MARICOPA COMMUNITY COLLEGES APPLICATION - SRPM 2014.PDF

Admin Tribe Selection
Created Tuesday, October 21, 2014
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Please select to which tribe this Organization has applied to:
Salt River
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Created Tuesday, October 21, 2014
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General information
General information | Organization Maricopa Community Colleges Foundation
General information | Contact First name Colleen
General information | Contact Last name Peterson
General information | Contact e-mail colleen.peterson@domail.maricopa.edu
General information | Contact phone number 48073188338
Address
Address | Street 2419 West 14th Street
Address | City Tempe
Address | State AZ
Address | ZIP Code 85281
What is the name of the program or project for which your organization is requesting grant
funds?
American Indian Scholarship and Support
For what grant amount does the organization plan to request funding?
$150,000
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Internal Revenue Service Department of the Treasury
P. 0 Box 2508
Cincinnati, OH 45201
Person to Contact:
Date; August 6, 2003 Cassandra Jackson 31-07417
Customer Service Representative
Mancopa County Community College District foundation Toll Free Telephone Number:
2419 West 14th Street BM rn to MO p rn EST
Tempe, AZ 85281-6941 877-829-5500
Fax Number:
513-263-3756
Federal Identification Number:
86-0327449
Dear Sir or Madam:
This is in response to your request of July 7, 2003 regarding your organization's taxiexempt status
In April 1977 we issued a determination letter that recognized your organization as exempt from federal
income tax Our records indicate that your organization is currently exempt under section 501(c)(3) of the
Internal Revenue Code
Based on information subsequently submitted, we classified your organization as one that is not a private
foundation within the meaning of section 509(a) of the Code because it is an organization described in
section(s) 509(a)( 1) and 1700)(1 )(A)(vi)
This classification was based on the assumption that your organization's operations would continue as stated
in the application if your organization's sources of support or its character, method of operations, or
purposes have changed, please let us know so we can consider the effect of the change on the exempt status
and foundation status of your organization
Your organization is required to file Form 990, Return of Organization Exempt from Income Tax, only if its
gross receipts each year are 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
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 not liable for the tax imposed under the Federal Unemployment Tax Act
(RITA)
Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the
Code However, these organizations are not autematicaliy exempt from other federal excise taxes
Donors may deduct contributions to your organization as provided in section 170 of the Code Bequests,
legacies, devises, transfers, or gifts to your organization or for its 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

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Maricopa County Community Collage District Foundation
86-0327449
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 Code If your organization is subject to this tax, it must file an
income tax return on the Form 990--T, Exempt Organization Business Income Tax Return In this letter we are
not determining whether any of your organization's present or proposed activities are unrelated trade or
business as defined in section 513 of the Code
Section 6104 of the Internal Revenue Code requires you to make your organization's annual return available
for public inspection without charge for three years after the due date of the return The law also requires
organizations that received recognition of exemption on July 15, 1987, or later, to make available for public
inspection a copy of the exemption application, any supporting documents and the exemption letter to any
individual who requests such documents in person or in writing Organizations that received recognition of
exemption before July 15, 1987, and had a copy of their exemption application on July 15, 1987, are also
required to make available for public inspection a copy of the exemption application, any supporting
documents and the exemption letter to any individual who requests such documents in person or in writing
For additional information on disclosure requirements, please refer to Internal Revenue Bulletin 1999
Because this letter could help resolve any questions about your organization's exempt status and foundation
status, you should keep it with the organization's permanent records
If you have any questions, please call us at the telephone number shown in the heading of this letter
T his letter affirms your organization's exempt status
Sincerely,
John E RickettS, Director, TE/GE
Customer Account Services

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 15, 2014
Organization Name: Maricipa Community Colleges Foundation
Organization/Municipal Government Street & Mailing Address:
2419 West 14th Street
Tempe, Arizona 85281-6942
Contact Person and Project Manager if different from Contact Person: Colleen Peterson
Title: Vice President for Development
Address: 2419 West 14' Street
Tempe, Arizona 85281-6942
Phone: 480-731-8838
Fax: 480-731-8411
Email Address: colleen.petersonAdomail.maricopa.edu
Project Name: American Indian Programs
In 200 words or less, please provide a brief description of the project submitted to the
12% SRPMIC Grant program.
In order to best serve the American Indian population, the Maricopa Community College District has
instituted two programs: an American Indian Outreach Office — an initiative that is aimed at building
and maintaining community and tribal partnerships; and the American Indian Institute which maintains
a physical presence at both Scottsdale and Mesa Community Colleges and provides American Indian
students with programs and services.
Housed in the District's Administrative Offices, the Outreach Office was created to increase the number
of American Indian students enrolling in college and support their studies toward completion. This office
builds community and tribal partnerships that support not only the students but also their families.
Providing programs and services designed to introduce middle and high school American Indian students
to the college experience as well as retaining currently enrolled students is this Office's goal.
The American Indian Institute maintains a physical presence at both Scottsdale and Mesa Community
Colleges. The mission of the Institute is to provide comprehensive, culturally responsive academic and
personal support that promotes opportunities for successful and enhanced college experiences for
American Indian students. The Institute utilizes the family community model to provide a sense of
familial support for American Indian students that engage students and empowers them as leaders.

Beginning Date of Project: July 1,2014 End Date of Project: June 30, 2015
Geographic Area to be served: Maricopa County
** Attach Detailed Budget**
Amount of Total Project: $225,000 Amount of 12% Request:
(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):
If you receive SRPMIC 12 {)/0 funding, will it be spent (Check One):
X 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.
The Maricopa Community Colleges Foundation is proud to have partnered with the SRPMIC
community for many years. For fiscal year FY2015, the Foundation is also seeking funding from
the Tohono O'odham Nation.
List any other funds you have received from the SRPMIC and identify the source:
The Foundation has received funding from the SRPMIC Children's Foundation for FY2014 in the
amount of $14,657 for the Junior ACE program held jointly with Scottsdale Community College
and the SRPMIC School District.
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.) Scholarships and services for currently enrolled students to enhance their educational experience and
retain these students in their chosen academic field to assist them in completing their studies.
B.) Scholarships for new students yet to enroll
C.) Outreach services and 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% Gaining 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.
May 15, 2014
Signature for the Applicapf Date
Steven R. Helfgot, Ed.D., President and Chief Executive Officer
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.

Maricopa Community Colleges — American Indian Program Budget
SRPMIC 12%
Item Description Budget Funding Request
Scholarships Tuition, Registration, and Fees $55,000 $36,000
• Student activities, workshops, conferences, & support
Retention Activities, services for outreach, recruitment, & retention
Projects, & Events • Honoraria for American Indian speakers — targeted d $40,000 $30,000
themes include Minority Male, STEM, Leadership &
Empowerment
• Cultural awareness programming
Student Support Services • Emergency grants, meals plans, transportation $17,000 $10,000
assistance/bus passes
• Coordinate American Indian Summer Bridge Program
in connection with Minority Empowerment Network.
Program will target 25 middle school boys & work to
transition them into the Mar icopa Hoop Of Learning
program.
• Program will also provide tour of Maricopa Colleges
Bridge Programs along with other retention activities & trips to support $20,000 $14,000
enrollment into MCCCD beyond summer bridge
participation.
• Program expenses will cover the following: tuition for
three credit course, registration, classroom fees &
book expenses, transportation and meals, & official
functions
• Provide parents with workshops that would
complement lessons that students are receiving while
participating in program.
• Scottsdale Community College: A student services
specialist to assist students with financial aid, tribal
funding, enrollment, outreach, & retention
Contractual Services • Mesa Community College: Program advisor to assist $54,000 $35,000
students with outreach, recruitment, & retention, & a
tutor specializing in Math
• District Office: part-time coordinator to assist with
planning and execution of program initiatives
• Printing
Office Supplies • Computer Technology $24,000 $15,000
• Books
• Contingency Funding
• Support items

• Contracted services for Summer 2015 Program
Coordination.
• Instruction for emerging Native filmmakers a number
of contemporary tools & methodologies for
translating their voice & vision into effective
platforms.
• Curriculum will include: Pre-production, Equipment
Management, Software, Lighting Techniques
Cinematography, Camera Operation, Acting,
Native American Film Research Documentation, Audio Science, File
Program at Mesa Management, Producing, Business, Accounting,
Community College Current Software Editing, &Post-Production $15,000 $10,000
Marketing.
• Will meet with students first 5 weeks and then will
film community b-roll and adobe editing to produce
final project.
• Deliverable will between a 12-22 minute documentary
style video production in collaboration with the Hoop
Program. This year I will include the larger American
Indian Community, in terms of interviewing
traditional elders, educators with a central focus on
cultural preservation ie language, ritual, and long term
political and religious shifts.
• Faculty: Eddie Webb Program Coordination
TOTALf.:•: •..........:...• •.•.225-'0•:: $ ... .. .100 . -.....: , . ' .$150.:0011•::.