FRIENDLY HOUSE INC APPLICATION - SRPM 2014.PDF

Admin Tribe Selection
Created Wednesday, October 22, 2014
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Please select to which tribe this Organization has applied to:
Salt River
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Created Friday, October 24, 2014
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General information
General information | Organization Friendly House, Inc.
General information | Contact First name Patty
General information | Contact Last name Arreguin
General information | Contact e-mail Patty.Arreguin@friendlyhouse.org
General information | Contact phone number 6024167209
Address
Address | Street 113 W Sherman St
Address | City Phoenix
Address | State AZ
Address | ZIP Code 85003
What is the name of the program or project for which your organization is requesting grant
funds?
College Preparatory Youth Services and Family Education Program
For what grant amount does the organization plan to request funding?
$100,000
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IRS IrRemM Department Reve of n the ue Treasury Service
P.O. Box 2508 In reply refer to: 0248558532
Cincinnati OH 45201 Oct. 07, 2008 LTR 4I68C E0
86-0120506 000000 00 000
00015110
BODE: TE
FRIENDLY HOUSE INC
PO BOX 3695
...:=,.:. PHOENIX AZ 85030
r
015393
Employer Identification Number: 86-0120506
Person to Contact: Mr. Lafollette
Toll Free Telephone Number: 1-877-829-5500
Dear Taxpayer:
This is in response to your request of Sep. 26, 2008, regarding your
tax-exempt status.
Our records indicate that a determination letter was issued in
May 1952, that recognized you as exempt from Federal income tax,
and discloses that you are currently exempt under section 501(c)(3)
of the Internal Revenue Cade.
Our records also indicate 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.
If you have any questions, please call us at the telephone number
shown in the heading of this letter.
Sincerely yours,
7)(itAtit_'n(_
Michele M. Sullivan, Oper. Mgr.
Accounts Management Operations I

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 12, 2014
Organization Name: Friendly House, Inc.
Organization/Municipal Government Street & Mailing Address:
113 W. Sherman Street Phoenix, AZ 85003
Contact Person and Project Manager if different from Contact Person:
Contact Person: Mark Mazola Project Manager: Jose Vaquera,
Title: President/CEO Title: Sr. Director of Youth Services/TRiO/Facilities
Title: See above
Address: 113 W. Sherman Street Phoenix, AZ 85003
Phone: 602-257-1870 Fax: 602-254-3135
Email Address: mark.mazonafriendlyhouse.org ; jose.vaquera@friendlyhouse.org
Project Name: College Preparatory Youth Services and Family Education Program
In 200 words or less, please provide a brief description of the project submitted to the 12% SRPMIC
Grant program.
According to U.S. Census figures, over 33% of all adults over 25 years of age in the target geographic area
(Central/South Phoenix) served by Friendly House's Youth Services programs have not completed a high
school diploma or equivalent. Many students in the target area do not pursue college because their adult
parents lack proper education/information, and/or counselors have not provided them with sufficient
guidance, for navigating the college testing, financial aid, and admissions processes. Since 2002, Friendly
House has assisted hundreds of students with navigating these processes.
Friendly House's proposed project for the 12% SRPMIC grant program will be directed at increasing
parental involvement in the educational activities of their high-school age youth. The participants will
include: 150 high school age students from Central/South Phoenix and 50 adults without college degrees who
are their parents/legal guardians. The students will be low-income "first generation" students, meaning they
would be the first in their families to attend and graduate from college. The program will offer 14 workshops
for the students and their parents to assist with navigating and completing the college testing, financial aid,
and admissions processes.
Beginning Date of Project: July 1, 2014 End Date of Project: June 30, 2015
Geographic Area to be served: Central/South Phoenix
**Attach Detailed Budget**

Amount of Total Project: $345,000 Amount of 12% Request: $100,000
(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):
Friendly House receives federal funding for its TRi0 Educational Talent Search program ($230,000
annually) which provides services annually to 550 youth/students in Grades 6-12 in Central/South Phoenix to
become familiar with the college experience. However, all of these federal funds must be spent directly on
the students and not for the parental education components which Friendly House also deems so important
for the overall program success. Friendly House has applied for and received small corporate grants (e.g.
Cox Communications, Desert Schools Credit Union) of around $10,000 to $15,000 annually which have
helped to support the parental education components. The larger amount of 12% grant funding from
SRPMIC which Friendly House might receive would enable the organization to strengthen significantly the
type and extent of activities which the program could offer to the parents of the participating high school age
youth.
If you receive SRPMIC 12 61/0 funding, will it be spent (Check One):
o Monthly
0 Quarterly
X 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.
None.
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 amount of request how would you prioritize funding.
A.) Student/Parental Workshops aimed at College Entrance and Examination Component
• College Admissions, SAT/ACT Test Preparation, Entrance Exams Registration
B.) Parental Education/Financial Literacy Workshops
• FAFSA Application, Pell Grants/Loans, Scholarships
C.) College Exposure/Field Trip activities
• Visit (3) State Universities
D.) Career Awareness/Exploration
Which municipal governmental entity will serve as your pass through or accept 12% funds on your
behalf?
Maricopa County: Federal Government Relations, Tribal Relations Regional Government Relations
• Contact: Amanda Nash, Legislative Analyst, (602) 506-4485

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.
Date
Mark Mazon, President/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.