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AMERICAN RED CROSS, TAMPA BAY CHAPTER/RECOMMENDATIONS FOR SPECIAL EVENTS GRANTS FUNDING PILOT PROGRAM /( CITY OF CLEAR WATER SPECIAL EVENTS GRANT FUNDING APPLICATION For Assistance Phone: (813) 462-6596 Print or type. If necessary. use additional sheets of paper to complete the application. 1. EVENT TITLE: American Red Cross Youth Performances 2. APPLICATION INFORMATION: Contact person: Title: Telephone: Ameri.can Red Cross, Tampa Bay Chapter 4511 N. Himes Ave., Suite 265 Tampa, FL 33614 John Moore Assistant to the CEO (813) 348-4820 ext.822 ~ (vvork) (813) 348-4830 ( fax ) Organization: Address: Legal Nmne: American Red Cross, Tampa Bav Reqional Chapter Year of Incorporation 1917 or Date of Application Charter Number: Check if 501c3 x Chapter rechartered: Month and year ~mizatKm was~: October 29, 1995 Describe the organization's major activities Cll provide relief to disaster victims: U) help people prevent, prepare for and respond to emergencies. Four programs: Armed Forces Emergency Services, Community Volunteer Services, Disaster Services and Health and Safety Services. Describe event management experience: Chapter holds both annual (repeat) and new special events throughout the year. These attaclunents must be provided: A. Most recent Financial Statement B. Certification of non-profit status I C. Letter(s) of Commitment for matching funds rJ.. {~ D. Listing of current Board of Directors E. Proposed Event Marketing plan F. Preliminary Application for Special Event, if applicable N./~ Signature 4 L ~ Authorized Board Member ~ Date ~/t hj- -' The City of Clearwater reserves the right to reject or fund applicants at a level lower than requested. D. E. City of Clearwater Special Events Grant Funding Application Page 2 3. EVENT INFORMATION: A. Six performances of; a, lighthearted play Event Description and purpose: dealing with a serious subject: youth and AIDS. The Chapterls Clearwater youth will write and perform the play at the Branch auditorium for the local community, especially at..-risk youth, for whom transportat;ion will be provided. Purposes are to continue Red Crossl community HIV/AIDS education and to demonstrate our youthls and the Cityls commitment to such education Primary Objective of the Event: To reduce the incidence of HIV /J\:WS in lO-l9 year old$, particularly at-ri$k youth, via the factual information and behavior modification messa. es contained in e pro uct;Lon. Prim~ Benefits to the Citizens of Clearwater: Pride that their City supports such an important event; pride in their youth for bei.ng involved; awareness of and r;ide in their local Red Crossl commitment to HIV AIDS prevention edUCation. Has this event been held in the past? If so, when? Why was it successful? How will these grant funds expand this event? B. C. yes x no Where? Date(s) of planned event: two consecutive weekends in October 1998 F. Location(s) of planned event: 624 Court St. CClea.r\llater Branch) K. How will profits from this event be used: no profits 2 City of Clearwater Special Events Grant Funding Application Page 3 5. GR.\NT REQUEST (Funds) A. Amount of funding requested (not to exceed $10,000): $ 2 . 800 B. c. Describe in detail what these funds will be used for: Note: Exhibit I lists available City services. rental of sound equipment for 6 performances rental of transportation for 6 pp-rfnrm~nr.p~ advertising for 6 pprfnrm~nce5 $1,200 1,200 400 Date that the City funding will be needed Jul y 1, 1998 6. MATCHING FUNDS REQUIREl\fENT A. Describe in detail the source of matching funds which must be at least 50% of the grant request (in-kind and/or cash with a minimum of one-half in cash) and how the funds will be used: script stationery script- copyriqht script printing wardrobe props 7. 100 100 200 200 100 700 (CASH) ADDITIONAL INCOME / RESOURCES IN-KIND SALARIES: 32 hrs. @ $12 = 384 32 hrs. @ 9.80 = 314 698 A. List any known or expected additional grants or sponsors and their contributions in support of this event: n/a B. List all sources of anticipated event revenue: n/a c. List volunteer resources Chapter I s youth and adult volunteers 3 City of .clearwater Special Events Grants Funding Application Page 4 8. TOTAL EVENT BUDGET Item sound equipment transportation advertisinq script stationery script copyright script printinq wardrobe props Total Cost Source N/A EXPENSES Cost $ 1,200 1,200 400 100 100 200 200 100 $ 3,500 INCOME Total Income 4 Funding Source City of Clearwater " " Tampa Bay Chapter " " " " Amount (Cash or In-kind) ~~ MO'>\ ~ ~~ ~ American Red Crpss, Tampa Bay Chapter statement of public Support, Revenue, Expenses & Changes ln Net Assets @ February 28, 1998 unrestricted PUBLIC SUPPORT & REVENUES: Temporarily Restricted TOTAL United Way $0 274,285 274,285 Program service Fees-Cost Recovery 167,796 167,796 Fundraising 420,585 2,310 422,895 Legacies & Bequests 687,835 687,835 contributions 193,375 298,553 491,928 In-Kind contributions 69,567 69,567 Investment Income. 30,091 23,938 54,029 Grants 17,500 35,904 53,404 Inter R/C-State Lead 0 74,817 74,817 other Income 12,953 12,953 ------------ ------------ ------------ Total Revenues before Transfers 1,599,702 709,807 2,309,509 Transfers from other classes 1,145,234 (1,145,234) 0 Total Revenues after Transfers 2,744,936 (435,427) 2,309,509 EXPENSES: salaries/payroll/Benefits professional Fees supplies Telephone/communications postage Occupancy Travel Insurance Program service-Direct Expense Disaster Assistance Chapter Assessment Fundraising Depreciation In-Kind other Expenses 1,122,796 22,465 36,272 58,336 11,572 74,073 37,101 42,035 44,533 150,243 411,819 92,757 98.,152. 69,567 65,277 ------------ Total Expenses 2,336,998 Total Excess (Deficit) After Transfer 407,938 Beginning Net Assets @6-30-97 2,064,246 ------------ Ending Net Assets @2-28-98 $2,472,184 ------------ ------------ ------------ 1,122,796 22,465 36,272 58,336 11,572 74,073 37,101 42,035 44,533 150,243 411,819 92,757 98,15.2 69,.56? 65,.277 ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------,------ ------------ . 2,336,998 (435,427) (27.,489 ) 1,918,324 3,982,570 ------------ ------------ 1,482,897 3,955,081 ------------ ------------ ============ loe a American Red Cross, Tampa Bay Chapter statement of Net Assets @ February 28, 1998 ASSETS: Cash & Investments Accounts Receivable Due from Other Classes Inventories Fixed Assets All other Assets TOTAL ASSETS LIABILITIES & NET ASSETS: Accounts Payable & Accrued Liabilities Due to Other Classes .Notes Payable Due to National All Other Liabilities TOTAL LIABILITIES NET ASSETS: Unrestricted Board Designated Externally Restricted Property and Equipment TOTAL LIABILITES & NET ASSETS Unrestricted Temporarily Restricted TOTAL $1,521,622 747,050 2,268,672 47,002 699,201 746,203 36,646 36,646 22,178 22,178 1,121,942 1,121,942 242,038 10,000 252,038 ------------ ----------- ------------ $2,954,782 1,492,897 4,447,679 ------------ ----------- ------------ ------------ ----------- ------------ $126,399 36,646 21,533 297,719 301 10,000 126,399 36,646 21,533 297,719 10,301 482,598 492,598 10,000 144,599 1,227,176 144,599 1,227,176 1,482,897 1,100,409 1,482,897 1,100,409 2,472,184 3,955,081 1,482,897 $2,954,782 1,492,897 4,447,679 ------------ ------------ ------------ ------------ ----------- ----------- ~t\'G ... '----- ~ .t . J Legal Resources Manual 'This is a copy of a document filed in the Office of the General Counsel. CllAPTER 7 Appendix A I. TREASU RY DEPART rvt ENT WASHINGTON _us ..<-."., ~ C'8W......~. Of' ...9'C...... ~ _ -cr'f_ .... ~ ~R()flOW e:x- ' ~~C\ ~ o,.,.,c:~ 0'"' C:OW"'S310H(R 0' IHT[RPlAL IItvtHut IT:Pt~ OS., EaD.orable No~ li. Da.rls, Ch.a.i..-=nn, American Uat1oc..a.l Red Crolls, - 'I.~ -~ D C uu....l:e.won, . . Y..7 dear 1.(:0. DB.rl~: A8ference 1. cads to JOU: =~eant requast thnt & r~l~~ be ia~ed hol~; ~e ~er1c~ ~&:io~ Red Cr~8a and ita conatit~- ent c:.hn.pt8r~ and br:lnclles to be exempt t=om. 1ed.sraJ. 1:.co:e ta:::a,- t100. and that cantri=utiona thereto be" allowed &S d&due~io~s ~ thll Ucoc:e t.: retu..-=.. 'o'! 'udi rld.ua.l d.cnora; all~ that C:l~t=i1:u- tions mn7 b~ made to the organ1:~tion without res~ric~1on 07 f'..::.d.S or ~o-.:::.d.a.:ion4 whicl1 ha-re heretofore been held. to be ~xaI::pt ~der aecticn 101(6) at-the AaTenUe Act of 1938 a:d. ~~e c:~&- sponrl~~~ p~~vision3 'of ~rior revenue acta. I~ ~e~a t~: tbe ae~i71:iee of the ~er~~an Nat~o~ 2ad. Cross n.:'a co:.q~~ed. th-~~:" eh3.ptart and ';~3.t ~at:~ c:..-:.c.;:';i1= !::3.S one or :or~ oranc:es ~ mn-~'~ar~e. th.:~h wh~c: 1: o~~rat9s. It fu:t~er ~ppea:s t~t each ~pter 13 ~!aponsi~l! to t~e n4tion- al orgnni:at1on for t~e ~oli=.r.?U=~ed. ~ 1:s dis~~~c:. .~ 'I: 1s ~e1d t~t t~e ~eriean Nationnl 2ed Cross ~~ 'its "Ta.:ious ~.o.;tQr'!3, br~~::aa and. s.u::=.l~.:u-~es a.r! ro6 orga:li:a.t i:lCS &s coce ~~h~ tho rro~sion~ of sec~ion 101(6) of :ha ~~e~ue Act of lS~8 and the cor=espo~di;g provisions of prior r9ven~e &eta. !:.co:e ta.: r8 e--_-=.s nll,:,o t, therefore, be :'eq:'~~9d t~ be :11 ad for 1938 e.z:d prior 7enrs and. ret".l.-::'s nll not 'os :'e~.:.:.=ed for sub- sequen: 79ars 10 lo~g as t~ere i3 :0 ~ange 1: thei: orga:~=ation, thai: ;u-~08e8 or :ethod 0: operation. ~e eX8C?tion refer~ed to ~ this letter does not a;;17 to t'a:as le~ed under other titles or pro7isions of the res~ecti..e ~!ve~ue acta, e::opt 1~ 90 fa: as 8%ecption is ~antad e~=gas17 under those titles 0: ;=o7:g~:n~ to organ~:ations ~~~ra:ad ~ s.e~ion 101 of the 2evenue Act of 193a and the c=~~espo:~l_~ proTisio:a of p~:or :9Ve~~e B.C~g. Octoher 1986 \ cr(' 3 71\-1 Legal Resources Manual .. ~' . -2- . Honorable UOr:c.aJ1 H. DaTia, Chairmnn. Contributions to the Amerioan.Nationcl Rea Cro.. and ita Tari- ous d::.o.ptars, brnnc.ho. and a.u:rll~ie. by inciirtd.uaJ. donors are deduotible by indirtd.ucl.s in ~%tmUt~ their t.axn.ble net inoome' in the manner and t'O the ax:an~ pro~tded-bT .ection 2~(0) of ~he.ReTe- rra.a Aot at 1938 and. t~. oo~aspond.1.n~ :proTision. 'Of '~r1or raTenue &.c:ta. the sta.tus at tundA ar !ound&t1aus which b4V'e been held. to b. a~"~ t 'W1d.er .ect ion 101 (6) a-t the BaTeau. J..c:'1: ot 19~a and. the c:or:"espou~-1""g :prcrlaion. 'Of prior raTetme act. 1dlJ. net be d!act4f1 by rea.a'On at c:cntri1)ut1on. t'O the ..Amar1ean B'&tional. A8d. Cro... and. ita ehapt.~~. br~e. ~ In~i'~.~1a.. !h.a.duct1b~it7' o~ oen- t:'1":ra:t1o~ 07 t&:o3.b1. eo~or&t1on. is gaT~ b7 .ec~ion 2:3(q,) at the UTe.m18 J.c:t at 19~a. . ~ CQ==1..ioner. ... ,0 71\-2 October 1986 2~ 5 .~ i" ~. legal Ht'S()\Jl"(,TS I\I:lI\u:II CIIAP'TEH. 7 Appendix B 'rhi.. is :1 ('opy of a document fikd in the Office of the Gener:1t Counsel. . , Address any reply to: 31 Hopkins PIUs. Bsltim~re. Md. 21201 @)@~(j'QUUi)@wj @q.UDu@ V-l[@@~C:[:."( @)~~n[fO@n @)O{i'@@U@)i! !nteri!al Ae~en ue Service Data: \ I" ,aol,. relt, 10: Qf:r. ? <2 1981 EP/EO:72ol:r:::R American !Ta. tiona.1 Re d Cro~ s Na.tiona1 F.ea.cqua.r~er~ r!ashington, D.C. .2ccc6 Date of E.xemptlon: l~m.1 Revenue Code Section: Dece~ber 12, 1938 SOl (c)(3) Gentlemen: Thank you for submitting the in!ormation shown below. We have cace it a part,o! your. file. ' The changes indIcated do not adversely affect your e~!n?t status and the exemption letter issued to you continues in errec:. Please let us know about any future change in the cha~acter. purpose. method of operation. name or adcress of your or6a~ization. This' is a rdquirement for retaini~g your exem?t sta.tus. ~ ThanK you for your cooperation. Sincerely yc~.s. ~- '- - .~. := ,-, a r" C"" ~~ ~ ,~ ----:1~ ~~~~~ Dist~~ct Di=ectcr Frc::! --- C ~ " w ::l - UJ (0 .. r" ,- C'. ~ ...... ~ .:; - _I - . r~ ....., c:;:::l t.." Item Chan~ed To BylaWS Feoruarj 9, 1960 c':tobc:r 11, 1979 ()clllhcr Il)H(l in , ?~3 \).) M ~~. ~ N~]\~ Adkins, Claudia K. 3938 Venetian Way Telephone: 884-1102 Tampa, FL 33634 Fax: 221-8850 Arndt, Paul 5116 White Pines Circle,N.E. Telephone: 528-6434 St. Petersburg, FL 33703 Fax: 528-9280 Ayala *, Patte 4737 Tampa Downs Blvd. Te~phone: 973-1101 Lutz, FL 33549 Fax: Barford, George CARLTON FIELDS ET AL, P.A. Telephone: 223-7000 One Harbor Place Fax: 229-41 33 P.O. Box 3239 Tampa, FL 33601 Barshel, David A. Vice PresidentfT AO Telephone: 895-1717 NORTHERN TRUST BANK OF FL. Fax: 822-7846 100 Second Ave., South St. Petersburg, FL 33701 Beauchamp, Philip President/CEO Telephone: 734-6226 MORTON PLANT MEASE HEALTH Fax: 734-6977 CARE 601 Main Street, MS #429 Dunedin, FL 34698 Bergin, Mary Chair, Angels Telephone: 831-1188 4913 Pilgrims Pathway Fax: 805-0129 Tampa, FL 33611 Brooks, Sandra S. 5200 White Sands Circle NE Telephone: 525-4405 St. Petersburg, FL 33703 Fax: Butler, William E. Manager, Group Sales Programs Telephone: 870-2700 TAMPA BUCCANEERS Ext.288 ONE BUCCANEER PLACE Fax: 876-2089 Tampa, FL 33607 Cahall, Nancy Vice Pres., Human Resources Telephone: 226-2600 POWERCERV, Suite 2700 Ext. 111 2 400 North Ashley Drive Fax: 222-0886 Tampa, FL 33602-4300 Caines, Richard VP., Risk Management Telephone: 228-4854 TECO ENERGY INC. Fax: 228-1670 P.O. Box 111 Tampa, FL 33601 Davis, Larry E. Managing Director , Telephone: 207-5100/05 MARSH & MCLENNAN Fax: 207-5190 1511 Westshore Blvd. #600 Tampa, FL 33607-4523 Dickey M.D., Stephen FIRST PHYSICIAN CARE OF TAMPA Telephone: 289-8014 BA Y INC. EXT.133 P.O. Box 22997 Fax: 289-8533 Tampa, FL 33622-2997 Donaho, Barbara Chapter Chair Telephone: 522-6433 762 Live Oak Terrace N.E Fax: 525-6319 St. Petersburg, FL 33703 Doornbosch, Liz Senior Manager, CUSTOMER SVCE. Telephone: 290-1006 CAPITAL ONE Fax: 290-1801 8725 Henderson Road Tampa, FL 33634 l ~ q , . Emmanuel., Betty 11217 115th Terrace,N.W. Telephone: 904-462-9543 Alachua Highlands Fax: ALACHUA, FL 32615 Ferlita, An9.e1es 9923 Stockbridge Dr. Telephone: 920-1290 Tampa, FL 33626 Fax: Fetherston, George General Manager Telephone: 363-5090 DON CESAR BEACH RESORT Fax: 367-6852 3400 Gulf Blvd. St. Petersburg Beach, FL 33706 Franke, Tom President & COO Telephone: 573-3800 RA YMOND JAMES ASSOC.,INC. Ext.4314 880 Carillon Parkway Fax: 575-5754 St. Petersburg, FL 3371 6 Gallen, Robert Senior Vice President Telephone: 286-1711 URS GREINER INC. Ext.7443 P.O. Box 31646 Fax: 287-8591 7650 Courtney Campbell Cswy, W. Tampa, FL 33631 Harrell, Jr., Roy G. CARLTON FIELDS, ET AL., P.A. Telephone: 821-7000 P.O. Box 2861 Fax: 822-3768 200 Central Ave, Suite 2300 St. Petersburg, FL 33701 Henning, Hal P. 4632 Westford Circle Telephone: 962-2001 Tampa, FL 33624 Fax: Hill, Jr., Joseph D. Executive Vice President Telephone: 224-5076 Florida Commercial Banking Fax: 224-5087 NATIONSBANK 400 No. Ashley Dr. Suite 1500 Tampa, FL 33602 Hill, Sally S. 31 Spanish Main Telephone: 287-1196 Tampa, FL 33609 Fax: Hines, Jr. , Andrew H. TRIANGLE CONSULTING GROUP Telephone: 894-1100 150 Second Ave., No. Fax: 822-0914 Suite 1170 St. Petersburg, FL 33701 Karl, Mercedes 859 Seddon Cove Way Telephone: 348-4820 Tampa, FL 33602 Fax: 348-4830 Krusen., William A. President & CEO Telephone: 837-3009 GENERAL GROUP HOLDINGS, INC. Fax: 835-4197 2907 Bay to Bay Blvd. W., Suite 600 Tampa, FL 33629 McClintock-Greco, M.D., Linda CEO Telephone: 276-5035 HEALTHEASE Fax: 276-5060 100 So. Ashley Drive Suite 300 Tampa, FL 33601 McNeel, Van Chair & CEO Telephone: 286-8680 MCNEEL INTERNATIONAL Ext.101 P.O. Box 23887 Fax: 286-1535 Tampa, FL 33623 ~cf1- ~ . Miesem*, Albert A. COLLEGE HARBOR Telephone: 864-5220 4650 - 54th Ave. So. Fax: #125 St. Petersburg, FL 33711-4600 Morgan, Gregory L. Vice President, U.S.A. Telephone: 281-1110 OXFORD PROPERTIES GROUP INC. Fax: 281 -0069 2701 No. Rocky Point Dr. Suite 111 0 Tampa, FL 33607 Munson, Judith 51 Martinique Ave Telephone: 258-1943 Tampa, FL 33606 Fax: Oto, Steve President & CEO Telephone: 276-7346 TAMPA BAY LIGHTNING Fax: 223-2274 LIGHTNING PARTNERS LTD. 401 Channelside Dr. Tampa, FL 33602 Ragano, Frank President & CEO Telephone: 882-4477 CMS INC. Fax: 884-1876 4904 Eisenhower Blvd.,Suite 310 Tampa, FL 33634 Ryals, Shirley Senior Vice President Telephone: 224-2392 SUNTRUST BANK Fax: 224-2371 P.O. Box 3303 Tampa, FL 33601 Sierra, Paul J. President Telephone: 228-6661 PAUL J. SIERRA CONSTRUCTION Fax: 223-5328 912 W. Martin Luther King Jr. Blvd. Tampa, FL 33603 Stefanadis, Sonja 460 Palm Island SE Telephone: 441-3721 Clearwater, FL 34630 Fax: 442-8180 Swan, Jr., Alfred Senior Executive V. P. Telephone: 571-8595 AMSOUTH BANCORPORA TION Fax: 572-4776 P.O. Box 179 Clearwater, FL 33757 Sykes, Susan 71 3 Seagate Drive Telephone: 229-8299 Tampa, FL 33602 Fax: Thatcher, Robert President, Global Logistics Telephone: 771-1929 3926 Arlington Dr. , Fax: 781-3721 Palm Harbor, FL 34685 Turville*, Edward A. Attorney At Law Telephone: 895-1947 501 First Ave. No. Fax: 821-1968 Suite 801 St. Petersburg, FL 33701 Valenti, Jill CONTINENTAL PLACE Telephone: 206-441-4042 2125 First Ave, #2504 Fax: 206-441-7175 Seattle, WA 98121-2120 Vaughn, Ronald L. President Telephone: 253-6201 UNIVERSITY OF TAMPA Fax: 258-7207 401 W. Kennedy Boulevard Tampa, FL 33606 "3 ~4 ~ " Windham, Gene H. President Telephone: 572-4093 CORE CAPITAL INTERNATIONAL Fax: 573-7713" 14447 Sandpiper Circle Clearwater, FL 34622 Yadley, Barbara Partner Telephone: 227-6434 HOLLAND & KNIGHT Fax: 229-0134 P.O. Box 1288 Tampa, FL 33601 Zagorac, Jr., Michael Vice President, Public Affairs Telephone: 221-0030 HILL & KNOWLTON Fax: 229-2926 201 E. Kennedy Blvd., Suite 1611 Tampa, FL 33602 .. Non Voting Members, Telephone: Fax: 4 ~'t \ E.) Proposed Event Marketing Plan The City will be asked to join the Chapter in advertising the performances as the dates approach. Such advertising to include any of the following: most or all media, internal Red Cross publications, internal City publications, public notices. ~ CITY OF CLEARWATER >- ..... u. o APPLICATION FOR SPECIAL EVENT u One City. One Futu re. GENERAL INSTRUCTIONS 1. Applications must be flied at least 15 days prior to event but not more than one year. Per Chapter 116, City of Clearwater Code of Ordinances, the 15 day period for City Manager review does not begin until the completed application with Certificate of Insurance ATIACHED has been submitted. (See insurance requirement below). 2. Insurance: If the event involves more than 50 persons or vehicles, the Cit.~. requires the applicant or the organization he/she represents, to have a liability insurance policy with limits of at least $500,000. Applicant must attach a Certificate of Insurance, covering all activities performed in accordance with this special event and listing the City of Clearwater as an "additional insured." Proof of insurance coverage in proper form must be submitted prior to date of the event. The City of Clearwater reserves the right to request to copy of the entire policy of insurance. NAME OF INSURANCE COMPANY: American Phoenix ADDRESS AND PHONE: P.o. Box 10340, St. Petersburg, 33733, 321-1141 NAME OF AGENT: Julie Messier ADDRESS AND PHONE: P.O. B ox 10340, St. Pet e r s bur g, 33733, 32 1- 11 4 1 All vehicles participating in parades will have the minimum liability insurance as required by Florida Statutes, in force, and will provide proof of such insurance upon submission of application for parade. 3. APPLICANT AGREES TO PROVIDE A REPORT WITHIN FOUR (4) WEEKS SUBSEQUENT TO THE EVENT CONTAINING RECEIPTS, DISBURSEMENTS, NUMBER OF PARTICIPANTS, AND OTHER DATA INCLUDED ON THIS APPLICATION. 4. It is understood that no tokens, candy, or other articles are to be thrown from parade participants to spectators along the route. . It is also to be understood that no fireworks or other explosion-type devices are to be used by parade participants along the route which may cause injury or danger to spectators or participants. 5. Applicant understands that knowingly providing false information on this application will automatically void the application and canceLthe ev:ent. _ 6. Applicant further understands that at any time during the c._event, the Chief,. of Police or his representative, may order the termination of such event if it is in -violat.ion~ of any law or ordinance, or if it endangers the person or persons of participants or spectators, or if it. threatens the peace and dignity of the community, or if it creates unmanageable problems for public safety officials whereby the proper execution of their duties is endangered. 7. Proof of Agency: If Applicant purports to represent an organization in submitting an Application for Special Event. Applicant, if applicable. must attach proof of agency or letter of authorization showing his/her authority to represent the organization names herein prior to approval of this application. Page 1 of 6 APPLICATION Please print. DATE OF APPLICATION: April 1, 1998 NAME OF EVENT: Decorative Arts and Antique Show & Sale DATE(S) OF E\lENT: January 29 and 30, 1999 ALTERNATE DATE(S) OF EVENT: ~nuary 31, 1999.-ish~&~ale onlv) LOCATION OF E\fENT: Coachman Park HOURS OF E\fENT: 10:00 a.m. - 5:00 p.m. One day Decorative Arts and Antique Show & TYPE OF SPECIAL Ev'"E~T (Describe): Sale with seminars, repairs, and appraisal services; Antique and classical cars and motorcycles in parking lot 5. APPLICANT: If an Organization: NAME: YWCA of Tampa Bay ADDRESS: 222 South Lincoln Avenue, Clearwater, FL 33756 PHONE: 813-461-2997 AUTHORIZED PERSON IN CHARGE: Judy Wood-Ganisin ADDRESS: 222 South Lincoln Avenue, Clearwater, FL 33756 PHONE (WORK & HOME): work=461-2997, home=447-2458 If an Individual: ::: ..) NAME: ADDRESS: PHONE (WORK & HOME): '!~~i:::.~~~~g~tlP'~:.B~<a~Oi'W1THC.....'.ct1.P.HH....'..WHE. iQ'*f1~:IDE.~~S'....'..'....\US).p...~~'gt..I~~~I~~.~',ljWQ' D~RM!NE..T-m:,~::...:crn/:':M~RS' . .. . . .'Al'T<r.. N':~:T::::.:r:.:T:... ;1\:; E.!. .'01:;fA"T;:lT:,o.mn................... :',.'.:.:p::~:~:_ c.> ___:.:..::.,.:..'._::::LJ;::::~::::;:p::1\'.v: _- V:~::~___ '_ ::::-:;'. ',' :. ," _:_ ....._.' .' .:::.~;:J;::J.:_"' /, ::':~::~":"" "'_;~:Y""'" '_,:;:'_, . __>~\i;Ct~y~:.L;J:,l::;:;::;:::::::<-:...'... Page 2 of 6 ROUTE OF EVENT: (If the event is a parade. run or walk, please describe route, attach map of route, describe formation and break-up areas, etc.) nla PURPOSE OF EVENT FEES Will fees be charged to participants? no If yes, amount :5 Will fees be charged to spectators? no If yes, amount $ Will fees be charged to exhibitors? YPC still researching- If yes, amount $ ~<ill be. r ea.-,olloble How will monies be used? To cover costs of producing event and support YWCA programs in the community. Estimated number of participants: 100 e~hi bit 0 r s Estimated number of spectators: 1,500"",,2,000 throughout the day Estimated number of needed parking spaces: 500 TOILET FACILITIES: Number of portable toilets to be provided: 4 Location of portable toilets: c i t y r e c amme n d at ion Other arrangements: 11USIC AND AMPLIFICATION: Will amplified music or sound be involved? yes , .- Hours of play: 10:00 a.m. ~ 5:00 p.m. Will electricity be required? yes Who will provide? City of CleaT'\vater B-'."llt,~~All1i\l\. Page 3 of 6 CLEAN-UP: Who will provide for trash receptacles, bags, and clean-up after the event') C i tv 0 f C I e a rw a t e r per T. Schmidt FOOD AND BEVER.-\GES: Will food and beverage be served during the event? yes Who will dispense? local restaurants - to be determined Will refreshments be sold or given away? sold cover costs donations to YWCA, profits If sold. how will monies be used? ' Will electricity be required? yes Who will provide') Citv of Clearwater OTHER SALE ITEMS: . Willotner -items be 'soid during the event? yes I Who will sell? exhibitors ------ '..~ '-...- How will monies be used? pay f o. r boo t h _ r e n t a I 1r.1~f0~~.~~ml~~~I'~~I~b~Js'~J.~=~s~~~.f-r::~;!f~~ B~g~~{;'A-t~g;~gg,~gQ1?;'~~"~IiA'~~G~TJT9~~W1S1'El5~~~.~;P~l'II.8 .,W:XTD,'iAR ='D' En"A'D~'CD1\'m""'B" .T,T<'rt'l<l'ECO'C"'R' 'EG,.'f',r.F """"'[T' .o.1lO:1"'Am"2'7<)"2.,O.IV'Ji'4TTsm"BP.("Il"\'NmA'~."'.. .n. .... .'..'........,......,"',.,."............,. '::('3i.1:~ :'".l:V: "::::;1;:X.IJ:.l:::" -' 'L:.&"1;.U.:-1::'.I.'(J;;..el..t:~::.l:::::-'- .U:i:)t::1:~' -:00.:::" . -' ", 't,;;.:,f..LJ:\.: -: -,'> :i::~:::n:J>::: : :~":' :- ",V.:::.L"fi:t:.f ;:1::> ' :.1:l>:~.,V' -'. :;:,(;:': v::L:mu:~::::::::::::::.:.:.:.:.>..:.:......... ._,_".,_,."..._" ".. ____ - , ' - _... d"" _" .. ",," -" - "". - -.. - , - " ........" ...... SIGNS: Will signs, banners, balloons, etc. be used either before or during the event? yes lry~s;>~xple.in:o'r d(!scribe ~cha~d give location: ~~sionallY '[)roduced per ci ty specifications. Memorial Causewav and ihroughout Coachman Park. CITY SEAL: Will the City seal be used for this event? no ....i_~.,. Page 4 of 6 PRIZES: Are prizes to be given? no Types of prizes: TENTS OR CANOPIES: Will tents or canopies be used? yes If yes, give number sizes and locations: 1 - 20 x 40 - southwest of pond ~~~g~=~}'l~~~!f~i~~..f~~~}IS1A.>I'~flTS~.....M1JST....13E...$WGYB13P....ggqMrq-rm. RUNNING AND/OR WALKING EVENTS: Will event be conducted on streets? n I a Will event be conducted on sidewalks? Time of assembly: Time event starts: Estimated time of [mish: PARADES: Portion of street required for parade units: nla Tim~ assembly to begin: Time parade starts: Number of people in parade: Number of vehicles in parade: Number of animals in parade: Number of floats Number of bands: Number of special units: N@rE>SP0NBbRWIJjBBE:REf~mREDmoPRDvrDEEORBOLtCE>ANDBA:RRIJ3ADE:SERV:rOES ,1I~("~If&1L,."'~~..~lt.IIIIlI.."1 ~.i.<I.~..ii.bl~~~-~&l1~~M~~~~RI~III!!~:III.i:.~111 FIREWORKS: Will fIreworks be a part of the event? nla If yes, who is responsible for the display? Where will the fIreworks be staged? Page 5 of 6 What time will the display begin') n/a NO'I'E;:A~l?ERMI'IT'FR0 MTRE .,CLEARWATERFffiENtoillSH...;L' S OFFICEISREQUlREDPRlORTO ANYFIREWORKSDISPLAY.ALSO,JFSHOT0VER WATER, OR IF WATERFRONT FACILITIES AREUSED(PER..rvnssloNISNEEDEDFROM.THEU.S..' COAST GUARD. SECURITY Will private security be provided for equipment? no - will utilize off duty police If yes, name of company: .BltEi8~~~I~~~'f~~~~~~':L~~Eil1......TO..SUPPORT" ACTIVTTIES.....ING~I.TJJ.EI:).....+N"......rrFIIS. .c\PPLICANT CERTIFICATION 1 hereby certify that 1 have read this application and that all information contained herein is true and correct to the best of my knowledge, information and belief I agree to comply with all Statutes, County and City Ordinances, and the general instructions stated in this application and the special conditions issued by the City in connection with the approval of the Special Event contemplated herein; that I, and the organization on whose behalf I make this application, if any, represent, stipulate, contract and agree that we will, jointly and severally, defend, indemnify, save and hold the City harmless from any and all claims, lawsuits, judgments, and liability for death, personal injury, bodily injury, or property damage arising directly or indirectly from the exercise of the Special Event Permn and performance of the Special Event by Applicant, the organization represented by Applicant, its employees, subcontractors, or assigns, including acknowledges that helshe, together with any organization represented by Applicant, shall be solely responsible by complying with the terms of the Permit. I further understand that failure to comply with any of the provisions specified herein may result in immediate cancellation of this event by City officials. , ~ate UJ, S Jq,z, If any questions, please contact Steve Miller, Recreation Programming Supenntendent at 562-4805 or Terry Schmidt, SPOTtS & Special Events Manager, 562-4804. Upon completion, please return to the following: j '" Mr. Steve Miller, Chairman, Special Events Committee Parks and Recreation Department City of Clearwater P.O. Box 4748 Clearwater, FL 33758 Ori~nal to be retained by the City of Clearwater's Parks and Recreation Department in accordance with City and State Recorda Management Procedures. s: \Forml'.1600-0170Applic8LlonCorSpe1:l81EvenL.doc Rev15ed 1/12198 Page 6 of 6 ~lr 655 SECOND AVENUE SOUTH. S1. PETERSBURG, FL 33701 (8131896-4629. FAX: (813) 821-3478 (ADMINISTRATIVE OFFICE) 222 SOUTH LINCOLN AVENUE. CLEARWATER, FL 33756 (813) 461-2997. FAX: (813) 446-7480 Adolescent Pregnancy & Parenting Services Housing & Support Services Child Care Services Community Outreach Services Family Health & Wellness April 14, 1998 To Whom It May Concern, Please consider this a letter of committment by the YWCA Board of Directors to match the City of Clearwater's special event grant of $1 0,000.00 with $5,000.00 of YWCA funds. Sincerely, Ce:...--co",,-_ Pe~ \. \:z.;~> Carlen Petersen YWCA Board of Directors President CP:jak President Carlen Petersen D . un=u Executive Director Peggy Sanchez Mills, MPA Internal Revenue Service r:J.~Dni1rD~ ~ 1.1 il< 1.1 iii/I, !_n..,. 1'1; , II 'MAY 04 199E,p,~tment of the Treasury G'----',~~as Program Management ------------------&l:-'-"~f - Taxpayer Assistance 4n1 West Peachtree St _ , t.."W C-1130, Stop 520-D Atlanta, GA 30365 District Director DATE: April 25, 1995 :2t rete:"sburg, Dr L' .L: 0...."'7,-..1 .~-1('\1'j uut \.).1..-.....1...1.u.....J Date or Inquiry: 04/07/95 Person to Contact: F_ Pressley Te lepT1Gi-le t~l.lffibeI~: 404 :331-.3006 Young ~';om8ns Christian Association of Tampa Bay Inc 655 2nd FIve S EIN: 59-CGJG517 De 2. -:;.-. T ,3.':-:;1~..:/:=: ?..-, : ~1 . , ,.-, -: .::. ~~2 5::":] ns "" to you::~ ::""'s(Jue:3 t. - . ' C ::\ n. = l ~-.~::e.. -: -=- '::.' (':. '::l= ~iCJL~r 8:--:~rn;'t:. =-:2:11 fl"'OEl Pede L'2_l i r::.com.-= t.=.':.:_ ~~~~ C2c:~rC2 ~l:Q-=-I~~~e ~!CLlr Qrg~~i=a~~:2:: -:.,.; 2. :.3 ::-:- -:'-'.~ '(" ~. j'::::' r~~ -------- c ::: E ::-1 ~-. -:. =- ~ ~n ..;:...."' ,-,;..... ;...:...::. r~l ;:::. .,' ::: - - -.-' _.. ~ '_ '--'0'"-' _ '.-.._ . . . . . =- :-~:.:; :')~:12 t .3.,:.,,: :..lrli~ e~"' 3 e c- -: =-::.~: :: ,.,",! .' - " .' ': , ,-' "-- ...;.. \ (~ ... ~= }-~ 2 = Lt 2; ~':-:2.1 R2VG!~~d _Q,~2 by G~r letter dated :~:~~ :942 You were fu~~te~ d.e te :c~!li!:..ed. 11,': ~ t.() be a r:<r' i -'J 2- ~ e - ,,' = ::' ~:!-: ci E. :; =- ::" n. ~..l ~ -= ~ -. 2- 11 t~:..e , " :::82.11':"'1':g Cl I sect~o11 5CS(~) of t118 Code because you ~~~,~ 211 organlZa~lQI1 desc~ibed ~n s8ctio11 509(2)(2). Contributisns to yeu a~e deductible as ~)rovided lTI section 170 of +-(-,0 C'')rJ.84 Ti1e 't,3.X ,e:-:2::Y;,t 3-:a..c:.1J.S recc:)gnized b~l i:,.ur l-=~"Ce=:' :-:"'ef:?~"'2'.-.ecl :'c. 2..bov-e '::3 C~..l1'':''el1tlsr irl effec.t ar.:.c. ~~-.:.=-l l"'ein2.i.~"'l ~rl sffect uTlt.il te~Illinated, !nodified or revoked by the Int8r~al Revenue Service. Any c11ange il~ you~ purposes, charac~ar, O~ !net11od of operation rnUSL: be !",~~por"\ted to 1.J.S GO y..l8 r:lay c;~,:)r~side:!" t1-1e effect : 1 I the c11ar:ge Oti S;-C1-Ll"' e:>~enlpt status. You InG.st else: :--2};lort Ci.n:,- cha11ge irL your r:aine .=..r~d. 2.,id.ress. Th~nk you fo~ your coo~'eratiO!1_ Sincerely. , ,J~ Exempt Organizations Coo::.~dina tor TPA4401tr . D'FRASER - & Company Certified Public Accountants YWCA OF TAMPA BAY, lNC. FlNANCIAL STATEMENTS FEBRUARY 28, 1998 (UNAUDITED) II FRAS ER & Company Certified Public Accountants 111 Second Avenue N.E. Suite 800 St. Petersburg, FL 33701 Telephone 18131 821-3133 FAX (813) 822-2890 Management YWCA of Tampa Bay, Inc. We have compiled the accompanying balance sheet of YWCA of Tampa Bay, Inc., a not-for-profit corporation, as of February 28, 1998 and the related statement of revenues and expenses for the current month and five months then ended, in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. A compilation is limited to presenting in the form of financial statements information that is the representation of management. We have not audited or reviewed the accompanying financial statements and, accordingly, do not express an opinion or any other form of assurance on them. Management has elected to omit substantially all of the disclosures and the statements of functional expenses and cash flows required by generally accepted accounting principles. If the omitted disclosures and the statements of functional expenses and cash flows were included in the financial statements, they might influence the user's conclusions about the Organization's financial position and results of operations. Accordingly, these financial statements are not designed for those who are not informed about such matters. St. Petersburg, Florida March 13, 1998 j~ ~ C~d Members: American Institute of Certified Public Accountants. Floflda Institute of Certified Public Accountants YWCA OF TAMPA BAY, INC. BALANCE SHEET As of February 28, 1998 (UNAUDITED) ASSETS UNRESTRICTED FUND CASH ON HAND-ADMINISTRATION CHECKING-BARNETT BANK SAVINGS-BARNETT BANK INVESTMENT RESERVES-ML EMPLOYEE ADVANCES PLEDGES RECEIVABLE ACCOUNTS RECEIVABLE PREPAID INSURANCE DEPOSITS UNREALIZED GAIN (LOSS) TOTAL UNRESTRICTED FUND $ 150.00 58,013.68 20,331.70. 87,064.84 640.00 172,594.59 50,000.00 7,803.01 4,600.00 (2,325.84) $ 398,871.98 TEMPORARILY RESTRICTED FUND CASH ON HAND-PROJECT HELP CASH ON HAND-EMERG. SHELTER SAVINGS-FAMILY VILLAGE ML-FAMILY VILLAGE GRANTS RECEIVABLE UNREALIZED GAIN (LOSS) TOTAL RESTRICTED FUND 90.00 100.00 134,249.43 27,091.60 151,152.78 (3,535.60) $ 309,148.21 157,120.85 (1.418.26) $ 155,702.59 59,942.57 76,248.24 916.00 16,591.75 50,610.33 11,849.49 1,252,189.54 (84,416.20) $ 1. 383 ,931. 72 $ 2,247,654.50 ENDOWMENT FUND INVESTMENTS-ENDOWMENT ML UNREALIZED GAIN (LOSS) TOTAL ENDOWMENT LAND, BUILDING & EQUIPMENT BUILDING & IMPROVEMENTS FURNITURE, FIXTURES & EQUIPMT OTHER FIXED ASSETS VEHICLES LEASEHOLD IMPROVEMENTS LAND FAMILY VILLAGE - CONSTRUCTION ACCUMULATED DEPRECIATION TOTAL LAND, BUILDING & EQUIPMENT TOTAL ASSETS See Accountant's Compilation Report '- YWCA OF TAMPA BAY, INC. BALANCE SHEET As of February 28, 1998 (UNAUDITED) LIABILITIES AND NET ASSETS LIABILITIES: SUSPENSE OUTSTANDING CHECKS HELD ACCOUNTS PAYABLE FICA PAYABLE FEDERAL WITHHOLDING PAYABLE HEALTH INSURANCE PAYABLE PLEDGES PAYABLE FINGERPRINTS PAYABLE SALARY ADVANCE PAYABLE SALES TAX PAYABLE ACCRUED WAGES ACCRUED VACATION UNITED WAY NOTE PAYABLE ACCRUED WAGES TOTAL LIABILITIES NET ASSETS: UNRESTRICTED UNREALIZED GAIN (LOSS) INCREASE (DECREASE) FROM CURRENT OPERATIONS NET ASSETS - UNRESTRICTED TEMPORARILY RESTRICTED PERMANENTLY RESTRICTED NET ASSETS - RESTRICTED TOTAL NET ASSETS TOTAL LIABILITIES AND NET ASSETS $ (1,051. 95) 10,345.93 114,968.25 (10.06) (160.63) (1,901.18) 216.72 32.00 360.00 (63.27) 1,923.00 33,117.95 499.89 68.739.55 568,511. 00 (2,305.67) 963.266.12 1,529,471.45 410,952.98 80.213.87 491,166.85 See Accountant's Compilation Report $ 227,016.20 2.020.638.30 $ 2,247,654.50 YWCA OF TAMPA BAY, INC. STATEMENT OF REVENUES AND EXPENSES For the period ended February 28, 1998 (UNAUDITED) 1 Month Ended Month Ended 5 Months Ended 5 Months Ended Feb. 28. 1998 BudQet Variance Pct Feb. 28, 1998 BudQet Variance Pct (CC>>4BINED) SUPPORT AND REVENUE CONTRIBUTIONS S 6,547.69 S 8,944.17 S (2,396.48) (27) S 27,414.84 S 44,720.85 S (17,306.01) (39) JUVENILE ~LFARE BOARD 49,225.51 48,m.42 453.09 1 265,256.40 243,862.10 21,394.30 9 PINELLAS VILLAGE 8,656.55 7,559.08 1 ,097.47 15 36,535.06 37,795.40 C1,260.34) (3) GRANT.PINELLAS COUNTY 3 , 931. 34 1,250.00 2,681.34 215 8,216.75 6,250.00 1 ,966.75 31 PETTALS 0.00 1,802.75 (1,802.75)( 100) 9,361.50 9,013.75 347.75 4 WAGES 11,113.22 15,275.75 (4,162.53) (27) 30,241.34 76,378.75 (46,137.41) (60) HEALTHY START 2,084.85 2,560.67 (475.82) (19) 3,683.69 12,803.35 (9,119.66) (71) GRANT'CITY OF ST. PETERSB 5,716.76 833.33 4,883.43 586 9,718.39 4,166.65 5,551.74 133 COORDINATED CHILD CARE 46,038.20 42,177.16 3,861.04 9 216,395.40 210,885.80 5,509.60 3 SPECIAL EVENTS 17,812.42 4,750.00 13,062.42 275 27,531.92 23,750.00 3,781.92 16 MEMBERSHIP 50.00 416.67 (366.67) (88) 400.00 2,083.35 (1,683.35) (81) UNITED WAY 15,797.75 15 , 797.75 0.00 0 78, 988 . 75 78,988.75 0.00 0 CHILD CARE FEES 12, 805 . 77 16,847.91 (4,042.14) (24) 65,278.60 84,239.55 (18,960.95) (23) FEHA 0.00 1,450.83 ( 1 ,450.83)( 1 00) 8,237.50 7,254.15 983.35 14 GRANT'PINELLAS COUNTY COB 0.00 1,790.50 (1,790.50)(100) 5,844.80 8,952.50 (3,107.70) (35) GRANT'ST. PETE COBG 0.00 1,351.67 (1,351.67)( 100) 7,746.78 6,758.35 988.43 15 USDA 8,052.00 7,087.49 964.51 14 39,362.00 35,437.45 3,924.55 11 HEALTHY FAMILIES, PINELLA 37,091.45 37,769.17 (677.72) (2) 175 , 065 . 98 188,845.85 (13,779.87) (7) INVESTMENT INCC>>4E 2,460.79 1,666.67 794.12 48 7,926.03 8,333.35 (407.32) (5) OTHER REVENUE 437.50 0.00 437.50 --.Q 2.469.63 0.00 2.469.63 --.Q TOTAL SUPPORT AND REVEN 227.821.80 218.103.99 9.717.81 --.!!. 1.025.675.36 1,090.519.95 (64.844.59) ..1Q) See Accountant's Compilation Report ::- YWCA OF TAMPA BAY, INC. STATEMENT OF REVENUES AND EXPENSES For the period ended February 28, 1998 (UNAUDITED) 1 Month Ended Month Ended 5 Months Ended 5 Months Ended Feb. 28. 1998 Budget Variance Pct Feb. 28. 1998 Budget Variance Pct (COMBINED) EXPENSES PAID SALARIES & ~AGES 130,069.86 147,829.16 (17,759.30) ( 12) 656,550.56 739,145.80 (82,595.24) ( 11) TAXES-PAYROLL 9,755.92 11,308.76 (1,552.84) (14) 49,341. 71 56,543.80 <7,202.09) (13) UNEMPLOYMENT TAX 0.00 0.00 0.00 0 617.n 0.00 617.n 0 EMPLOYEE BENEFITS-HEALT 4,167.34 4,540.09 (3n.75) (8) 21,733.01 22,700.45 (967.44) (4) EMPLOYEE BENEFITS'RETIR 8,820.36 8,648.58 171.78 2 40,681.63 43,242.90 (2,561.27) (6) INSURANCE-~KERS COMPo 3,431.00 3,769.08 (338.08) (9) 13,108.25 18,845.40 (5,737.15) (30) ACCOUNTING & LEGAL 6,337.00 1,131.65 5,205.35 460 13,037.00 5,658.25 7,378.75 130 ADVERTISING 190.51 281.66 (91.15) (32) 1,006.49 1,408.30 (401.81 ) (29) BANK CHARGES 80.30 166.67 (86.37> (52) 184.80 833.35 (648.55) (78) CONTRACT SERVICES 130.50 410.42 (279.92) (68) 747.42 2,052.10 (1,304 .68) (64) CONFERENCES & MEETINGS 28.20 262.49 (234.29) (89) 1,276.81 1,312.45 (35.64) (3) COPIER RENTAL & SUPPLIE 935.00 968.74 (33.74) (3) 3,789.50 4,843.70 (1,054.20) (22) DEPRECIATION 0.00 1,247.50 (1,247.50)(100) 0.00 6,237.50 (6,237.50)(100) DONATIONS 0.00 0.00 0.00 0 85.00 0.00 85.00 0 DUES & SUBSCRIPTIONS 0.00 416.67 (416.67)(100) 925 . 00 2,083.35 (1,158.35) (56) EQUIPMENT-CHILD CARE 610.96 166.67 444.29 267 2,925.43 833.35 2,092.08 251 FOOD & NUTRITION 5,938.27 7,015.00 (1,076.73) (15) 27, 171. 77 35,075.00 <7,903.23) (23) INSURANCE-GENERAL 2,229.83 2,136.60 93.23 4 11,149.15 10,683.00 466.15 4 JANITORIAL SERVICES 2,536.00 2,417.50 118.50 5 11,994.68 12,087.50 (92.82) (1) LI CENSES & FEES 296.00 n.92 223.08 306 416.00 364.60 51.40 14 MISCELLANEOUS EXPENSE 0.00 208.34 (208.34)(100) 389.68 1 , 041. 70 (652.02) (63) OPERATING SUPPLIES 2,905.75 3,206.66 (300.91) (9) 14,801.73 16,033.30 (1,231.57) (8) OFFICE SUPPLIES 348.49 766.67 (418.18) (55) 4,402.24 3,833.35 568.89 15 PENALTIES 15.00 0.00 15.00 0 15.00 0.00 15.00 0 PEST CONTROL 140.00 192.50 (52.50) (27) 590.00 962.50 (372.50) (39) PUBLIC RELATIONS 205.00 750.00 (545.00) (73) 2,985.27 3,750.00 <764.73) (20) POSTAGE 412.00 433.33 (21.33) (5 ) 1,277.15 2,166.65 (889.50) (41) PR I NTI NG 0.00 208.33 (208.33)( 1 00) 173.00 1,041.65 (868.65) (83) RENT 9,083.02 9,066.34 16.68 0 46,983.06 45,331.70 1,651.36 4 REPAIRS & MAINTENANCE-E 148.85 0.00 148.85 0 1,093.55 0.00 1,093.55 0 REPAIRS & MAINTENANCE-G 210.00 416.67 (206.67) (50) 645.00 2,083.35 (1,438.35) (69) REPAIRS & MAINTENANCE'B 2,950.25 706.25 2,244.00 318 6,742.58 3,531.25 3,211.33 91 REPAIRS & MAINTENANCE-H 0.00 191.67 (191.67)(100) 0.00 958.35 (958.35)(100) SECURITY SERVICES 0.00 125.00 ( 125 .00)( 100 ) 318.00 625.00 (307.00) (49) SPECIAL EVENTS EXPENSE 2,644.76 2,916.67 (271.91) (9) 17,779.77 14,583.35 3,196.42 22 TAXES-OTHER 0.00 0.00 0.00 0 8.76 0.00 8.76 0 TELEPHONE 1,374.01 1,382.93 (8.92) (1) 6,523.33 6,914.65 (391.32) (6) TRAINING & EDUCATION 10.00 118.77 (108.77) (92) 1,601.20 593.85 1,007.35 170 TRANSPORTATION 0.00 150.00 (150.00)( 100) 0.00 750.00 (750.00)(100) TRAVEL REIMBURSEMENT 715 .03 611. 25 103.78 17 4,587.91 3,056.25 1,531.66 50 VEHICLE MAINTENANCE 2,259.66 83.33 2,176.33 2612 2,687.62 416.65 2,270.97 545 UTILITIES 3.007.22 3.779.17 (771.95) ill) 14.522.94 18.895.85 (4.3n.91) ill) TOTAL EXPENSES PAID 201.986.09 218.104.04 (16.117.95) _lD 984.869.72 1.090.520.20 (105.650.48) l1Q) NET INCOME FROM PROGRAMS 25,835 .71 (0.05) 25,835.76#1520) 40,805.64 (0.25) 40,805.89#2356) FAMILY VILLAGE REVENUE 1.356.50 0.00 1 .356.50 ......Q 922,460.48 0.00 922.460.48 ......Q INCREASE (DECREASE) IN NET ASSETS $ 27.192.21 $ (0.05)$ 27.192.26#4520) $ 963.266.12 $ (0.25)$ 963.266.37#6548) See Accountant's compilation Report Name/Address/Phone Margaret Abbey 842 Snell Isle Blvd. st. Peterburg, FL 33704 822-8510 (H) All Children's Hospital 801 6th Street South st. Petersburg, FL 33701 Pat Byron 14729 Day Break Drive Lutz, FL 33549 632-0171 (H) Honeywell 13350 U.S. 19 N. Clearwater, FL 34624 539-4507 (W) 539-4540 (FAX) Carol Dore-Falcone 3030 Cedar Trace Tarpon Springs, FL 34689 938-7301 (H) Deloitte & Touche 201 E. Kennedy Blvd. Ste 1200 Tampa, FL 33602 273-8305 (W) 229-7698 (FAX) Dee Anna Farnell 435 Poinsettia Road Belleair, FL 34616 586-1067 (H) Clearwater Courthouse 315 Court Street Room 484 Clearwater, FL 33756 464-3933 (W) 464-5471 (FAX) Roslyn Graham-Haynes 1000 62nd Place South st. Petersburg, FL 33705 867-1396 (H) BOD4\BODLST98.02 YWCA OF TAMPA BAY Board of Directors 1997/98 (02/98) Office Expertise r I {'I~ "r- IV'; ! (1. f'vtil' rJ "-- , (1 rr. Nurse ~ c' I)L' /. I I /' V ~ , Mechanical Engineer CPA Circuit Judge :'\ (~ ',-, I /' t) I.' L. f: .l...- 1 vi ~- , (,~!iJ'\.- Mortgage ;-' (, ~ ~ v' Process or 1- Term 11/97-11/00 (1st term) Start Date (03/97) 11/95-11/98 (Completing vacant Term) Start Date (11/96) 11/95-11/98 (Completing vacant term) Start Date (09/97) 11/95-11/98 (1st term) Start Date (01/94) 11/96-11/99 (1st term) Start Date (07/95) , ~ Name/Address/Phone Office Term Expertise Laura Green 5203 Bayshore Blvd. #12 Tampa, FL 33611 831-0250 (H) Bankers Insurance Group P.O. Box 15707 st. Petersburg, FL 33733 823-4000x4450 (W) 898-0273 Board of Trustees Liaison L< (0' p, (FAX) Connie Hansen 10000 West Bay street Seminole, FL 34646 596-0237 (H) Honeywell, Inc. 13350 U.S. 19 N'3 "3'7fil/ Clearwater, FL ~ 539-5920 (W) 535-8529 (FAX) Secretary fS /1' rl / t:" dr- 6, ,:/1'1 SI Attorney 11/95-11/98 (completing vacant term) Start Date (03/97) Contract Management 11/96-11/99 (2nd term) Start Date (11/93) Sharon Jackson 8001 Macoma Drive NE st. Petersburg, FL 33702 576-1949 (H) Vice President/ Development tJc..J) If.; -- f ~.' V) A 'T4 I ;3 J T "L /7Jr -'--h(.. /l ^) (, I 1/ -H IJ f' It ~ ~>z;;.( r; f,'u'- Florida 11/96-11/99 International (3rd term) Museum - Volunteer Recruitment & start Date Support (07/90) Immediate Past President /" ~: /; '(C' IV;U{ <- Ill;: 1-- / c.('-1. /...Insurance I i-::;/~ ~ Cl aims /./ Representative Katherlyn "Rena" Oliver 1414 Asturia Way South st. Petersburg, FL 33705 867-5458 (H) st. Paul Fire Marine Insurance Co. 5300 W. Cypress Street Suite 245 Tampa, FL 33607 286-1154x19 (W) 286-9504 (FAX) 11/96-11/99 (1st term) Start Date (07/95) Patricia "Trisha" Patterson 302 Orangewood Lane Largo, FL 33770 585-0295 (H) Sun Coast Hospital 2025 Indian Rocks Road Largo, FL 33774 Speech-Language Pathologist 11/95-11/98 (Completing vacant term) Start Date (01/98) Carlen Petersen 2582 Anderson Drive W. Clearwater, FL 34621 796-7050 (H) ,S~/S-- ~ &,()) I eN BOD4\BODLST98.02 President Attorney f! U r' ;"-;. . -'7r/?" /hJ :)LtJ/ - pv/ , , /1 ...4'-1 f-<- [) (!-: .---=- ,J .'7"'/,' A-C; /J {; / C ~ / ; '- r; / lc:::... ,.1 ? 7' - {,~::; ('. " 0 ,12 /hJ:; ~ G;;C~ { / 7. ~ Im,,0~ F/yx - 11/96-11/99 (3rd term) Start Date (06/90) Name/Address/Phone Term Office Expertise Barbara Rhode 116 8th Avenue NE st. Petersburg, FL 33701 895-0324 (H) 840 Beach Drive NE st. Petersburg, FL 33701 895-4922 (W) 821-9752 (FAX) rUtJ () (j,{ (/ _( Ci I) .f?. 11'1'.)/ r /' ..\/h;l.- piJ[) (L - Marriage Therapist 11/95-11/98 (1st term) start Date (01/94) Lyn Sargent 908 Valley View Circle Palm Harbor, FL 34684 786-8657 (H) st. Petersburg Times 710 Court Street Clearwater, FL 33756 445-4147 (W) 445-4191 (FAX) Advertising Division Manager 11/95-11/98 (Completing vacant term) start Date (01/98) Tami Simms-Powel 206 8th Avenue North st. Petersburg, FL 33701 898-2310 (H) 894-8907 (FAX) "[ Vi f (....!(Jj,l J~"~ /e/ Professional L l~'- Organizer Pu f}L ( C-. .--~ (... ( ~!t/ (Z .S / \...1/(1([,'.1,0' If {j r!-17 11/97-11/00 (1st term) start Date (02/97) Pamela Skyrme 1617 14th Street North st. Petersburg, FL 33704 895-2720 (H) City of Clearwater 112 S. Osceola P.O. Box 4748 Clearwater, FL 33578 562-4071 (W) 562-4074 (FAX) Organizational and Employee Development Director 11/96-11/99 (Completing vacant term) start Date (01/98) Joan Steelman 3280 37th Way South st. Petersburg, FL 33711 864-3038 (H) ,/ '''' ILl') q {I f ",/ (~ (~. Nurse Health Care Risk Manager 11/96-11/99 (completing vacant term) start Date (04/97) Karen Steinmetz 1064 45th Avenue NE st. Petersburg, FL 33703 521-1254 (H) Stress Relief Clinic 5455 4th street North st. Petersburg, FL 33703 525-2813 (W) 525-2967 (FAX) BOD4\BODLST98.02 Treasurer CPA I_~( JIl.-c.{{ !/ u- ( i/ ' ) , <, / .,. .'.(. U It' n (c, R it'1- I ( . j/j(..... l , . ,I"" r-{1 ,.' -/ r: {; c j 1\.:' , ~ u / : /...i /-}',;( fc... 11/97-11/00 (2nd term) start Date (11/94) Name/Address/Phone Office Expertise Term Laurie stone 120 Bay Point Dr NE st. Petersburg, FL 33704 827-0787 (H) 827-0780 (FAX) Prudential Florida Realty 3401 Fourth street North st. Petersburg, FL 33704 822-9111 (W) 821-4052 (FAX) Vice president/ Operations f(ifl (;,OrJrJ'c L !? 1/ P; (i. ;2 ,r''-! /"' (/ f (,-...c~ P (t G G r€ /)--f-1 - t- tJ..l- f) 6-~ U,- .) -I II! t+ Tfi {; / c.... Real Estate Radiation Safety Consultant 11/95-11/98 (1st term) start Date (04/94) M. Patricia Wilson 116 13th Avenue North st. Petersburg, FL 33701 570-0660 (H) University of South Florida 140 7th Avenue South st. Petersburg, FL 33701 553-1144 (W) Student Government Secretary 11/96-11/99 (Completing vacant term) start Date (01/98) Vacant 11/96-11/99 Vacant 11/97-11/00 Vacant 11/97-11/00 Vacant 11/97-11/00 Vacant 11/97-11/00 Peggy Sanchez Mills, Executive Director YWCA of Tampa Bay 655 Second Avenue South st. Petersburg, FL 33701 896-4629 (W) 1092 42nd Avenue NE st. Petersburg, FL 33703 821-8973 (H) BOD4\BODLST98.02