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HomeMy WebLinkAboutItem 8.1 CARD Exh 5CITY OF DUBLIT�J COMMUNITY GROUP /ORGANIZATIONAL FUNDING REQUEST APPLICATION PACKET Fiscal Year 2009 -2010 Section 2: Application for Community Group /Organizational Funding SECTION 2 Page 1 of 21 EXHIBIT CITY OF DUBLIN Fiscal Year 2009 -2010 COMMUNITY GROUP /ORGANIZATION APPLICATION FOR FUNDS COVER PAGE AGENCY NAME: CARD — COLLABORATING AGENCIES RESPONDING TO DISASTERS PROPOSED PROJECT/PROGRAM NAME:' Preparing Dublin to Prosier 2009 FUNDING AMOUNT REQUESTED: _—U 1 0,000 SECTION 2 Page 2 of 21 I CITY OF DUBLIN Fiscal Year 2009 -2010 APPLICATION FOR FUNDS 1. Please select one expense category: ❑ Capital Cif Operating 2. Applicant Information: Organization/Agency Name CARD Collabc Mailing Address Street Address -' 1736 Franklin Street, Suite 450 City Oakland State- Ana-Marie Jones 510.451.3 Executive Director /Chairperson Work CA Zip 9, 4612 -3456 Dan Lunsford 510.486.6016 DSLunsfordnlb' 1.gov'' Board President (if applicable) Work Phone Email Please list the Primary Project Contact Person who would', be able to answer questions about this application and project /program during the funding period. Scott McCormick Program Manager _ Contact Person for Project/Program Job Title ' 510.451.3140 scot t kcardcanhel�orgL 510.451.3144 Work Phone Email Fax Federal Tax Identification No. (required) 31- 1527899 City of Dublin Business License No. (required) [APPLICATION IN PROCESS SECTION 2 Page 3 of 21 A City of Dublin Fiscal Year 2009 -2010 Application for Funds I 3. Proposed Project /Program.,, Information (Do not describe organization.) Amount of Funds Requested $ $10,000' (Maximum $25,000 per project.) Proposed Project/Program Name - Preparing, Dublin to Prosper 2009 Proposed Project/Program Date(s): Start 07 / 01 / 09 and End 06/ 30/ 10 mo. day yr. mo. day yr. Please note: City Council Grant Funds are distributed on a reimbursement basis. If your Agency needs a 100% disbursement at the beginning of the Fiscal Year, please indicate this below and please provide justification for this need. ❑ Agency is requesting 100% disbursement at the beginning of the Fiscal Year. If selecting this option, please provide justification in the blank space below. Q Agency is not requesting 100% disbursement at the beginning of the Fiscal Year. Please provide the frequency that reimbursements will be submitted to the City in the blank space below; e.g., monthly, quarterly, at project completion, etc. SECTION 2 Page 4 of 21 City of Dublin Fiscal Year 2009 -2010 Application for Funds a. How would the requested funds be used? ■ Describe, in detail, the PROPOSED PROJECT/PROGRAM (not the Agency). ■ Bulleted text is acceptable. • Identify if the proposed project/program is a new service, or extension of an existing one. • An additional page may be added,, if needed. Funds from the City of Dublin would be used by CARD to provide direct preparedness and response support` to community organizations serving the City of Dublin, and to assist City staff tasked, with emergency management responsibilities. For FY 2009 -2010, CARD proposes an extension of our established program to provide empowering, no -fear preparedness designed for organizations serving diverse, vulnerable or low- income communities. CARD services would cover 4 types of support: ) Quarterly trainings and preparedness presentations (held at City Hall or other facilities as requested by City staff). All classes and presentations will be delivered adhering to CARD's community engagement curriculum, and will adhere to CARD's Prepare to Prosper, use -no -fear philosophies. These_ trainings would include open invitations to nonprofits, faith agencies, home owners groups, service clubs, business associations, and the Chamber of Commerce, as well as employees of the City of Dublin. Outreach will include emails, fliers, listserves, press releases and phone calls. These presentations will also be a platform for the Mayor, City Manager, Roger Bradley or other official from the City of Dublin to address key related' issues. 2) Customization of CARD tools for the City of Dublin, including co- branding of our most successful tools and tailored information for Dublin employees, nonprofits, businesses and residents. This includes: emergency preparedness CUE cards, Potty Posters, handouts and other specialty items on request of City of Dublin and Dublin organizations. SECTION 2 Page 5 of 21 Ongoing consultation and general preparedness and planning support to the City of via Roger Bradley or other designated staff. This includes, but is not limited to, review of materials designed for vulnerable communities, Council meetings, participation in preparedness fairs, and responding to questions and requests from Dublin agencies. Annual "Comm Flex" communications exercise to build the capacity of Dublin service providers to both receive and provide critical information in partnership with the City of Dublin. How would the PROPOSED PROJECUPROGRAM address an unmet community need and improve the quality of life for Dublin residents. Why is this project /program needed? (Additional page maybe added, if needed): No city in the Bay Area has the capacity to address all of the emergency preparedness and disaster response needs for all of its diverse residents, businesses and nonprofits. Each disaster has shown that local jurisdictions must not depend on state and federal response programs to address the needs of their residents. And "one- size -fits -all" national'' approaches to preparedness have never produced locally sustainable results` — despite the billions of dollars invested in them 'since the 1989 Loma Prieta earthquake. The most vulnerable people in any community are dependent on local service providers for both; everyday needs and for extraordinary support in times of crisis. CARD's tools and services are created with local nonprofits,'' for local nonprofits, to help them embrace culturally appropriate preparedness and response, even if they have little or no financial or human resources. Further,`` CARD' offers a unique, fear -free curriculum designed to decrease anxiety, empower local service providers, and enhance leadership skills. We have: removed unnecessary acronyms and jargon; emphasized skills and actions that yield immediate and transferable benefits; and designed our tools as valuable Just -in -Time trainings, for people and businesses who — despite all efforts by the City of Dublin — simply do not heed messages to prepare. C. What documentation/data/records support the need for this PROPOSED PROJECT/PROGRAM? Please identify your data sources. (Additional page may be added, if needed.) Virtually every report issued by every major disaster response agency, every independent investigation, and most of the respected Think Tanks have released findings and reports detailing the need for the type of support and development shared in this proposal. Some examples: Reports: Lessons Learned from Hurricane Katrina: How local health departments can prepare to meet the needs of vulnerable populations in emergencies http://www.acphd.org/AXBYCZ/Admin/DataReports/ood lessons > katrina pdf (Alameda County Public Health Department) The Federal Response To Hurricane Katrina: Lessons Learned http: / /Iibrary.stmarytx,edu /acadlib /edocs /katrinawh pdf (U.S. Dept of Homeland Security) We Can 'Do Better: Lessons Learned For Protecting Older Persons In Disasters' http://assets.aarp.org/rgcenter/ii/better.pd (HARP) Websites: California Governor's Office of Emergency Services http://www.oes.ca.gov/ Alameda County Sheriffs Office - Office of Homeland Security and Emergency Services http: / /www.alamedacountysheriff .org /CWS /oes.htm SECTION 2 Page 7 of 21 U.S. Department of Homeland Security http: / /www.dhs.gov/ Books: In support of CARD's choice to eliminate fear and threat from our preparedness efforts: The Science of Fear, by Daniel Gardner In support of CARD's choice to use optimism about what communities CAN DO: Learned Optimism, by Dr. Martin Seligman. In support of CARD's choice to embrace` an interactive, community facilitator, learning model: The Wisdom of Crowds, by John Surowiecki Field Research: Our current and previous work in Dublin have underscored some important points that influence our approach into the future. Chief among these are the observations that many faith organizations expressed concern about being "designated shelters" (without training' our resources to accept this responsibility) and that agencies serving children are the most eager to embrace preparedness opportunities. The community's needs and preferences, as always, are a guide for CARD to `provide services that can make a difference. See CARD /City of Dublin Report for 07 -08 Activities (August 12, 2048). SECTION 2 Page 8 of 21 C City of Dublin Fiscal Year 2009 -2010 Application for Funds d. Specify the PROPOSED PROJECT/PROGRAMpopulation to be served. This project will target Dublin -area nonprofits, agencies and businesses that serve or support diverse communities and people with special needs. These populations include, but are in no way limited to: children; seniors;' parents; owners of pets; survivors of domestic violence or similar abuse; people with mobility, sensory or other physical disabilities; people with developmental or cognitive disabilities; people with medical dependencies, allergies or other conditions; people with Limited English Proficiency; and others whose needs are not easily or comfortably addressed through traditional government services. C. Projects /programs must be evaluated to determine if they are being carried out efficiently and if project /program goals are being met. Please describe how you plan to monitor your project /program's success and impact. ■ An additional page may be added, if needed. CARD will apply various evaluation tools to all classes or other events, to solicit: - general feedback - ratings of classes and instructors - data on what participants have taken away from classes - suggestions and requests for improvement - success stories and actions taken by Dublin -area organizations CARD will collect basic data on all aspects of this project as part of our ongoing commitment to continuous improvement of services, and to continue building our database, which will be used for subsequent outreach and emergency response. SECTION 2 Page 9 of 21 Total Number of Dublin Residents Agencies Served by Agency (if applicable) 1 35 -80 1 Total Proposed PeAieipafA-s Agencies Served by this Project/Program 35 -80 Total Number of Dublin Residents Agencies Served, by this Project 35 -80 Comments: Because we are focused on serving the community through the nonprofits and similar agencies that comprise its support system, CARD track agencies instead of the number of individuals served. Our current database of relevant Dublin organizations has more than 80 agencies, associations, schools, etc. We will be providing outreach to all of them, and invite all 80+ agencies to participate in CARD events and receive CARD trainings — and media outreach will reach even more. We estimate that, at a minimum, I, out of 4 residents of Dublin has some form of special need in emergency preparedness and response. In the work CARD performs in direct support of the City of Dublin, this project will enhance the City's ability to serve all residents of Dublin, with a particularly vital benefit to those most vulnerable residents. SECTION 2 Page 10 of 21 Is City of Dublin Fiscal Year 2009 -2010 Application for Funds 5. Financial Information Operating Budget a. Expense Budget'' Employee Salaries & Benefits) M1 Services & Supplies 1`73,000'' 2,000 2,000 Capital Costs 0 Other (please specify) Other (please s ecify) TOTAL 360,000 10,000 10,000 Further" Comments /Explanations (if necessary): - "Organization" column does not include this grant. - Additional potential staffing expenses dependent on tenta SECTION 2 Page 11 of 21 0 City of Dublin Fiscal Year 2009 -2010 Application for Funds L! Revenue Budget RE 1 UE BUDGET ORGAMZATION ftooicT, Comrnittec�lestl">Wd Funds' SIMIW -feel . otircV � UWBA 80,000 ALCO Sheriff's 67,327 Haas Fund 55,000 [tentative] CA Endowment [50,000] [tentative] SF Foundation [25,000] ALCO Public Public Health 25,000 San Leandro 15,000 LBNL 15,000 Dublin 10,000 �(?ll Ulllil '. E`.d%R66k ed Mild ell soiree PG &E 25,000 ALCO Public Health 25,000 [Fees and sales] 40,000 [Donations] 5,000 TOTAL [427,327] 352,327 10,000 Further Comments/Explanations (if necessary) SECTION 2 Page 12 of 21 City of Dublin Fiscal Year 2009 -2010 Application for .Funds 6. General Agency Information Q Past grant applicants may check this box in lieu of completing item 6, (a -d) if the program/organizational description on file with the City is correct and current. a. List all years that Organization has previously received City of Dublin funding; (not Community Development Block Grant - CDBG). 2003: $10,000 2004: $10,000 2005: $10,000 2006: $10,000 2007: $10,000 2008: $10,000 b. Describe the population(s) served by the Organization. CARD serves the nonprofits, agencies and businesses throughout Alameda County and beyond which serve or support diverse communities and people with special needs. These' populations include, but are in no way limited to: children; seniors; parents; owners of pets; survivors of domestic violence or similar abuse; people with mobility, sensory or other physical disabilities; people with developmental or cognitive disabilities; people with medical dependencies,` allergies or other conditions; or people with Limited English Proficiency; or others whose needs are not easily or comfortably addressed through traditional government services. C. Describe all the services the Organization currently provides to Dublin residents. ® An additional page may be added, if needed. SECTION 2 Page 13 of 21 W.. a CARD provides direct classes, trainings and presentations to Dublin community agencies. Agencies receiving outreach and invitations include nonprofits, homeowners associations, service clubs, PTAs, and any other agency serving vulnerable populations. We provide outreach to agencies as well as responding to requests. CARD provides external support to City of Dublin preparedness and planning efforts. This is primarily delivered in an on -call response to any requests. Support includes general consulting on special needs preparedness issues as well as specific actions such as developing an online guide based on our Agency Emergency Planning course. CARD is also available to participate in events such as committees, "Town Hall" meetings, or the Health & Safety Fair. CARD provides similar on- demand support to > Dublin agencies. This is usually phone and email support in response to requests related to things like supply vendors, rumors (e.g., Triangle of Life), or cost-effective choices for their limited preparedness budgets. CARD will custom - tailor and co -brand CARD tools for Dublin use and distribution. This has included outreach materials for agencies to use and preparedness /safety information` posters created specifically for Dublin. CARD has been building a partnership with a small local business on Village Parkway -- a safety and preparedness supply store called Your Safety Place. Among other aspects, this has included creating tailored products reflecting the CARD model of preparedness; sending business from elsewhere in the Bay Area to YSP; and training YSP staff in CARD classes and train - the - trainer programs. d. Has your agency ever previously received funds from the City of Dublin? If yes, please specify in what Fiscal Years and the amount received each year. 2003: $10,000 2004: $10,000 2005: $10,000 2006: $10,000 2007: $10,000 2008: $10,000 SECTION 2 Page 14 of 21 City of Dublin Fiscal Year 2009 -2010 Application for Funds 7. Required Attachments: o Only one (1) copy per Agency of each of the following is required, even with multiple projects /programs submitted. o Applications without the following documents 'will <not be reviewed for funding. o Please label attachments: A, B, C, etc. ❑ A. Names of Governing Board; identify current Board officers. ❑ B. total Organization operating budget, including revenue. ■ Clearly label /identify the program that includes the PROPOSED PROJECUPROGRAM. ❑ C. Most recent audit report or tax return (if applicable). ❑ D. Resolution, letter or other document`providing evidence of Board /Organization approval of application, and date approval was granted ■ Board /Organization approval may be pending. ❑ E. Organization's certificate of insurance showing coverage for liability and workers' compensation. • F. Application Verification Declaration Signature Page. • G. Signed affidavit form from each collaborating agency named in proposed project /program plan (if applicable). ❑ H. Copy of IRS Letter of Determination indicating tax exempt status. SECTION 2 Page 15 of 21 a - - a FAr Mfflli= M Names of Governing Board, identifying current Board officers. MGM7-= Collaborating Agencies responding to Disasters 1736 Franklin Street, Suite 450, Oakland, CA 94612 Phone: (510) 451 -3140 #Fax: (510) 451 -3144 a e -mail: info @cardcanhelp.org # www.CARDCanHelp.org CARD Board of Directors January 2009 Dan Lunsford, Chair Manager, Security & Emergency Operations, Lawrence Berkeley National Laboratory Scott Haggerty, Treasurer Supervisor, Alameda County Board of Supervisors Chris Gray, Treasurer (proxy) Chief of Staff, Alameda County Board of Supervisors Barbara Bernstein, Board Member Executive Director, Eden I & R Mary Fowler, Board Member Councilmember, Alameda County Developmental Disability Council Jim Gonsalves, Board Member President, Down and Out Rescue Chairs Hattie Carwell, Board Member Director, Museum of African American Technology (MAAT) Science Village Matt Kotowski, Board Member American Society of Safety Engineers 0= t CARD - Collaborating Agencies Responding to Disasters Attachment B Current total Organization operating budget, including revenue. IN Total Proposed Paftieiparrts Agencies Served by this Project/Program 35 -80 Total Number of Dublin Ftesin Agencies Served by this Project 35 -80 Comments: Because we are focused on serving the community through the nonprofits and similar agencies that comprise its support system, CARD track agencies instead of the number of individuals' served. Our current database of relevant Dublin organizations has more than 80 agencies', associations, schools, etc. We will be providing outreach to all of them, and invite all 80+ agencies to participate in CARD events and receive CARD trainings — and media outreach will reach even more. We estimate that, at a minimum, I out of 4 residents of Dublin has some form of special need in emergency preparedness and response. In the work CARD performs in direct support of the City of Dublin, this project will enhance the City's, ability to serve all residents of Dublin, with a particularly vital benefit to those most vulnerable residents. SECTION 2 Page 10 of 22 City of Dublin Fiscal Year 2009 -2010 Application for Funds 5. Financial Information > — Operating Budget a. Expense Budget` Employee Salaries & Benefits 8,000 Services & Supplies 173,000''' 2,000 2,000 Capital Costs 0 Other (please specify) Other (please s' ecify) TOTAL 360,000 10,000 10,000 Further Comments/Explanations (if necessary): "Organization" column does not include this grant. Additional potential staffing expenses dependent on tentative revenue. SECTION 2 Page 11 of 22 CARD - Collaborating Agencies Responding to Disasters �� � `l I= Most recent audit report or tax return. • FY 2006 — 2007 IRS federal form 990 • FY 2006 —2007 State o f California return • FY 2006 —2007 State o f California Renewal Fee Report Form 990 Department of the Treaswy Internal Revenue Service Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(aXl) of the Internal Revenue Code (except black lung benefit trust or private foundation) ► The organization may have to use a copy of this return to satisfy state reporting re A For the 2006 calendar year or tax year beginning Jul 1 , 2006, and ending Jun 3 S Check if applicable: C Name of organization Add Please use OMB No. 1545 -0047 2006 Open to Public Inspection 107 resschange IRSlabel Collaborating Agencies Responding to Disasters 31- orprint _ i Name change or type. Number and street (or P.O. box if mail is not delivered to street addr) Room/suite E Telephone ntmUr See I Initial return instnac- specific 1736 Franklin Street Suite 450 (510) 451 -31 Final return tions. City, town or country State ZIP code + 4 F Accounting method: Cash X 'Accrual Amended return Oakland CA 94 612 1 FlOther (specify) o' Application pending • Section 501(CX3) organizations and 4947(aX1) nonexempt H and are not applicable to section 527 organizations. charitable trusts must attach a completed Schedule A H (a) Is this a group return for affiliates? . Yes X j No (Form 990 or 990 -EZ). H (b) If 'Yes,' enter number of affiliates ► G Web site: ► www First Victims . or . H (C) Are all affiliates included? ......... .Yes No J Organization type (If 'No,' attach a list. See instructions.) (check only one) . ► 'X 501(c) 3- (,nsert no.) I ; 4947(.)(1) or 527 H (d) Is this a separate return filed by an K Check here', if the organization is not a 509(a)(3) supporting organizatiorand its organization covered by a group ruling? Yes No gross receipts are normallynot more than $25,000. A return is not required, but if the I Group Exemption Number ... ► organization chooses to file a return, be sure to file a complete return. Check ► if the organization is not required L Gross receipts: Add lines 6b, 8b, 9b, and IOb to line 121" 418, 717 , to attach Schedule B (Form 990, 990 -FZ, or 990 -PF). Part I Revenue, Expenses, and Changes in Net Assets or Fund Balances See the instructions. 1 Contributions, gifts, grants, and similar amounts received: a Contributions to donor advised funds ................ . b Direct public support (not included on line 1a ) ............................. 1 b 209, 128. c Indirect public support (not included on line 1 a) ......... ............ 1 c d Government contributions (grants) (not included on line Ia) ................ 1d 155, 624. e latthroughlid)s(cash $ 3 6 4, 7 5 2. noncash $ 0. ) .I .......I .............. 1.e 364, 752. 2 Program service revenue including government fees and contracts (from Part VII, line 93). ......... 2 51,580. 3 Membership dues and assessments .............. . 3 4 Interest on savings and temporary cash investments............ ......... .......................... ... 4 214. 5 Dividends and interest from securities 5 6aGross rents .............................. ............................... I 6a b Less: rental expenses ...................... . .... , ..... I 6b c Net rental Income or (loss). Subtract line 6b from line 6a .............................................. 6c R 7 Other investment income (describe........ ► ) E v 8a Gross amount from sales of assets other (A) Securities (8) Other N than inventory .......: 8a u E b Less: cost or other basis and sales expenses........ 8b c Gain or (loss) (attach schedule) .......................... I 8c d Net gain or (loss). Combine line 8c, columns (A) and ( B) ............... ............................... 8d 9 Special events and activities (attach schedule). If any amount is frorrgaming, check here ►0 ..... a Gross revenue (not including $ of contributions reported on line 1b) ...................... ............................... 9a b Less: direct expenses other than fundraising expenses . . ................... 9b c Net income or (loss) from special events. Subtract line 9b from line 9a .. ............................... 9c 10a Gross sales of inventory, less returns and allowances ....... ............... 10a b Less: cost of goods sold ................................... I b c Gross profit or (loss) from sales of inventory (attach schedule). Subtract line 10b from line 10a ............................. 10c 11 Other revenue (from Part VII, line 103), . .............. ....... ............ ................. .......... .. 11 2, 171. 12 Total revenue. Add lines le, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11 ....... ............................... 12 418,717. E 13 Program services (from line 44, column (B)).................................................. I ....... 13 133, 729. X14 P. Management and general (from line 44, column C ........................... ( )) ....:......:............ 14 65, 030 NE 15 Fundraising from line 44, column D ........................ g ( ()) ........ ............................... 15 8,319. s E 16 Payments to affiliates (attach schedule).......... ... 16 S 17 Total expenses. Add lines 16 and 44, column (A) .................. . . . . . . . ...... ............. ......... 207,078. 17 A 18 Excess or (deficit) for the year. Subtract line 17 from line 12 .......... 18 211,639. ..................... ............... E S 19 Net assets or fund balances at beginning of year (from line 73, column (A)) ........:. 19 59,085. T T 20 Other changes in net assets or fund balances (attach explanation ) ...................... ..... 20 s 21 Net assets or fund balances at end of year. Combine lines 18, 19, and 20 ....... ......:. ...... 21 1 270,724 . BAA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. TEEA0101 01/18/07 Form 990 (2006) F6rm 990 (2006) Collaborat Part II 1 Statement of Fun, required for section 501 uo not include amounts reported on line 6b, 8b, 9b, 7Ob, or 16 of part 1. 22a Grants paid from donor advised funds (attach sch) (cash $ non -cash $ ) If this amount includes foreign grants, check here .. ► ... 22 22b Other grants and allocations (aft sch) (cash $ non -cash $ ) If this amount includes foreign grants, check here .. ► ... 221 23 Specific assistance to individuals (attach schedule) 23 24 Benefits paid to or for members (attach schedule) ..................... 24 25 a Com ens f f Responding to Disasters (�Aq )3�1(- 1527(899 Page 2 S zationsrandisection 4947(a)(1) nonexempt charitablertrusts but optional ffo others. (A) Total (s) Program (C) Management (D) Fundraising services and general I I V a ion o current officers, directors, key employees, etc listed in - Part V -A (attach sch).See.L- 25a.S.tm 25a 78,000. 58,500. 15,600. 3,900. b Compensation of former officers, directors, key employees, etc listed in Part V -B (attach sch) .................. 25b cCompensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) (attach schedule) ......................... 25c 26 Salaries and wages of employees not included on lines 25a, b, and c ......... 26 54 125. 31, 046. 21,081. 1,998. 27 Pension plan contributions not included on lines 25a, b, and c ......... 27 28 Employee benefits not included on lines 25a - 27 ........ 29 Payroll taxes 28 3,112. 1,785. 1,212. 115. ......................... 30 Professional fundraising fees .......... 29 4,426. 2 539. 1 724. 163. 30 31 Accounting fees .................... 31 32 Legalfees ............................ 32 33 Supplies .................... 34 Telephone 8,535. 7,454. p . ........................... 35 Postage and shipping ................. 34 6,185. 3, 548. 2,409.1 228. 35 36 Occupancy .................... 37 Equipment rental and maintenance . 36 22,880. 13,124. 8, 911. 845. ..... 38 Printing and publications 37 38 3,731. 2,140. 1, 453. 138. .............. 39 Travel 3 815 , . 2, 188. 1 486. 141. .............. ....... 40 Conferences, conventions, and meetings ........ . 39 5,924. 3 398. 2 307. 219. 40 41 Interest .............................. 41 42 Depreciation, depletion, etc (attach schedule) ..... 42 835. 479. 325. 43 Other expenses not covered above (itemize): 31. a Consultants _ - - _ - - - - -- 43a 840. 840. 0. 0. bInsurance - -------- - - - - - - - - - - c_ Miscellaneous_ 43b 43c 4 494. 1 937. 2 432. 125. _ _ _ _ _ _ _ d Payroll Processing__ 2,090. 1 086. 824. 180. 43d 5,502. 3, 156. - -- e Bank Charges - - - 43e 888. 509. 2, 143. 203. - - - - - - f _Dues_ _& _S_ubs_cr_iption_s_ _ 43f 927. 0. 346. 33. _ _ g Staff_Training__ - - - - -- 43 769, 0, 927. 769". 0. 44 Total functional expenses. Add Imes 22a 0, throu h 43g. (Or mzations completing columns (B -g(D), carry these totals to lines 13 44 -15) ..... Joint Costs. Check If you are following SOP 98 -2. 207,078 133, 729. 65,030. 8,319. Are any joint costs from a combined educational campaign and fundraising solicitation reported in (E) Program services? . b- Yes If 'Yes,' No enter (i) the aggregate amount of these $ joint costs $ ; (ii) the amount allocated to Program services ; (iii) the amount allocated to Management to Fundraising $ and general $ ; and (iv) the amount allocated RAA Form 990 (2006) collaboratin2 Agencies Responding to Disasters Part 111 Statement of Pro ram Service Accomplishments 31- 1527899 Page Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular organization. How the public perceives an organization in such cases may be determined by the information presented on its return. Therefore, please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments. What is the organization's primary exempt purpose?', _C_ha_r_i_ta_b_l_e _ _ _ _ _ _ All organizations must describe their exempt purpose achievements in a clear and concise manner. State the number of Program Service Expenses clients served, publications issued etc. Discuss achievements that are not measurable. Section 501 c 3 and 4 organ (Required for organizations and (4) organizations and izations and 4947(x)(1) nonexempt charitable trusts must also enter the amount of rants and allocations to others. optional )(1) trusts; others.) a Provide_ emergency preparedness_& disaster _re_soon_s_e t_r_a_in_i_ny_ created _t_o_ _sse_r_v_e- sPecial_needs communities_& our more vulnerable - populations. Works_in partnership with traditional_emergencY response_(cont'd) - -- -------------------------------------------------- 0 . ) If this amount includes foreign grants check here • b (Grants and allocations $ 133,729. -------- - - - - -- --------------------------------------- (Grants and allocations $ If this amount includes foreign rants, check here 0 c ----------------------------- _____ d (Grants and allocations $ If this amount includes foreign grants check here 0' -------- - - - - -- (Grants and allocations $ If this amount includes foreign grants check here J" e Other program services .... . (Grants and allocations $ ) If this amount includes foreign grants, check here► f Total of Program Service Exrenses(should equal line 44 column (B) Program services) BAA 133,729 Form 990 (2006) TEEA0103 01/18/07 Form 990 (2006) Collaborating Agencies Responding to Disasters Part IV 113 alance Sheets (S_ See the instructions.) Note: Where required, attached schedules and amounts within the description column should be for end -of -year amounts only. �45 Cash -non- interest- bearing .................... .............................. Savings and temporary cash investments.......:... , 47a Accounts receivable ........................ 47a 32,762. b Less: allowance for doubtful accounts ............... I 47b 48a Pledges receivable ... .......I ............. 48a b Less: allowance for doubtful accounts ............... 48b 49 Grants receivable ............:......... 50 a Receivables from current and former officers, directors, trustees, and key employees (attach schedule) .. , ....... . ......... ............................... b Receivables from other disqualified persons (as defined under section 4958(f)(1)) A and persons described in section 4958(c)(3)(B) (attach schedule) ................ s s 51 a Other notes and loans receivable E (attach schedule) ... ............................. 51 a T .. s b Less: allowance for doubtful accounts ............... 51 b 52 Inventories for sale or use .........::... 53 Prepaid expenses and deferred charges ........................................ 54a Investments — publicly- traded securities ................. 8 Cost P FMV b Investments — other securities (attach sch) .............. Cost FMV 55a Investments — land, buildings, & equipment: basis... 55fb b Less: accumulated depreciation (attach schedule) ... ............................... 55 56 Investments— other (attach schedule) ..................................... 57a Land, buildings, and equipment: basis ........... . .. 57a 20, 331 . b Less: accumulated depreciation - (attach schedule) ... ............................... I 57b 20,331. 58 Other assets, including program - related investments (describe b- Deposits ------- -- - - ----- ) 59 Total assets (must equal line 74). Add lines 45 through 58 ............. 60 Accounts payable and accrued expenses........ 61 Grants payable........ ............. L62 Deferred revenue ......... . ..... . B 63 Loans from officers, directors, trustees, and key employees (attach schedule) .................... ............................... i 64a Tax - exempt bond liabilities (attach schedule) ....... . T b Mortgages and other notes a able attach schedule p Y ( ) ....... ..................,............ s 65 Other liabilities (describe > . . 66 Total liabilities. Add lines 60 through 65 .............. . ........................... Organizations that follow SFAS 117, check here► X N and complete lines 67 T through 69 and lines 73 and 74. A 67 Unrestricted .............................: E 68 Temporarily restricted ..........:.... ............ ............................... T 69 Permanently restricted ............................. . 0 o here Organizations that do not follow SFAS 117, check here,, and complete lines F 70 through 74. u 70 Capital stock, trust principal, or current funds ............... . a 71 Paid -in or capital surplus, or land, building, and equipment fund ................ 72 Retained earnings, endowment, accumulated income, or other funds ............ . A cc 73 Total net assets or fund balances.Add lines 67 through 69or lines 70 through s 72. (Column (A) must equal line 19 and column (B)must equal line 21) .......... 74 Total liabilities and net assets /fund balancesAdd lines 66 and 73 ............... BAA TEEA0104 01/18/07 1- 15278 4 (A) Beginning of year 45 (B) End of year 540. 290. 52 170. 46 257,700. 12,998. 47c 32,762. 48c 49 50a 50b 51c 52 —203. 53 —445. 54a 54b 55c 56 834. 57c 0. 3,674: 58 3, 674. 69,763.1 59 1 10, 678. 60 294,231. 23,507. 61 62 63 64a 65 10,678 . 66 59, 085. 67 23, 507 . 270,724 . 68 69 70 71 72 59,085. 73 1 270,724. 69,763. 74 294,231. Form 990 (2006) ■ 0 31- 1527899 �tage a I- �eturn (See the F 99 12 6 bo at�inA eUn ies Res nd - in 7, Disasters �ae s 0 st O�eFina�ncal Statements with pe 0 r of V c per �Ausdit d �C Zon Revenue �e Form 0 00 ' Pa V-A Reconciliation a Total revenue, gains, and other support per audited financial statements ............ a N/A b Amounts included on linea but not on Part 1, line 12: I Net unrealized gains on investments ........................................... b1 2Donated services and use of facilities ........... ............................... b2 3Recovenes of prior year grants ................................................ b3 40ther (specify): --------------------------------------- b4 Add lines bl through M c Subtract fine b from line a ............. ............. b d Amounts included on Part 1, line 12, but not on linea: . . ............................. 1 Investment expenses not included on Part 1, line 6b ............................. d1 20ther (specify): ----------------------------------- d2 ...................... I ............. d e Total revenue (Part 1, line 12). Add lines c and d 11. e, Part IV-13 I Reconciliation of'Expenses per Audited Financial Statements with Expenses per Return a Total expenses and losses per audited financial statements........ . a N/A b Amounts included on linea but not on Part 1, line 17: 1 Donated services and use of facilities .......................................... bl 2Prior year adjustments reported on Part 1, line 20 ............................... 152 31-osses reported on Part 1, line 20 ............................................... b3 40ther (specify): --------------------------------------- b4 Add lines bi through b4 c Subtract line b from line a b 4 C t Add lines d1 and d2 I — a d Amounts included on Part 1, line 17, but not on linen: ........ .. . . . .. . 1 Investment expenses not included on Part 1, line 6b ............................. dl 20ther (specify): ------------------------------- --------------------------------- d2 Add lines d1 and d2 enses d e Total ex (Part 1, line 17). Add linesc and d ................................................ I el Pa _J urrent Officers, Directors, Trustees, and Key Employees (List each person who was an officer, director, trustee, or key employee at any time during the year even if they were not compentated.fSee the instructions,) (B) Title and average hours (C) Compensation (D) Contributions to (E) Expense (A) Name and address per week devoted (if not paid, employee benefit account and other to position enter -0-) plans and deferred allowances -A compensation plans - na _Marie Jones San Francisco,-CA Please see attached Contracted ED 60 6 0 78,000. 78,000- 0. 0. Barbara BernsteinL - - - - - - - - Hayward, CA _94541 Dan Lunsford Bd Mbr .5 - 5 0. 0. 0. San Leandro, CA 94577 Scott Haqqerty - - -__ ---- Chair .75 .75 0. 0. -0. -- Oakland, CA 94612 Jim Gonsalves Treas .5 0. 0. 0. ----------- Oakland,- CA 94612 Bd Mbr .5 0. 0. 0.1 -See List of Officers, Etc. Statement- ---------------------- BAA TEEA0105 oinat07 Form 990 (2006) Form 990 (2006) Collaborating Agencies Respondincr to Disasters 31- 1527899 P Part V -A I Current Officers Directors, Trustees and Ke Em to ees continued 75 a Enter the total number of officers, directors, and trustees permitted to vote on organization business as board meetings.. ► 8 Yes b Are any officers, directors, trustees, or key employees listed in Form 990, Part V -A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors fisted in Schedule A, Part II -A or II -8, related to each other through family or business relationships? If 'Yes,' attach a statement that identifies the individuals and explains the relationship (s) ..................... 75b X c Do any officers, directors, trustees, or key employees listed in form 990, Part V -A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II -A or II -8, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization? See the instructions for the definition of 'related organization' ................. . If 'Yes,' attach a statement that includes the information described in the instructions. d Does the organization have a written conflict of interest policy ?. . .......... 75d 'art V -Ll Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other Benefits (If any former officer, director, trustee, or key employee received compensation or other benefits (described below) during the year, list that person below and enter the amount of compensation or other benefits in the appropriate column. See the instructions. (A) Name and address (B) Loans and Advances (C) Compensation (D) Contributions to (E) Expense (if not paid, employee benefit account and other enter -0 -) plans and deferred allowances compensation plans -------------------- - - - - -! 1 Part VI I Other Information See the instructions. 76 Did the organization make a change in its activities or methods of conducting activities? If 'Yes,' attach a detailed statement of each change Yes No ......................... 77 Were any changes made in the organizing or governing documents but not reported to the IRS ?......... 77 . If 'Yes,' attach a conformed copy of the changes. ....... X 78a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return2 ... b If 'Yes,' has it filed a tax return onForm 990 for 78a X -T this year? ....... . . . ................ ............................... 78 b 79 Was there a liquidation, dissolution, termination, or substantial contraction during the year? If 'Yes,' attach a statement............ , .......... 80a Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc, to any other exempt or nonexempt organization ? 79 X ................. b If 'Yes,' enter the name of the organization,- _ 80a X _ _ _ _ — — — — — — — — — and check whether it is exempt or nonexempt. 81 a Enter direct and indirect political expenditures. (See line 81 instructions I .) .................. 81 al b Did the organization file Form 1120- POLfor this year? ............. ............................ BAA 81b X Form 990 (2006) TEEA0106 01/18/07 _ _ Form 990 (2006) Collabora:ing A encies Responding to Disasters Part Vf I Other Infnrmafinn 31- 1527899 Yes I No 82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially less than fair rental value? .... , b If 'Yes,' you may indicate the value of these items here. Do not include this amount as revenue in Part I or as an expense in Part II. (See instructions in Part III.) ................. I 82bl 83a Did the organization comply with the public inspection requirements for returns and exemption applications ?............ 83a X b Did the organization comply with the disclosure requirements relating to?uid pro quo contributions? ......... 83b X ........... 84a Did the organization solicit any contributions or gifts that were not tax deductible ? ..................... ....... , , , 84a b If 'Yes,' did the organization include with every solicitation an express statement that such contributions or gifts were nottax deductible? ................................................................. ............................... 84b 85 507(c)(4), (5), or (6) organizations. a Were substantially all dues nondeductible by members ? :.......................... 85a N, b Did the organization make only in -house lobbying expenditures of $2,000 or less? ...... ............................... 85b N, If 'Yes' was answered to either 85a or85b, do not complete 85c through 85h below unless the organization received a waiver for proxy tax owed for the prior year. c Dues, assessments, and similar amounts from members ... ............................... 85c N/A d Section 162(e) lobbying and political expenditures ........................................ 85d _N/A e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices .................... 85e N/A f Taxable amount of lobbying and political expenditures (line 85d less 85e) .................. 85f N/A g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f? ............ g h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line85f to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year? ...................... . 86 507(c)(7) organizations. Enter: a Initiation fees and capital contributions included on line 12 ............ . 86a N/A . b Gross receipts, Included on line 12, for public use of club facilities ......................... 86b N/A 87 507(c)(72) organizations. Enter: a Gross income from members or shareholders........... 87a N/A b Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ............................................ 87b N/A 88 a At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership, or an entity disregarded as separate from the organization under Regulations sections 301.7701 -2 and 301.7701 -3? If, 'Yes,' complete Part IX .............. . ............................... 88a X b At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)? If 'Yes,' complete Part XI .......................... ............ ® 88b X ............................... 89a 507(c)(3) organizations Enter: Amount of tax imposed on the organization during the year under: section 4911 ► — _ — _ — — — — — 0_ ; section 4912 ► ___ 0_ ;.section 4955 ►_________ p. b 507(c)(3) and 507(c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year? If 'Yes,' attach a statement explaining each transaction .................................. ............................... . . I ............ 89b X c Enter: Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 ....................: P. 0. d Enter: Amount of tax on line 89c, above, reimbursed by the organization ...................... 10. 0 , e All organizations. At anytime during the tax year, was the organization a party to a prohibited tax shelter transaction ?... 89e X f All organizations. Did the organization acquire a direct or indirect interest in any applicable insurance contract? ......... 89f X g For supporting organizations and sponsoring organizations maintaining donor advised fundDid the supporting organization, or a hind maintained by a sponsoring organization, have excess business holdings at any time during the year? ............... 89g N/ ..................................... ............................... 90a List the states with which a copy of this return is filed► CA --------------------------------------- b Number of employees employed in the pay period that includes March 12, 2006 (See instructions.) . ............................... ... ...... � 90bl 3 ......................... ............................... 91 a The books are in care of ► Management_ — _ Telephone number ► _(51 0 )_ 4 51 31_4_0_ - -- ------ - - - - -- Locatedat► 1736 Franklin,— Suite 450 Oakland CA ► —�- ---------- -- -_ —__� _________ ZIP +4 94612 b At any time during The calendar year, did the organization have an interest in or a signature or other authority over a Yes No financial account in a foreign country (such as a bank account, securities account, or other financial account) ?.......... 91 b X If 'Yes,' enter the name of the foreign country" ------------------------------------ Report See the instructions for exceptions and filing requirements foForm TD F 90 -22.1, Rt of Foreign Bank and Financial Accounts. BAA TEEA0107 01/18/07 Form 990 (2006) Form 990 (2006) Collaborating Agencies Responding to Disasters 31- 1527899 Page 8 Part VI I Other Information (continued) Yes I No c At any time during the calendar year, did the organization maintain an office outside of the United States ? .........:.... 91 c X If 'Yes,' enter the name of the foreign country► 92 Section 4947(a)(7). nonexempt charitable trusts filing Form 990 in lieu oform 7047— Check here ............... . and enter the amount of tax- exempt interest received or accrued during the tax year ...................... -192 Part VII lAnalySis of Income- Producin Activities See the instructions Note othe 9 94 95 96 97 98 99 100 101 102 103 b c d e 104 Enter gross amounts unless ( Unrelated b business income E Excluded by s section 512, 513, or 514 (E) or Business code A Amount E Exclus on code A Amount R 105 Total (add line 104, columns (B), (D), and (E)) ............ ..... .. .. .. ... ► 53,965. .. ...................... Note: Line 105 olus line IA Pa,f r ch_&q e ., -1 +1„ — _ , Part VIII Relationshi of Activities to the Accom lishment of Exempt Purposes See the instructions. Line No. Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment of the organization's exempt purposes (other than by providing funds for such purposes). 93a Fees for training and consulting--on disaster response Part IX Information Re ardin Taxable Subsidiaries and Disregard Entities See the instructions. N/A (A) (B) (C) (p) (E) Name, address, and E IN of corporation, Percentage of Nature of activities Total End -ot -year partnership, of disregarded entity ownership interest income assets a - -9 , r au—rcr a r+aavualeu wlin rer5onal tsenern ii ontracts See the instructions. a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? ................. Yes X No b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? .......... HYes i X No Note: If 'Yes' to (b), file Form 8870 and Form 4720 (see instructions). SAA TEEA0108 04104107 Form 990 (2006) a - -9 , r au—rcr a r+aavualeu wlin rer5onal tsenern ii ontracts See the instructions. a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? ................. Yes X No b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? .......... HYes i X No Note: If 'Yes' to (b), file Form 8870 and Form 4720 (see instructions). SAA TEEA0108 04104107 Form 990 (2006) I Form 990 (2006) Collaborating Agencies Responding to Disasters 31- 1527899 Page 9 Part XI f Information Regarding Transfers To and From Controlled Entities. Complete only if the - organization is a controlling organization as defined in section 572(b)(73). N/A 106 Did the reporting organization make any transfers to a controlled entity as defined in section 512(b)(13) of the Code? If 'Yes,' complete the schedule below for each controlled entity ... . Yes No A Name, address, of each controlled entity Employer Identification Number Description of transfer (D) Amount of transfer a ------------------------- b ------------------------- -- — -- — — — — — — — — — — — — — — — — — — — — c ----------------------- Totals 107 Did the reporting organization receive any transfers from a controlled entity as defined in section 512(b)(13) of the Code? If 'Yes,' complete the schedule below for each controlled entity.... Yes No A Name, address, of each controlled entity Employer Identification Number Description of (D) transfer Amount of transfer ---------- --------- fE ------------------- ----------------------- -------------------------- C Totals Yes No 108 Did the organization have a binding written contract in effect on August 17; 2006, covering the interest, rents, royalties, and . . . annuities described in question 107 above ?......: . Under penalties of perlur,yY, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it i F7 correct, ,end complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge. Please Sign Signature of officer Date Here Type or pnnl name and title. Paid 7dd rs / � Date Check it Gene I Instrucction W) PTIN 109/23/08 e ployed ;X ' Pre- ntoinette G. Nies ► , pareme (oi ANTOINETTE G NIES CPA Use ell. d), � 61 PRINCE ROYAL DRIVE E1N ► Onl and CORTE MADERA CA 94925 Phone no. ► (4 15) 927 -9475 SAA Form 990 (2006) TEEA0110 01/19107 (See SCHEDULE A {Form 990 or 990 -EZ) Department of the Treaswy Internal. Revenue Service Organization Exempt Under OMB No. IW -0047 Section 501(c)(3) (Except Private Foundation) and Section 501(e), 501 (f), 501(k), 501(n), or 4947(aXl) Nonexempt Charitabble Trust ®® Supplementary Information- (See separate instructions.) MUST be completed by the above organizations and attached to their Form 990 or 990 -EZ. Name of the organization Employer identification number Collaboratinq Aqencies Responding to Disasters 31- 1527899 Part I Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (See instructions. List each one. If there are none_ enter 'NnnP ') (a) Name and address of each I employee paid more than $50,000 7(b)Title d average r week position (c) Compensation (d) Contributions to employee benefit plans and deferred compensation (e) Ex ense account and other allowances None ----------------------------------------- -- - - - - - - - - - Total number of others receiving over $50,000 for professional services . ► M .. None Total number of other employees paid over $ 50,000 ......... ... I ................ ► None Part II —A-1 Compensation of the Five Hiahest Paid Independent Cnntrae -Mire, fnr PYnfPCCInr1Ai 4Zam,; OG �z:)ee Instructions. List each one (whether individuals or firms). If there are none. enter 'NnnP 'i (a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation Fulfillment -LLC - ------------ - - - - - - - - - - - - - - - - - - - - - - - - - - - 3524 21st Street, San Francisco, CA 94114 Interim ED 78,000. ----------------------------------------- Total number of others receiving over $50,000 for professional services . ► M .. None ur 4 .; — 11-ompensatton or the hive Highest. Paid Independent Contractors for Other Services (List each contractor who performed services other than professional services, whether individuals or firms. If there are none, enter 'None.' See instructions.) (a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation None ----------------------------------------- Total number of other contractors receiving over $50,000 for other services ........... ► None - F-vvurK meauction Act notice, seethe Instructions for Form 990 and Form 990 -EZ. TEEA0401 01 /19107 Schedule A (Form 990 or 990 -EZ) 2006 Schedule (Form 990 or 990 -EZ) 2006 Collaborating encies ResRonding to Disasters 31- 1527899 Page Part III Statements About Activities (See instructions.) Yes No 1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt to influence public opinion on a legislative matter or referendum? If 'Yes,' enter the total expenses paid or incurred in connection with the lobbying activities..... ► $ (Must equal amounts on line 38,Part VI -A, or line i of Part VI -B.) ...................... .........................:..... l X Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI -A. Other organizations checking 'Yes' must complete Part VI -B AND attach a statement giving a detailed description of the lobbying activities. 2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any taxable organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary? (If the answer to any question is 'Yes,' attach a detailed statement explaining the transactions.) a Sale, exchange, a leasing of property ? .................. ............... ............................... 2a X b Lending of money or other extension of credit ?.......... 2b -X c Furnishing of goods, services, or facilities? .......... ............................... 2c X .................... d Payment of compensation (or payment or reimbursement of expenses if more than $1,000) ?.......... . e Transfer of any part of its income or assets ? ................ 2e I X 3a Did the organization make grants for scholarships, fellowships, student loans, etc? (If 'Yes,' attach an explanation of how the organization determines that recipients qualify to receive payments.) ........................... 3a I X b Did the organization have a section 403(b) annuity plan for its employees ? ............................. c Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures? If 'Yes,' attach a detailed statement .................... ............................... . .............................. 3c 1 X d Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services? ........... 3d X 4a Did the organization maintain any donor advised funds? If 'Yes,' complete lines 4b through 4g. If 'No,' complete lines 4f and 4g ................... b Did the organization make any taxable distributions under section 4966? 4 c Did the organization make a distribution to a donor, donor advisor, or related person? .. ............................... 4 d Enter the total number of donor advised funds owned at the end of the tax year .................. e Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year............ f Enter the total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included on line 4d) where donors have the right to provide advice on the distribution or investment of amounts in such tunds or accounts ............... ► 0 g Enter the aggregate value of assets held in all funds or accounts included on line 4f at the end of the tax year... 01 0. BAA TEEA0402 04r04107 Schedule A (Form 990 or Form 990 -EZ) 2006 Schedule (Form 990 of 990 -E2) 2006 Collaborating Agencies Responding to Disasters 31-1527899 Page 3 Part IV Reason for Non- Private Foundation Status (See instructions.) I certify that the organization is not a private foundation because it is: (Please check onIQNE applicable box.) 5 E] A church, convention of churches, or association of churches. Section 170(b)(1)(A)(i), 6 F� A school. Section 170(b)(1)(A)(ii). (Also complete Part V.) 7 E] A hospital or a cooperative hospital service organization. Section 170(b)(1)(A)(iii). 8 F� A federal, state. or local government or, governmental unit. Section 170(b)(1)(A)(v) 9 D A medical research organization operated in conjunction with a hospital. Section 170(b)(1)(A)(iii )Enterthe hospital's name, city, and state ► . 10 0 An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 1.70(b)(1)(A)(iv). (Also complete the Support Schedule in Part IV -A.) 11 a X❑ An organization that no receives a substantial part of its support from a governmental unit or from the general public. Section 170(b)(1)(A)(vi). (Also complete theSupport Schedule in Part IV -A.) 11 b R A community mist. Section 170(b)(1)(A)(vi). (Also complete theSupport Schedulein Part IV -A.) 12 ❑ An organization that normally receives:(1) more than 33 -1/3% of its support from contributions, membership fees, and gross receipts from activities related to its charitable, etc, functions— subject to certain exceptions, and(2) no more than 33-1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization atter June 30, 1975. See section 509(a)(2). (Also complete theSupport Schedule in Part IV -A.) 13 An organization that is not controlled by any disqualified persons (other than foundation managers) and otherwise meets the requirements of section 509(a)(3). Check the box that describes the type of supporting organization• Type I n Type II n Type III - Functionally Integrated []Type III Other Provide the following infnrma +inn K.,., + +he e......... -A is . 0__ Names of) () supported organization(s) -- ------o ...._...._ ...... ......... (b) Employer identification number (EIN) ..... .�.. p.r.v..cu v.ywu.cp (c) Type of organization (described in lines 5 through 12 above or IRC section) 101Mk Ctl I11Jmuuuullb.f (d) Is the supported organization listed in the supporting organization's governing documents? (e) Amount of support Yes No Total ........... 14 n An organization organized and operated to test for public safety, Section 509(a)(4) (See instructions.) SAA Schedule A (Form 990 or 990 -E2) 2006 TEEA0407 01/22/07 Schedule A (Form 990 or 990 -EZ) 2006 Collaborating Agencies Responding to Disasters 31- 1527899 Page 4 Pat'( IV -A Support Schedule (Complete only if you checked a box on line 10, 11 or 12.)Use cash method ofaccoanting. Note: You may use the worksheet in the inetri —fi— f ..„n „e.f:.,, <.,. -. L_ ___L , Calendar year (or fiscal year a Q6,., w �� a C-11 u,auruu accounring. beginning in) ......... . ....... � 2005 2004 20 3 2002 T t l 15 Gifts, grants, and contributions received. (Do not include unusual rants. See line 28.) ... 221, 745. 163, 137. 234, 375. 155, 553. 774, 810. 16 Membership fees received...... 17 Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc, purpose ......... • ... 18 Gross income from interest, dividends, 7, 223 . 18, 264. 8, 607. 3, 290. 37,384 . amounts received trom payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organ- zation after June 30,1!175 ........... 10 0 . 62 . 115. 265. 5 4 2 . 19 Net Income from unrelated business activities not included in line 18 ....... 20 Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf.................:. 21 The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally ttimished to the public without charge ...... . 22 Other income. Attach a schedule. Do not mclude gain or (loss) from ­,ale of capital assets ... ........... 1, 995. 761. 150, 2,906. 23 Total of lines 15 through 22..... 231, 063. 181 463. 243, 858. 159, 258. 815, 642. 24 Line 23 minus line 17 .......... 223, 840. 163, 199. 235, 251. 155, 968.1 778, 258. 25 Enter 1 % of line 23 ............ 2, 311.1 1,815. 2,439. 1, 593.1 26 Organizations described on lines 10 or 11: a Enter 2% of amount in column (e), line 24 ........ . ...... 26a 15,565. b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental unit or publicly supported organization) whose total gifts for 2002 through 2005 exceeded the amount shown in line 26a. Do not file this list with your return. Enter the total 01 ill these excess amounts ................ .............. 26b 103,435. c Total support for section 509(a)(1) test: Enter line 24, column (e) ....... ........ 0, 26c 778,258. d Add: Amounts from column (e) for lines: 18 542. 19 22 2,906. 26b 103,435 . ..... ► 26d 106, 883. e Public support (lint, 26c minus line 26d total) ................. .......... 26e 671, 375. f Public_ support percentage (line 26e (numerator) divided by line 26c (denominator)) 26f 77 n 86.27 0 -- .avm-0011S ur5cnoea on une 12: a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person,' prepare a list for your records to show the name of, and total amounts received in each year from, each 'disqualified personDo not file this list with your return.Enter the sum of such amounts for each year: (2005) - - - - -- - - - - - - (2004)------ ______ 2003) ---------- - ( (2002)___ __________ bFor any amount included in line 17 that was received from each person (other than 'disqualified persons'), prepare a list for your records to show the name of, and amount received for each year, that was more than thterger of (1) the amount on line 25 for the year or(2) $5,000. (Include in the list organizations described in lines 5 through i l b, as well as individuals.po not file this list with your return. After computing the difference between the amount received and the larger amount described i(i) or (2), enter the sum of these differences (the excess amounts) for each year: (2005) - - - - - - (2004)------ - - - - -- (2003)- - - - - -- - - - - (2002)---- - c Add: Amounts troll) column (e) for lines: 15 16 17 20 21 ► 27 d Add: Line 27a total and line 27b total ............ ... ► 27 e Public support (lint, 27c total minus line 27d total) .. ............................... . ...................... ' 27 f Total support for section 509(a)(2) test: Enter amount from line 23, column (e)... '-[27f g Public support percentage (line 27e (numerator) divided byline 27f (denominator)) ....................... 271 h Investment income percentage (line 18, column (e) (numerator) divided by line 27f (denominator)) ' 27l 28 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 2002 through 2005, prepare a list for your records to show, for each year; the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant. Do not file this list with your return.Do not include these grants in line 15. 13AA 1EFa0403 01/19/07 Schedule A (Form 990 or 990 -EZ) 2006 Schedule A (Form 990 or 990 -EZ) 2006 collaborating Agencies Responding to Disasters 31-1527899 Page 5 Part V Private School Questionnaire (See instructions.) (To be completed ONLY by schools that checked the box on line 6 in Part IV) N/A Yes No 29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing instrument, or in a resolution of its governing body? ................... ............................... 29 30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues, and olhoi written communications with the public dealing with student admissions, programs, and scholarships? ....... ............................... ....... ............................... 31 Has the organization publicized its racially nonscriminatory policy through newspaper or broadcast media during the period of soliciinlion for students, or du diring the registration if it has period no solicitation program, in a way that makes the policy known to all parts of the general community it serves? ............... ............................... 31 If 'Yes,' please desci ibe; if 'No,' please explain. (If you need more space, attach a separate statement.) ---------------------------------------------------- --------------------------- 32 Does the organization maintain the following: a Records indicating the racial composition of the student body, faculty, and administrative staff? ........................ 32a b Records documenwiq that scholarships and other financial assistance are awarded on a racially nondiscnmmatory hnsis? ....... ...... 32b c Copies of all catalo clues, brochures, announcements, and other written communications to the public dealing with student admissions, programs, and scholarships? ................................ ............................... d Copies of all mates ini used by the organization or on its behalf to solicit contributions ?............ I ....... . 32c 32d If you answered 'No' to any of the above, please explain. (if you need more space, attach a separate statement.) 33 Does the organization discriminate by race in any way with respect to: a Students' rights of Iii ivileges ? ..................... .. 33a b Admissions policie:,? ......................... ............................... .................... 33 b c Employment of faculty or administrative staff ? ............................................................... I ....... 33c ........... ............................... d Scholarships or other financial assistance ? .............................. ........ 33d' .... ............................... e Educational policies? .. ............................... f Use of facilities? .. ....... 33f .................................. ............................... gAthletic programs' 33g h Other extracurncuL.ii activities? ........... . 33h ........................:................. ............................... If you answered 'Yes' to any of the above, please explain. (If you need more space, attach a separate statement.) 34a Does the organization receive any financial aid or assistance from a governmental agency ? ............................I 34 b Has the organization's right to such aid ever been revoked or suspended? .......................... .................. If you answered 'YLr_,' to either 34a or b, please explain using an attached statement. 35 Does the organization certify that it has complied with the applicable requirements of sections 4.01 throe iclh 4.05 of Rev Proc 75 -50, 1975 -2 C.B. 587, covering racial Nondiscrimination? If 'No,' attach an explanation BAA TEEA0404 01119107 or Schedule A (Form 990 of 990 -EL-) 2006 Collaborating Agencies Responding to Disasters 31- 1527899 Page 6 Part VI -A I Lobbying Expenditures by Electing Public Charities (See instructions.) (To be completed ONLY by an eligible organization that filed Form 5768) N/A Check ► a if the of c lanization belongs to an affiliated group. Check ► b n if you checked !a' and 'limited control' provisions apply. Limits on Lobbying Expenditures Affiliated group To be completed Mw lerm 'expenditures' means amounts paid or incurred.) totals for all electing 36 Total lobbying expenditures to influence public opinion (grassroots lobbying) ........ . 37 Total lobbying expenditures to influence a legislative body (direct lobbying)........... 38 Total lobbying expenditures (add lines 36 and 37) .... ............................... 39 Other exempt purpose expenditures ................ ............................... 40 Total exempt purpose expenditures (add lines 38 and 39) ........................... 41 Lobbying nontaxal)lu amount. Enter the amount from the following table- If the amount on line 40 is— The lobbying nontaxable amount is— Not over $500,000 ................... 20% of the amount on line 40...... Over $500,000 but not owi $1,000,000 ........... $100,000 plus 15% of the excess over $500,000 Over $1,000,000 but not over $1,500,000 .......... $175,000 plus 10% of.the excess over $1,000,000 Over $1,500,000 but not over $17,000,000 ......... $225,000 plus 5% of the excess over $1,500,000 Over $17,000,000 . .................... $1,000,000 ....................... — 42 Grassroots nontaxable amount (enter 25% of line 41) ............................... 43 Subtract line 42 horn line 36. Enter -0- if line 42 is more than line 36 ................ 44 Subtract line 41 trom line 38. Enter -0- if line 41 is more than line 38 ................ Caution: If there /s .-7n amount on either line 43 or line 44, you must file Form 4720. 36 Calendar year (a) 37 (c) (d) 38 be ginning in) fiscal year be 2006 39 2004 2003 40 45 Lobbying nontaxable X 41 X 42 amount ......... .... X 43 X 44 46 Lobbying ceiling amount 4 -Year Averaging Period Under Section 501(h) (Some mganizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 45 throuah 50.) Irart vro I Lobbying Activity by Nonelecting Public Charities (For repoiling only by organizations that did not complete Part VI -A) (See instructions.) During the year, did the o ganization attempt to influence national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of: aVolunteers ..... . ............................................... ............................... b Paid staff or management (Include compensation in expenses reported on lines through h.) ........... c Media advertisemenls .. ........................................... ............................... d Mailings to memhern. legislators, or the public ....................... ............................... e Publications, of published or broadcast statements .............................. :................... f Grants to other oirlanizations for lobbying purposes .................. ............................... g Direct contact with legislators, their staffs, government officials, or a legislative body .................. h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means .............. i Total lobbying expenditures (add linesc through h.) .................. ............................... If 'Yes' to any of the above, also attach a statement giving a detailed description of the lobbying activities. Lobbying Expenditures During 4 -Year Averaging Period Calendar year (a) (b) (c) (d) (e) be ginning in) fiscal year be 2006 2.005 2004 2003 Total 45 Lobbying nontaxable X X amount ......... .... X X 46 Lobbying ceiling amount (150% of line 45(e)) ...... 47 Total lobbying expenditures .. 48 Grassroots non- taxable amount . 49 Grassroots ceiling amount (150% of line 48(e)) . . 50 Grassroots lobbying expenditures .. IA 1'. M Irart vro I Lobbying Activity by Nonelecting Public Charities (For repoiling only by organizations that did not complete Part VI -A) (See instructions.) During the year, did the o ganization attempt to influence national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of: aVolunteers ..... . ............................................... ............................... b Paid staff or management (Include compensation in expenses reported on lines through h.) ........... c Media advertisemenls .. ........................................... ............................... d Mailings to memhern. legislators, or the public ....................... ............................... e Publications, of published or broadcast statements .............................. :................... f Grants to other oirlanizations for lobbying purposes .................. ............................... g Direct contact with legislators, their staffs, government officials, or a legislative body .................. h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means .............. i Total lobbying expenditures (add linesc through h.) .................. ............................... If 'Yes' to any of the above, also attach a statement giving a detailed description of the lobbying activities. Yes No Amount X X X X X X X X SAA Schedule A (Form 990 or 990 -EZ) 2006 TEEA0405 01/19/07 Schedule A (Form 990 or 990 -EZ) 2006 Collaborating Agencies Responding to Disasters 31- 1527899 Page 7 Part VII Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations (See instructions) 51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations? 501(c) a Transfers from the reporting organization to a noncharitable exempt organization of: (i)Cash ......... ................. (H)Other assets . .......... ............................... b Other transactions: Yes No (i)Sales or exchannes of assets with a noncharitable exempt organization ........ ............................... b (i) 00Purchases of assets from a noncharitable exempt organization ................ ............................... b (ii) (iii)Rental of facilities, equipment, or other assets ................................ ............................... b (ij) (iv)Reimbursement arrangements ............................................... ............................... b(iv) (v)Loans or loan griarantees ................................................... ............................... b (v) (vi) Performance of services or membership or fundraising solicitations ............ ............................... b (vi) c Sharing of facilities, equipment, mailing lists, other assets, or paid employees ...... ............................... c d If the answer to airy of the above is 'Yes,' complete the following. schedule. Column (b) should always show the fair market value the goods, other assets, or services given by the reportrng organization. If the organization received less than fair market value any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received: X X X X X X of in X (a) (b) (c) d Line no. Amount involved Name of noncharitable exempt organization Description of transfers, transactions, and sharing arrangements 52a Is the organization directly or indirectly affiliated with, or related to, one or more tax - exempt organizations described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527? ........................... ► F] Yes r-7 No D /A/A Schedule A (Form 990 or 990 -EZ) 2006 TEEA0406 01119/07 Schedule B (Form 990,990 -EZ, or 990 -PF) Department of the Treasu y Internal Revenue service Schedule of Contributors Supplementary Information for line 1 of Form 990. 990 -EZ and 990 -PF (see OMB No. 1545 -0047 Name of organization - Employer identification number Collaborating Aqencies Responding to Disasters 131-1527899 Organization type (check one): Filers of: Form 990 or 990 -EZ Form 990 -PF Section: 501(c)( 3 ) (enter number) organization 4947(a)(1) nonexempt charitable trustnot treated as a private foundation 527 political organization 501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation Check if your organization is covered by theGeneral Rule or a Special Rule. (Note: Only a section 501(c)(7), (8), or (70) organization can check boxes for both the General Rule and a Special Rule- see instructions.) General Rule - For organizations filing Form 990, 990 -EZ, or 990 -PF that received, during the year, $5,000 or more (in money or property) from any one contributor. (Complete Parts I and II.) Special Rules - X❑ For a section 501(c)(3) organization filing Form 990, or Form 990 -EZ, that met the 33 -1/3% support test of the regulations under sections 509(a)(1) /170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the greater of $5,000 or 2% of the amount on line 1 of these forms. (Complete Parts I and II.) For a section 501(c)(7), (8), or (10) organization filing Form 990, or Form 990 -EZ, that received from any one contributor, during the year, aggregate contributions or bequests of more than $1,000 for usexclusivelyfor religious, charitable, scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. (Complete Parts I, II, and III.) For a section 501(c)(7), (8), or (10) organization filing Form 990, or Form 990 -EZ, that received from any one contributor, during the year, some contributions toi useexclusivelyfor religious, charitable, etc, purposes, but these contributions did not aggregate to more than $1,000. (If this box Is checked, enter here the total contributions that were received during the year for aeon /usivelyreligious, charitable, etc, purpose. Do not complete any of the Parts unless thdaeneral Rule applies to this organization because it received nonexclusively religious, charitable, etc, contributions of $5,000 or more during the year.) .................................... ................... Caution: Organizations that are not covered by the General Rule and /or the Special Rules do not file Schedule B (Form 990, 990 -EZ, or 990 -PF) but they must check the box in the heading of their Form 990, Form 990 -EZ, or on line 2 of their Form 990 -PF, to certify that they do not meet the filing requirements of Schedule B (Form 990, 990 -EZ, or 990 -PF). 13AA For Paperwork Reduction Act Notice, see the Instructions for Form 990, Form 990 -EZ, and Form 990 -PF. TEEA0701 01/18/07 Schedule B (Form 990, 990 -EZ, or 990 -PF) (2006) Schedule B (Form 990. 990.EZ, or 990 -PF) (2006) Page 1 of 1 of Part I Name of organization Employer identification number Collaborating Agencies Responding to Disasters 31-1527899 Hart I Contributors (See Specific Instructions.) (a) (b) (c) (d) Number Name, address, and ZIP + 4 Aggregate Type of contribution contributions 1 East Bay community Foundation _ - _ - -- Person X 200 Frank H Ogawa Plaza $ - - - -- 40,000_ Payroll Noncash Oakland __ --------------- - - - -CA 94612_ - - -- (Complete Part II if there is a noncash contribution.) (a) (b) (c) (d) Number Name, address, and ZIP + 4 Aggregate Type of contribution contributions 2 Walter & Elise Haas Fund -- - - - - - - . Person X 1_Lombard_ Street, Suite 305 - ---------- - - - - -- $ 45 -L 000. --- - - -5 Payroll Noncash San Francisco _---- __ - -CA _ 94111 - - - - (Complete Part II if there is a noncash contribution.) (a) (b) (c) (d) Number Name, address, and ZIP + 4 Aggregate Type of contribution contributions -- - - - - - - - - - - - - - - - - - - - - - - - - - Person Payroll -- - - - - - - - - - - - - - - - - - $ Noncash (Complete Part II if there - - - - - - - - - - - - - - - - - _ - is a noncash contribution.) (a) (b) (c) (d) Number Name, address, and ZIP + 4 Aggregate Type of contribution contributions -- - - - - - - - - - _ __ - - Person Payroll -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - $ - - - - - - Noncash (Complete Part II if there -- - - - - - - - - - - - - - - - - - _-- - - - - -- is a noncash contribution.) (a) (b) (c) (d) Number Name, address, and ZIP + 4 Aggregate Type of contribution contributions -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Person Payroll -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .Noncash (Complete Part 11 if there -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - is a noncash contribution.) (a) (b) (c) (d) Number Name, address, and ZIP +4 Aggregate Type of contribution contributions -- - - - - - - - - - - - -- Person Payroll -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - $----- - - - - -- Noncash (Complete Part 11 if there -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - is a noncash contribution.) ` "" TEEA0702 01/18io7 Schedule B (Form 990, 990 -E7, or 990 -PF) (2006) Form 990 Compensation of Current Officers, Directors, 2006 Part 11, Line 25a Key Employees, Etc. Name as Shown on Return Employer Identification No. Collaborating Agencies Responding to Disasters 131-1527899 Compensation Name (A) Total (B) Program services (C) Management and general (D) Fundraising Ana -Marie Jones 78,000. 58,500. 15,600. 3,900. Total Compensation Received ...................... 78,000. 58,500. 15, 600. 3,900. Contributions to Employee Benefit Plans &Deferred Compensation Plans Name (A) Total (B) Program services (C) Management and general (D) Fundraising Total Contributions to Employee Benefit Plans & Deferred Compensation Plans ...........:....... Expense Account and Other Allowances Name (A) Total (B) Program services (C) Management and general (D) Fundraising Total Expense Account and Other Allowances .... _....... Total to Part II, Line 25a ... ► 78,000. 58, 500. 15,600. 3; 900. st990125a.SCR 0;.!U4/07 Collaborating Agencies Responding to Disasters 31- 1527899 Form 990, Page 5, Part V -A List of Officers, Etc. Statement (A) Name and address (B) Title and average hours per week devoted to position (C) Compensation (if not paid, enter -0 -) (D) Contributions to employee benefit plans and deferred compensation (E) Expense account and other allowances Matt Kotowsky Bd Mbr 0. 0. 0. Hayward, CA 94541 •5 Lisa Lunsford Bd Mbr 0. 0. 0. Piedmont, CA 94611 .75 _Mary Fowler Bd Mbr 0. 0. 0. Oakland, CA 94612 .5 Sandra Williams Bd Mbr 0. 0. 0. Oakland, CA 94602 .5 Explanation Statement Form /Line. Form 990, Part V -A line 75b Explanation of: Relationship of Officers, Trustees, -&- Highly Com ensated Employees Dan Lunsford, a Board member is the father of Lisa Lunsford, also a Board member. Neither receives any compensation from CARD Collaborating Agencies Responding to Disasters 31- 1527899 Form 990 Part I I I community and with community service organizations, faith based organizations and membership organizations to reach the whole community. CARD pursues this educational mission through direct training, creation of resource materials, and spreading awareness of the issues. f CARD directly reached over 1,000 people and 225 organizations in FY 2006 -2007. This does not include many hundreds of other individuals reached through joint ventures, fairs, block parties and other venues where attendance lists are not available, nor hundreds of thousands of special -needs individuals benefitting indirectly by CARD. Form 990 Part IV, Line 57 Office Equipment $ 20,331 Accumulated Depreciation (20,331) Depreciation calculated straight line over the useful lives of the assets YEAR California Exempt Organization FORM 2006 Annual Information Return r,6 M, For calendar or fiscal year beginning month Jul day 1 year 2006 , and ending month June day 30 TMP(7RT�.';�e�y '�`!<f,1f<Md,;__ ' -. 'A Final return? Check applicable box. ❑Yes W No • California corporation number Federal employer identification number (FEIN) - ❑ Dissolved 0 Withdrawn 11 Merged/Reorganized (attach explanation ff 2006988 131-1527899 If a box is checked, enter data • B Check forms filed this year: State: E1109 0100 ❑ 100S El 100W Corporation /Organization name Federal: 0 990 ❑ 990EZ ❑ 990T ❑ 99OPF 01041 01120H ❑ 1120 COLLABORATING AGENCIES RESPONDING TO DISASTERS C If organization is exempt under R&TC Section 23701d and is a school, public charity, religious organization, or is controlled by a religious operation, check box. See General Instruction F. No filing fee is required. • Address including Suite, Room, or PMB no. D Is this agroup filing? See General Instruction N ....... , .... ❑Yes ®No 1736 FRANKLIN STREET, SUITE 450 E Accounting method used Accrual di y State ZIP Code F Type of organization Exempt under Section 23701 d (insert letter) OAKLAND, CA 94 612 ❑ IRC Section 4947(a)(11 trust Part 1 Complete Part I unless not required to file this form. See General Instructions B and C. Receipts Reve ues 1 Gross sales or receipts from other sources. From Side 2, Part II, line 8 .............................. • 2 Gross dues and assessments from members and affiliates ......... ............................... • 3 Gross contributions, gifts, grants, and similar amounts received. See instructions ...................... e 4 Total gross receipts for filing requirement test. Add line 1 through line 3. 1 53,965-100 2 ___ 3 465 364 (Enclose. put not staple. any payment.) This line must be completed. If the result is less than $25,000, see General Instruction C ............... • goods sold 5 Cost of g .......... ............................... . 6 Cost or other basis, and sales expenses of assets sold ....... ............. 4 418 7 Total costs. Add line 5 and line 6 .............................. ............................... 8 Total gross income. Subtract line 7 from line 4 .............................. ......... ... ......... 7 0 00 1 8 1 418 717 00 Expenses 9 Total expenses and disbursements. From Side 2, Part II, line 18 ...... ............................... 10 Excess of receipts over expenses and disbursements. Subtract line 9 from line 8. . 9 207, 078 00 10 211, 639 00 Filing Fee 11 Filing fee $10 or $25. See General Instruction F... 4 .... ...... 4 12 Penalty for failure to file on time. See General Instruction L ......... ............................... 13 Use tax. See "General Instruction M" ........................... ..4........................... 14 Balance due. Add line 11, line 12, and line 13 ........ . ........... ............................... 11 12 13 14 0 00 15 If exempt under R &TC Section 23701 d, has the organization during the year: (1) participated in any political campaign or (2) attempted to influence legislation or any ballot measure, or (3) made an election under R &TC Section 23704.5 (relating to lobbying by public charities)? If "Yes," complete and attach form FTB 3509, Political or Legislative Activities by Section 23701d Organizations ... ...❑ Yes 12 No 16 Did the organization have any changes in its activities; governing instrument, articles of incorporation, or bylaws that have not been reported to the Franchise Tax Board? If "Yes," complete an explanation and attach copies of revised documents .................. El Yes No 17 Is the organization exempt under R &TC Section 23701g?, ..................... ............... ❑ Yes No If "Yes," enter amount of gross receipts from nonmember sources $ 18 Did the organization file Form 100, Form 1005, Form 100W, or Form 109 to report taxable income?. . ....... 4 ......... El Yes No If "Yes," enter amount of total income reported $ 19 The financial records are in care of Management Daytime telephone ( 510) 451-3140 locatedat 1736 Franklin Street,Suite 450, Oakland, CA 91612 Please Sign Here Paid Preparer's Use Only unaer penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, d is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Signature c Paid Preparer's signature ► ANTOINETTE G NIES, CPA Firm's name (or yours, if jo. 61 PRINCE ROYAL DRIVE self - employed) and address CORTE CA 94925 Date ®Title Date Check if 9/23/08 self -emp For Privacy Notice, get form FTB 1131. 082 3 6 510 6 4 *1(510) 451 -3140 Paid preparer's SSN or PTIN ®� P00177373 FEIN 68- 0402098 •IDaytimetelephone (415) 927 -9475 Form 199c1 2006 Side 1 Part If Organizations with gross receipts of more than $25,000 and private foundations regardless of amount of gross receipts — complete Part If or furnish substitute information. See Specific Line Instructions_ Assets 1 Gross sales or receipts from all business activities. See instructions .... ............................... 1 I I - Receipts from4 Other Sources 2 Interest ................................................... ............................... 3 Dividends ................:................................ ........I...................... Gross rents ........................ ............................... ........................ 5 Gross royalties ................. ............... ............................... " " " " " "' 6 Gross amount received from sale of assets ....................... ............................... 2 214 52,460 3 258,240 2 Net accounts receivable ...................... 4 32,762 5 6 4 Inventories . ............................... 7 Other income. Attach schedule ................................. ............................... 8 Total gross sales or receipts from other sources. Add line 1 through line 7. 7 53,751 go 6 Investments in other bonds. Attach schedule ...... Enter here and on Side 1, Part I, line 1 ........................... ............................... 1 8 53,965 00 Expenses and Disburse- ments 9 Contributions, gifts, grants, and similar amounts paid. Attach schedule .......................... I ...... 10 Disbursements to or for members .............................. ............................... 11 Compensation of officers, directors, and trustees. Attach schedule ..... ............................... 12 Other salaries and wages ..................................... ............................... 13 Interest ... .. .. ............................... ............................. ............... 14 Taxes ..................................... 15 Rents :.........................._ ......................... ............................... 16 Depreciation and depletion .................................... ............................... 17 other. Attach schedule ....................................... ............................... 18 Total expenses and disbursements. Add line 9 through line 17. Enter here and on Side 1, Part I, line 9 ........ 9 10 11 10 a Depreciable assets ......................... . 20, 331 12 54,125 b Less accumulated depreciation ............... ( 13 834.00 ( 20, 331) 0.00 11 Land ................. .................... 15 22,880 16 835 3,471 17 129, 238 13 Total assets . ............................... 18 207, 078 00 Assets neginnmg or iaxaoie year End of taxable year (a) (b) (c) (d) 1 Cash ...... ............................... 52,460 258,240 2 Net accounts receivable ...................... 12, 998 32,762 3 Net notes receivable. Attach schedule........... . 4 Inventories . ............................... 5 Federal and state government obligations........ . 6 Investments in other bonds. Attach schedule ...... 7 Investments in stock. Attach schedule ........... 8 Mortgage loans (number of loans )...... 9 Other investments. Attach schedule ............. 10 a Depreciable assets ......................... . 20, 331 20, 331 b Less accumulated depreciation ............... ( 19 497)1 834.00 ( 20, 331) 0.00 11 Land ................. .................... 12 Other assets. Attach schedule, $repads, and. D 3,471 3,229 13 Total assets . ............................... 69 763.00 294, 231.00 Liabilities and net worth RINUM 14 Accounts payable ........................... 10 678 23, 507 15 Contributions, gifts, or grants payable .......... . 16 Bonds and notes payable. Attach schedule ........ 17 Mortgages payable ................... . 18 Other liabilities. Attach schedule ................ 19 Capital stock or principle fund ................. . 20 Paid -in or capital surplus. Attach reconciliation .... 21 Retained earnings or income fund .............. 59, 085 270,724 22 Total liabilities and net worth ................... 69,763.00 294 231.00 Schedule M -1 Reconciliation of income per books with income per return Do not complete this schedule if the amount on Schedule L, line 13, column (d), is less than $25,000 1 Net income per books ....................... 211, 639 7 Income recorded on books this year 2 Federal income tax .......................... not included in this return. 3 Excess of capital losses over capital gains........ L Attach schedule ...................... 4 Income not recorded on books this 8 Deductions in this return not charged year. Attach schedule .............. book income this year. 5 Expenses recorded on books this year not Attach schedule ......... . deducted in this return. Attach schedule ......... 9 Total. Add line 7 and line 8 .............. 0.00 6 Total. 10 Net income per return. Add line 1 through line 5 ..................... 211, 639.00 Subtract line 9from line .............. 211, 639.00 Side 2 Form 199 c 2006 082 3652064 1 Collaborating Agencies Responding to Disasters 31- 1527899 Form 199 Part il, Line 7 - Other Income Training Fees Miscellaneous - $ 51,580 2,171 $ 53,751 Part II, Line 17 - Other Expenses Employee Benefits $ 3,112 Payroll Taxes 4,426 Supplies 8,535 Telephone 6,185 Equipment Rental 3,731 Printing & Publications 3,815 Consultants 78,840 Travel 5,924 Insurance 4,494 Miscellaneous 2,090 Payroll Processing 5,502 Bank Charges 888 Dues and Subscriptions 927 Staff Training 769 $129,238 MAIL TO: Registry of Charitable Trusts P.O. Box 903447 Sacramento, CA 94203 -4470 Telephone: (916) 445 -2021 WEB SITE ADDRESS: hft2:/Iaci.ea.gov/charities/ ANNUAL REGISTRATION RENEWAL FEE REPORT TO ATTORNEY GENERAL OF CALIFORNIA Sections 12586 and 12587, California Government Code 11 Cal. Code Regs. sections 301 -307, 311 and 312 Failure to submit this report annually no later than four months and fifteen days after the end of the organization's accounting period may result in the loss of tax exemption an the assessment of a minimum tax of $800, plus interest, and /or fines or filing pens as defined in Government Code section 12586.1. IRS extensions will be honored. ft S State Charity Registration Number 106530 Check if: p Change of address COLLABORATING AGENCIES RESPONDING TO DISASTERS ❑ Amended report Name of Organization 1736 FRANKLIN STREET, SUITE 450 Corporate or Organization No. 2006988 Address (Number and Street) OAKLAND. CA 94612 Federal Employer I.D. No. , 31-1527899 City or Town, State and ZIP code ANNUAL REGISTRATION RENEWAL FEE SCHEDULE (11 Cal. Code Regs. sections 301 -307, 311 and 312) Make Check Payable to Attorney General's Registry of Charitable Trusts Gross Annual Revenue Fee Gross Annual Revenue Fee Gross Annual Revenue Fee Less than $25,000 0 Between 100,001 and $250,000 $50 Between $1,000,001 and $10 million $150 Between $25,000 and $100,000 $25 Between $250,001 and $1 million $75 Between $10,000,001 and $50 million $225 Greater than $50 million $300 PART A - ACTIVITIES For your most recent full accounting period (beginning Jul 1, 2006 ending June 30, 2 0 0 7 ) list: Gross annual revenue $ 418 . 717 Total assets $ 294,231 PART B - STATEMENTS REGARDING ORGANIZATION DURING THE PERIOD OF THIS REPORT Note: If you answer "yes" to any of the questions below, you must attach a separate sheet providing an explanation and details for each "yes" response. Please review RRF -1 instructions for information required. 1. During this reporting period, were there any contracts, loans, leases or other financial transactions between the organization and any Yes No officer, director or trustee thereof either directly or with an entity in which .any such officer, director or trustee had any financial interest? X 2. During this reporting period, was there any theft, embezzlement, diversion or misuse of the organization's charitable property or funds? x 3. During this reporting period, did non - program expenditures -exceed 50% of gross revenues? x 4. During this reporting period, were any organization funds used to pay any penalty, fine or judgment? If you filed a Form 4720 with the Internal Revenue Service, attach a copy. X 5. During this reporting period, were the services of a commercial fundraiser or fundraising counsel for charitable purposes used? If "yes," provide an attachment listing the name, address, and telephone number of the service provider. X 6. During this reporting period, did the organization receive any governmental funding? If so, provide an attachment listing the name of the agency, mailing address, contact person, and telephone number. X 7. During this reporting period, did the organization hold a raffle for charitable purposes? If "yes," provide an attachment indicating the number of raffles and the date(s) they occurred. X . 8. Does the organization conduct a vehicle donation program? If 'yes," provide an attachment indicating whether the program is operated by the charity or whether the organization contracts with a commercial fundraiser for charitable purposes. X 9. Did your organization have prepared an audited financial statement in accordance with generally accepted accounting principles for this reporting period? X Organization's area code and telephone number ( 510) 451-3140 Organization's e-mail address snfn2f' stv; r i m_ . nrcT I declare under penalty of perjury that I have examined this report, including accompanying documents, and to the best of my knowledge and belief, it is true, correct and complete. Signature of authorized officer Printed Name Title Date RRF -1 (3-05) 91F CA117mi, Collaborating Agencies Responding to Disasters 31- 1527899 Question 6: Government Funding Alameda County 1401 Lakeside Drive, Oakland, CA 94612 (925) 803 -7803 Attachment D Resolution of Board approval of application. 11--ping non pro-fits prepane to prosper CARD — Collaborating Agencies Responding to Disaster 1736 Franklin Street, Suite 450, Oakland, CA 94612 Phone: (5 10) 451 -3140 ! Fax (5 10) 45 1 -3 144 ! e -mail: info @cardcanhelp.org ♦ www.CARDCanHelp.org ''L iVEC CITY OF DUE JAN 218 21 ` LETTER OF RESOLUTION The Board of Directors of Collaborating Agencies Responding to Disasters, also known as CARD, hereby resolves that the agency will submit application to the City of Dublin in the amount of $10,000 for fiscal year 2009 -2010. Signed and witnessed below this day January 27, 2009. Dan Lunsford, Chair January 27th 2009 Date �--) _ January 27. 2009 - na -Marie Jon s, Ex �tit Director Date (witness) helping nonprofits prepare to prosper! W11 Attachment E Certificate of insurance, showing coverage for liability and workers' compensation. -M help ..g norip-roft's prosper CERTIFICATE F LIABILITY INSURANCE OP PC DATE {MM /DDrmv) u COR- M _j - COLLA -1 O1 30 09 PR6Et CER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO N Chapman ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE i License #0522024 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Pasadena CA 91117 -0455 Pi-one: 626-405-8031 Fax: 626- 405 -0585 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Riverport Insurance Company ! INSURER B: Everest National CARD - Collaborating Agencies INSURER C: Responding to Disasters I 173-6 Franklin Street Ste #450 INSURER D: Oakland CA 94612 — INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR I MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Ll"R NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD/YY POLICY EXPIRAT DATE MM /DD/YY ION LIMITS REPRESENTATIVES. Au PRES TI 9� GENERAL LIABILITY EACH OCCURRENCE $ 1000000 .�.. X X COMMERCIAL GENERAL LIABILITY RIC0009881 01/30/09 01/30/10 PREMISES(Eaoccuren ee) $ 100000 CLAIMS MADE FX—] OCCUR MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 1000000 X Prof Liab — 1M /1M GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 1000000 POLICY F7 PRO LOC JECT AUTOMOBILE LIABILITY ANY AUTO RIC0009881 01/30/09 01/30/10 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ I j HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F-1 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ .! RETENTION $ - B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 6600000926081 09/01/08 09/01/09 X TORY LIMITS ER _I E.L. EACH ACCIDENT _j $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT I $1,000,000 I OTHER I DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS City of Dublin is named additional insured /funding source with respect to the operations of the named insured. Workers Compensation coverage excluded, evidence only. 10 days notice of cancellation for non - payment of premium. CERTIFICATE HOLDER CANCELLATION CITYDUB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Dublin, City Managers Office IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 100 Civic Plaza REPRESENTATIVES. Au PRES TI 9� Dublin, CA 94568 6;CORD 25 (2009/08) © ACORD CORPORA I RAI, 1 If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. Af -;UHL) 25 (2001/08) CARD - Collaborating Agencies Responding to Disasters Attachment F Application Verification Declaration Signature Page. fk, e hel?"- nonpn j rn ; prpare to trosper , S I P - 0 RECEWED CITY OF ®UMJN City of Dublin JAN 2 8 2000 Fiscal Year 2009 -2010 Application for Funds APPLICATION VERIFICATION I attest that the information contained in this FY 2009 -20.10 grant application is accurate and that the funds requested will not supplant any other monies secured by the organization. Attached is a resolution, letter, or other document providing evidence that the Board of Directors approved the application as submitted. Successful applicants are required to submit a summary report as soon as possible after submitting the reimbursement request, but not later than August 31, 2010. Failure to submit a report will result in ineligibility for future funding. Signatures: — ('4L' l January 27, 2009 Exe tive Director Date 41C JanuM 27 2009 Board Pr ent/Chairperson Date SECTION 2 Page 16 of 21 Attachment G Signed affidavit form from each collaborating agency named in proposed project /program plan. Not Applicable hed p mg n.-npro- prep are to prosper V - Attachment H Copy of IRS Letter of Determination indicating tax exempt status helping nonprofits pre-pare to prosper INTERNAL REVENUE SERVICE P. 0. BOX 2508 CINCINNATI, OR 45201 Date: T COLLA6ORATING AGENCIES RESPONDING TO DISASTERS 1730 FRANXL= ST STE 202 OAKLAND, CA 94612 Dear Applicant: Employer Identification Number: 31- 1527899 DUT : 17053279742031 Contact Person: NANCY L PRAMM ZD# 31306 Contact Telephone Number: (877) 8295500 Our Letter Dated: June 1997 Addendum Applies: No This modifies our letter of the above date in which we stated that you would be treated as an organization that zs not a private foundation until the expiration of your advance ruling period. Your exempt status under section 501(a) of the Internal Revenue Code as an organization described in section 502.(c) (3) is still in effect. Based on the information you submitted, we have determined that you are not a private foundation within the meaning of section 509(a) of the Code because you are an organization of the type described in section 509 (a) (1) and 170 (b) (1) (A) (iv) . Grantors. and contributors may rely on this determination unless the Internal Revenue Service publishes notice to the contrary. However, if you lose your section 509(a)(1) status, a grantor or contributor may not rely an this determination if he or she was in part responsible for, or was aware of, the act or failure to act, or the substantial or material change on the part of the organization that resulted in your loss of such status, or if he or she acquired knowledge that the Internal Revenue Service had given notice that you would no longer be classified as a section 509(a)(1) organization. You are required to make your annual information return, Form 990 or Form 990 -EZ, available for public inspection for three years after the later of the due date of the return or the date the return is filed. You are also required to make available for public inspection your exemption application, any supporting documents, and your exemption letter. Copies of these documents are also required to be provided to any individual upon written or in person request without charge other than reasonable fees for copying and postage. You may fulfill this requirement by placing these documents on the Internet. Penalties may be imposed for failure to comply with these requirements. Additional information is available in Publication 557, Taal- Exempt Status for Your Organization, or you may call our toll free number shown above. If we have indicated in the heading of this letter that an addendum applies, the addendum enclosed is an integral part of this letter. Letter 1050 (DO /Cs) COLLABORATING AGZNCIFS RESPONAING Because this letter could help resolve any questions about your private foundation status, please keep it i= your permanent records. If you have any questions, please contact the person whose name and telephone number are shown above. sine yo Steven T. Miller Director, Exempt Organizations Letter 1050 (DO /CG)