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HomeMy WebLinkAboutItem #06 Approval of the Community Grant Program July 2017 Cycle tloritfo AGENDA ITEM COVER SHEET Meeting Date: September 19, 2017 Item # 4_ Reviewed By: Contact Name: Joy P. Wright Department Director: ; Contact Number: 407-905-3100 x9-1530 City Manager: 77/ - Subject: Community Grant Program—July 2017 Cycle Background Summary: The Community Grant Review Board (CGRB) met on August 16, 2017 to discuss the 12 applications received for the Community Grant Program (formerly the Community Merit Awards Program). The Community Grant Program provides financial grants of up to $500 to non-profit organizations and civic groups located within the city limits or outside the city limits but providing benefits to residents of Ocoee. The grant cycle is open twice yearly (January and July) to acknowledge excellence and further the contributions these local organizations bring to the Ocoee community. There is $6,500 allotted for this cycle of the Community Grant Program. The Community Grant Review Board recommends funding 11 organizations in the total amount of$5,500. From the 12 applications received, one organization was denied, the Garden Community Choir. The choir requested grant funds to pay for advertising materials for their Unity Concert, this does not fit the grant criteria. Issue: Should the Mayor and Commissioners approve the $5,500 funding recommendation made by the Community Grant Review Board? Recommendations Staff respectfully requests that the Mayor and City Commission approve the Community Grant Review Board's recommendation. Attachments: Community Grant applications Minutes of the August 16, 2017 CGRB meeting Financial Impact: $6,500 funding is available for this grant cycle. The total amount requested is $5,500. Organization Requested Recommended 1. Autism&Related Disabilities Program $ 500 $ 500 2. Christian Service Center—West Orange Family Life Center $ 500 $ 500 3. The Gift of Swimming $ 500 $ 500 4. Matthew's Hope Ministries, Inc. $ 500 $ 500 5. Read to Sydney $ 500 $ 500 6. Rotary Club of Ocoee $ 500 $ 500 7. Second Chance Baby Resource Center $ 500 $ 500 8. S.T.A.R.S. of West Orange $ 500 $ 500 9. West Oaks Library $ 500 $ 500 10. Woman's Club of Ocoee $ 500 $ 500 11. World Outreach Community Development $ 500 $ 500 TOTAL: $5,500 The following organizations are recommended to receive a total of$5,500 grants: 1. Autism& Related Disabilities Program Holiday party gifts, swimming lessons,bowling family night for families 2. Christian Service Center—West Orange Family Life Center Paper products, napkins, plates and utensils to be used in Daily Bread soup kitchen 3. The Gift of Swimming Funding for two Ocoee children to receive swim lesson scholarships 4. Matthew's Hope Ministries, Inc. Provide homeless guests with bicycles,bike lights,bike locks,bus passes, groceries and gas gift cards 5. Read to Sydney Learning Center inside West Oaks Mall Purchase reading books and workbooks for children in Ocoee community 6. Rotary Club of Ocoee Purchase dictionaries for every rd grade student in Ocoee elementary schools 7. Second Chance Baby Resource Center Second Harvest Food Pantry 90-day food purchase, diapers and diaper wipes 8. S.T.A.R.S.of West Orange Purchase backpacks for students attending Ocoee schools 9.West Oaks Library Purchase five Singer SEW Mate 5400 sewing machines to offer more sewing lessons in Ocoee 10.Woman's Club of Ocoee Reimburse the club for purchase of mops, cleaning supplies, light bulbs,kitchen plumbing repair 11.World Outreach Community Development Purchase lunches and gifts for at-risk students attending Citrus Elementary and Ocoee Middle schools 2 • Type of Item: (please mark with an x'9 Public Hearing For Clerk's Debt Use: Ordinance First Reading h Consent Agenda Ordinance Second Reading Public Hearing Resolution Regular Agenda 7— Commission Approval Discussion&Direction Original Document/Contract Attached for Execution by City Clerk Original Document/Contract Held by Department for Execution Reviewed by City Attorney N/A Reviewed by Finance Dept. N/A Reviewed by N/A 3 MINUTES OF THE CITY OF OCOEE COMMUNITY GRANT REVIEW BOARD MEETING O c o e e AUGUST 16, 2017 florida CALL TO ORDER- 7:01 pm Chairman Sills called the regular meeting of the Community Grant Review Board to order at 7:01 p.m. in the Commission Conference Room at City Hall. Chairman Sills called for a moment of silence followed by the Pledge of Allegiance. The roll was called and a quorum declared present. PRESENT: Chairman Sills, Vice-Chairman Carrington and Member Rainer. Also present were Community Relations Manager Wright and Recording Clerk Heard. ABSENT: Member Cortes (A/E), Member Dunn (A/E) APPROVAL OF MINUTES—Regular meeting held on February 8, 2017. Vice-Chairman Carrington, seconded by Member Rainer, moved to approve the minutes of the Community Grant Review Board Meeting held February 8, 2017. Motion carried unanimously. Application No. 1 —Read to Sydney (7:04 pm) Thomas Battisto attended to represent the organization, which is located within the West Oaks Mall. He indicated they have a reading and learning center inside the West Oaks Mall with therapy dogs. He stated they work primarily with disabled children; and after they read with the therapy dog, they are able to take a book home with them. He stated this funding will be used to purchase those books. Chairman Sills questioned if their organization still serves 2,000 with 250 residing in Ocoee to which Mr. Battisto agreed. Chairman Sills also clarified that they did submit an application for the last meeting in February 2017 to which Mr. Battisto explained he was in the emergency room that day. Member Rainer asked how they get the children to the West Oaks Mall. Mr. Battisto explained that a lot of children are walking through the mall and see the hours and visit during those times; and further, they work with disabled children during the weeks at schools and libraries to which the teachers and children will tell the parents about the organization. Member Rainer asked who teaches the children. Mr. Battisto explained they read to the therapy dogs, but they are getting donated computers soon in anticipation of retired teachers tutoring the children. Vice-Chairman Carrington had no questions. Vice-Chairman Carrington, seconded by Chairman Sills, moved to recommend that the City Commission award ;rant funding of $500 to Read to Sydney. The motion carried unanimously. COMMUNITY GRANT REVIEW BOARD MEETING AUGUST 16,2017 Application No. 2—S.T.A.R.S. of West Orange (7:07 pm) Allisha Douglas, Vice President, attended to represent the organization, which is located in the West Oaks Mall. She announced that this organization started 15 years ago with one classroom in one school; and currently they service 40 to 50 schools, which includes all Ocoee schools. She explained they take any school no matter how affluent their population is, because there will always be students in need. She announced they provide backpacks and school supplies for students who participate in the free and reduced lunch program. Chairman Sills asked how many backpacks they gave out this year. Ms. Douglas said about 3,500. Member Rainer asked if that is an increase from last year to which Ms. Douglas answered in the affirmative indicating last year was about 2,500. Vice-Chairman Carrington had no questiops and said he is in full support of this organization. Member Rainer said she is in support as well. Member Rainer, seconded by Vice-Chairman Carrington, moved to recommend that the City Commission award grant funding of $500 to S.T.A.R.S. of West Orange. Motion carried unanimously. Application No. 3—The Gift of Swimming (7:09 pm) Tera Kapp attended to represent the organization. She explained this organization provides private swim lessons to underprivileged children and children with disabilities. Chairman Sills inquired how many students they were able to teach last year to which Ms. Kapp replied almost 450. Vice-Chairman Carrington inquired if they still have seven children on their waitlist from Ocoee to which Ms. Kapp replied that they taught two children from Ocoee last year. Vice- Chairman Carrington asked if they are seeking funds to provide lessons for Ocoee children this year to which Ms. Kapp replied in the affirmative. Vice-Chairman Carrington recalled from past applications that they had a shortfall for covering two children. Ms. Kapp answered in the affirmative, but explained they have more fundraising that will cover the difference. Member Rainer asked if they are applying for this grant to fund the two children from Ocoee to which Ms. Kapp replied two of the seven children from Ocoee will be funded with this grant. Vice-Chairman Carrington, seconded by Chairman Sills, moved to recommend that the City Commission award grant funding of $500 to The Gift of Swimming. Motion carried unanimously. Application No. 4—World Outreach Community Development (7:11 pm) Shanti Persaud, Owner of Community Broadcasting and World Outreach Community Development with WOKB 1680 AM, attended to represent the organization. She explained World Outreach is a non-profit that works under WOKB, which has been serving the community for over 65 years. She indicated within the last two years WOKB has been passionate about helping the homeless and have been making hygiene kits to give away. She continued explaining that about three years ago she began having lunch at Citrus Elementary in Ocoee with at least five or six kids who were having trouble at school or have one parent and/or want someone to talk to whom the guidance counselor recommended. She started buying them lunch once a month with little gifts. She currently has eight ladies a month having lunch with five or six kids once a month. She explained some of the funds would go towards the lunches, gifts and lots of COMMUNITY GRANT REVIEW BOARD MEETING AUGUST 16,2017 encouragement to continue working hard at school and some funds would go towards the hygiene kits for the homeless. Vice-Chairman Carrington clarified that their application did not specify what the funds would go towards; and further, he asked if it would go to both of those programs to which Ms. Persaud answered in the affirmative. Vice-Chairman Carrington asked if the students are located in Ocoee. Ms. Persaud indicated the schools are Citrus Elementary and Ocoee Middle School. Chairman Sills asked if this program is all volunteer and whether there are any paid employees to which Ms. Persaud indicated it is all volunteer. Vice- Chairman Carrington asked what the relationship is between World Outreach and G&R Security, Inc., and Got Skills Mentoring Corp.; and further, he mentioned that Gerrille signed both of the support letters. Ms. Persaud answered that Gerrille Robinson is an employee for Rama Communications, Inc., but he has his own company, which is G&R Security, Inc., and he works on most of their security work and the hygiene kit project. She further explained that Got Skills is a mentoring program with four gentlemen under it. Vice-Chairman Carrington, seconded by Chairman Sills, moved to recommend that the City Commission award grant funding of$500 to World Outreach Community Development. Member Rainer inquired if the funds are awarded, how will they know the funds with be used for residents within Ocoee. Ms. Persaud answered the funds will be going into the World Outreach account and used for the Ocoee school children. She emphasized the items they have bought the children are backpacks or items for school, clothes, food and snacks and sometimes bringing them in a special lunch. After discussion the Motion carried unanimously. Application No. 5—Matthew's Hope Ministries (7:18 pm) Scott Billue, Founder, attended to represent the organization, which is currently located at 523 South Woodland Street in Winter Garden, and they hope to move in November to a new building in Ocoee off of Story Road across the street from the tech school. He indicated the funds will be used for running a bus route to pick up any homeless people that need services such as a shower, haircut and laundry. He explained that their organization has served over 5,000 people within the last seven years with services such as medical, dental, optical, mental health care, legal issues such as birth certificates, social security cards/benefits, help with licenses, jobs. They have a program that they have tied in with the tech school to help residents earn certificates, which can double their income from an average of$10 an hour to $25 an hour. He explained this is not a hand-out type of program, but every resident is afforded to work if they chose to work. He further explained that if they are mentally or physically unable or they chose not to go to the tech school for whatever reason, this organization does not care; and further, their goal is to move them towards self-sufficiency and independence and not just to make them more comfortable in their current situation. He concluded by emphasizing that the homeless are not going away; and moreover, because of all the new development, they are being pushed out of the woods to behind buildings and closer into municipalities. Chairman Sills inquired how they get in touch with them and whether itis by word of mouth. Mr. Billue indicated the homeless have a better network than they do. He continued by saying they have an intake of roughly 100 people a week; and further, at any given time they are serving anywhere from 300 to 500 people. They currently have 15 homes in Winter Garden to house women and children; and moreover, about 60 percent COMMUNITY GRANT REVIEW BOARD MEETING AUGUST 16,2017 of the residents they serve are women and children. They have a food pantry for students at West Orange High School, and they have their own food pantry, which is available to any residents within the West Orange community. He reiterated that the funds from this grant will be used for transportation, which is a lot safer than them walking or riding a bike. Vice-Chairman Carrington had no questions, but commented he really appreciates what they are doing within the community and that there is a need for this to which Member Rainer agreed. Member Rainer, seconded by Vice-Chairman Carrington, moved to recommend that the City Commission award grant funding of $500 to Matthew's Hope Ministries. Motion carried unanimously. Application No. 6—GFWC Woman's Club of Ocoee (7:22 pm) Jackie Titus, Member, attended to represent the organization, which is located at 4 North Lakewood Avenue, Ocoee. She indicated every year they hold a contest called Creative Expressions for all the fifth graders within the Ocoee schools to which they can create a song, dance, essay, poem or the like and coordinate it to a particular subject that is given to them from the Woman's Club where they in turn will donate a big box of school supplies to each school. She also stated they donate a children's bike every year to the Spring Fling. They have a project that they call "Warm & Fuzzies" where each member will bring in a book, a cuddly toy and a soft blanket, and this past February they gave away 155 Warm & Fuzzy bags, which were donated to the Arnold Palmer Pediatric Cancer Center. She stated over 30 members of this organization are Ocoee residents, and they are a service-oriented club, which gives back to the residents of Ocoee. There were no questions by the board members. Vice-Chairman Carrington, seconded by Chairman Sills, moved to recommend that the City Commission award grant funding of$500 to GFWC Woman's Club of Ocoee. Motion carried unanimously. Application No. 7—Christian Service Center (West Orange Family Life Center) (7::26 pm) Bryan Hampton, attended to represent the organization, which is located at 300 W. Franklin Street, Ocoee. He explained that this organization has two thrift stores and offers emergency crises care for families in need; however, their big program in West Orange is an extension of their Daily Bread, which is a fully-functioning commercial soup kitchen and serves approximately 150 meals per day, six days a week; and moreover, last year they served over $38,000 for the entire year. Chairman Sills indicated he knows this program and does not have any questions. Vice-Chairman Carrington, seconded by Member Rainer, moved to recommend that the City Commission award grant funding of $500 to Christian Service Center. Motion carried unanimously. COMMUNITY GRANT REVIEW BOARD MEETING AUGUST 16,2017 Application No. 8—West Oaks Library (7:28 pm) Kris Woodson, West Oaks Library, attended to represent the organization, which is located at 1821 E. Silver Star Road, Ocoee. She indicated the funds will be used to purchase five sewing machines to assist them to be able to continue a sewing class for the residents of Ocoee, which would give the library an opportunity to offer more life-long learning classes, which in turn will help the residents learn the basic skills of sewing. She explained the library has offered 13 sewing class sessions with a total of 74 residents attending; and moreover, the type of classes offered thus far have been basic sewing techniques, threading sewing machines, etc., sewing zippers and buttons, hemming. She indicated the classes are also offered at the Orange County downtown location in which they have been sharing the sewing machines; but however, the local classes have become so popular that they would like to purchase their own sewing machines so they can offer the classes more often. Vice-Chairman Carrington inquired what the projections are for more classes if they do receive this grant. Ms. Woodson advised they will be offering a class every week, four classes per month. Member Rainer inquired whether the classes are free to which Ms. Woodson answered they are free to library card holders, which the majority of their card holders are Ocoee residents. Chairman Sills asked what ages participate in these classes. Ms. Woodson said this class is for all ages, but they have noticed that a good portion of the students are older adults who want to relearn their sewing skills. She advised that they offered a class over the summer for children and teenagers, which was very popular. Chairman Sills asked if the new machines will be stored at the downtown location. Ms. Woodson stated that the new machines will be left at the West Oaks Library. Vice-Chairman Carrington inquired if this grant is awarded and the sewing machines are purchased, will the library system commit through the budget process to support the sewing classes to which Ms. Woodson answered in the affirmative. Vice-Chairman Carrington, seconded by Member Rainer, moved to recommend that the City Commission award 2rant funding of $500 to the West Oaks Library. Motion carried unanimously. Application No. 9—Autism & Related Disabilities Gym Program (7:33 pm) Jo-Anne Houwers attended to represent the organization, which is held at the Ocoee Jim Beech Recreation Center. She announced this organization started in 2003. Chairman Sills inquired if the grant is awarded, what the funds will go towards. Ms. Houwers indicated most likely it will be a family bowling night, because that has not taken place yet this year. She explained they just finished up with their swimming lessons in which they utilized the City's lifeguards who are wonderful with the kids, but they were able to pay the City back for that. She said they will have a holiday party in December with a lot of gifts to give away. She also mentioned they will try to fit in AirHeads for the kids, an indoor trampoline arena. There were no questions from the board members. COMMUNITY GRANT REVIEW BOARD MEETING AUGUST 16,2017 Vice-Chairman Carrington, seconded by Chairman Sills, moved to recommend that the City Commission award grant funding of $500 to Autism & Related Disabilities Gym Program. Motion carried unanimously. Application No. 10—Second Chance Baby Resource Center (7:35 pm) Sharon Lyles, Founder, attended to represent the organization, which is located at 1041 Crown Park Circle in Winter Garden. She said this organization is a resource center for infants through the age of three, and their mission is to ensure the health, growth and development of infants. She explained they are a diaper bank to which they supply families with diapers, wipes and other essential items for the babies. She said they have an emergency food pantry that is not only for the babies, but for other family members within the household. She announced they also hold development classes on a quarterly basis on life skills such as banking, housing and education. Once a year they hold a Mother's Day Luncheon where they acknowledge the moms with a nice lunch and gifts. They do hold an Angel Tree at Christmastime to help the families with gifts, and they also make Thanksgiving baskets as well. She mentioned they partner with the Orange County Health Department, which is where they meet most of the needy families; and further, the surrounding hospitals are starting to refer the families to them. She said they are also affiliated with the Heart of Florida United Way 2-1-1. She announced that they currently have five mothers that live in Ocoee, which two are high school students; and further, she stated this program is at no cost to any needy families or mothers they serve. Vice-Chairman Carrington inquired what the average expenditure per client is. Ms. Lyles responded that from a diaper standpoint it is about $80 a month if they had to buy their own diapers, which include the wipes and other essentials. Member Rainer asked whether their organization is strictly volunteer to which Ms. Lyles indicated that it is, and they have no paid employees. Chairman Sills said he knows it is a worthwhile cause, but maybe the only problem he foresees is that there are only five in need within Ocoee. Vice-Chairman Carrington commented that the number is low, but as most numbers go from a social-service standpoint, they fluctuate at any given time. He asked how they can increase the awareness of this organization within the City of Ocoee. Ms. Lyles shared that they are partnering with an agency called Community Action, which they are proposing to visit the community centers once a month where they will be holding a class in which the City of Ocoee is on the list for this service. She continued with explaining that the families and mothers do not visit just their organization one time; and further, the babies are visiting from the time they are born until they turn age three. She concluded by saying that their program helps the parents to increase their life skills, helps them get an education; and further, their goal is to help them become reliable, productive citizens. She articulated that the main focus of their program is to make sure the babies have clean diapers; because if they do not, the babies will suffer emotionally and physically; and moreover, when a parent is not able to provide diapers for their baby, that may create a form of child abuse. Chairman Sills indicated there is probably more than five in Ocoee that could utilize their services. Ms. Lyles mentioned as they expand with their efforts through the hospitals, word is getting out, and their services have increased. Vice-Chairman Carrington, seconded by Member Rainer, moved to recommend that the City Commission award grant funding of$500 to Second Chance Baby Resource Center. Motion carried unanimously. COMMUNITY GRANT REVIEW BOARD MEETING AUGUST 16,2017 Application No. 11 —Garden Community Choir (7:44 pm) Judi Gilbert, attended to represent the organization, which meets August through May at the West Orange High School. She explained that every year they hold a Unity Concert, which they pick one organization to benefit from this concert. She stated last year their concert benefited the Wounded Officers Initiative, but this year they want to benefit a more local organization like one here in Ocoee. She stated the funding, if awarded, will go towards advertising for this concert. Vice-Chairman Carrington asked whether they have selected the organization yet to which Ms. Gilbert said a final determination will be made at their next meeting in two weeks. Vice- Chairman Carrington asked if they have picked a date for the concert. Ms. Gilbert said the concerts are typically in February, but a date has not been set yet. She mentioned they raised over $4,500 for the Wounded Officers Initiative last year; and further, said their motto is "Building Community Through Song." She commented that their membership is up to 117. Community Relations Manager Wright inquired which seven organizations within Ocoee they are considering. Ms. Gilbert said that she is not at liberty to say until their board has made a decision. Chairman Sills inquired whether they charge admission to the concert to which Ms. Gilbert answered in the affirmative and reiterated that the advertising for the concert is where this grant funding will be applied to. Chairman Sills inquired whether they announce who the sponsors are to which Ms. Gilbert indicated in the affirmative. Community Relations Manager Wright asked for further clarification on how the grant funding would be used to advertise the concerts. Ms. Gilbert answered the funding will go towards advertising only the Unity Concert itself. She clarified that all of the funds would be going toward advertising and putting together the pamphlets, the programs and the tickets, which helps them make good on their promise that 100 percent of the donated funds will go to the charity that they will be singing for. Vice-Chairman Carrington asked Community Relations Manager Wright if there are any restrictions to giving the grant funds for advertising rather than for direct community intervention. Community Relations Manager Wright indicated that the intent of the grant is to provide tangible services to the community and not necessarily advertising for an event. Chairman Sills announced that he believes this will be a hard one to sell to the City Commission who has the final say. He announced this board is only a recommendation board. Vice-Chairman Carrington agreed and stated he also believes this will be a hard one to sell to the City Commission because of how the funds are intended to be used. Vice-Chairman Carrington, seconded by Chairman Sills, moved to recommend that the City Commission deny grant funding of$500 to the Garden Community Choir. Motion carried unanimously. Application No. 12—Rotary Club of Ocoee (7:54 pm) Andre Visser, Member, attended to represent the organization which meets every other Wednesday at the Withers-Maguire House. He explained this organization is all volunteers in which they help at Founder's Day, the classic car show and Spring Fling. He indicated the grant funds, if awarded, will go towards the purchase of dictionaries for all third graders within the Ocoee elementary schools encompassing about 600 plus students, which will be more than the $500, but their organization will cover the rest. He further explained that they schedule a day COMMUNITY GRANT REVIEW BOARD MEETING AUGUST 16,2017 with the principals to meet with the third graders to give the books out to which they explain and demonstrate how to use a dictionary. Member Rainer asked how many dictionaries they will be able to purchase with the $500. Mr. Visser answered he believes the total costs of all the books will be around $1,400, and the grant will go to part of that. Vice-Chairman Carrington announced he is very familiar with this project, because he used to be a member of the Ocoee Rotary. Member Rainer, seconded by Vice-Chairman Carrington, moved to recommend that the City Commission award grant funding of $500 to the Rotary Club of Ocoee. Motion carried unanimously. DISCUSSION OF APPLICATIONS Chairman Sills announced that concludes the grant application for this cycle, and mentioned that hopefully the City will budget this program for next year to which Community Relations Manager Wright announced the next grant cycle will start in January 2018, if it is approved in the upcoming budget. Chairman Sills continued explaining if there is an organization that did not apply or was denied, to please apply at the next cycle in January 2018. COMMENTS Chairman Sills asked the Board members if they had any comments to which none were made. ADJOURNMENT - 7:58 pm Attest: APPROVED: Kathy Heard, Recording Secretary Jim Sills, Chairman / Qi CITY OF OCOEE Community Grant Program Application Funding Cycle: JULY 2017 When completing this application, use only the space provided. Please attach documentation (meeting minutes or letter) to verify that your organization supports this application. Only one entity from each organization is eligible to apply for a grant, per calendar year. All applicants must submit: 1. Letter of support on your organization's letterhead or copy of your meetina minutes 2. Signature verifying the grant funds will benefit Ocoee citizens(See bottom of page 2) ✓" NEW applicants must also submit: 3. IRS Tax exempt status letter V 4. W-9 form I/ A icants DEADLINE E oasubmit applicfor ation:n: JULamount Y 28, 2017 00000000000000000000000000000000 Name of Organization: 110(7. 4-geJ0.kn 0ISA431I 1-1-1-es Lim 7' Address of Organization: 1 051{ N-. V11l Contact person for this application: 3o An - _ .o(iPr (The contact member must be a member of the organization.) Daytime phone number: gO7-2.3y-7 t-1(1.00 E-mail address: +1 SM 6 91 et,_ At)l > What are you seeking grant money for? Please provide an itemized cost estimate for each item you plan to purchase. r ys n©+.So 5 -� • u,ly What dollar amount are you requesting?(The maximum grant award is$500.) 455C0.°3 Is your organization getting funding from any other sourcerfor this specific project? 120 What is your organization's primary funding source?- .k L u S CIOYLa-` (1 S g ra.Nu s How m ch money does your organizatii eceive from your primaryfunding source ea year?fit )— lC:Y oCao c¢_, ✓d vlstS a300--- 14,to D0 n o ��'i�c +L v1 ! 5What other sources of revenue s your organization have? S � °Po ICL�4cpmnkcLQ io eAtoeiC. roe What is your annual budget for this year? 15--- Last year?&}€1.%-;1 5-co, , List the fu draiser�your organization holds? t c Sh qt�� � - ( � rh, � nig h 4-- - -�Var H w many members, volunteers and/or paid employees does your org aniza ion have? -L mX 3 3 SV . How many live in Ocoee? CrJ / //-?/90a e& How manyclients - � does your organization serve? 3 How many live in Ocoee? apse- 1�Z Has your organization applied for a grant from the City before? qe S Did you receive a grant from the City of Ocoee? 9-e 6 • If yes, when, and how much money did you receive?/ `5-60 Does your organizationWear-ea � rolunteer in the Ocoee communit ? If yes, what volunteer activities do you participate in?[-�earF GZ.V I �l � acc9 ram Nt Spp3r ,ta-run ri -{-b 1°r>,U I -- im `/ gAppor-f--0-nd_ Ox)-dvt,wt.cc,wti-ul QtAAJol()-e.ALn Does your or anization provide a venue for Ocoee residents o volu teer? %l0 t v 66 � re.t a Spe c.r a (�, ��1i�tf,�U uZ(,+!y l S �Q O cot How many yearly volunteer lidurs tloes your or. •nization contribute to the community how are those hours tracked or documented? d h.OctrS 0r Cu>er 2 vo'kyt A .� � and `� , CQ-rrr} pZ 3 '' y Please list the specific is accom•lishmentspha achieved (- 410.11 onths: 1 your organizatioh ha achieved in the past 24 c4)Per-5 ' -- (O 47 i b ra,Ic loauvtt s _• ►!.,cs- A` ,, L. A r lease inclu.e any other pertine 1 t information about yolir oorgani ion or this p ci request that you feel would help the Cit in making its decision: we .. specific grant Q- aiN14 i- t ( • as u t v � �,q u Please attach documentation meeting minuteto or letter) to verify that your organization supports this application. Before submitting this application, please read and sign below: These funds will be utilized within the City of Ocoee or have a direct benefit to the citizens of the City of Ocoee. In accordance with e-the guidelines set forth in this application certified this 4day of 4 �!/ , by s JUanl . Print Your Name API , / • •_ Si?ature For more information, please call Community Relations at(407) 905-3100 x 9-1530 or e-mail lwriclhte_ocoee.orq. Mail or deliver applications to: Ocoee City Hall 150 N. Lakeshore Drive Ocoee, FL 34761 For Staff Use Only Date Application Received 74)9/17 l Y.;? Was Application Received Complete? y t� If not,Date Application Returned Non-Profit Status On file Attached 2 JA 0.lad D1.01'iq a1A''o ,,,,a ,,,l, 0, st,g, , °LAM ' Ire IJllstnd 407.234 7456 Autism&Related Disabilities Gym Program, Inc. P.O.Box 770306 Winter Garden,Fl. 34777 407-234-7456 EIN: 14-1899940 Minutes June 24,2016 Subject:RE:Board Meeting Minutes Meeting June 24,2016 Board member presents Tammy,Marylou,Evelyn,Edwin Alan,Peggy,Bob&Joanne The board vote to remove Nicole as a board member,all approved New board member to replace Nicole will be Mindy Hood. All Approved President informed that she spent 10k in activities in 2016, Help for toys for the Holiday party New walk as fundraiser New agenda Up to 10 swimming lessons Annual BBQ,Holiday,Star Wars Prom,smaller events:Fireworks cruise,Bowling nights,Teen Social Group,Smooch, Will offer a CPR training night for the parents lead by Theresa Nachtsheim. Start selling Essential Oils as fundraiser Meeting Adjourn. FLORIDA DR-14 Consumer's Certificate of Exemption R,04/11 Issued Pursuant to Chapter 212, Florida Statutes rARL.sti • • 85-8013104963C-8 05/;"3112014 OS/31/2019 501(C)t3) ORGANIZATION certificate Numr,ipi. Ettr!rtivEi Date Err,riio 5n. Exemption Category This certifies that AU I ISM AND RELATED DISABILITIES GYM PROGRAM INC 1054 ORANGE WHARF CT WINTER GARDEN FL :i4707-2125 is exempt from the payment of Florida sales and use tax on real property rented. transient rental property rented. tangible personal property purchased or rented, or services purchased. LO , DR-14 Important Information for Exempt Organizations R. 04/11 . . t`l N 1. You must provide all vendors and suppliers with an exemption certificate before making tax-exempt purchases. See Rule 12A-1,038, Florida Administrative Code (ENC.!, Your Consumer's Certificate of Exemption is to be used solely by your organization for your organization's customary nonprofit activities. Purchases made by an individual on behalf of the orqani:.f7alion are taxable. even if the individual will be reimbursed by the organization. 4, This eXerilptiOn applies only to purchases your organization makes. The sale or lease to others of tangible personal property. sleeping accommodations, or other' real property is taxable. Your Organization must register: and collect and remit sales and use tax on such taxable transactions. Note Churches are exempt from this requirement except when they are the lessor of real property (Rule 12A-1.070. FAO). 5, It is a criminal offense to fraudulently present this certificate to evade the payment of sales tax, Under no circumstances should this certificate be used for the personal benefit of any individual. Violators will be liable for payment of the sales tax plus a penalty of 200' , of the tax, and itiayuc subiect to conviction of a third-degree felony. Any violation will require the revocation Of this certificate, 6. If you have questions regarding your exemption certificate, please contact the Exemption Unit of Account Management at 800-352-3671. From the available options. select "Redistration of Taxes.- then 'Registration Information," and finally 'Exemption Certificates and Nonprofit Entities." The mailing address is PC Box 8480. Tallahassee. FL 32314-6480. • INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY P. O. BOX 2508 CINCINNATI, OH 45201 3 1 2008 Employer Identification Number: DateIAN 14-1899940 DLN: 17053005828098 AUTISM & RELATED DISABILITIES GYM Contact Person: PROGRAM INC JOHN JENNEWEIN ID# 31307 1054 ORANGE WHARF CT Contact. Telephone Number: WINTER GARDEN, FL 34787-2125 (877) 829-5500 Public Charity Status: 170 (b) (1) (A) (vi) Dear Applicant: Our letter dated April 2004, stated you would be exempt from Federal income tax under section 501(c) (3) of the Internal Revenue Code, and you would be treated as a public charity, rather than as a private foundation, during an advance ruling period. Based on the information you submitted, you are classified as a public charity under the Code section listed in the heading of this letter. Since your exempt status was not under consideration, you continue to be classified as an organization exempt from Federal income tax under section 501 (c) (3) of the Code. Publication 557, Tax-Exempt Status for Your Organization, provides detailed information about your rights and responsibilities as an exempt organization. You may request a copy by calling the toll-free number for forms, (800) 829-3676. Information is also available on our Internet Web Site at www.irs.gov. If you have general questions about exempt organizations, please call our toll-free number shown in the heading. Please keep this letter in your permanent records. Sincerely yours, czporsep, r Robert Choi Director, Exempt Organizations Rulings and Agreements Letter 1050 (DO/CG) • w.9 Form (Rev.December 2014) Request for Taxpayer Give Form to the DepaaRevenment of teSeMche ury Identification Number and Certification requester,Do not Internal Revenue Service Name(as shown on your income tax return).Name is required on this line;do not leave this line nk send to the IRS. 4z' All +' , • ( I ft ' cv • 2 Business name/disregarded entity name,if different from above ......t rn • ot HQ. 3 Check appropriate box for federal tax classification;check only one of the following seven boxes: ❑IndivlduaVsole proprietor or • on page 3): c single-member LLC ❑ C Corporation 0 S Corporation4 Exemptions(codes apply only to 0 Partnership ❑Trust/estate certain entitles,not individuals;see n ❑Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)► IExempt payee code(if any) ,� i. c Note.For a single-member LLC that is disregarded,do not check LLC;check the appropriate box in the line above for Exemption from FATCA reporting the tax classification of the single-member owner. Mc D. 0 Other(see instructions)► code(if any) 5 Address(number,street,and apt.or suite no.) 6514 ,r-� tAppllestoaccountsmainyMedouy/�the U.3� co oU �„i,�r 1. ( Requester's name and address(optional) 8 '�rTT �kj_ a . 7 List account number(s)here(optional) Part I Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid backup withholding.For individuals,this is generally resident alien,sole proprietor,or disregardeentity,see the Part I instructions onour social security number(page 3.FoSSN). eoheror a entities,it is your employer identification number(EIN).If you do not have a number,see How to get a T/Nonpage3. —„ Note.If the account is In more than oneor �D name,see the instructions for line 1 and the chart on page 4 for Note.If h on number enter. Part II Certification e© • g Under penalties of perjury,I certify © �� lip rY that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that no longer subject to backup withholding;andRevenue 3. I am a U.S.citizen or other U.S.person(defined below);and I am 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backupw' because you have failed to report all interest and dividends on your tax return.For real estate transactions,Item 2 does not apply.For mortgage interest paid,acquisition or abandonment of secured roe withholding generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TiN.See the property,rty,cancellation of debt,contributions to an individual retirement arrangement(IRA),and instructions on page 3. Sign Signature of • , Here U.S,person � J ► � General instruct- Date I. 24 / Section references are to the Internal Revenue Code unless otherwise noted. •Form 1098(home mortgage interest),1098-E(student loan interest),1098-1 (tuition) Future developments.Information about developments affecting Form W-9(such •Form 1099-C(canceled debt) as legislation enacted after we release it)is at www.irs.gov/fw9. w9. •Form 1099-A(acquisition or abandonment of secured property) Purpose of Form Use Form W-9 only if you are a U.S.person(including a resident alien),to An individual or esti Fo provide your correct TIN. ty( rm W-9 requester)who is required to file an information /f you do not return Form W-9 to the requester with a 77N,you might be subject return with the IRS must obtain your correct taxpayer identification number(TIN) to backup withholding.See What Is backup withholding?on page 2. which may be your social security number(SSN),individual taxpayer identification rm,you: number(MN),adoption taxpayer Identification number(ATIN),or employer. Identification number(EIN),to report on an information return the amount paid to By g t this TIN you led-out oare giving is correct(oryou are waiting for a number you,or other amount reportable on an information return.Examples of information 1.Certify returns Include,but are not limited to,the following: to be issued), g •Form 1099-INT(interest earned or paid) 2.Certify that you are not subject to backup withholding,or •Form 1099-DIV(dividends,Including those from stocks or mutual funds) applicable,you are also certifying that as a U.S.person,your allocable share of 3.Claim exemption from backup withholding If you are a U.S.exempt payee.If •Form 1099-MISC(various types of income,prizes,awards,or gross proceeds any partnership income from a U.S.trade or business is not subject to the •Form 1099-B(stock or mutual fund sales and certain other transactions by ) withholding tax on foreign partners'share of effectively connected Income,and brokers)o4.Ce •Form 1099-S(proceeds from real estate transactions) exempt ffrom the FATCA repthat FATCA orting,is cored rect.See What is FATCA reporting?on re a Page 2 for further information. •Form 1099-K(merchant card and third party network transactions) Cat.No.10231X Form W-9(Rev.12-2014) ik'C o�ufSb'�75t771; 407.274.7.156 Autism & Related Disabilities Gym Program, Inc. 1054 Orange Wharf Ct. Winter Garden, Fl. 34787 407-234-7456 www.autismgvm.org To whom it may concern, The Autism and Related Disabilities Gym program is asking for a $500 grant from the City of Ocoee The entire program board has agreed that the Autism and Related Disabilities Gym Program would greatly benefit from this grant in off-setting the cost of swimming lessons, holiday gifts, and other program family events. Thank you, JoAnne Houwers President/Founder 407-234-7456 www.autismgvm.orq autismgym@aol.com AutismGym k-�P� ii'`.�I — r .,As .Lorelip ' °"- A l To Unders_aend f www.autismgym.org r Related biflit'ies @pi@ Progm 0m& A program for individuals with disabilities to experience a place where the body, mind and spirit are supported in attaining their full potential, allowing support for the family in healing and normalizing their lives to the highest degree possible. A thriving non-profit organization committed to �,-A the idea of ENABLE, NOT DISABLE „ , , o ALL disabilities, ALL ages, and All family members are invited to attend. Everyone is Activities and Offerings welcome to come and join the fun. • •'° " Basketball * Kickball * ' it 0 .c:.. -f- Hula Hoops * Swimming t � Lessons * Parachute * TUESDAY EVENINGS $ Obstacle Course * Field Trips * Special Parties * From 6:15pm to 7:15pm Held at the and Events * Bowling Prom Party* Big Orange Jim Beech Recreation Center Games * Family BBQ * 1820 A. D. Mims Road Holiday Party Ocoee, Florida 34761 SMOC—Super Moms of Orange County 4 ilk • Like Us on FACEBOOK 111110 For more information contact Jo-Anne Houwers at 407-234-7456 P.O. Box 770306 Winter Garden Florida 34777 Or at email: autismgym@aol.com or visit our web site: www.autismgym.org CITY OF OCOEE Community Grant Program Application Funding Cycle: JULY 2017 When completing this application, use only the space provided. Please attach documentation (meeting minutes or letter) to verify that your organization supports this application. Only one entity from each organization is eligible to apply for a grant,per calendar year. All applicants must submit: 1. Letter of support on your organization's letterhead or copy of your meeting minutes 2. Signature verifying the grant funds will benefit Ocoee citizens (See bottom of page 2) NEW applicants must also submit: 3. IRS Tax exempt status letter 4. W-9 form Applicants may apply for any amount up to $500. DEADLINE to submit application: JULY 28, 2017 ® 0000000000000000000000000000000 Name of Organization: Christian Service Center- West Orange Family Life Center Address of Organization: 300 W. Franklin Street, Ocoee, FL 34761 Contact person for this application: Bryan Hampton (The contact member must be a member of the organization.) Daytime phone number: 407-425-2523 x.2: E-mail address: bhampton@christianserviceceCr p . What are you seeking grant money for? Please provide an itemized cost estimate for each item you plan to purchase. Paperroducts and other kitchen serving products such as napkins, plates, plastic ware, andmorefor our Daily Bread soup kitchen. DailyBread serves a hot and tree lunchtime meal six days a week to those hungry in and around Ocoee. What dollar amount are you requesting?(The maximum grant award is $500.) $500 Is your organization getting funding from any other source for this specific project? No What is your organization's primary funding source? Individuals and churches How much money does your organization receive from your primary funding source each year? 60% of operating budget What other sources of revenue does your organization have? United Way & fundraisers What is your annual budget for this year? $67,870 (DB prop Last year? $72,267 (DB prograr List the fundraisers your organization holds? Chick-fil-A of Ocoee 5K (event beneficiary), Feed the Need (fall event), Spring Golf tournament, Annual Concert (Nov-Uec event) How many members, volunteers and/or paid employees does your organization have? 100 How many live in Ocoee? 70 How many clients does your organization serve? 927 How many live in Ocoee? 70% Has your organization applied for a grant from the City before? Yes Did you receive a grant from the City of Ocoee? Yes If yes, when, and how much money did you receive? 2006- $2,500 CMA for freezer; $2,500 N Does your organization volunteer in the Ocoee community? If yes, what volunteer activities do you participate in? Yes. Center employees volunteer at various civic organizations & chur Does your organization provide a venue for Ocoee residents to volunteer? Yes How many yearly volunteer hours does your organization contribute to the community and how are those hours tracked or documented? Over 15,000 total hours (tracked & untracked). Please list the specific accomplishments your organization has achieved in the past 24 months: Orange County Site of the Year award by Retired Senior Volunteer Program (RSVP' in June 201 /. UMA & IMF' recipient in past years. Served over 38K tree meals in 2016, and Please include any other pertinent information about your organization or this specific grant request that you feel would help the City in making its decision: Our mission is to feed the hungry and bring a sense of hope and empowerment to those struggling with poverty and homelessness in West Orange County. Please attach documentation (meeting minutes or letter) to verify that your organization supports this application. Before submitting this application, please read and sign below: These funds will be utilized within the City of Ocoee or have a direct benefit to the citizens of the City of Ocoee. In accordance with the guidelines set forth in this application certified this 26 day of July 2017 , by Robert F. Stuart Print Your Name Siga ure )1K. ry' , For more information, please call Community Relations at (407) 905-3100 x 9-1530 or e-mail jwrightna ocoee.orq. Mail or deliver applications to: Ocoee City Hall 150 N. Lakeshore Drive Ocoee, FL. 34761 • For Staff Use Onlyf, Date Application Received .7/°1 // Was Application Received Complete? /4- If not,Date Application Returned Non-Profit Status On fi Attached • 2 „,„„lL k July 26, 2017 City of Ocoee Community Relations C/O Joy Wright Ocoee, FL 34761 Dear Community Grant Review Board, For 46 years,the Christian Service Center has been impacting the lives of thousands of our neighbors struggling right here in Central Florida. Whether it's assistance with their finances, groceries, or a simply a hot, nourishing meal,the Center's staff and volunteers are here and ready to help. While our local economy has improved in recent years, there are many around us who have fallen through the cracks and continue to struggle to get by. Last year, our Daily Bread soup kitchens averaged 383 meals per day,serving 38,294 nourishing noontime meals in Ocoee (plus, over 82,000 meals in Downtown Orlando). And, before the end of this year, Daily Bread will serve its 4,500,000th meal! Also in 2016, our Family& Emergency Services Program provided aid to 7,862 people from three office locations.They received help with food, clothing, rent/mortgage, utilities, hygiene items and referral to other agencies.And, our Love Pantry program reached into 62 public schools with an emergency cabinet, distributing over 108,000 food and hygiene items to more than 22,000 people, of which 14,685 were children. 4 We are requesting$500 to support our West Orange Family Life Center's Daily Bread program to help those struggling in and around Ocoee. Specifically,this funding request would be used to help cover the costs of paper and serving products required by a kitchen to feed the hungry. From plastic ware and plates,to napkins and stirrers, these costs add up fast. Enclosed you'll find our completed application. If you have any questions, please contact our director of development, Bryan Hampton, at bhampton@christianservicecenter.org. On behalf of our West Orange Family Life Center and its Daily Bread soup kitchen,thank you. Please extend my personal gratitude to the City of Ocoee leadership for their consideration along with the gratitude of the thousands we serve each year. Gratefully, r6iAki7Otgeblir- Robert F. Stuart Executive Director • E 3 407.425.2523 FAX 407.425.9513 808 WEST CENTRAL BLVD ORLANDO, FLORIDA 32805 WWW.CHRISTIANSERVICECENTER.ORG CHRISTIAN SERVICE CENTER FAMILY & EMERGENCY SERVICES DAILY BREAD LOVE PANTRY In Partner;hip with UnitedWNay faIRS Department of the Treasury �`}f� Internal Revenue Service In reply refer to : 0248221235 CINCINNATI OH 45999-0038 Mar . 06 , 2015 LTR 4168C 0 59- 1353031 000000 00 00020151 BODC: TE CHRISTIAN SERVICE CENTER FOR CENTRAL FLORIDA INC 808 W CENTRAL BLVD `4r#c ORLANDO FL 32805 114237 Employer Identification Number : 59- 1353031 Person to Contact : Ms . Howard Toll Free Telephone Number : 1-877-829-5500 Dear Taxpayer : This is in response to your Feb . 25, 2015 , 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 May 1972 . 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 . 0248221235 Mar . 06 , 2015 LTR 4168C 0 59-1353031 000000 00 00020152 CHRISTIAN SERVICE CENTER FOR CENTRAL FLORIDA INC 808 W CENTRAL BLVD ORLAhfDO FL 32805 If you have any questions, please call us at the telephone number shown in the heading of this letter . Sincerely yours , Susan M . O'Neill, Department Mgr . Accounts Management Operations Form W-9 Request for Taxpayer Give Form to the (Rev.December 2014) requester.Do not Department of the Treasury Identification Number and Certification send to the IRS. Internal Revenue Service 1 Name(as shown on your income tax return),Name Is required on this line;do not leave this line blank. Christian Service Center for Central Florida N 2 Business name/disregarded entity name,if different from above a ° 3 Check appropriate box for federal tax classification;check only one of the following seven boxes: 4 Exemptions(codes apply only to ° ❑individual/sole proprietor or ❑✓ C Corporation ❑S Corporation ❑ Partnershipcertain entities,not Individuals;see tr, ❑Trust/estate instructions on page 3): m c single-member LLC r u0 Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)I•• Exempt payee code(if any) `7 , Note.For a single-member LLC that is disregarded,do not check LLC;check the appropriate box In the line above for Exemption from FATCA reporting the tax classification of the single-member owner. code(If any) pC, ❑Other(see Instructions)► Applies to eccwib rtuM tamed outside IA,1.1.S.) IE U 5 Address(number,street,and apt.or suite no.) Requester's name and address(optional) �, ''/�(/ w Cen7tre( / 'v' o 6 City,state,and ZIP code w 014/1 ,4-L 3 2.1 7 List account number(s)here(optional) Part I Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TiN provided must match the name given on line 1 to avoid I Social security number backup withholding.For individuals,this Is generally your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other — - entitles,It is your employer identification number(EIN).If you do not have a number,see How to get a TIN on page 3. or Note.If the account is in more than one name,see the Instructions for line 1 and the chart on page 4 for I Employer identification number guidelines on whose number to enter. 59 - 13153Ci31 Part Ii Certification Under penalties of perjury,I certify that: 1. The number shown on this form Is my correct taxpayer identification number(or I am waiting for a number to be Issued to me);and 2. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3. I am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out Item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all Interest and dividends on your tax return.For real estate transactions,Item 2 does not apply.For mortgage Interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an Individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the Instructions on page 3. Sign Signature of oZ/Z Here U.S.person► Date a• General Instructions •Form 1098(home mortgage interest),1098-E 6 student loan interest),1098-T (tuition) Section references are to the Internal Revenue Code unl otherwise noted. •Form 1099-C(canceled debt) Future developments.Information about developments affecting Form W-9(such •Form 1099-A(acquisition or abandonment of secured property) as legislation enacted after we release it)is at www.irs.gov/fw9. Use Form W-9 only if you are a U.S.person(including a resident alien),to Purpose of Form provide your correct TiN. An Individual or entity(Form W-9 requester)who is required to file an information if you do not return Form W-9 to the requester with a TiN,you might be subject return with the IRS must obtain your correct taxpayer identification number(T1N) to backup withholding.See What is backup withholding?on page 2. which may be your social security number(SSN),individual taxpayer Identification By signing the filled-out form,you: number(ITIN),adoption taxpayer Identification number(ATIN),or employer 1.Certify that the TIN you are giving is correct(or you are waiting for a number identification number(EIN),to report on an Information return the amount paid to to be issued), you,or other amount reportable on an Information return.Examples of information returns Include,but are not limited to,the following: 2.Certify that you are not subject to backup withholding,or •Form 1099-INT(interest earned or paid) 3.Claim exemption from backup withholding If you are a U.S,exempt payee.If •Form 1099-DIV(dividends,including those from stocks or mutual funds) applicable,you are also certifying that as a U.S.person,your allocable share of any partnership Income from a U.S.trade or business Is not subject to the •Form 1099-MISC(various types of income,prizes,awards,or gross proceeds) withholding tax on foreign partners'share of effectively connected income,and •Form 1099-B(stock or mutual fund sales and certain other transactions by 4.Certiy that FATCA code(s)entered on this form(if any)Indicating that you are brokers) exempt from the FATCA reporting,is correct.See What is FATCA reporting?on •Form 1099-S(proceeds from real estate transactions) page 2 for further information. •Form 1099-K(merchant card and third party network transactions) Cat.No.10231X Form W-9(Rev.12-2014) f� CITY OF OCOEE Community Grant Program Application Funding Cycle: JULY 2017 When completing this application, use only the space provided. Please attach documentation (meeting minutes or letter)to verify that your organization supports this application. Only one entity from each organization is eligible to apply fol a grant,per calendar year. All applicants must submit: 1. Letter of support on your organization's letterhead or copy of your meeting minutes 2. Signature verifying the grant funds will benefit Ocoee citizens(See bottom of page 2) NEW applicants must also submit: 3. IRS Tax exempt status letter 4. W-9 form Applicants may apply for any amount up to$500. DEADLINE to submit application:JULY 28, 2017 49 9 99Name of Organization: Ids e U,c-i a{ net,- , ah Address of Organization: 20 W rite e r,vc ... 6, &ad c,. (- 3 41$1 Contact person for this application: S--)So,ri. Po Ider C xr D�rc�lu (The contact member must be a member of the organization.) Daytime phone number: 4I'O 1 f O 5 2- E-mail address: si`"''- c3, YG_hoIv-, What are you seeking grant money for? Please provide an itemized cost estimate for each item you plan to purchase. Rind' Vor L, pr c-qua c7COC6 C,14 kJ • *' ire Cetda s,4',.^ SC/Lb(a.rSh:es • ,0.ah sGL.pinr hip provides V QrtVc • S +�,n 3i-st<.,ta'tan of o- r'Cd�ocd Vo.-fc $ Sic/le..ssor. . 34 SWF;r+ Iessoh: Wail bc. Ftoy+fled- • What dollar amount are you requesting?(The maximum grant award is$500.)7' 506, 2 Is your organization getting funding from any other source for this specific project? f y/r.S What is your organization's primary funding source? �%�ta r (). Si"kJ m t.* 113l r a“J l G1 r``1 r' t �°^ How much money dqes your organization receive from your primary funding source each year? O7rav-. TISK rrd12 What other sources of revenue does your organization have? e pu r,;,tlMs `{-1 E.1t-ouno/ was 4-',1^ '� U in {e,J What is your annual budget for this year? 7 9A ,S-00 Last year? 1 i�q 3E1) JLis the fundraisers your organization holds? A r nook S Po.0 1 s Sac':A-1 356_",r, Ilok/;c.eAll Gre7.E, {-11rJratst- How many members, volunteers and/or paid employees does your organization have?I6 Mu"`be s, oeG G b VD l tl n f e urs How many live in Ocoee? 0Lr p How many clients does your organization serve?L42t^ i6How many live in Ocoee? rp pro,:• Has your organization applied for a grant from the City before? ' Ycs Did you receive a grant from the City of Ocoee? V cs 4 i If yes, when, and how much money did you receive? ,3 O 0 :l r 6 Does your organization volunteer in the Ocoee community? If yes, what volunteer activities do you participate in? tel 1 Does your organization provide a venue for Ocoee residents to volunteer? yes How many yearly volunteer hours does your organization contribute to the community and how are those hours tracked or documented? 201+ IN>..0r5 i 24i(.. ."ata i do el VotuA.-icer 51.Nce,43Ott c.4r tchi Please list the specific accomplishments your organization has achieved in the past 24 rb months: i 3,.:14..\261 5 411ro:i9 n Jul.( 20i7 i1+C ts,'�-Fd4 Skit r,r+,►.-,5 has pia:;dc.L $49 oltc,ar..rvinu Chitart" Wt't-h t,u" surdivat skr-:tts •i;,a„t tat,ri, c.drrak<,lrty �`("cc (n --ke�r ay.:t;c Please include any other pertinent information about your organizationJor this specific grant - request that you feel would helps the City in makingits decision: List 4, •c. st,krs It t der OCoEE +� rez.eg c ft-e. tri -le{ SiJt,r.k,ting• Thu rel u re..L .6 rr'v G to", a.* a CO Si' of: $5411 . "it .6 6"A 3'40 41 1-,A4 crc,L L1 LS4kcr 3 GPcvr-4.3. . `I C.1,11"tdrtn -I'n ., Please attach documentation(meeting minutes or letter) to verify that your organization d aft a., 1,4 supports this application. clot t„�•.,.;t ! , Before submitting this application,please read and sign below: These funds will be utilized within the City of Ocoee or have a direct benefit to the citizens of the City of Ocoee. In accordance with the guidelines set forth in this application certified this I L day of Jv( 2,6 t?,by Susan. Po 1 f , Print Your Name ignature For more information, please call Community Relations at(407)905-3100 x 9-1530 or e-mail iwrici ht(a�ocoee.orq. Mail or deliver applications to: Ocoee City Hall 150 N. Lakeshore Drive Ocoee, FL 34761 For Staff Use Only �} Date Application Received //'7 Was Application Received Complete? / Ye 5 If not,Date Application Returned Non-Profit Status On file Attached 2 The Gift of Swimming, Inc., NPO 205 Windermere Road • Winter Garden, FL 34787 407-905-2815 - – w 407-905-5268 fax Fikr rloft www.giftofswimming.org Ild160 July 17, 2017 CITY OF OCOEE 150 N. Lakeshore Drive Ocoee, FL 34761 Dear City Commissioners, I fully support the funding request submitted to the City of Ocoee's Community Grant Committee by Susan Polder, Executive Director of the Gift of Swimming. The Gift of Swimming was established as a 501(c)3 charitable organization in 2003 to address a serious gap in swim education by providing swim training for disadvantaged and developmentally disabled children. Florida loses more children under age five to drowning than any other state. Annually in Florida, enough children to fill three to four preschool classrooms drown and do not live to see their fifth birthday. Every child needs to learn to swim. Every child deserves to learn to swim. Every child deserves to live. Thank you for your previous support and please consider approving this $500.00 Community Grant to provide this vital swim instruction to children that reside in Ocoee. Sincerely l I *it\ Joyint [vie-Ginty Founder The Gift of Swimming Inc.has received recognition of exemption under Section 501(c)3 of the Internal 1&venue Code . CITY OF OCOEE fir' Community Grant Program Application Funding Cycle: JULY 2017 When completing this application, use only the space provided. Please attach documentation (meeting minutes or letter)to verify that your organization supports this application. Only one entity from each organization is eligible to apply for a grant, per calendar year. All applicants must submit: 1. Letter of support on your organization's letterhead or copy of your meeting minutes 2. Signature verifying the grant funds will benefit Ocoee citizens(See bottom of page 2) NEW applicants must also submit: 3. IRS Tax exempt status letter 4.W-9 form Applicants may apply for any amount up to $500. DEADLINE to submit application: JULY 28, 2017 Name of Organization:Matthew's Hope Ministries, Inc: Address of Organization: 523 S. Woodland Street, Winter Garden, FL 34787 Contact person for this application: Glenda Robinson (The contact member must be a member of the organization.) Daytime phone number: 407-905-9500 x.607 E-mail address:glenda@matthewshopeministries.org What are you seeking grant money for?Please provide an itemized cost estimate for each item you plan to purchase. To offset the costs of bicycles($175 each), bike lights ($12), bike locks($10), bus passes ($5-$50), and grocery and gas gift cards ($10-$50) for our homeless guests in the Ocoee community. What dollar amount are you requesting?(The maximum grant award is$500.) $500 Is your organization getting funding from any other source for this specific project?No What is your organization's primary funding source? 100% of our funding comes from private donations from individuals, churches and businesses, and grants from foundations and civic groups. We do not take any government funding. How much money does your organization receive from your primary funding source each year? Varies annually. 2015: $540,000 2016: $571,000 2017(YTD 7/25/17): $350,000 What other sources of revenue does your organization have? None What is your annual budget for this year?$600,000 Last year?$576,000 List the fundraisers your organization holds? Harvest of Hope Garden Party(annually) How many members, volunteers and/or paid employees does your organization have? Volunteers: 50-70 How many live in Ocoee? Approximately 45% Paid Employees: 10 How many live in Ocoee? 3 How many clients does your organization serve? 75-100 weekly How many live in Ocoee?40% Page 2— Community Grant Program Application Has your organization applied for a grant from the City before? Yes Did you receive a grant from the City of Ocoee? Yes If yes, when, and how much money did you receive?May, 2016 -$500 Does your organization volunteer in the Ocoee community?If yes, what volunteer activities do you participate in? Yes—we visit homeless camps on a regular basis and provide transportation to Matthew's Hope so that they can receive our services. We provide opportunities for those in need in Ocoee to receive much needed resources, means of transportation, medical services, and a hand-up from their current situation. We also have a "Matthew's Hope Gives Back"program to assist other organizations where we can to provide help to those in need. Does your organization provide a venue for Ocoee residents to volunteer?Absolutely! We have a large number of volunteers from Ocoee who serve our homeless guests here at Matthew's Hope in a variety of positions and locations. How many yearly volunteer hours does your organization contribute to the community and how are those hours tracked or documented?50,000+volunteer hours annually that are tracked weekly by our Volunteer Coordinator. Please list the specific accomplishments your organization has achieved in the past 24 months: We provide a Transitional Housing Program for those guests who choose to make a positive change in their life, which can house up to 50 people at a time. Families and individuals take part in this working program. Last year we hired a Registered Nurse on staff who is able to triage and help those with medical needs, partnering with local hospitals, doctors, mental health professionals, and dentists to provide the treatments necessary for our guests. We opened a Food Pantry at a local high school and hope to expand to other schools in the coming year. In 2016 we relocated our facilities which was a huge endeavor! Our Firm Foundation Montessori Preschool now has a permanent location which we hope to double in size in the next year. Please include any other pertinent information about your organization or this specific grant request that you feel would help the City in making its decision:Our goal at Matthew's Hope is to be a facilitator of opportunity for those who choose to move forward to a life of independence and self-sustainability. Beyond that we provide the services necessary to provide the homeless population with food, showers, haircuts, clean clothes, and medical care to make them more acceptable in the community, and to help reduce loitering and panhandling. Please attach documentation(meeting minutes or letter) to verify that your organization supports this application. Before submitting this application, please read and sign below: These funds will be utilized within the City of Ocoee or have a direct benefit to the citizens of the City of Ocoee. In accordance with the guidelines set forth in this application certified this 25th day of July,2017,by Glenda Robinson Signature: �CL '� ��5/P-L.) For more information, please call Community Relations at(407) 905-3100 x 9-1530 or e-mail iwric htCa7ocoee.orq. Page 3 -Community Grant Program Application Mail or deliver applications to: Ocoee City Hall 150 N. Lakeshore Drive Ocoee, FL 34761 For Staff Use Only �/�5 Date Application Received / (-7 Was Application Received Complete? �A If not,Date Application Returned_ Non-Profit Status (On file ttached MATTHEW'S HOPE MINISTRIES (fter0523 S. WOODLAND STREET WINTER GARDEN, FLORIDA 34787 11 -11 5 407-905-9500 x 603 FAX: 407 654-2054 ' WWW.MATTHEWSHOPEMINISTRIES.ORG A NOT-FOR PROFIT 501(C)(3)ORGANIZATION July 25, 2017 City of Ocoee 150 N. Lakeshore Drive Ocoee, FL 34761 Re: July, 2017 Community Grant To Whom It May Concern. This letter shall serve as verification that Matthew's Hope Ministries, Inc. is the provider of and supports the attached application for the City of Ocoee's Community Grant Program. We appreciate the opportunity to apply. Thank you in advance for considering our application. Sincerely, / 4. i .h,if(1?) Glenda Robinson Matthew's Hope Ministries, Inc. 407-905-9500 x.607 MATTHEW 25:35-40 CITY OF OCOEE Community Grant Program Application Funding Cycle: JULY 2017 When completing this application, use only the space provided. Please attach documentation (meeting minutes or letter) to verify that your organization supports this application. Only one entity from each organization is eligible to apply for a grant, per calendar year. All applicants must submit: 1. Letter of support on your organization's letterhead or copy of your meeting minutes 2. Signature verifying the grant funds will benefit Ocoee citizens (See bottom of page 2) NEW applicants must also submit: 3. IRS Tax exempt status letter 4. W-9 form Applicants may apply for any amount up to $500. DEADLINE to submit application: JULY 28, 2017 00000000000000000000000000000000 Name of Organization: Read to Sydney Address of Organization: PO Box 1519,Minneola FL 24755 Contact person for this application: Thom Battisto (The contact member must be a member of the organization.) Daytime phone number: 407-247-8595 E-mail address: thom@readtosydney.org What are you seeking grant money for? Please provide an itemized cost estimate for each item you plan to purchase. We are requesting$500.00 to purchase reading books and workbooks to hand out to the children in the community. What dollar amount are you requesting? (The maximum grant award is $500) $500.00 Is your organization getting funding from any other source for this specific project? No What is your organization's primary funding source? General Donations How much money does your organization receive from your primary funding source each year? $8000.00 What other sources of revenue does your organization have? Amazon and Giving Cause What is your annual budget for this year? 11,000.00 Last year? 9000.00 List the fundraisers your organization holds? Free parties for the children at our Reading and Learning Center How many members, volunteers and/or paid employees does your organization have? 12 How many live in Ocoee? 2 How many clients does your organization serve? 2000 How many live in Ocoee? approx 250 Has your organization applied for a grant from the City before? Yes Did you receive a grant from the City of Ocoee? No If yes, when, and how much money did you receive? nta Does your organization volunteer in the Ocoee community? If yes, what volunteer activities do you participate in? Sydney's Reading and Learning Center located inside the West Oaks Mall LJVCJ yVUI VIyQI/ILQLIVII pAVVIUC a VCIIUC /V/ VL:VCC ICJIUCIILJ LV VVIUIILCCI: How many yearly volunteer hours does your organization contribute to the community and how are those hours tracked or documented? approx 400 and tracked by a sign in sheet Please list the specific accomplishments your organization has achieved in the past 24 months. We help children and young adults with reading and learning disabilities learn to read.Children also do crafts projects with our therapy dogs. Please include any other pertinent information about your organization or this specific grant request that you feel would help the City in making its decision: Our Reading antl Leeming Center has Eeen bcaled ins tle he Wesl Oaks Mall Porgy Please attach documentation (meeting minutes or letter) to verify that your organization supports this application. Before submitting this application, please read and sign below: These funds will be utilized within the City of Ocoee or have a direct benefit to the citizens of the City of Ocoee. In accordance with the guid lines set forth in this application certified this \ day of , by NY\ hCA %- Print Your Name 1)410--LA Signature For more information, please call Community Relations at (407) 905-3100 x 9-1530 or e-mail jwrightia Mail or deliver applications to: Ocoee City Hall 150 N. Lakeshore Drive Ocoee, FL 34761 For Staff Use Only Date Application Received 1/7q49,,1 Was Application Received Complet ( AY- If YIf not,Date Application Returned 7 Non-Profit Status On file Attached Read to Sydney • PO Box 1519 — minneola. FL 34755 ( Noir r� (407) 247-8595 fS R� �d ' www.reacttosydney.org /thom@readtos ne .or July 10, 2017 To Whom It May Concern: Please note that I fully support the funding request submitted to the City of Ocoee's Community Grant application by Founder of Read to Sydney, Thom Battisto for our Reading and Literacy programs in the Ocoee area. Sincerely, ,,�} 0,1, I4 Y Wayne Murphy President-Read to Sydney Read to Sydney jj �* f . PO Box 1519 - minneola. FL 34755 , . I (407) 247-8595 Rea. �" www.readtosydney.org /thom@readtosydney.org MEETING MINUTES July 08, 2017 Wayne called for a special meeting of the board members to inform us that the City of Ocoee is offering a $500.00 grant to charitable originations like Read to Sydney. Thom will fill out the application online to complete the application and mail it in. Hopefully we will get approval for the grant to help the children in Ocoee learn to read and build the self confidence in reading. Unanimous approval was granted to start the process to request the grant. ��� 47,1/Wayne Murphy, PresidentN i'3 Joseph Battisto, VP Patricia Battisto, Secretary / ►- -- ---- 4-r :,Z. Minutes prepared by: Patricia Battisto, Secretary INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY P. O. BOX 2508 CINCINNATI, OH 45201 4! Employer Identification Number: Date: MAR 13 2013 45-4708156 DLN: 17053125309022 READ TO SYDNEY INC Contact Person: PO BOX 1519 APRIL D GARRETT ID# 31493 MINNEOLA, FL 34755 Contact Telephone Number: (877) 829-5500 Accounting Period Ending: December 31 Public Charity Status: 170(b) (1) (A) (vi) Form 990 Required: Yes Effective Date of Exemption: March 2, 2012 Contribution Deductibility: Yes Addendum Applies: No Dear Applicant: We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501(c) (3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records. Organizations exempt under section 501(c) (3) of the Code are further classified as either public charities or private foundations. We determined that you are a public charity under the Code section(s) listed in the heading of this letter. Please see enclosed Publication 4221-PC, Compliance Guide for 501(c) (3) Public Charities, for some helpful information about your responsibilities as an exempt organization. Letter 947 (DO/CG) IIMMENMEMMEMME t{{F Form W'9 Request for Taxpayer Give Form to the (Rev.December2014) Identification Number and Certification requester.Do not Department of the Treasury send to the IRS. internal Revenue Service 1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank. Read to Sydney,Inc. N 2 Business name/disregarded entity name,if different from above m at dr a. 3 Check appropriate box for federal tax classification;check only one of the following seven boxes: 4 Exemptions(codes apply only to o ❑IndividuaVsole proprietor or 0C Corporation ❑S CorporationPartnershipcertain ion,not individuals;see a i? single-member LLC 0 0 Trust/estate instructions on page 3): a2 ❑Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)► Exempt payee code(if any) 5 o Note.For a single member LLC that is disregarded,do not check LLC;check the appropriate box in the line above for Exemption from FATCA reporting e.g the tax classification of the single-member owner. code(if any) aSSSS ❑Other(see instructions)I. (Applies lo accounts maintained outside the U.S.) 1E 5 Address(number,street,and apt.or suite no.) Requester's name and address(optional) I $, 12552 Scottish Pine Lane d 6 City,state,and ZIP code a> CO Clermont,FL 34711 7 List account number(s)here(optional) Part I Taxpayer Identification Number(TIN) Enter your TIN In the appropriate box.The TIN provided must match the name given on line 1 to avoid I Social security number backup withholding,For individuals,this is generally your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other - - i entitles,It Is your employer Identification number(EIN).If you do not have a number,see How to get a TIN on page 3. or Note.If the account is in more than one name,see the instructions for line 1 and the chart on page 4 for Employer Identification number guidelines on whose number to enter. 4 5 - 4 7 0 8 1 5 6 Part II Certification Under penalties of perjury,I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be Issued to me);and 2. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all Interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3. i am a U.S.citizen or other U.S.person(defined below);and r 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all Interest and dividends on your tax return.For real estate transactions,Item 2 does not apply.For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions on page 3. Sign Signature of Here u.s.person P. - Date I. /2- /17 General Instructions •Form 1098(home mortgage interest),1098-E(student loan interest),1098-T (tuition) Section references are to the Internal Revenue Code unless otherwise noted. •Form 1099-C(canceled debt) Future developments.Information about developments affecting Form W-9(such •Form 1099-A(acquisition or abandonment of secured property) as legislation enacted after we release it)is at www.lrs.gov/fw9. Use Form W-9 only if you are a U.S.person(including a resident alien),to I Purpose of Form provide your correct TIN. An individual or entity(Form W-9 requester)who is required to file an information if you do not return Form W-9 to the requester with a TIN,you might be subject a return with the IRS must obtain your correct taxpayer identification number(TIN) to backup withholding.See What Is backup withholding?on page 2. which may be your social security number(SSN),individual taxpayer identification By signing the filled-out form,you: number(ITIN),adoption taxpayer Identification number(ATIN),or employer 1.Certify that the TIN you are giving Is correct(or you are waiting for a number Identification number(EIN),to report on an information return the amount paid to to be issued), you,or other amount reportable on an Information return.Examples of information I returns include,but are not limited to,the following: 2.Certify that you are not subject to backup withholding,or i •Form 1099-INT(interest earned or paid) 3.Claim exemption from backup withholding if you are a U.S.exempt payee.If & •Form 1099-DIV(dividends,including those from stocks or mutual funds) applicable,you are also certifying that as a U.S.person,your allocable share of C any partnership income from a U.S.trade or business is not subject to the ii •Form 1099-MISC(various types of Income,prizes,awards,or gross proceeds) withholding tax on foreign partners'share of effectively connected income,and 1 •Form 1099-B(stock or mutual fund sales and certain other transactions by 4.Certify that FATCA code(s)entered on this form(If any)indicating that you are brokers) exempt from the FATCA reporting,is correct.See What is FATCA reporting?on •Form 1099-S(proceeds from real estate transactions) page 2 for further information. •Form 1099-K(merchant card and third party network transactions) Cat.No.10231X Form W-9(Rev.12-2014) 1 g t CITY OF OCOEE / n Community Grant Program Application ( ' t , ,_1 Funding Cycle: JULY 2017 When completing this application, use only the space provided. Please attach documentation (meeting minutes or letter) to verify that your organization supports this application. Only one entity from each organization is eligible to apply for a grant, per calendar year. All applicants must submit: f.y .K=t-eiter-of'supporton your organizations letterhead or copy of your meeting minutes 2. Signature verifying the grant funds will benefit Ocoee citizens (See bottom of page 2) NEW applicants must also submit: 3. IRS Tax exempt status letter 4. W-9 form Applicants may apply for any amount up to $500. DEADLINE to submit application: JULY 28, 2017 ® 0000000000000000000000000000000 Name of Organization: °4'''2 C 1(4.b al �c ot e Address of Organization: O. gox q3) 4 wee FL 3147W Contact person for this application: 4i V s5e.r (The contact member must be a member of the organization.) Daytime phone number: 321- Z-17-73oo E-mail address: 44d.'. Y .ttr<�@ What are you seeking grant money for? Please provide an itemized cost estimate for each item you plan toCpurchase.1/W� pArchasz- 104. eo3rd f 1-ad.er k Oces eleme.rkt.-) scAcyais C-+ro.S , OcOeC, Stlr�n�Zu�i�-�`l�ho�ncbro77lc. WGS4-brar(. b\C-rta JMM11S COSY _S szs ecce. err► A }pial cu5i a{ `' k3so.00 What dollar amount are you requesting?(The maximum grant award is$500.) $-oo Is your organization getting funding from any other source for this specific project? NO What is your organization's primary funding source? in rcttsefs/ c)ram s a ivie- yersti,p J)cte 5 How much money does your organization receive from your primary funding source each year? /'VIgm be ctr-e- $iZS/yr IR..: What other sources of revenue does your organization have? ecrsohu( 62,14.4 bv+-h oKs What is your annual budget for this year? 3,000 Last year? 3°az) List� "� the fundraisers your organization holds? Cl�ss'sc- CarS�o� ,� z�� DG.. Texas t-CO�d�c �OtnrrNYv'e.1.'� C-iof4 e, cuT-4-47 TtlK/r10Vt1eitv'j'" How many members, volunteers and/or paid employees does your organization have? /0 How many live in Ocoee? St How many clients does your organization serve? bo How m oany live in Ocoee? SO-98% Has your organization applied for a grant from the City before? Ile-5 Did you receive a grant from the City of Ocoee? `Ye5 If yes, when, and how much money did you receive? LA 5-i- 5cra Does your organization volunteer in the Ocoee community? If yes, what volunteer activities do you participate in? SES r iAvE, DA--( � b- IA) -revez 0-5e. c 1-1-`( I\ �S 1 -Does your organization provide a venue for Ocoee residents to volunteer? 13 How many yearly volunteer hours does your organization contribute to the community and how are those hours tracked or documented?wE Do NoT -TRAcie_ vor-uN-r F- 4.a s Please list the specific accomplishments your organization has achieved in the past 24 months: $Evet2At.- sct-tor.rtesHtYS -ro OHS STS r)e--N c5 . egovibeb Ovt 5-0O0 blcTlvNi9iztC3 SINCE fucc cFKt. Ser u€ OF , Se"vq.44 r School. IN 1-ka‘-c'\ Zoo6 Please include any other pertinent information about your organization or th's specific grant request that you feel would help the City in making its decision:,�c.� rn6;a--t-eo 6,34 Con��h� t. !jc Lla-li7H-ed ctP For f -osteevt5 41-4"-- t7 La.n C.i ti A-k(2.,c' Please attach documentation (meeting minutes or letter) to verify that your organization supports this application. Before submitting this application,`please read and sign below: These funds will be utilized within the City of Ocoee or have a direct benefit to the citizens of the City of Ocoee. In accordance with the guidelines set forth in this application certified this 274— day of �U.lL) ,by 414,-<7- SS Print Your Name Signa re For more information, please call Community Relations at(407)905-3100 x 9-1530 or e-mail jwrightocoee.orq. Mail or deliver applications to: Ocoee City Hall 150 N. Lakeshore Drive Ocoee, FL 34761 For Staff Use Only jj Date Application Received �//�l t 7 Was Application Received Complete? l f=S PP P If not,Date Application Returned / Non-Profit Status On file Attached 2 , CJD == 10 Rotary Club of Ocoee r;�=:s P.O. Box 931 F,,,,A.1%°. Ocoee, FL 34761 www,facebook.com/OcoeeRotary August 1, 2017 Joy P. Wright Community Relations Manager Support Services Department City of Ocoee 150 North Lakeshore Dr Ocoee FL 34761 To Whom It May Concern, Please note that we fully support the funding request submitted to the City of Ocoee's Community Grant application by incoming President, Andre Visser. We have submitted an application each year and have been awarded the grant each time to help us purchase and provide dictionaries to each 3rd grader at each of the elementary schools in Ocoee. Sincerely, Rotary Club of Ocoee CITY OF OCOEE Community Grant Program Application Funding Cycle: JULY 2017 When completing this application, use only the space provided. Please attach documentation (meeting minutes or letter)to verify that your organization supports this application. Only one entity from each organization is eligible to apply for a grant,per calendar year. All applicants must submit: 1. Letter of support on your organization's letterhead or copy of your meeting minutes 2. Signature verifying the grant funds will benefit Ocoee citizens (See bottom of page 2) NEW applicants must also submit: 3. IRS Tax exempt status letter 4. W-9 form Applicants may apply for any amount up to $500. DEADLINE to submit application: JULY 28, 2017 OHO ® OO000OOO000 C-4 O00000000000 Name of Organization: Second Chance Baby Resource Center Address of Organization: 1041 Crown Park Circle Winter Garden, FL 34787 Contact person for this application: Sharon Lyles (The contact member must be a member of the organization.) Daytime phone number: 407-656-7055 E-mail address: slyles@2ndchancerc.org What are you seeking grant money for? Please provide an itemized cost estimatefor each item you plan to purchase. Second Harvest Food Pantry 90 day food purchase 100 .00 Diaper wipes 10 units 11.8b= 26/.9U Diaper purchase 3 units (cp 43.58 = $ 130.74 What dollar amount are you requesting?(The maximum grant award is$500.) $500.00 Is your organization getting funding from any other source for this specific project? Yes What is your organization's primary funding source? Choose Life How much money does your organization receive from your primary funding source each year? $6600.00 What other sources of revenue does your organization have? Diaper Drives What is your annual budget for this year? $10,000.00 Last year? $15,000.00 List the fundraisers your organization holds? Diaper drives, concession stand volunteering for local events including the Arnold Palmer invitational Hoow many members, volunteers and/or paid employees does your organization have? 1How many live in Ocoee? 1 How many clients does your organization serve? 75 p/m How many live in Ocoee? 5 Has your organization applied for a grant from the City before? No Did you receive a grant from the City of Ocoee? N/A If yes, when, and how much money did you receive? Does your organization volunteer in the Ocoee community? If yes, what volunteer activities do you participate in? Our program services are provided monthly to Ocoee residents Does your organization provide a venue for Ocoee residents to volunteer? Yes How many yearly volunteer hours does your organization contribute to the community and how are those hours tracked or documented? 11,200 are tracked Please list the specific accomplishments your organization has achieved in the past 24 months: In 2016 our agency was selected as the bonus spot winner on the Lynx Public service bus. We have distributed 100,000 diapers in the past 24 months Please include any other pertinent information about your organization or this specific grant request that you feel would help the City in making its decision: Our agency provides direct services to children ages newborn to age 3. We have seen a weekly increase in the number of tamales that we serve. I his grant will assist with meeting the increased needs. Please attach documentation (meeting minutes or letter) to verify that your organization supports this application. Before submitting this application, please read and sign below: These funds will be utilized within the City of Ocoee or have a direct benefit to the citizens of the City of Ocoee. In accordance with the guidelines set forth in this application certified this 28th day of July, 2017 , by Sharon Lyles Print Your Name Signature For more information, please call Community Relations at(407) 905-3100 x 9-1530 ore-mail jwrig ht(a�ocoee.orq. Mail or deliver applications to: Ocoee City Hall 150 N. Lakeshore Drive Ocoee, FL 34761 For Staff Use Only Date Application Received 7/11/ - Was Application Received Comple S If not,Date Application Returned Non-Profit Status On file Attached 2 `SD 0/44, r *r EST. 1995 ck- /PFS0URCEG� Changing lives from the bottom up City Of Ocoee 150 N Lakeshore Dr Ocoee, FL 34761 RE: Letter of Support Dear City Of Ocoee, This letter is to confirm that our board of directors fully supports the submission of the City of Ocoee Community Grant Program application by Second Chance Baby Resource. Sincerely, Sharon Lyles CEO 1041 Crown Park Circle 1 Winter Garden, FL 34787 407.656.7055 mysecondchancerc.org © 0 r►�ii`j�' IRS Department of the Treasury V ilk Internal Revenue Service P. O. Box 2508, Room 4010 In reply refer to: 4077350282 Cincinnati OH 45201 July 06, 2017 LTR 4168C 0 59-3458402 000000 00 00038208 BODC: TE SECOND CHANCE BABY RESOURCE CENTER INC SHARON LYLES 1041 CROWN PARK CIR "`' WINTER GARDEN FL 34787-2417 015674 Employer ID Number : 59-3458402 Form 990 required:__ Yes Dear Taxpayer : This is in response to your request dated May 19, 2017, regarding your tax-exempt status . We issued you a determination letter in March 2001 , recognizing you as tax-exempt under Internal Revenue Code ( IRC) Section 501 (c) (03) . Our records also indicate you' re not a private foundation as defined under IRC Section 509(a) because you ' re described in IRC Sections 509(a) ( 1) and 170 (b) ( 1) (A) (vi) . Donors can deduct contributions they make to you as provided in IRC Section 170 . You' re also qualified to receive tax deductible bequests, legacies, devises, transfers, or gifts under IRC Sections 2055, 2106, and 2522. In the heading of this letter, we indicated whether you must file an annual information return. If a return is required, you must file Form 990 , 990-EZ, 990-N, or 990-PF by the 15th day of the fifth month after the end of your annual accounting period. IRC Section 6033(j ) provides that, if you don 't file a required annual information return or notice _ - -.-, f,or three Gansecutive_ lears;— o.0 exempit statuswIl.1 be _aut.zmRti ally. revoked on the filing due date of the third required return or notice. For tax forms, instructions, and publications, visit www. irs .gov or call 1-800-TAX-FORM ( 1-800-829-3676) . If you have questions, call 1-877-829-5500 between 8 a .m. and 5 p .m. , local time, Monday through Friday (Alaska and Hawaii follow Pacific Time) . Form W-9 Request for Taxpayer Give Form to the (Rev.December2014) Identification Number and Certification requester.Do not Department of the Treasury send to the IRS. Internal Revenue Service 1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank. Second Chance Baby Resource Center 2 Business name/disregarded entity name,if different from above rU m co ° 3 Check appropriate box for federal tax classification;check only one of the following seven boxes: 4 Exemptions(codes apply only to C ° ❑IndividuaVsole proprietor or ✓❑ C Corporation ❑ S Corporation Partnershipcertain entities,not individuals;see p ❑ ❑Trust/estate instructions on page 3): d c single-member LLC °� ❑ company. ► Exempt payee code(if any) � Limited liability Enter the tax classification(C=C S=S cororation,P= artnershiP) O 2 Note.For a single-member LLC that is disregarded,do not check LLC;check the appropriate box in the line above for Exemption from FATCA reporting t y the tax classification of the single-member owner. code(if any) a 7, ❑Other(see instructions)► &Appiles to accounts maintained outside the U.S.) !L= 5 Address(number,street,and apt.or suite no.) Requester's name and address(optional) V S. 1041 Crown Park Circle co aa) 6 City,state,and ZIP code c Winter Garden,FL 34787 7 List account number(s)here(optional) Part I Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid social security number backup withholding.For individuals,this is generally your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other - - entities,it is your employer identification number(EIN).If you do not have a number,see How to get a TIN on page 3. or Note.If the account is in more than one name,see the instructions for line 1 and the chart on page 4 for Employer identification number guidelines on whose number to enter. 5 9 - 3 4 5 8 4 0 2 Part II Certification Under penalties of perjury,I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3. I am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions on page 3. Sign Signature of 6(Adal Here U.S.person► S Date► I p g/+7 General Instructions •Form 1098(home mortgage interest),1098-E(student loan interest),1098-T (tuition) Section references are to the Internal Revenue Code unless otherwise noted. •Form 1099-C(canceled debt) Future developments.Information about developments affecting Form W-9(such •Form 1099-A(acquisition or abandonment of secured property) as legislation enacted after we release it)is at www.irs.gov/fw9. Use Form W-9 only if you are a U.S.person(including a resident alien),to Purpose of Form provide your correct TIN. An individual or entity(Form W-9 requester)who is required to file an information If you do not return Form W-9 to the requester with a TIN,you might be subject return with the IRS must obtain your correct taxpayer identification number(TIN) to backup withholding.See What is backup withholding?on page 2. which may be your social security number(SSN),individual taxpayer identification By signing the filled-out form,you: number(ITIN),adoption taxpayer identification number(ATIN),or employer 1.Certify that the TIN you are giving is correct(or you are waiting for a number identification number(EIN),to report on an information return the amount paid to to be issued), you,or other amount reportable on an information return.Examples of information returns include,but are not limited to,the following: 2.Certify that you are not subject to backup withholding,or •Form 1099-INT(interest earned or paid) 3.Claim exemption from backup withholding if you are a U.S.exempt payee.If •Form 1099-DIV(dividends,including those from stocks or mutual funds) applicable,you are also certifying that as a U.S.person,your allocable share of any partnership income from a U.S.trade or business is not subject to the •Form 1099-MISC(various types of income,prizes,awards,or gross proceeds) withholding tax on foreign partners'share of effectively connected income,and •Form 1099-B(stock or mutual fund sales and certain other transactions by 4.Certify that FATCA code(s)entered on this form(if any)indicating that you are brokers) exempt from the FATCA reporting,is correct.See What is FATCA reporting?on •Form 1099-S(proceeds from real estate transactions) page 2 for further information. •Form 1099-K(merchant card and third party network transactions) Cat.No.10231X Form W-9(Rev.12-2014) CITY OF OCOEE Community Grant Program Application Funding Cycle: JULY 2017 When completing this application, use only the space provided. Please attach documentation (meeting minutes or letter)to verify that your organization supports this application. Only one entity from each organization is eligible to apply for a grant,per calendar year. All applicants must submit: 1. Letter of support on your organization's letterhead or copy of your meeting minutes 2. Signature verifying the grant funds will benefit Ocoee citizens(See bottom of page 2) NEW applicants must also submit: 3. IRS Tax exempt status letter 4. W-9 form Applicants may apply for any amount up to$500. DEADLINE to submit application: JULY 28, 2017 0000000000000000000000000000000 Name of Organization: STARS of West Orange Address of Organization: 9401 W.Colonial Drive,Suite#106,Ocoee,FL 34761 Contact person for this application: Aifieha N.Douglas (The contact member must be a member of the organization.) Daytime phone number: 407256-9059 E-mail address: starsofwo@gmal.com What are you seeking grant money for? Please provide an itemized cost estimate for each item you plan to purchase. Money received will be used to purchase backpacks for students at local Ocoee Elem.Middle or High Schools. What dollar amount are you requesting?(The maximum grant award is$500.) $500 Is your organization getting funding from any other source for this specific project? Yes What is your organization's primary funding source? Contributions from the community How much money does your organization receive from your primary funding source each year? $20,000 What other sources of revenue does your organization have? Fundraisers,Raffles and Grants What is your annual budget for this year? $25,000 Last year? $35,000 List the fundraisers your organization holds? uvaiwidmmtsamo^ �a-N*Nok ^- m How many members, volunteers and/or paid employees does your organization have? 200 volunteers and no paid employees How many live in Ocoee? approximately 50-75 How many clients does your organization serve? 4,500 How many live in Ocoee? 1,000 Has your organization applied for a grant from the City before?Yes Did you receive a grant from the City of Ocoee? Yes If yes, when, and how much money did you receive? $500 last received In 2015 Does your organization volunteer in the Ocoee community? If yes, what volunteer activities do you participate in? Orange County Public Schools and West Oak Mall Events 1 Does your organization provide a venue for Ocoee residents to volunteer? Yes,In West Oaks Malli How many yearly volunteer hours does your organization contribute to the community and how are those hours tracked or documented?Approximately 750 hours for the 2018-2017 school year,backed via sign in sheets Please list the specific accomplishments your organization has achieved in the past 24 months: We have supported over 10,000 students In local OCPS schools by providing backpacks and school supplies to students who show a financial need for assistance. Please include any other pertinent information about your organization or this specific grant request that you feel would help the City in making its decision: Our program has seen a sharp decline in donations over the past few years while the requests from schools continues to Increase.We have worked to secure lower priced backpacks(but of a better quality)to help cut expenses so we can continue to provide to as many students as we card Please attach documentation(meeting minutes or letter) to verify that your organization supports this application. Before submitting this application, please read and sign below: These funds will be utilized within the City of Ocoee or have a direct benefit to the citizens of the City of Ocoee. In accordance with the guidelines set forth in this application certified this 15 day of July ,by Allsha N.Douglas t t Your Name 1i 1111 Signature - For more information, please call Community Relations at(407)905-3100 x 9-1530 or e-mail iwriuhtocoee.orq. Mail or deliver applications to: Ocoee City Hall 150 N. Lakeshore Drive Ocoee, FL 34761 For Staff Use Only Date Application Received 4(ig ki Was Application Received Complete?If not,Date Application Returned Non-Profit Status On file Attached 2 5:r A R.5.of west Orange 5troPIW5. to A3315 oUR Sttdent.1 a 50103) an rati , 5.i.A.R.5.of West Orange,Inc. 9401 West Colonial Drive,Suite 106 Ocoee,FL 34761 407-290-3009 To Whom It May Concern: Please note that we fully support the funding request submitted to the City of Ocoee's Community Grant application by the Executive Director, Allisha Douglas, of the S.T.A.R.S. of West Orange program. Sincerely, f?. ,f', '/I'f4 04"-tr(L/701.--) Peter Gibson President S.T.A.R.S. of West Orange 7e‘ CITY OF OCOEE Community Grant Program Application Funding Cycle: JULY 2017 When completing this application, use only the space provided. Please attach documentation (meeting minutes or letter) to verify that your organization supports this application. Only one entity from each organization is eligible to apply for a grant,per calendar year. AU applicants must submit: 1. Letter of support on your organization's letterhead or copy of your meeting minutes 2. Signature verifying the grant funds will benefit Ocoee citizens (See bottom of page 2) NEW applicants must also submit: 3. IRS Tax exempt status letter • 4. W-9 form Applicants may apply for any amount up to $500. DEADLINE to submit application: JULY 28, 2017 0000000000000 © 000000000000000000 Name of Organization: West Oaks Branch Library and Genealogy Center Address of Organization: 1821 E. Silver Star Rd., Ocoee, FL 34761 Contact person for this application: Gregg B. Gronlund (The contact member must be a member of the organization.) Daytime phone number: 407-835-7318 E-mail address: gronlund.gregg@ocls.info What are you seeking grant money for? Please provide an itemized cost estimate for each item you plan to purchase. Five Singer SEW Mate 5400 sewing machines, which cost $98.99 each on amazon.com https:l/tinyurl.com/yctfybex What dollar amount are you requesting? (The maximum grant award is $500.) $500 Is your organization getting funding from any other source for this specific project? No What is your organization's primary funding source? Orange County Property Taxes How much money does your organization receive from your primary funding source each year? $36,471,913 (ad valorem taxes 12 months ending 9/30/2017) What other sources of revenue does your organization have? State/Federal Grants/Aid Fines What is your annual budget for this year? $41,247,000 Last year? $38,441,000 List the fundraisers your organization holds? Sales of books and materials; Friends of the Library memberships; donations and occasional bequests. How many members, volunteers and/or paid employees does your organization have? 16 employees;16 Volunteers I How many live in Ocoee? 5 Employees; 16 Volunteers How many clients does your organization serve? 432433 How many live in Ocoee? 15,000 Has your organization applied for a grant from the City before? Yes Did you receive a grant from the City of Ocoee? Yes If yes, when, and how much money did you receive? 2012 $500 Does your organization volunteer in the Ocoee community? If yes, what volunteer activities do you participate in? Elementary schools & Ocoee HS; Spring Fling; Ocoee Preservation Does your organization provide a venue for Ocoee residents to volunteer? Yes How many yearly volunteer hours does your organization contribute to the community and how are those hours tracked or documented? 18,000+; compiled monthly/annually. Please list the specific accomplishments your organization has achieved in the past 24 months: 984 events 45,788 attending; 1303 tech classes 3,044 attending; Citizenship Class; 15th anniversary; multi-event Summer Reading Programs; Early Voting;Preschool events Please include any other pertinent information about your organization or this specific grant request that you feel would help the City in making its decision: Hands on sewin classes have been popular; 13 sessions had 74 customers attending. With new machines, we wi otter 4+ weekly classes each month tor b+ registered Ucoee residents per class. Please attach documentation (meeting minutes or letter) to verify that your organization supports this application. Before submitting this application, r� These funds will be utilized within the City of Ocoee or have a direct benefit to the citizens of the City of Ocoee. In accordance with the guidelines set forth in this application certified this 20th day of July, 2017 , by Gregg B. Gronlund Prin Your Name Signat re For more information, please call Community Relations at (407) 905-3100 x 9-1530 or e-mail jwright(cocoee.org. Mail or deliver applications to: Ocoee City Hall 150 N. Lakeshore Drive Ocoee, FL 34761 For Staff Use Only // Date Application Received 7/%?!17 ( ' ' n ti+ (i' Was Application Received Complete? If not,Date Application Returned Non-Profit Status On file Attached 2 101 East Central Boulevard ORANGE Orlando,Florida 32801-2471 COUNTY teoP phone: 407.835 7323 fax: 407.835 7649 Kwebsite: www.ocls.info /,, SYSTEM Mary Anne Hodel, Library Director,Chief Executive Officer 20 July 2017 City of Ocoee Ocoee City Hall 150 N. Lakeshore Drive Ocoee,FL 34761 Please accept this Letter of Support for the West Oaks Branch Library and Genealogy Center's application for the City of Ocoee Community Grant Program. The Orange County Library System strongly supports the purpose of this grant and is committed to providing staffing and other support to ensure its success. Do It Yourself learning, including sewing classes,has been increasingly popular throughout the library system. Receiving this grant will provide sewing machines for the West Oaks Branch to offer additional,more frequent classes for library customers in Ocoee to enjoy these lifelong learning opportunities. We support the West Oaks Branch's efforts to provide this unique and popular service. Thank you for your consideration. S. erely, 11 t� . • he od-1 Library Dir;ctor,Chief Executive Officer (;) CITY OF OCOEE Community Grant Program Application Funding Cycle: JULY 2017 When completing this application, use only the space provided. Please attach documentation (meeting minutes or letter) to verify that your organization supports this application. Only one entity from each organization is eligible to apply for a grant,per calendar year. All applicants must submit: 1. Letter of support on your organization's letterhead or copy of your meeting minutes 2. Signature verifying the grant funds will benefit Ocoee citizens (See bottom of page 2) NEW applicants must also submit: 3. IRS Tax exempt status letter 4. W-9 form Applicants may apply for any amount up to $500. DEADLINE to submit application: JULY 28, 2017 00000000000000000000000000000000 ri.Name of Organization:1`5 fl JL 11J1.-1J1.- OW)A ;, ty 0( . b� Address of Organization: LI ‘\) QUjO(i 1) A lam, LA L .c cc- F- L'.31-r'71,/ Contact person for this application: `, PCV,J L all . 1 Iv S (The contact member must be a member of the organization.) Daytime phone number:LI67-11,5L-43 7- 5L,^,Lj(1. y E-mail address: b k LA D_v_.) 1 ! t 0 A-oL.CO I'Y) What are you seeking grant m•ney for? Plea e provide an itemized cost estimate for each i em you plan o^purchase. , A - , ,A i G ' , ' Z /' 'X-, PSWI 4111 /II 1' I%/V9 Kc('91i_'Li i /ti till -A .' 0 What dollar amount are you requesting? (The maximum grant award is $500.) ' ?_5-(,) - ([) Is your organization getting funding from any other source for this specific project? �CJ What is your organization's primary funding source? 'L�4A (; y L 1),,J , , Uj3 .7DU I L-DJNJ How mu h money does your organization receive from your primary funding source each year? (-10E . c L' What other sources of revenue does your organization have? ckANIO A\ 5eac / ) yr ti,2, What is your annual budget for this year? JI,/y0,+ Last1year? )4(S 76. List the fundraisers your organization holds?:i�j1 f<TH_D�1 --U ki C f) eoJ l_)-TE s L(i VChto JJ, a .0( ,V.t, ,l/I 5\ I-c How ma y members, volunteers and/or paid employees does your organization have? How many live in Ocoee? 2 How many clients does your organization serve?1(")O) How many live in Ocoee? 9 00 Has your organization applied for a grant from the City before? Lj E; cj Did you receive a grant from the City of Ocoee? L:' `.) 11 If yes, when, and how much money did you receive? JCS O L'tiTh r:_..,‹C.' \ D Does your organization volunteer in the Ocoee community? If yes, what volunteer activitiep you participate in?S 9(Zs) $,/I\ PL\ N j --'( h 4 1 S'1 vi\i 5 `�?iz Il C)(• —(x) 15) \0_:,, �i1�/1 ( .,-e rJ� L l ,T.-- r , Does your organization provide a venue for Ocoee residents to volunteer?LL)L'i r How many yearly volunteer hours does your organization contributeNe the community and how are those hours tracked or documented? /0'C7� c! / -� p Please list the specific accomplishments your organization ha chieved in the past 24 / c tr l cr � 2 �i- rf � rL G,yLA/kve Cr v►4�r4-nrz,jMS Please include any other pertinent information about your organization or this specific grant request that you feel would help the City in making its decision: ( -.0 - Ar •c i AAA-- 5'J4h � _5( ,o-e v I,/ ?Ocoee 3 �' r Please attach documentation (meeting minutes or letter) to verify that your organization supports this application. Before submitting this application, please read and sign below These funds will be utilized within the City of Ocoee or have a direct benefit to the citizens of the City of Ocoee. ip ace rdance with the guidelines set forth in this a plication certified this day of by C'AC- C 11% A-0 . - Print Your Name • ature For more information, please call Community Relations at(407) 905-3100 x 9-1530 or e-mail jwright(c ocoee.orq. Mail or deliver applications to: Ocoee City Hall 150 N. Lakeshore Drive Ocoee, FL 34761 For Staff Use Only Date Application Received 7(/ /e7 (7 Was Application Received Complete? f If not,Date Application Returned Non-Profit Status On file Attached 2 March 7th, 2017 GFWC Woman's Club of Ocoee Board Meeting 6:30 Meeting came to order and minutes read from February 7th, 2017 board meeting, No new updates to report by the treasurer Kathy Sills. First Vice President, Jackie Titus announced she has 3 potential members that want to join. Second vice President, Mary Black reminded us about the warm and fuzzes that will be done at the end of the February general meeting. Corresponding secretary, Teresa Lemon along with Kathy Sills, facilities manager, had no new information on the progress on the negations with the city. Arts-Doris Druid announced that the event was held February 11th, 2017 and was pleased with the success. Rosemary confirmed that the bell ringing for the Salvation Army was approved for the McGuire location December 9th and signup sheet will be present at the April general meeting. Patti will be chairing the wounded animals program April 11th, 2017 with KACRE Foundation for conservation. The board agreed to make Marge Merritt an Honorary member by suspending the by-laws for non-members to join the club with a vote to agree and motion carried. Spring Fling is March 11th, 2017 from 11-3 and will need help serving food, all volunteers are appreciated. We will also be donating a bike for the raffle to be given away. NEW BUSINESS; Bunco will be April 27th, 2017 at 6:30 with game beginning at 7 p.m. It was discussed and voted on to apply for a $500 grant from the city to help with additional expenses that the club funds throughout the year. All were in favor and motion carried out. OLD BUSINESS: Lillian will be chairing the creative expressions program May 11th 2017 and the food will be donated by various businesses with an eventful program by the students. All old and new business were addressed and discussed. Meeting was adjourned at 7:47 p.m. GFWC WOMAN'S CLUB OF OCOEE President; Mary Barber 4 N. LAKEWOOD AVE 1st Vice President:Jackie Titus OCOEE, FLORIDA 34761 2nd Vice President: Mary Black Secretary: Diane Bonanno Treasurer: Cathy Sills To Whom it may concern: Please note that our Officers and Members of the GFWC Woman's Club of Ocoee support the funding request submitted to the City of Ocoee's Community Grant application by the Woman's Club Of Ocoee. Sincerely: ) . Mary Barbe iiik President CITY OF OCOEE Community Grant Program Application Funding Cycle: JULY 2017 // / `�'/, // When completing this application, use onlythe space provided.Please attach documentation (meeting minutes or letter)to verify that yor organizatin supports this application. Only one entity from each organization is eligible to apply for a grant,per calendar year. All applicants must submit: 1. Letter of support on your organization's letterhead or copy of your meeting minutes 2. Signature verifying the grant funds will benefit Ocoee citizens(See bottom of page 2) NEW applicants must also submit: 3. IRS Tax exempt status letter 4. W-9 form Applicants may apply for any amount up to$500. DEADLINE to submit application:JULY 28,2017 400 * * * * * ** ** *, t4, 40 +4. 4440444444444 / Name of Organization: '1 Q r l c ULA+Yeah COtYIYY1I.Ir1:1-i- ne.VG 1oei7leY1-t Address of Organization: 50 S• C!O{ ke.1d cbC O e r ► r Contacterson for this application: S t YarSaLLd 4 (Pam rilor r i s (The contact member must be a member o' f the organization.) i I Daytime phone number:401.363. i43 E-mail address:Si�iC{l'1-t1 qU(Okbradio.coin What are you seeking grant money for? Please provide an itemized cost estimate for each item you plan to purchase. What dollar amount are you requesting?(The maximum grant award is$500.) 5 o 0 is your organization getting funding from any other source for this specific project? NO What is your organizations primary funding source? S i l Cunit i ng How much money does your organization receive from your primary funding source each year? `6L What other sources of revenue does your organization have? non What is your annual budget for this year? `' Last year? "— List List the fundraisers your organization holds? non e- How many me bers9 volunteers and/or paid employees does our organization have? -tO t/0Lj 4f4V5 How many live in Ocoee? um hown How many clients does your organization serve? How many live in Ocoee? un Ln•wn Has your organization applied fora grant from the City before? *-10 Did you receive a grant from the City of Ocoee? N 0 If yes,when,and how much money did you receive? Does your organization volunteer in the Ocoee community? If yes,what volunteer activities do you participate in? •vc.- arid a t1 00q a600 laAc1c.10ci4s w.re-gi,•-e.n away Ooo$ - Dot.{ rilon-01l9 coact 31vc-cttx, serving 50-'70-rarntly�. 2ot'ty - 5k Ula' k Be.ne--1i-V cof Lancs 11 err/ rirt PO 1'Z _ 6 k ("L c-fi{ AM Z kicts OrJand a Oolt. - ('e„vc'e.- 4c. 13ene--ci}- Co,- 911Scka01 S-(•ucie,nis 5o crirrl,lic.s aoi'I. r1 e►.I✓,.4 s or +'hg_ co'IA n �-y 4-199icn e. 9ro j e for komtIc.ss c.ammvrb�� 2015 _ 2®t't Qum.-}113 &ofS4illsori(-to [ IQ, t�our1gme" ec(..i,? wdi-Ka►2ertd4j�S °P1 jos i S ►r•�orr1 ,'j5 rC,L15 Cjubmer��prir, ‘4+1.v."/ a(I men moo 9 ��n 5 men i n C. . �/j . £ 2el-1-9OI-7 tcGr+ J�v- rn�-�- �. Sc.in-co rd, A ENnu.AI 2015 -SOI'? l7 a nsord.c1 E4-C- 1--krl O k P 'l • � GA pr. ,ro.w� ulikl� us t+�YLr�'ESl nc We. 5eor%sor- 0.i 11105.4 e✓�rc� G-avv‘triwk.n i }.� O04reaQ g ,Does your organization provide a venue for Ocoee residents to volunteer? tjcs How many yearly volunteer hours does your organization contribute to the community and how are those hours tracked or documented? u hard (L Ll c r A 4 • Please list the specific accomplishments your organization has achieved in the past 24 months: Please include any other pertinent information about your organization or this specific grant request that you feel would help the City in making Its decision: Please attach documentation(meeting minutes or letter)to verify that your organization supports this application. Before submitting this application,please read and sign below: These funds will be utilized within the City of Ocoee or have a direct benefit to the citizens of the City of Ocoee. In accordance with the guideling�set forth in yt,is application certified this 91) day of Shan-Pk l rct uc 1 Print Your Name tgnature For more information,please call Community Relations at(407)905-3100 x 9-1530 or e-mail iwrightt ocoee.oro. Mail or deliver applications to: Ocoee City Hall 150 N.Lakeshore Drive Ocoee,FL 34761 For Staff Use Only Date Application Received 4)J(17 Was Application Received Complete? if not,Date Application Returned Non-Profit Status On file Attached ^ r Lilo rjd 0LAell Co uvt rv► .i45 vi+�(I oern0-14' l5 ,s ubOAWO KA e-vvh•C(I F t/o tr l C(0. C"1,9 G S+ (Z-4.n r t r 9 Gest S44 • t..o 11 We- aY'`G 4hG Or;9inw a s40A- 4 a IN l1fe,have, ss '- 'i.+r`g } i s co YA V Lt•m c0-e" tJ ✓' £Q4 l r s U.( t'/(a n� l k--• ..u><,�% • Go n*- t-g r< F 4 k- c 1 - h J ` t'tLc owr ass; on �( tkchs gJo, WA kYC rv‘e,u,4asks ly ii.75 at c, LAI vv1.0 t‘ ° 9� VC- v"1A�C•k \s LJhy We-. rwr.. c,�v-.:, oN�s%ckc• WG Gam 1 o i nov'e. • G&R Security, Incorporated "Keeping Your Mind at Peace" July 25, 2017 Dear Director of Your Project/Organization: I write on behalf of G&R Security Inc. in support of the World Outreach Community Development proposal to the City of Ocoee for a grant to fund this project. We strongly support this grant application and the focus on reducing the crime in our city. Sincerely, Gerrille R. Robinson President . . kit çciayz uaxa LOW arm..Ta TBrxAa6 Msx^ July 25, 2017 To whom it may concern: I am writing this letter on behalf of Got Skills Mentoring Corp. in support of the World Outreach Community Development proposal to the City of Ocoee for a grant to fund this project. We strongly support this grant application and the focus on reducing the crime in our city. Sincerely, LYrGfe . .�ree16,2 Gerrille R. Robinson President 3000040 04/10/14 FLORIDA Consumer's Certificate of Exemption R. 4/ 11 DEPARTMENT Issued Pursuant to Chapter 212, Florida Statutes OF REVENUE 85-8013867972C-6 04/04/2014 04/30/2019 501(C)(3) ORGANIZATION Certificate Number Effective Date Expiration Date Exemption Category This certifies that _ WORLD OUTREACH COMMUNITY DEVELOPMENT CORPORATION 3765 N JOHN YOUNG PKWY ORLANDO FL 32804-3213 is exempt from the payment of Florida sales and use tax on real property rented, transient rental property rented,tangible personal property purchased or rented, or services purchased. FLORIDA DR-14 Important Information for Exempt Organizations 8.04/11 DEPARTMENT OF REVENUE 1. You must provide all vendors and suppliers with an exemption certificate before making tax-exempt purchases. See Rule 12A-1.038, Florida Administrative Code (F.A.C.). 2. Your Consumer's Certificate of Exemption is to be used solely by your organization for your organization's customary nonprofit activities. 3. Purchases made by an individual on behalf of the organization are taxable, even if the individual will be reimbursed by the organization. 4. This exemption applies only to purchases your organization makes. The sale or lease to others of tangible personal property, sleeping accommodations, or other real property is taxable. Your organization must register, and collect and remit sales and use tax on such taxable transactions. Note: Churches are exempt from this requirement except when they are the lessor of real property (Rule 12A-1.070, F.A.C.). 5. It is a criminal offense to fraudulently present this certificate to evade the payment of sales tax. Under no circumstances should this certificate be used for the personal benefit of any individual. Violators will be liable for payment of the sales tax plus a penalty of 200% of the tax, and may be subject to conviction of a third-degree felony. Any violation will require the revocation of this certificate. 6. If you have questions regarding your exemption certificate, please contact the Exemption Unit of Account Management at 800-352-3671. From the available options, select "Registration of Taxes,"then "Registration Information," and finally "Exemption Certificates and Nonprofit Entities." The mailing address is PO Box 6480, Tallahassee, FL 32314-6480. Farm Wma Request for Taxpayer Give Form to the (Rev.Deeerrrber 2014) requester,Do riot nepar,mentel the Treasury Identification Number and Certification send to the IRS. Internal Revenue Service 1. Name(as shown on your income tax return).Name is requ on this fine;do not feata this line blank: S a e..-+-ek Sal f..,ty4i 1., ,-,cA 2 Busi as nemetdl garded entityname,if different from above r� I ort 0 +w+ re-a. Co r ern u ni 4"4 c1� vd 9 P re,eJt e_ 3 Check appropriate box foriederal tax classification(check only one of the following seven boxes: 4 Exemptions(codes apply only to certain entities,not individuals;.see❑IndividuaUsote propnetoror lYr C Corporation ❑S Corporation Partnership ❑Trust/estate LIG instructions on page 3): single-tpembercom Exempt payee code Of any) Limited liability company,Enter the tax ciassification(C=0 corporation,S=S corporation,Npartnership)f6- o`i Note..For a single-member LLC that Is disregarded,do not check LLC,cheakfhe appropriate box In the line above for EXemption from FATCA reporting c the`tax classification df the single-member owner. code(if any) o ❑Other(see Instructions)1. t/wYiPerlo accoor,N:mah+ta4,ga outside mo-U.SJ E J1^S Address(number,street,and apt. ) rJj qr suite no.) I Requester's name and address(optional) c CA Cir[(�+G �t ro 6 Qity,state,and ZIP code y Oc-o ee, R( 3140 La 1 7 List account number(s)here(optional( Part I Taxpayer Identification Number(TiN) Filter your TIN In.the appropriate box.The TiN provided must match the name given on line 1 to avoid i Social security number 1 backup withholding.For individuals,this is generally your social security number(SSN}.However,for a resident alien,.sole,proprietor,or disregarded entity,see the Part I instructions on page 3.Far other — —r entities,it Is your employer identification number(EiN).If you do not have a number,see How to get a 77N on page 3, or Note.If the account is in more than one name,see the instructions for line 1 and the chart on page 4 for 1 Employer identification number guidelines on whose numberto enter, Q --13 © 90 . Part it Certification Under penalties of perjury,I certifythat: 1. The number shown on this form Is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the iRS has notified me that I am no longer subject to backup withholding;and 8. I am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this fors(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report ail interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an Individual retirement arrangement(ORA),and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions On,page 3. alga Signature of r� Here u s, t.- person Date', p 60 , t General instructions •Form 1098(home mortgage inte ),1098-E(student loan Interest 1098-T' (tuition) Section references ate to the Internal Revenue Code unless otherwise noted. .Form 1099-0(canceled debt) Future developments,Information about developments affecting Form W-9(such •Form 1099-A(acquisition or abandonment of secured property) as legislation enacted after we release It)is at www.irs.govffw9. Use Form W-9 only If-you area U.S.person(including a resident alien),to Purpose of Form provide your correct TIN. An individual or entity(Form W-9 requester)who Is required to file an Information t/you do not retum Form*9 to the requesterwith a TIN,you might be subject return with the IRS mustobtain your correct taxpayer identification number MN) to backup withholding.See What is backup withholding?on page 2. which may be your social security number(SON),Individual taxpayer identification By signing the filled-out fon-n,you: number(1TIN) adoption`taxpayer identfication number(ATIN),or employer Identification number(EIN)to report on art information return the amount paid to 1•Certify that the TIN you are gluing Is correct(or you are waiting for a number you,or other amount reportable on en information return.Examples of information to 6e issued), returns Include,but are notlimited to,the following: 2.Certify that you are not subject to backup withholding,or •Form 1099-INT(Interest earned or paid) 8.Claim exemption from backup withholding if you are a U.S.exempt payee.If •Form 1099-DIV(dividends,Including those from stocks pr mutual funds} applicable,you are also certifying that as a U.S.person,your allocable share of any partnership income from a U.S,trade,or business is not subject to the •Form 1099-1N4SCr(various'Wes of income.prizes;awards,orgross proceeds) withholding tax on foreign partners'share of effectively connected income,and •Form-1099-B(stock or mutual fund sales and certain other transactions by ' 4.Certify that FATCA code(s)entered on this form(d any)indicating that you are brokers) exempt from the FATCA repotting,is correct.See What is FATCA reporting?on •Form 1099-S(proceeds from real estate transactions) page 2 forfurther Information. •Form 1099-K(merchant card and third party network transactions) Cat.No.'10231X Form W-9(Rev.12-2014) Mayor Commissioners Rusty Johnson John Grogan, District 1 Rosemary Wilsen, District 2 City Manager 404* Richard Firstner,District3 Robert Frank Joel F. Keller, District 4 Ocoee florida VENDOR/BID LIST APPLICATION The City of Ocoee(City)requires the following information for our vendor/bid list. Please complete the following vendor application in its entirety,along with the attached W-9 form.Return to the Finance Department to ensure placement on the City's vendor/bid list or to the requesting department to ensure placement of a pending order. Note: It is the vendor's responsibility to keep your account current with the City,please notify the City of any subsequent changes to the information furnished below.Your company is subject to removal from the City's active vendor/bid list if the City does not utilize your company's services within three(3)years. Notice:The City of Ocoee requires all vendors to have an approved procurement instrument(i.e.,purchase order, contract,term contract,blanket purchase agreement,City purchasing card,etc.)in place prior to providing goods or services.Entering into contracts verbally or without appropriate authorization is prohibited.Any vendor who delivers services or goods to the City without a proper contract is doing so entirely at their own risk.The City does not pay for goods or services that were provided without the benefit of an approved procurement instrument. Name of Business 1,10 rI d 0 u+r e c, Comm .D..v. Phone# 1-10 7.3 53- ")),)L 3 Address 50 S GIarkc. t'2c_t Fax# 40?-2.(13 - 9'10 c. F1 3 -+ --) (0 E-Mail shun-fi a; wokhracito Corn Remit to Address (if different) Contact S hc1n}; T r s k...h City of Ocoee Occupation License# (Required only for Vendors located within Ocoee City Limits) Do you accept Purchase Orders for Invoicing? Yes or`No Do you accept VISA®cards? Yes ori --If yes,what is your Merchant Category Code (MCC Code)? (This code is assigned by your Visa®Processing Company) Are you a member of Demandstar by Onvia®? Yes or�N 1 What City Department will be utilizing your Commodities/Services(if known) Commodities`` and/or Services Provided U ter i c�o ��<[�E�w� a lc n +lh _ c �r .1 n L rtc.� •1•e/ c 00,_S 4-;4'z Y1'1 4J.� u C.tt.4,1',Ur. Vr rLc. 14. " �� ,'. 'foie. .I 1 cl<,GI Note:The City of Ocoee utilizes Demandstar by Onvia®for automatic bid and quote notifications.Membership is not required to register as a vendor with the City of Ocoee.Nor is it a requirement to bid on commodities and services for the City.However,membership is a requirement to receive bid and/or quote solicitations from the City.We encourage you to learn more about the Demandstar service by calling toll-free 1-800-331-5537,or visiting www.demandstar.com/supplier.There is a fee for this service.Please visit the City's BidNendor page at www.ocoee.org for more information.Thank you for your interest in doing business with the City of Ocoee. City of Ocoee• 150 N Lakeshore Drive•Ocoee,Florida 34761 phone:(407)905-3100•fax:(407)905-3194•www.ocoee.org CITY OF OCOEE Community Grant Program Application Funding Cycle: JULY 2017 Oerale When completing this application, use only the space provided. Please attach documentation (meeting minutes or letter)to verify that your organization supports this application. Only one entity from each organization is eligible to apply for a grant,per calendar year. All applicants must submit: vl� Letter of support on your organization's letterhead or copy of your meeting minutes Signature verifying the grant funds will benefit Ocoee citizens(See bottom of page 2) NEW applicants must also submit: IRS Tax exempt status letter W-9 form Applicants may apply for any amount up to $500. DEADLINE to submit application: JULY 28, 2017 414141 ® ® ® ® ® 414141414141414141414141414141414141414141414141 Name of Organization: .....,P% ..3 e.i ez pn OA 101- Lkl(;1-il 0 3 C detJ . Address of Orgamzat�on. (,.�h � � Z tti��- �( �- -A-L- 'm 1 7- Contact person for this application: 3u-di Qt l,be-- , Tw•Sc+4\k5,Nc Q\" ..i)e to NS— (The (The contact member must be a member of the organization.) 'I Ai SC G(i),40L,(oi41 Daytime phone number:At. -4 _ Al(3 -X133 E-mail address-ckt-i - -? - Prt' -- What are you seeking gran money for? Please provide an itemized cost estimate for each item you plan to purchase. . ee %Si cJ q /peumo`1‘on) 6 GLke— cc-p ;2 ;k1C)0 t►.i c - O(- e `-D CV.A ,exQc1 (x.fl --*- N t` .r 511 .R- (1.1-0, \- cte. c)c_ kx.t5',ti 'VSs lAWA4.0t SS ,iJ (-coee. What dollar amount are you requesting?(The maximum grant award is$500.) 4p 5OO . Is your organization getting funding from any other source for this specific project? Kin What is your organization's primary funding source? (tr,,3c i n).5 Crecy C; NO,uz. �J't-t\M I',-taR ie> How much mone does our organizati n receivefrom your primary funding sourcte,each I yd Oar ukNLI)Ck Ws4-4,4tR L (QOC),�a year? �1,`�money ll�,n��U�I.K.�� ���- �,vi .l.': .�� � What other sources of revenue does your organization have? It' � S1ci d> A- �-d 61t Zi 1�MIQ c+ .c+(aGk"s 1 What is your annual budget for this year? 40, odd-`-'' Last year? .-4 6 t�iab A Co List the fundraisers your organization holds?I. ' c . : k '' feDi • '• ,l- CONC.€7411 p ekt--3 let4 c�R2. v.�►*-VAN e.Wou.rt e ,Cees AAA 4&V2£teak.) 4(stirlA;�4. • . ,c' Cts�(iitiS How``many members, volunteers and/or paid employees does your organization have? TAlx,zs2 d, ` el .vciu ow many live in Ocoee? IZ. d) ALL nL, n + kt _c eow.,'NN l`{►PJ How many clients does your organization serve? ,\ How many live in Ocoee? I Z__. Has your organization applied for a grant from the City before?Nb Did you receive a grant from the City of Ocoee? AO If yes, when, and how much money did you receive? 1\1(r`� Does your organization volunteer in the Ocoee community? If yes, what volunteer activities do you participate in? NC,* At *4 S 1-i n to -ci L?Arjt i,u Lit LA m -E-SS-Si Lie- 1 Does your organization provide a venue for Ocoee residents to volunteer? rs How many yearly volunteer hours does your organ tion contribute to the community and how are those hours tracked or documented?ule. & ucf '4Rack"'f,Jdiokt At, ,c ku.kke Please list the specific accomplishments your organization has achieved in the past 24 months:pu R.ANI•SCAL - 1 `% C Atkl< , au a. NA,c�� v s,,/,rxi 0.:4.soz.43. ik°r ti* pix ��.n�k h?, i i•Jq-;\a Z►Exvk c-iC r•A2 -- ��c4���C�So,^n qty" . Please include any other peilinent information about your organization •r this specific grant request that you feel would help the City in making its decision: _ 10Th , eI\R i S +0 erg. vu�r#O t^\M Atir�e rn m s ire - • ,s2 orw_rm,,,,t119> •, 5 `t 4441Q tiniri it ONIVA-1,.Q.M t l.JNi64- fkC ct0 .$.1A p lease a ac documentL'ik'm hk ‘t.) eA( L l n1u���► • -11\k-3h-11\k-3c?.pr� {s L ► ‘1\-\ L h 'ss le-. tion(mee ing minutes or et er) o verify that your organization supports this application. Before submitting this application, please read and sign below: These funds will be utilized within the City of Ocoee or have a direct benefit to the citizens of the City of Ocoee. In accordance with the guidelines set forth in this application certified this z� day of y ,by Jt.cast'N\ Ct► Ltoee. ' T-t seQ, el\At eQ_ksx,�r l Print Your Name • S , atu • For more information, please call Community Relations at(407)905-3100 x 9-1530 or e-mail jwrightaocoee.orq. Mail or deliver applications to: Ocoee City Hall 150 N. Lakeshore Drive Ocoee, FL 34761 For Staff Use Only Date Application Received 7/atr//7 /a:e 9 /v/I1 Was Application Received Complete? If not,Date Application Returned Non-Profit Status On file Attached 2 VINTAGE SKY SALON 60 West Plant Street Winter Garden,Florida 34787 July 27,2017 To Whom It May Concern: This is written as our support for the funding request being submitted for a grant to the Garden Community Choir. We believe this will further help its members bring all our neighboring communities together by its continued philanthropic efforts through music. Thank you for your consideration. Sincerely, Vin ge Sky Salon aiAWL- Lauren Hockenberry $11 ?GARDEN CHOIR www.GardenCommunity Choir.org P.O.Box 770234 Winter Garden,FL 34777 MEETING MINUTES July 18, 2017 Judi Gilbert made a motion for board approval to submit an application on behalf of the Garden Community Choir for a grant in the amount of$500.00 offered by the City of Ocoee to any non-profit organization. Judi has offered to complete the application and submit it to Ocoee City Hall before the deadline of July 28, 2017. Unanimous approval was granted to start the process to request the grant. Chad McClellen, President '; /P e• //eliel Gayle Fitzpatrick, Secretary sAki / 4- i a� Qc7 Or Vicki Hardy, Treasurer keit' )4- . a .4 on Minutes prepared by: Gayle Fitzpatrick, Secretary A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION FOR ORGANIZATION#CH32249 MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE WITHIN THE STATE 1-800-HELP-FLA(435-7352). REGISTRATION DOES NOT IMPLY ENDORSEMENT,APPROVAL,OR RECOMMENDATION BY THE STATE. 100%OF GIFTS RECEIVED ARE RETAINED BY THE CHOIR. EIN:27-0999439. Form W-9 Request for Taxpayer Give Form to the (Rev.De 2014) Identification Number and Certification requester.Do not Departmentnt of of the Treasury send to the IRS. Internal Revenue Service 1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank. N 2 Business name/dlsregarded entity name,if different from above A Garden Community Choir Inc. a 3 Check appropriate box for federal tax classification;check only one of the following seven boxes: 4 Exemptions(codes apply only to 0 Individual/sole proprietor or Q C Corporation 0 S Corporation Partnershipcertain entities,not individuals;see rp ❑ 0 Trust/estate instructions on page 3): osingle-member LLC ❑Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)► Exempt payee code(if any) Note.For a single-member LLC that is disregarded,do not check LLC;check the appropriate box in the line above for Exemption from FATCA reporting the tax classification of the single member owner. code(if any) a.o ❑Other(see Instructions)► fir iu•ccwna,ainhined outside uie us.; 5 Address(number,street,and apt.or suite no.) Requester's name and address(optional) o P O Box 770234 co 8 City,state,and ZIP code 8 Winter Garden,FL 34787 7 List account number(s)here(optional) Part I Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid J Social security number backup withholding.For individuals,this is generally your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other - - entities,It is your employer identification number(EIN).If you do not have a number,see How to get a TJN on page 3. or Note.If the account is in more than one name,see the instructions for line 1 and the chart on page 4 for Employer identfhcafton number guidelines on whose number to enter. 2 7 - 0 9 9 9 4 3 9 Part II Certification Under penalties of perjury,I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3. I am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions on page 3. - Sign Signature of / .` igb'-7 Here u.s.person► v"5.144" - Date► General Instructions •Form 1098(home mortgage interest),1098-E(student loan interest),1098-T (tuition) Section references are to the Internal Revenue Code unless otherwise noted. •Form 1099-C(canceled debt) Future developments.Information about developments affecting Form W-9(such •Form 1099-A(acquisition or abandonment of secured property) as legislation enacted after we release it)Is at www.irs.gov/fw9. Use Form W-9 only if you are a U.S.person(including a resident alien),to Purpose of Form provide your correct TIN. An individual or entity(Form W-9 requester)who is required to file an information If you do not return Form W-9 to the requester with a TIN,you might be subject return with the IRS must obtain your correct taxpayer Identification number(TIN) to backup withholding.See What Is backup withholding?on page 2. which may be your social security number(SSN),individual taxpayer identification By signing the filled-out form,you: number((TIN),adoption taxpayer identification number(ATIN),or employer 1.Certify that the TIN you are giving is correct(or you are waiting for a number identification number(EIN),to report on an Information return the amount paid to to be issued), you,or other amount reportable on an information return.Examples of information returns include,but are not limited to,the following: 2.Certify that you are not subject to backup withholding,or •Form 1099-INT(interest earned or paid) 3.Claim exemption from backup withholding if you are a U.S.exempt payee.If •Form 1099 DIV(dividends,including those from stocks or mutual funds) applicable,you are also certifying that as a U.S.person,your allocable share of any partnership income from a U.S.trade or business is not subject to the •Form 1099-MISC(various types of income,prizes,awards,or gross proceeds) withholding tax on foreign partners'share of effectively connected income,and •Form 1099-B(stock or mutual fund sales and certain other transactions by 4.Certify that FATCA code(s)entered on this form(if any)indicating that you are brokers) exempt from the FATCA reporting,is correct.See What is FATCA reporting?on •Form 1099-S(proceeds from real estate transactions) page 2 for further information. •Form 1099-K(merchant card and third party network transactions) Cat.No.10231X Form W-9(Rev.12-2014) 0000025 02/02/:7 DR-14 Consumer's Certificate of Exemption 8.10/15 Issued Pursuant to Chapter 212,Florida Statutes FLORIDA 85-80154298530-2 07/31/2015 07/31/2020 501(C)(3)ORGANIZATION Certificate Number Effective Date Expiration Date Exemption Category This certifies that GARDEN COMMUNITY CHOIR INC 884 S DILLARD ST WINTER GARDEN FL 34787-3910 is exempt from the payment of Florida sales and use tax on real property rented,transient rental property rented,tangible personal property purchased or rented,or services purchased. Important Information for Exempt Organizations R.DR-14 R-14 10/15 FLORIDA 1. You must provide all vendors and suppliers with an exemption certificate before making tax-exempt purchases. See Rule 12A-1.038, Florida Administrative Code(F.A.C.). 2. Your Consumer's Certificate of Exemption is to be used solely by your organization for your organization's customary nonprofit activities. 3. Purchases made by an individual on behalf of the organization are taxable, even if the individual will be reimbursed by the organization. 4. This exemption applies only to purchases your organization makes. The sale or lease to others of tangible personal property,sleeping accommodations,or other real property is taxable. Your organization must register, and collect and remit sales and use tax on such taxable transactions. Note: Churches are exempt from this requirement except when they are the lessor of real property(Rule 12A-1.070, FA.C.). 5. It is a criminal offense to fraudulently present this certificate to evade the payment of sales tax. Under no circumstances should this certificate be used for the personal benefit of any individual. Violators will be liable for payment of the sales tax plus a penalty of 200% of the tax,and may be subject to conviction of a third-degree felony. Any violation will require the revocation of this certificate. 6. If you have questions regarding your exemption certificate, please contact the Exemption Unit of Account Management at 800-352-3671. From the available options,select"Registration of Taxes,"then"Registration Information," and finally"Exemption Certificates and Nonprofit Entities." The mailing address is PO Box 6480, Tallahassee, FL 32314-6480. ("(, it ( GARDEN CHOIR Garden Community Choir P.O. Box 770234 Winter Garden, FL 34787 "Building Community Through Song" f� ceil ofe " July 26, 2017 L / 9� Community Relations City of Ocoee Ocoee City Hall 150 N. Lakeshore Drive Ocoee, FL 34761 Re: Community Grant Program Application Dear Members of Community Relations: We feel privileged to submit our application for your grant of up to$500.00.The completed application, is attached with all the requested documentation. However, I wanted to also provide a brief summary of who we are, our accomplishments, our future goals and, why all that the Garden Community Choir has done during the past nine years is worth continuing well into the future. In turn, why this grant would go a long way in helping us meet our future goals in reach out to our community; including Ocoee. First, as a way of introduction for those not familiar with our 501(c)(3) non-profit organization, we are an adult, non-auditioned chorus of individuals in Central Florida who love to sign and are passionate about making exciting, beautiful music together. We meet once a week from August through May. At last count,we are 92 strong voices under the direction of Dr.Jeffery Redding, Founder/Artistic Director. We have grown now to the point we are actively searching for a new venue to perform our concerts since we have outgrown where we have performed in the past and,we are always actively recruiting for new members. We care deeply about our community and as our motto states, Building Community Through Song"we donate each year at our spring concert 100%of our proceeds.This past year our Unity Concert proceeds went to the Wounded Officers Initiative which benefits law enforcement officers catastrophically injured in the line of duty throughout Central Florida. This year we are proud to be celebrating our 10th year. Our Board is working hard to make this the best year ever. We plan on bringing back our WineWalk fundraiser, holiday and spring concert series, a themed silent auction and in June 2018 we plan to participate at the Limerick Sings International Choral Festival in Dublin, Ireland. Our intention is to also add a venue in Ocoee with this grant. Again,we are deeply appreciative for this opportunity to submit our application for this grant. \Respectfully, r , 1 i l % � 1 L Ju ith ilbert, Fundraising Chairperson