempt status was revoked under section 6033(j) of the Code on our website beginning in early 2011. 0248164838 Feb. 09, 2012 LTR 4168C EO 86-0107517 000000 00 00025508 HEARD MUSEUM 2301 N CENTRAL AVE PHOENIX AZ 85004-1323 If you have any questions, please call us at the telephone number shown in the heading of this letter. Sincerely yours, S. A. Martin, Operations Manager Accounts Management Operations 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: 05/01/2014 Organization Name: Heard Museum Organization/Municipal Government Street & Mailing Address: Heard Museum 2301 North Central Avenue Phoenix Arizona 85004 Contact Person and Project Manager if different from Contact Person: Eric S Trevan Title: Director of Tribal Relations/Annual Giving Address: 2301 North Central Avenue Phoenix Arizona 85004 Phone: 602-251-0251 Fax: 602-252-8840 Email Address: etrevan@heard.org Project Name: Free Admissions Program-School Tours for Students In 200 words or less, please provide a brief description of the project submitted to the 12% SRPMIC Grant program. The Heard Museum is requesting $65,000 from the Salt River Pima Maricopa Indian Community which will be used to provide free admissions to the Museum for area elementary and high school students. In our most recent fiscal year approximately 9,000 students will visit the Museum as part of school tours. Without free admission, many of the schools would not be able to provide the cultural enrichment found in the exhibits at the Museum, nor would a new generation of children learn the wonder of, and respect for, Native people and your cultural heritage. These first hand experiences inspire a new understanding and impart a factual history not otherwise available in most textbooks or media. As often as possible, the tours are led by our American Indian Youth Guides. As part of the students' trip to the Museum, most schools like to include our Bonus Tours for an interactive activity creating art. After their tour of our galleries, students complete a take home project that directly relates to the tour. This is a fun and educational way to create a lasting memory of the Heard Museum. Funding from Salt River Pima Maricopa Indian Community will also help underwrite this element of the tours. Beginning Date of Project: 01/01/15 End Date of Project: 12/31/15 Funding will be used for field trips scheduled during the remainder of the current school year and September-December next fall. Geographic Area to be served: Primarily, but not limited to, Maricopa County ** Attach Detailed Budget** Amount of Total Project: $75,000 Amount of 12% Request: $65,000 (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 Heard Museum will use internal funds to continue to fully meet the demand for school tours. General operating grants have been given by the Arizona Commission for the Arts and the City of Phoenix Office of Arts and Culture. If you receive SRPMIC 12 % funding, will it be spent (Check One): III Monthly X Quarterly 11 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. • Since 2004, $660,000 has been received by SRPMIC • Gila River Indian Community List any other funds you have received from the SRPMIC 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. 100% of SRPMIC 12% funding will be applied to the Free Admissions Program — School Tours for Students, regardless of the amount. The Heard Museum is dedicated to this program and will seek alternative sources to help offset the costs. The total project is $75,000 for the Free Admissions Program — School Tours for Students, of which we are requesting $65,000 from SRPMIC. Any contribution amount will help offset the total amount of the Free Admissions Program — School Tours for Students 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. M / attire for A the A leant Date James Pepper Henry Museum Director and 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. iTn Heard Museum YOUTH EDUCATION PROGRAMS 2015 PROJECTED BUDGET EXPENSE ITEM TOTAL COMMENTS Personnel Director of Education $23,815 Allocation 50% of Salary for Management of Youth Education Programs 2 Education Project Assistants $28,650 Allocation of 50% of Salary for each Sub Total Personnel $52,465 Ins. & Staff Benefits @ 17% $9,089 Free Admissions for School Tours $75,000 $7.50 x 10,000 estimated students FY 2014 Arts Materials and Supplies $ 7,500 Bonus Tours; Every Picture Tells a Story Exhibit Room; Summer Sundays; other special events Educational Posters - Design, $ 5,000 Teachers' aids - 5 posters printing and mailing Traveling Panel Exhibits $7,500 Development of new panels in FY 2013 + upkeep on existing Teaching Artists and Entertainers $6,450 Office Supplies $ 4,500 Postage $ 500 Web Site Mgt 250 Sub Total $168,254 Operational Overhead - General 25,238 15% of total all other costs TOTAL $193,492