FIGHTER COUNTY PARTNERSHIP APPLICATION - SRPM 2014.PDF
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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 Monday, October 20, 2014 Page 1 General information General information | Organization Fighter Country Partnership General information | Contact First name Ron General information | Contact Last name Sites General information | Contact e-mail rsites@fightercountry.org General information | Contact phone number 6236959244 Address Address | Street 500 N. Estrella Pkwy Suite B2 PMB 479 Address | City Goodyear Address | State az Address | ZIP Code 85338 What is the name of the program or project for which your organization is requesting grant funds? FCP's "Top Three Program" & Firestation Renovation Project For what grant amount does the organization plan to request funding? $60000 Page 1 Internal Revenue Servin.e Department of the TreasurY P. 0. BoY: Cincinnati, OH 4520 bate; Januar)/ 26, 2009 Person to Contact: Richard Owens 31-00913 Customer Service Representative Fighter Country Partnership, Inc Toil Free Telephone Number: % Steven J Becker, President 8:00 stIvs. i610 . p.m, EST 9801 N Black Canyon Hwy 877-829-5500 Phoenix, AZ 85021-2702 Fax Number: 513-283-3756 Federal identification Number 88-0719177 Dear Sir: This letter is in response to your request for affirmation of your organization's exempt status. In December 1993, we issued a determination letter that recognized your organization as exempt from federal income tax under section 501(c)(4) of the Internal Revenue Code. Thai letter is still in effect. All exempt organizations (unless specifically excluded) are liable for taxes under the Federal Insurance Contributions Act (social security taxes) on remuneration of $100 or more paid to each employee during a calendar year, Your organization is also liable for tax under tne Federal Unemployment Tax Act for each employee to whom It pays $50 or more during a calendar quarter it, during the current or preceding calendar year. the organization had one or more employees at any time in each of 20 calendar weeks or it paid wages of $1,500 or more In any calendar quarter_ If your organization's character, method of operation, or purposes change, please let us know so we can consider the effect of the change on the organization's exempt status. Also, your organization should inform us of all changes in its name or address. Your organization is required to file Form 990, Return or Organization Exempt from Income Tax, if its gross -receipts each year re normally more than $25,000. If . a-return -is required; it must be filed by the 15th day of the fifth month after the end of the organization's annual accounting period. The law imposes a penalty of $20 a day, up to a maximum of $10,000, when a return is filed late, unless there is reasonable cause for the delay. Because your organization is not one described in section 170(c) of the Code, donors may not deduct contributions made to it. You should advise your organization's contributors to that affect. Your organization is not required to file federal income tax returns unless it is subject to the tax on unrelated business income under section 511 of the Internal Revenue Code. If your organization is subject to this tax, it must file an income tax return on Form 990-T, Exempt Organization Business Income Tax Return_ In this letter we are not determining whether any of your organization's activities dre unrelated trade or btisiness as defined in Code section 513. 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: June 18, 2014 Organization Name: Fighter Country Partnership Organization/Municipal Government Street & Mailing Address: 500 N. Estrella Pkwy Ste B2 PMB 479 Goodyear Az, 85338 Contact Person and Project Manager if different from Contact Person: Ron Sites Title: President / Executive Director Address: 500 N. Estrella Pkwy Ste B2 PMB 479 Goodyear Az, 85338 Phone: 623-882-2191 Fax: Email Address: rsitesglightercountry.org Project Name: FCP's "Top Three" Program & Luke AFB Fire Station Renovation Project In 200 words or less, please provide a brief description of the project submitted to the 12% SRPMIC Grant program. FCP's Top Three programs target the Health & Human Services, Culture & Tradition and Mission Sustainability areas within Luke AFB that have been identified as areas of need. These areas change as the areas of need within the base change. Areas of need are identified by the senior leadership of Luke AFB, and FCP assumes the appropriate role to assist with the challenge at hand. Whether is it funding Autism Camps, Chaplain's Monthly Deployed Family Dinners or a base wellness affair, FCP directs its resources where needed. The mission of Luke AFB is to train the world's greatest fighter pilots and maintainers while deploying mission ready warfighters, and FCP focuses its Top Three attention towards quality of life aspects that assist in keeping base morale high while these high integrity airmen, soldiers and sailors serve our great nation. Beginning Date of Project: August 1,2014 End Date of Project: July 31, 2015 Geographic Area to be served: Maricopa County ** Attach Detailed Budget** $30,000.00 FCP — Luke AFB Fire Station Renovation Project $15,000.00 Retirement Appreciation/Women's Wellness/Men's Wellness Event $5,000.00 Chaplain's Monthly Deployed Family Dinners $5,000.00 Luke Airmen's Fund $5,000.00 Luke AFB Annual Awards Programs Amount of Total Project: $385,000.00 and continuously growing Amount of 12% Request: $60,000.00 (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): FCP's Top Three program is ongoing and we are always raising funds and identifying resources to enhance the quality of life at Luke. We are successful in our mission of supporting the men, women, families and mission of Luke AFB because we receive support from municipalities, businesses, individuals and other organizations as well as 12% gaming grant dollars. If you receive SRPMIC 12 % funding, will it be spent (Check One): Monthly 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. FCP— 2011/2012 $30,000 SRPM1C FCP — 2012/2013 $30,000 SRPM1C FCP — 2013/2014 $2,442 SRPMIC FCP 2013- $72,000 GRIC List any other funds you have received from the SRPMIC and identify the source: None 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. We would not fund the particular items listed above, or identify other potential donors to fund the events and/or program. If there was a priority of funding — priority would be: A.) FCP — Luke AFB Fire Station Renovation Project (Drawings Attached) B.) Retirement Appreciation/VVomen's Wellness/Men's Wellness Event C.) Chaplain's Monthly Deployed Family Dinners D.) Luke Airmen's Fund E.) Luke AFB Annual Awards Programs 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 i he Application is true to the best of the Applicants knowledge. The Applicant shall ify SRPMIC if any information in this Application changes. 6- a-zordi Signature for the A Date 445144 -CrreS 16CarlUe DlitaTiVZ 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. Fel= 7 .I=1- LCOMPCS BAYS TRUCX KAL.L. wrr FLOOR 7E1 SCALE PLAN Fire MEN.% MEM. Station Luke Facility Glendale. AZ AFB r. Adel 044. 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