Attachment B – Application Cover Sheets
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2026 Ak-Chin Indian Community Grant Application Cover Sheet Name of Applicant: Las Brisas Academy PTO Applicant is a: □ City/Town/County (circle) □Other: 501(c)(3) public charity Contact Person and Title: TJ Hansell, President – LBA PTO Applicant Address (administrative office): 18211 W Las Brisas Drive City: Goodyear Zip Code: 85338 Applicant Mailing Address (if different): City: Zip Code: Phone Number: 480.828.3290 Fax Number: E-mail Address: lasbrisaspto@gmail.com Fiscal Agent for any Applicant that is not a City, Town, or County (Special Taxing Districts/Fire Districts must have a Fiscal Agent) Contact Person: Christina Panaitescu – Community Partnerships Program Manager City/Town/County Mailing Address: City of Goodyear 1900 North Civic Square City: Goodyear Zip Code: 85395 Phone Number: 623-882-7804 Fax Number: E-mail Address: christina.panaitescu@goodyearaz.gov Program or Project Name: LBA PTO – Extracurricular Improvements Priority Area (Check all that apply) □ education □ public safety □ health □ environment □ promotion of commerce □ economic and community development Purpose of Grant (brief statement): LBA PTO – Extracurricular Improvements project will improve the ability of all students at Las Brisas Academy to enjoy the amenities and extra programming at the school to improve their educational experience. These improvements will help them enjoy education, making their learning experience more satisfying which will lead to better outcomes for them in school and outside. Target Audience/Beneficiaries: Youth (K-8) – 650+ that attend Las Brisas Academy Beginning and Ending Date of Program or Project: January 1, 2027 – December 31, 2027 Amount Requested: $150,000 Total Cost: $150,000 Geographic Area Served: City of Goodyear By the execution of this Grant Application the undersigned agrees that the information contained in this Application is true, to the best of the Applicant’s knowledge. The Applicant shall notify the Community if any information in this Application changes. Signature: For the Applicant: __________________________________________ Date: 6/15/2026 Typed/Printed Name and Title: Timothy J. Hansell – LBA PTO President For the Fiscal Agent: ____________________________________ Date:______________ (If applicable) Typed/Printed Name and Title: Christina Panaitescu – Community Partnerships Program Manager 2026 Ak-Chin Indian Community Grant Application Cover Sheet Name of Applicant: Applicant is a: □ City/Town/County (circle) Southwestern Institute for the Education of □Other: 501(c)(3) public charity Native Americans (SIENA) Contact Person and Title: TJ Hansell, President - SIENA Applicant Address (administrative office): 18607 W Vogel Ave City: Goodyear Zip Code: 85338 Applicant Mailing Address (if different): City: Zip Code: Phone Number: 480.828.3290 Fax Number: E-mail Address: tj@siena-az.org Fiscal Agent for any Applicant that is not a City, Town, or County (Special Taxing Districts/Fire Districts must have a Fiscal Agent) Contact Person: Christina Panaitescu – Community Partnerships Program Manager City/Town/County Mailing Address: City of Goodyear 1900 North Civic Square City: Goodyear Zip Code: 85395 Phone Number: 623-882-7804 Fax Number: E-mail Address: christina.panaitescu@goodyearaz.gov Program or Project Name: Natives Helping Natives Priority Area (Check all that apply) □ education □ public safety □ health □ environment □ promotion of commerce □ economic and community development Purpose of Grant (brief statement): Natives Helping Natives is an economic development initiative to support local Native American businesses, nonprofits, and organizations learn and share with other Native business leaders, executives, and organizations to lift the whole ecosystem. The shared experiences of each group will help build upon the other to create a network of experts that can understand the struggle and cultural aspects of running an organization or business with a focus on Native communities. Target Audience/Beneficiaries: Up to 100 Native businesses, nonprofits, executives, and entrepreneurs Beginning and Ending Date of Program or Project: January 1, 2027 – December 31, 2027 Amount Requested: $100,000 Total Cost: $100,000 Geographic Area Served: City of Goodyear and West Valley By the execution of this Grant Application the undersigned agrees that the information contained in this Application is true, to the best of the Applicant’s knowledge. The Applicant shall notify the Community if any information in this Application changes. Signature: For the Applicant: __________________________________________ Date: 6/15/2026 Typed/Printed Name and Title: Timothy J. Hansell – LBA PTO President For the Fiscal Agent: ____________________________________ Date:______________ (If applicable) Typed/Printed Name and Title: Christina Panaitescu – Community Partnerships Program Manager