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HomeMy WebLinkAboutItem 8.1 DPIE Exh 9~'t-,/ Dublin Partners ltn Education January 25, 2009 Dublin Partners in Education D~OFp~D Bt,IN SAN 2 g Z~09 Mr. Roger Bradley, Assistant City Manager ~~,ay~~~,p+s Ms. Joni Patillo, City Manager ,„`'~~uu~~u'`tt ~~~r~~, City of Dublin 100 Civic Plaza Dublin, CA 94568 Dear Mr. Bradley and Ms. Patillo: P.O. Box 2307 Dublin, CA 94568 925.828.2551 x8024 Fax: 925.803.9746 Email: dpie@dublin.kl2.ca.us Website: www.dublin.k12.ca.us Dublin Partners in Education (DPIE) is submitting our grant proposal request for $25,000 for our programs-Promotion of the Arts Program, including Art Judging and Awards, and our Vocational Mentoring Program, which includes our programs at Dublin High School and Wells and Fallon Middle Schools. This past year, in spite of the difbcult economic times, Dublin Partners in Education experienced a significant amount of growth in all our programs. The Vocational Mentoring Program has doubled in size in this past year, reaching more students and involving more mentor volunteers in the schools than ever before. Our efforts to work with the high school teachers and staff in publicizing the program and our efforts in reaching out to new community partners has helped to make this program even more successful. As slots for admission to college and vocational schools become more competitive due to budget cutbacks and high numbers of applicants, this program can be a powerful tool for our students. The number of artist volunteers who spend their time and talent with our Dublin students has increased as well. We engaged art coordinators at each school site who arrange for the artists to work in the classroom and work with DPIE to provide the necessary supplies. DPIE is able to utilize business donors who are framers to frame the art and we coordinate a large award night for the student artists. This year, we are expanding the program and our student artists will have an opportunity to display their work at our partner, Stoneridge Mall during the weekend prior to our annual event. Last year, over 475 parents, students, relatives and neighbors attended the ceremony at the Dublin Regal Cinema. We respectfully request that the City of Dublin consider supporting the growth of these programs. We feel that these programs especially add value to our community, and highlight how City stewardship, business and education go hand in hand to support Dublin pride. Kind regards, Mary Beth Phillips, Ph.D. Executive Director, Dublin Partners in Education BXHIBIT DPIE is a 501 (c) (3) Non-Profit organization All donations are tax-deductible to the extent allowable by law. Federal Tax ID 94-3207780 Dublin Partners in Education is anon-profit foundation dedicated to foster mutually beneficial business, community and education partnerships in order to maximize resources and enrich the learning experiences for all students in the Dublin Unified School District. CITY OF DUBLIN COMMUNITY GROUP/ORGANIZATIONAL FUNDING REQUEST APPLICATION PACKET Fiscal.Year 2009-2010 Section 2: Application for Community Group/Organizational Funding SECTION 2 Page 1 of 22 CITY OF DUBLIN Fiscal Year 2009-2010 COMMUNITY GROUP/ORGANIZATION APPLICATION FOR FUNDS COVER PAGE AGENCY NAME: DUBLIN PARTNERS IN EDUCATION (DPIE) PROPOSED PROJECT/PROGRAM NAME: OPERATIONAL EXPENSES FOR VOCATIONAL MENTORING, PROMOTION OF-THE ARTS PROGRAM, AND CAREER DAYS FUNDING AMOUNT REQUESTED: $25,000 SECTION 2 Page 2 of 22 CITY OF DUBLIN Fiscal Year 2009-2010 APPLICATION FOR FUNDS 1. 2. Please select one expense category: ^ Capital X Operating Applicant Information: Organization/Agency Name Dublin Partners in Education Mailing Address P.O. Box 230? Street Address 6800 Penn Drive City Dublin State CA Zip 94568 _Mary Beth Phillips PhD 8282551 X8024 Phillipsmar b~eth(a~dublin.kl2.ca.us Executive Director/Chairperson Work Phone Email 8282551 X8024 d~ie(cr~,dublin.kl2.ca.us 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. Mary Beth Phillips Ph.D. Executive Director Contact Person for Project/Program Job Title 8282551X8024 Phillipsmar b~ eth(c~dublin.kl2.ca.us _ 925-803-9746 Work Phone Email Fax Federal Tax Identification No. (required) 94-3207780 City of Dublin Business License No. (required) 10048 SECTION 2 Page 3 of 22 City of Dublin Fiscal Year 2009-2010 Application for Funds 3. Proposed Project/Program Information (Do not describe organization.) Amount of Funds Requested $ $25,000 (Maximum $25,000 per project.) Proposed Project/Program Name: _Operational Expenses for Vocational Mentoring, Career Days, Promotion of the Arts Program, including Student Arts Judging and Awards Proposed ProjectlProgram Date(s): Start 07 / O1 / 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. X Agency is requesting 100% disbursement at the beginning of the Fiscal. Year. If selecting this option, please provide justification in the blank space below, ^ 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. The ability for DPIE to budget funding to the Dublin Unified School District depends on our ability to continue to provide for the programs we deliver and fund raise for the schools at the same time. Receiving funds at the beginning of the year allows us to ensure that our programs can continue while we work to write grants, plan fundraising events and collaborate with our business partners to bring much needed funds to the schools. SECTION 2 Page 4 of 22 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 projectlprogram is a new service, or extension of an existing one. ^ An additional page may be added, if needed. Dublin Partners in Education is requesting this funding for .the. benefit of the 5,400+ students of the Dublin Unified School District,.. and the partnerships we have with our Mentors and art volunteers, who are largely Dublin citizens • Career Days. Local business and community volunteers spend a full day with students, sharing valuable career information and personal professional experiences with Fallon and Wells 8~` graders, helping them see all the future possibilities that education can create for them.. Mentors experience the. enthusiasm of young people who are anxious to hear what. the future might bring.. • Mentor Program. Dublin and Valley High School students attend a series of presentations given by local business and community volunteers who share their career knowledge and: professional experiences, offering a window into the world of work: they share their own career paths, the wisdom they have gleaned from their experiences and some of the values that have helped them become successful. at what they. do. This program has doubled in .size in the past .year. Not only does it support our students as they prepare for vocational school, the military; or college, but Mentors experience the satisfaction of sharing their own lives with students and often come away from the experience refreshed and more enthusiastic about what they do. This program is a wonderful example of collaboration and community spirit, joining business and education in a way that supports both. • Promotion of the Arts. One cannot fully appreciate this program without attending the annual Art Judging Contest and the Art Awards night. This program links volunteer guest artists in our community with classrooms, engaging the spirit of each artist and creating enthusiasm for art in education. Our young artists in the schools are encouraged to explore their own creativity by teaming .with these wonderful volunteers for whom art is a passion. Student art is submitted for the SECTION 2 Page 5 of 22 annual Art Judging, which brings community volunteers in connection with our schools. These students are then celebrated as a community at the Art Awards night, where they receive recognition and encouragement for self expression by being acknowledged publicly for their creations. This program is yet another way that DPIE encourages Dublin pride and community building by linking business and education. Not only are the students benefiting from this wonderful program, but the volunteers, who help with the art, and the judges themselves, share in the enthusiasm about community that this program generates. b. How would the PROPOSED PROJECT/PROGRAM address. an unmet community need and improve the quality of life for Dublin residents. Why is this project/program needed? (Additional page may be added, if needed): Now, more than ever, the quality of education desired by residents of Dublin far exceeds the very basic education funded by the State. DPIE seeks to help the Dublin Unified School District bridge the gap between what the'State provides in terms of funding and what is needed to fund the type and` quality of programs offered to our students. Career Days and Mentoring Program: Studies have shown repeatedly that students benefit from Mentoring programs. Mentoring programs help students discern the opportunities and the skills necessary to compete in the world of work. This year, we have seen admissions to vocational programs and schools of higher education become highly competitive as budget cuts have affected the number of students who can be admitted. Clarity and focus are important if students are going to be able to stand out among peers. The Mentoring program links successful business men and women with students in an effective and efficient way, while still allowing for personal interaction. This program will be increasingly important, especially in these economic times. The number of students participating in these programs has more than doubled this year. We think that this is.an indication that students are also aware of how important mentoring can be for them. The Promotion of the Arts Program: Arts will be one of the first places the District will have to cut in these economic times. This well established program provides support SECTION 2 Page 6 of 22 for art in the schools by linking real artists with students in meaningful ways. For those students who aspire to go on to be artists who are at the High School Level, our scholarships and awards add value to their portfolios. In addition, this program allows for a wonderful opportunity in community building in Dublin around the Arts and is a tradition here in Dublin in many circles. The numbers of students and volunteers who participate (over 800) underscore the value this program brings to Dublin. 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.) With the grant funding we have requested, DPIE's programs will provide enriched learning opportunities, and clearly ones that will not be funded any other way. Our Partnership activities are like other educational foundations in surrounding areas and nationally. It has been demonstrated that Partnership: programs positively impact. students and schools in these areas:. Academic achievement, School attendance, career planning, student enrichment, self-image, and school pride. (source: www.partnerstoledo.orb/partnership.html). Mentor Program: Surveys of students and evaluations completed by Mentors indicate a highlevel of satisfaction with the content of the program.. 70% of Mentors state that they want to participate again in the program and currently we have more mentor applications than time available at the high school,' Students also indicate that they learned a great deal from the Mentors and indicate that they would recommend the program to fellow students. The High School staff also feels that this program is very valuable for students and has increased support for the program through advertising and classroom. support. Arts in the Schools Program: Over 700 students participated in this program last year. Another 250 students are exposed to art through the program. 65 teachers participated in the program. 12 Art Coordinators participated in the program. 10 businesses supported students through framing art. 35 volunteers helped to judge the art that was submitted. More that 350 people attended the Awards Night. This program is clearly one of the community programs that adds value to Dublin pride and spirit. SECTION 2 Page 7 of 22 City of Dublin Fiscal Year 2009-2010 Application for Funds d. Specify the PROPOSED. PROJECTIPROGRAM population to be served. Dublin students in the Dublin Unified School District, K-12, and Adult Education will be the primary beneficiaries of the programs we are requesting funding for. However, we also strongly believe that Community volunteers and business professionals who seek to contribute to the Dublin community through the spirit of DPIE partnership and collaboration will also strongly benefit from these programs. e. Projects/programs must be evaluated to determine ifthey are being carried out efficiently and if project/program goals are being met. Please describe how you plan to monitor your protect/program's success and impact. ^ An additional page may be added, if needed. Dublin Partners in Education .has added Measurement and Evaluation of Programs. as one of its Strategic Goals (August, 2008).. To this end, DPIE. has created an Ad Hoc committee to evaluate programs and events (January, 2009). We want. to ensure that the programs and sponsorships we offer the District are consistent with District goals and support community partnerships. This past year, we have developed a close working relationship with the. District and the Executive Director and Superintendent now meet on a regular basis. Dr. Dave Marken and Tess Thomas Johnson serve on the DPIE Board;' both are leaders within the Dublin Unified School District. Needs for programs and evaluations are regularly discussed at Board meetings. Program participants (volunteers and students) complete evaluations and participate in phone surveys. This information is compiled and reported back to the Board of Directors for use in program planning and evaluation (August, 2008). DPIE also has a formal Program committee, headed by Tess Johnson, Fallon Principal. The Program Committee makes recommendations for expansion, maintenance, or curtailment of programs and serves as the evaluation process for all programs. A public report is given annually at a DUSD school board meeting. In addition, the Superintendent's Council receives regular DPIE updates (new this year). SECTION 2 Page 8 of 22 f. Specify numbers of clients served by agency, then by PROPOSED PROJECT/PROGRAM: A enc Partici ants Total Number of Participants Served by Agency (if applicable) 5,470+ students and 75 volunteers Total Number of Dublin Residents Served by Agency (if applicable) 5,470students, plus parents, volunteers and Partners (est. additiona1200). Pro'ect/Pro ram Partici ants Total Proposed Participants Served by this ProjectlProgram 5,470 + students and over 300 parents and volunteers. Total Number of Dublin Residents Served b this Pro'ect 5,670+ SECTION 2 Page 9 of 22 City of Dublin Fiscal Year 2009-2010 Application for Funds 5. Financial Information -Operating Budget a. Expense Budget FY 2009-20:10 THIS PROJECT/ EXPENSE BUDGET ORGANIZATION PROGRAM. GRANT REQUEST Personnel Costs Employee Salaries Benefits $80,500 $20,000 Non-Personnel Costs Services & Supplies $27,075 $1000 Capital Costs $500 easels) Other (please specify) 1.Teacher Grants 3,100 2.Winter Concert 1,000 1,000 3.Education Grants 8,000. 4. DHS Art Awards 775 S.Science Fair 1500 6.Science Fair (HS) 500 7.Mentor Program 6,500 6,500 8.Barton/Wells Reading 7,000 9.PFC Fireworks grants 2000 IO.SAA program expenses 5,000- 5,000 11.SAA Performance grants 12.Golf Tournament 1,800 13.DUSD Leadership Grant 4,000 14.Principal for a Day 15.Career Days 16.Job Shadowing 17.Every Fifteen Minutes Other (please specify) 18.SAA Event 12,000 19.Celebrity Waiter 11,000 20.Family Night Event (new) 10,000 SECTION 2 Page 10 of 22 TOTAL $181,750 $34,000 $25,000 Further Comments/Explanations (if necessary): DPIE has elected to focus more efforts on grants that will go directly to projects within the schools. We are in the process of putting more emphasis on our programs and on grant writing in lieu of more events given the economy. These grants will likely be from sources with some restrictions and are not shown here. SECTION 2 Page 11 of 22 City of Dublin Fiscal Year 2009-2010 Application for Funds b. Revenue Budget FY 2009-2010 REVENUE BUDGET ORGANIZATION PROJECT/PROGRAM Committed/Restricted Funds (s eci source Grant for health related ro ram 5.,000 Grants for Barton/Wells program 7,000 itted/Restricted Funds (s .eci source) Grants from foundations(may be 20,000 restricted laterl Interest income 500 SAA Event 34,000 SAA Products sales 2,000 Fireworks sales 6,500 Celebrity Waiter event 31,000. DPIE Calendar ad sales Family Event Membership Night Joint Community Partner event 500 20,000 2,000 1,000 Community Organizationl$300 DPIE Membership Business $15.000 DPIE Membership Individual $6,000 TOTAL ~ $150, 800.00 SECTION 2 Page 12 of 22 Further Comments/Explanations (if necessary): DPIE's Board of Directors has initiated a new business partnership program called The Power of Partnership. In this program, DPIE staff work directly with organizations to find ways they can support the schools consistent with the organization's strategic plans and areas of philanthropic interest. To this end, some of the income received through corporate sponsors and grants may be restricted as to type of program the. donation can fund. Although this supports our efforts to enhance the services and programs for the benefit of the students within the District, these are not unrestricted funds and as such, cannot be used to support our Mentor and Promotion of the Arts in the Schools Program.. SECTION 2 Page 13 of 22 City of Dublin Fiscal Year 2009-2010 Application for Funds 6. General Agency Information ^X 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}. b. Describe the population(s) served by the Organization. c. Describe all the services the Organization currently provides to Dublin residents. ^ An additional page may be added, if needed. 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. SECTION 2 Page 14 of 22 City of Dublin Fiscal Year 2009-2010 Application for Funds 7. Required Attachments: o Only one (1) cony per A~encv 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. Attachment A: Names of Governing Board; identify current Board officers.. Honorary Council: Don Babbitt, Heartwood Communities Stephen Brooks, Alameda. County of Education Jim Gulseth, JG. P.C. Law Stephen Hanke, Superintendent of Schools, DUSD Janet Lockhart, Former. Mayor of Dublin Roz Perazzo, Chevron Corporation Tim Sbranti, Mayor of Dublin John Sugiyama, Retired DUSD Superintendent DPIE Executive Board: Don Biddle, City Councilman Tess Johnson, Principal Fallon School, Interim Acting President. Chris Bennett,. Workvantage, Co-Secretary Kathy De Jong, Performance Management. Co-Secretary Bill Moy, Timpson Garcia, LLC, Treasurer Board Members: Ted Hoffman, Jr., Earl Anthony's Dublin Bowl Fawn Holman, Community Volunteer Kellee Jones, Community Volunteer Dr. Dave Marken, Assistant Superintendent, Educational Services Alcina Wegrzynowski, Sybase, Inc Mona Lisa B ,Community Volunteer Amy Frantz, DHS Student Representative SECTION 2 Page 15 of 22 B. Current total Organization operating budget, including revenue. ^ Clearly label/identify the program that includes the PROPOSED PROJECT/PROGRAM. See Attached C. Most recent audit report or tax return (if applicable). See Attached 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. ^ See Attached ~ E. Organization's certificate of insurance showing coverage for liability and workers' compensation. See Attached F. Application Verification Declaration Signature Page. ~- See Attached. ~ G. Signed affidavit form from each collaborating agency named in proposed project/programplan (if applicablej. N/A ~. H. Copy of IRS Letter of Determination indicating. tax exempt status. ~ See Attached. SECTION 2 Page 16 of 22 Dublin Partners in Education P.O. Box 2307 Dublin, CA 94568 925.828.2551 x8024 Fax: 925.803.9746 Email: dpie@dublin.k12.ca.us Website: www.dublin.kl2.ca.us ~-t i~'~U'1 Y1'\k.l'~,T i 6~~~.d~ z~~- DPIE is a 501 (c) (3) Non-Profit organization All donations are tax-deductible to the extent allowable by law. Federal Tax ID 94-3207780 Dublin Partners in Education is anon-profit foundation dedicated to foster mutually beneficial business, community and education partnerships in order to maximize resources and enrich the learning experiences for all students in the Dublin Unified School District. 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OI A V W N V ~ ~ T ~ 41 V t71 W OO W OO ff A i ~ 1 W ~ m w A N OO W tD t0 x !O x fO f9 E9 ~ o o ~ O O 3 7 OI O ? ~ ~ ~ ~ p ~O X x x O O O ® ~ + ~ ao + ~ a + ~' <» Fa t O ~ W ~ ~ N ~ U N O f0 ~ N ~ ~ ~ m x ~ p W ~ II ~ N NN O O W dD N O -~ N 7 _ 4 ~ p O ~ 'p W O O O O O O O O O W ~ .o d to Fn a m V N ~ N ~ Z A m A ~ 61 N m p=p N O N w O O O W W E ~ ~ OI O ~ -+ O O ~ O ' m e+~ O O O y V O O O O p O p O O O O O o t» sa D A ~ W 'o m _ ^ a a fl r O O O O O ~ O ~ O ~ ~ O. v ~ O 0 0 0 O o 3 3 ~ g D m °' ~ 3 n ~' m m i m m ce Z o ~ ~ n ~ ~_ A A A n O O W W ~ ~ O N OI N N O O O C C £ N N tli fA fA fA W 3 OD ~ W 3 N V L !b 7 O f0 Dublin Partners in Education P.O. Box 2307 Dublin, CA 94568 925.828.2551 x8024 Fax: 925.803.9746 Email: dpie@dublin.k12.ca.us Website: www.dublin.k12.ca.us ~ }}c ~cl ~ vru~ ~ DPIE is a 501 (c) (3) Non-Profit organization All donations are tax-deductible to the extent allowable by law. Federal Tax ID 94-3207780 Dublin Partners in Education is anon-profit foundation dedicated to foster mutually beneficial business, community and education partnerships in order to maximize resources and enrich the learning experiences for all students in the Dublin Unified School District. YY 67 200806 200850 171717 Department of the Treasury internal Revenue Service OGDEN, UT 84201-0074 670 9445 K 94568 iRS USE ONLY 029515.566713.009ii~~7.002 1 AT 0.346 530 ~f~'oi~~nli't~e~'~n~nDy~'~euel~~a~~~~~~nof~n~~weli~fee~ >~~~ DUBLIN PARTNERSHIP IN EDUCATION ANGELA FONTOS TREASIRER PO BOX 2307 DUBLIN CA 94568-0230076 515 29404-327-56546-8 943207780 For assistance, call: 1-877-829-5500 Notice Number: CP2llA Date: December 22, 2008 A0120720 211A TE 3 Taxpayer Identification Number: 943207780 Tax Form: 990 Tax Period: June 30, 2008 APPLICATION FOR EXTENSION OF TIME TO FILE AN E~MPT ORGANIZATION RETURN -APPROVED We have received your Form 8868, Application for Extension of Time to File an Exempt Organization Return, for the return (form) and tax period identified above. We have approved your request. and have extended the due date to file your return to February 15, 2009. Please attach a copy of this letter to your return when you file it. It is evidence that we granted an extension of time to file yaur returns. A copy is provided for your records. If you have any questians, please call us at the number shown above,. or you may write us at the address shown at the top left of this letter. Reminder -You May Be Required to File Electronically Exempt organizations may be required to file certain returns electronically. For tax years ending on or after December 31, 2006, the electronic filing requirement applies to exempt organizations with $10 million or more in total assets if the organization files at least 250 returns in a calendar year, including income, excise, employment tax and information returns. Private foundations and charitable trusts will be required to file Forms 990-PF electronically regardless of their asset size, if they file at least 250 returns annually. For more information, go to www.irs.gov .Click "Charities and Non-Profits" and look for the "e-file for Charities and Non-Pro#its" tab. For tax forms, instructions and information visit www.irs.gov. (Access to this site will not provide you with your specific taxpayer account information.) n___ , ~I Department of the Treasury Internal Revenue Service www.irs.gov Notice 1369 {07-2007) Catalog Number 50444M ~ 5 Correction Notice - CP 2y i A The enclosed notice provides incorrect information about extended due dates for some Form 990-T filers, but provides correct information for other exempt ---- organization. forms fe.g., Form 990). If you filed an extension for Form 990-T with a due date of April 15, the extened due date on Notice CP 211 A is correct. No further action is needed. This applies to forms filed by an employee trust under Intemai Revenue Code section 401 {a); an individual retirement accounts (including SEPs and SIMPLEs}, a Rath IRA, a CoverdeA ESA, and an Archer MSA. If you filed an extension for Form 990-T with a due date of May 15, the extended due date on Notice CP 211 A is incorrect. The extended due date is November 15. This applies to all filers other than those mentioned above. If after filing your return you receive a notice charging you a penalty, please send us a copy of the enclosed notice {CP 211 A-shown in the upper right hand corner), this page the Notice 1369, and a copy of your extension as filed so we may correct your account. These should be sent to the address provided on the penalty notice {CP 14f ). We are sorry far any inconvenience. Form 990 Department of the Treasury Internal Revenue Service Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) 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 requirements. OMB No. 1545-0047 Inspection A For the 2006 calendar year, or tax year beginning JUL 1 , 2 0 0 6 and ending JUN 3 0 , 2 0 0 / B Checkrf please C Name of organization D Employer identification number applicable. use IRS Address ~chan9e label or print or UBLIN PARTNERSHIPS IN EDUCATION 94-32077 ~onamnge s~~ Number and street (or P.O. box if mail is not delivered to street address) Room/suite E Telephone number Initial return Specific 0. BOX 2 3 0 7 (925) 828-2551 Final ~return Instruc- bons. Clty Or town, state or country, and ZIP + 4 F Accounting method: X Cash Accrual etuended UBLIN , CA 9 4 5 6 8 ~ °Pe~~) - ~pending~on • Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts Hand I are not applicable to section 527 organizations. must attach a completed Schedule A (Form 990 or 990-EZ). H(a) Is this a group return for.affiliates? ~ Yes ©No G Website: -N/A H(b) if "Yes;' enter number of affiliates- N/A J Organization type (checlconryone)- X 501(c) (3 ) ~ (insert no.) 4947(a)(1) or 527 H(c) Are all affiliates included? N/A Yes No t " " K Check here - if the organization is not a 509(a)(3) supporting organization and its gross at ach a list.) No, (If H(d) Is this a separate return filed by an or- receipts are normally not more than $25,000. A return is not required, but if the organization ganization covered by a group. ruling? ~ Yes ©No chooses to file a return, be sure to file a complete return. I Group Exemption Number - N/A M Check:- if the organization is not required to attach L Gross receipts: Add lines 6b, 8b, 9b, and 10b to line 12 - 2 0 9 , 4 5 2 . - Sch. B (Form 990, 990-EZ, or 990-PF). Part 1 Revenue. Exnenses_ and Chances in Net Assets or Fund Balances 1 Contributions, gifts, grants, and similar amounts received: a Contributions to donor advised funds ... . to .. b . Direct public support (not included on line 1a) --_. .... ., ib 2 9 , 4 6 6 . c Indirect public support (not included on line la) _.__ .............. _.. -- 1c - . 20 966. , d Government contributions (grants) (not included on line 1a) -__.-._.,..,_ 1d 12 , 5 0 0 . e Total (add lines 1a through 1d) (cash $ 6 2 , 9 3 2 . noncas h $ ) --. 1e 6 2 , 9 3 2 . 2 Program service revenue including governmentfees and contracts (from'PartVl (,1ihe 93) ._.__--_ .. ..........._-.......-_ 2 3 Membership dues and assessments : : ..__.----__. . .._..........._--..-. 3 4 ...._._...-_.___..___..._--.----...-.-_. . _ Interest on savings and temporary cashinvestrnents . _ _; ...... - 4 440. 5 -_-_ _ -..._.._ Dividends and interest from securities --- ----_. ._..:............._.-........ - ...--.--.._--------... ...---.---_._-.-.- 5 6 a -------- - - - Gross rents _, __:-.,....,.___.__ ,.. 6a b Less: rental expenses .....__......---...-..-.----..--._..----__......__..-. --.._... ._ 6b ~, c Net rental income or(loss). Subtract line 6b from line 6a . . ,,, .,_,.__-.._..-.._-..... ...:__.._.......__ 6c 7 .-.-,_,_ , -.-_-..___ Other investment income (describe - ) 7 d 8 a Gross amount from sales of assets other (A) Securities (B) Other °C than inventor Y ... - ............_....__..._......... 8a b Less: cost or other basis and sales expenses .-,-_---, 8b c Gain or (loss) (attach schedule) --.--__,,....._.__.:... 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 from gaming, check here - a Gross revenue (notincluding $ 0 of contributions reported on line 1b) - _ 9a 14 6 , 0 8 0 b Less: direct expenses other than fundraising expenses--__.__._,_._-__.--.-_.-_... 9b 35,188. c Net incomeor (loss) from special events- Subtract line 9b from line 9a SEE STATEMENT _1--_ 9c 110 , 8 9 2 . 10 a Gross sales of inventory, less returns and allowances ---------------------_._._..-. .-- 10a b Less: cost of goods sold.---_-.-.----........._..-.._............_.---....._........__ ... 10b c Gross profit or (loss) from sales of inventory (attach schedule). Subi"~act line 10b from line 10a _,-... _,.,..__-_..._.:--_ -iOe - 11 Other revenue (from Part VII, line 103) , 11 12 Total revenue. Add lines 1e, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11 ........__...._ ..................._.__. ........_.............. 12 74 , 2 13 Pro ram services from line 44, column B 13 10 0 , 3 8 7 . H 14 Management and general (from line 44, column (C)) . ___ _,__,_.-...._-___ .,._.,-___.-__ ......... ........................ 14 31, 83 9 . a 15 __ . Fundraising (from line 44, column (D)) 15 8 , 7 4 3 . w 16 Payments to affiliates (attachschetlule) .__ ...........___..._...._ ............._.. ..._.........._..----.... ...._._....-..-....... 16 17 . Total expenses. Add lines i6 and 44, column (A) ..........._ ................._....__ ................._-.._.. .._._................. 17 0 , 9 18 Excess or (deficit) for the year. Subtract line 17 from line 12 _ _ -_ _-... _._..-.-_. 18 3 3 , 2 9 5 . ~ H 19 Net assets or fund balances at beginning of year (from line 73, column {A)) _... __ _.. 19 4 6 , 6 5 4 . zQ 20 Other changes in net assets or fund balances (attach explanation) 20 0 21 Net assets or fund balances atentlofyear.Combinelines18,19,and20-..._.-._ _.-.,_,-,__._.-._._- ---_ ................... 21 79,99. of°ia-o7 LHA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Form 990 (zuuti) 1 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 Form 990 (2006) DUBLIN PARTNERSHIPS IN EDUCATION 9 4 - 3 2 0 7 7 80 Page 2 art I Statement Of All organizations must complete column (A). Columns (B), (C), and (D)are required for section 501(c)(3) Functional Expenses and (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others. Do not include amounts reported on line 6b, 8b, 9b, 10b, or 16 of Part 1, (A) Total (B) Program services (C) Management and general (D) Fundraising 22a Grants paid from donor advised funds (attach schedule) (cash $ 0 . noncash$ 0 . ff this anrount includes foreign grants, check here , 2a 22b Other grants and allocations (attach schedule (cash $ 3 0 , 71 0 • noncash $ 0 If this amount includes foreign grants, check here ~ 22b 3 0 , 71 0 • 3 0 , 71 0 TATEMENT 3 23 Specific assistance to individuals (attach schedule) ............_........-_..._... _ ...-........ 23 24 Benefits paid to or for members (attach schedule) .._.. _..._.-._...._.__. 24 25a Compensation of current officers, directors, key employees, etc. listed in Party-A -._._-._-._._...-_ 25a 35,345. 21,207. 10,604. 3,534. b Compensation of former officers, directors, key employees, etc. listed in Party-B -__-__----.-____._ 25b 0 . 0 . 0 . 0 . c Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section4958(c)(3)(B) ._...._--.--.----......._.... 5c 26 Salaries and wages of employees not included on lines25a, b, and c .._--._.-.....-,. 26 24, 129. 11, 329. 8 , 533. 4 , 267 . 27 Pension plan contributions not included on lines 25a, b, and c 27 28 Employee benefits not included on lines 25a-27 28 29 Payroutaxes --______ _.._---- ---------------------_ 29 5 , 529. 3 , 025. 1, 779. 725 . 30 Professional fundraising fees --------------__., 30 31 Accounting fees ........._.- _. _......_..........-. 31 1 , 200. 1 , 200. 32 Legal fees ..._....... - - - -- -- _..._ 32 33 Supplies ....-...._....._._____._..__ ............. 33 22. 22. 34 Tele hone _- P -_ ................ -- .._..-. 34 35 Postage and shipping,.,...,-._____..___---.--_-_ 35 937. 937. 36 Occupancy - _. _ .......... ..... 36, 37 Equipment rental and maintenance .. .......... 37 38 Printing and publications 38` 39 Travel ................_............__.........__._._ 39 40 Conferences, conventions, and .meetings -_- 40 41 Interest 41 2 0 6. 2 0 6. 42 Depreciation, depletion, etc. (attach schedule) 42 43 Other expenses not covered above (itemize): a 43a b 43b c 43c d 43d e 43e f 43f g SEE STATEMENT 2 a39 42,891. 34,116. 8,580. 195. 44 Total functional expenses. Add lines 22a through 43g. (Organizations completing columns (B)-(D), carry these totals to lines 13-15) ..................... 44 14 0 , 9 6 9 . 10 0 , 3 8 7 . 31, 8 3 9 . 8 , 7 4 3 . Joint Costs. Check - U if you are following SOP 98-2. Are any joint costs from a combined educational campaign and fundraising solicitation reported in (8) Program services? ..................... - ~ Yes ®No If "Yes," enter (i) the aggregate amount of these joint costs $ N/A ; (ii) the amount allocated to Program services $ N/A iii the amount allocated to Management and general $ N /A ;and (iy) the amount allocated to Fundraising $ N/A o,-2s-o~ Form 990 (2006) 2 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 Form 990 DUBLIN PARTNERSHIPS IN EDUCATION 94-3207780 Page3 (See the instructions.) 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? - SEE STATEMENT 4 Program Service Expenses All organizations must describe their exempt purpose achievements in a clear and concise manner. State the number of clients served, publications issued, etc. Discuss achievements that are not measurable. (Section 501(c)(3) and (4) organizations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants and allocations to others.) (Required for 501(c)(3) and (4) orgs., and 4947(a)(1) trusts; but optional for others.) a TEACHER GRANTS - TO PROVIDE ADDITIONAL FUNDING TO ENHANCE PROGRAMS THAT ARE OUTSIDE OF THE PURVIEW OF THE NORMAL SITE BUDGET. (Grants and allocations $ 3 0 , 710.) If this amount includes foreign grants, check here - 3 0.710 b STUDENT ACTIVITIES AND SCHOOL PROGRAMS - TO PROVIDE FUNDS FOR VARIOUS ACTIVITIES INCLUDING INTERVENTION.::, SCIENCE FAIRES, MUSIC AND PERFORMING ARTS PROGRAMS". (Grants and allocations $ ) If this amount includes foreign grants, check here - 3 2 , 3 9 8 . c SUPPORT OF PROGRAMS, ACTIVITIES, AND OTHER NONPROFIT ORGANIZATIONS. (Grants and allocations $ ) If this amount includes foreign rants, check here - 3 7 , 2 7 9 . d (Grants and allocations $ ) If this amount includes foreign grants, check here - g Other program services (attach schedule) (Grants and allocations $ ) If this amount includes foreign grants, check here - 0 f Total of Program Service Expenses (should equal line 44, column (B), Program services) .............__._. _................._ - ~ Form 990 (2006) 623021 01-18-07 3 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 Form 990 (2006) DUBLIN PARTNERSHIPS IN EDUCATION 9 4- 3 2 0 7 7 8 0 Page 4 Part IV Balance heats (see the instructions-1 Note: Where required, attached schedules and amounts within the description column (A) {B) should be for end-of-year amounts only. Beginning of year End of year 45 Cash -non-interest-bearing 4 5 ,14 4. 45 9 2, 5 2 9. 46 Savings and temporary cash investments .,..-.._.,._.... 46 ___________________.,_.__-.-..__. 47 a Accounts receivable 47a b Less: allowance for doubtful accounts 47b 47c 48a Pledges receivable .--_-_._.____. _.-_._--_-_.______ 48a b Less: allowance for doubtful accounts 48b 48c 49 Grants receivable 49 50 a Receivables from current and former officers, directors, trustees, and - key employees 50a b Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ___---_-_-.-_.._--._._ 50b N ~ N 51 a Other notes and loans receivable .._- ------------ 51a a b Less: allowance for doubtful accounts 51b 51c 52 Inventories for sale or use 52 ............ 53 Prepaid expenses and deferred charges ... 53 465 . ._...,_---_-___._-_-.-,_--.-_ . . _ - 0 Cost 0 FMV 54 a Investments-publiGy-traded securities . _ , 54a -_- _. __ _ _ b Investments -other securities - 0 Cost ~ FMV 54b 55 a Investments -land, buildings, and equipment: basis .........__.......__....__.. _..... 55a b Less: accumulated depreciation _____...--.__ 55b 55c 56 Investments other ...:...-._ .:...............__ _.._....._ _ - -.::.::......_:.:.....-.. 58 . 57 a Land, buildings, and equipment: basis _,..-_.-. 57a 2 8 62 D Less: accumulated depreciation _.--,...._- _ , 57b 2 , 8 6 2 . 57c 2 , 8 6 2 . 5g Other assets, including program-related investments (describe ~ ) 58 59 Total assets (must equal line 74 . Add lines 45 throw. h 58 ..:.._.._.__..-_ _.... 4 8 , 0 0 6 • 59 9 5 , 8 5 60 Accounts payable and accrued expenses . . _ ....-.._ ............._........ .. 60 --_-_-_. .. . - 61 Grants payable : 61 --.-._......_...._--.----...._ 62 Deferred revenue 62 M 63 Loans from officers, directors, trustees, and key employees -_.-.-_„-..---.-_- ... 63 64 aTax-exempt bond liabilities ., ...-.......__._.... 64a w ;~ ................ , ..__ b Mortgages and other notes payable -,_._____._,,,,-_.., ,. _._._. _..._. .. 64b 65 Other liabilities (describe - SEE STATEMENT 5 ) 1 , 3 5 2 . 65 15 , 9 0 7 . 66 Total liabilities. Add lines 60throu h65 .__ ....................._.___........_......... 1,352. 66 15,907. Organizations that follow SFAS 117, check here - and complete lines 67 through 69 and lines 73 and 74. 67 unrestricted : 46 , 654. 67 79 , 949 . .._ ......................._._........____-__- . 68 Temporarily restricted . 63 m -_.--__ ._.-- 69 Permanently restricted 69 3 Organizations that do not follow SFAS 117, check here - ~ and "' complete lines 70 through 74. y 70 Capital stock, trust principal, or current funds ................._........... 70 H --_-_.-_-_ ...... 71 Paid-in or capital surplus, or land, building, and equipment fund ......... ......... li Q 72 Retained earnings, endowment, accumulated income, or other funds ...-,,.--... 72 .. Z 73 Total net assets or fund balances. Add lines 67 through 69 or lines 70 through 72. . -._._--....._-_ (Column (A) mustequal line 19 and column (B) mustequal line 21) 46 , 654. 73 79 , 949 . --__ _ 74 Total liabilities and net assets/fund balances. Add lines 66 and 73 4 8 , 0 0 6 . 74 9 5 , 8 5 Form ~ (2006) 623031 01-20-07 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 Form 990 (2006) DUBLIN PARTNERSHIPS IN EDUCATION 9 4- 3 2 0 7 7 8 0 Page 5 art econci tatton o evenue per u i e mancia atemen s i evenue per eturn (see the instructions.) a Total revenue, gains, and other support per audited financial statements --._..-._._.--.... a N/A b Amounts included on line a but not on Part I, line 12: 1 Net unrealized gains on investments ___-,-_.__._....-._..__ ......................._.._.-..-...........--.-.. b1 2 Donated services and use of facilities ,__...._.-- - b2 3 Recoveries of prior year grants -------------------- b3 4 Other (specify): b4 Add lines b1 through b4 b c Subtract line b from line a d Amounts included on Part 1, line 12, but not on line a: 1 Investment expenses not included on Part I, line 6b .......................... .............................. di 2 Other (specify): d2 Add lines d1 and d2 e Total revenue {Part I, line 12). Add lines c and d ..._ ............................................................. .....:.....:...:......_..-.--: ~ e art - econci is ion o xpenses per u i e ~nancia atemen s t xpenses per eturn a Total expenses and losses per audited financial statements _-...-_-.-_„_... __ ...........:...._.............. a N/A b Amounts included on line a but not on Part I, line 17: 1 Donated services and use of facilities ..__...._ .............. .........-..._..........._._.-.-----._..--- b1' 2 Prior year adjustments reported on Part I, line 20 -._.-.,--.._„.. _„_..,_..-..__....,---_-.--.;..-_._.... b2 3 Losses reported on Part I, line 20 _........_.__..-..._ ...............__-......,.....-.--..-...._::_-.._.... b3 4 Other (specify): b4 Add linesblthroughb4 _______-_.-. _...-......._.-. ...-..._... b c Subtract line b from line a _ .................. c d Amounts included on Part I, Tine 17, but not on line a: 1 Investment expenses not included on Part I, line 6b -_..-...___..._._ .............._.--...-.:.__...... d1 2 Other (specify): d2 Add lines di and d2 d e Tota}expenses (Part I, line 17). Add lines c and d ..--,.---.----._.:..:__=-........`_..._ ................... ..................__-.._.-.. ~ e Part V-A urrent ICerS, IreCtorS, rusteeS, and ey mployeeS (List each person who was an officer, director, trustee, or kev emolovee at anv time during the vear even if thev were not comoensated.l (See the instructions.) (A) Name and address it a an average ours per week devoted to position ompensation (If not paid, enter -0-.) Contributions to P, ~~s & de ~, d compensation plans xpense account and other allowances -------------- SEE STATEMENT 6 35,345. 0. 0. --------------------------------- --------------------------------- --------------------------------- corm y~t~uubi 623041 01-18-07 5 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 Form 990 (2006) DUBLIN PARTNERSHIPS IN EDUCATION 9 4= 3 2 0 7 7 8 0 Page 6 Part V-A urrent tcers, Directors, rustees, an ey mp oyees (contlnuea) Yes No 75 a Enter the total number of officers, directors, and trustees permitted to vote on organization business at board 16 meetings _,......._..._ -- -.... - -...._ ................ _._................. - - -- ._ ~ 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 listed in Schedule A, Part II-A or II-B, 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-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization? See the instnactions for the definition of "related organization." ................. 75c X 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 X Part V-B ormer ~cers, irectors, rustees, an ey mployees at eceive ornpensation or ter BenefltS (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 benefi ts'in the appropriate column. see t he instrucnons.~ (A) Name and address NONE (B) Loans and Advances ( ompensabon (if not paid, enter -0-) Contributions to employee benefit plans & deferred compensation plans (E) Expense account and other allowances Part VI Other Information (see the instructions.) Yes No 76 Did the organization make a change in its activities or methods of conducting activities? If "Yes," attach a detailed statement of each change .,..__.. 76 X 77 Were any changes made in the organizing or governing documents but not reported to the IRS? .......................................... 77 X If "Yes," attach a conformed copy of the changes. 78 a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return? ..___._„ 78a X b If "Yes," has it filed a tax return on Form 990-T for this year? N /A 78b 79 Was there a liquidation, dissolution, termination, or substantial contraction during the year? If "Yes," attach a statement _._,.. 79 X 80 a 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? __._-.,.....__.-____._.,._, 80a X b If "Yes," enter the name of the organizations N/A and check whether it is exempt or nonexempt 81 a Enter direct or indirect political expenditures. (See line 81 instructions.) ,_.,_--_.,..-.._-._....--.. 81a 0 • b Did the organization file Form 1120-POLforthis year? ._-........_ .............................._...._..........._...__......._................_... ' 81b X rorm yw ~zuuoi 623161/01-18-07 6 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 Form 990 (2006) DUBLIN PARTNERSHIPS IN EDUCATION 9 4- 3 2 0 7 7 8 0 Page 7 Part VI ter In ormation (continued) Yes 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? _ ................_..-.--..:._..- . ......__..-.....__-.-.. 82a X 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 IIL) ,,,,_,.-_- 82b N/A 83 a 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 quid pro quo contributions? .................................... 83b X 84 a Did the organization solicit any contributions or gifts that were not tax deductible? -_...._ ......................._--......_ NI!A_-_..._ 84a b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ...__.._..--.._._.. __..-.. - .. ...N/A ...... . .. . 84b 85 .. . . - ........ _ -- ........ 501(c)(4), (5), or (6) organizations. a Were substantially all dues nondeductible by members? ,-,...-__ .................. N/A-___.... 85a b Did the organization make only in-house lobbying expenditures of $2,000 or less? ..... . ...... ......... ...... N/_A-,....___ 85b If "Yes" was answered to either 85a or 85b, do not complete 85c through 85h below unless the organizationreceived a waiver for proxy tax owed for the prior year. c Dues, assessments, and similaramountsfrom 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 Dces the organization elect to pay the section 6033(e) tax on the amount on line 85f? • ................._..._.._.-.._... N/A --_.-.. 85g h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year'? -._-.. N/A 85h 86 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on 86a N/A line 12 b - - - _. _ __ Gross receipts, included on line 12, for public use of club facilities -_ -.--_-.,,,___...,.:... , 86b N/A 87 501(c)(12) 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 aga~lst amounts due or received from them.) ---_ _,... 87b N/A _.. -- 88 a At any time during the year, did the organization own a 50%0 or greater interest in a taxable corporation or partnership, or an entity disregarded as separate from the organization under Regula#ions 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 89 a 501(c)(3) organizations. Enter: Amount of tax imposed on the organization during the year under. section 4911- 0 . ;section 4912 - 0 . ;section 4955 - 0 b 501(c)(3) and 501(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 _-__--,-,,,,_-__--.--,-_..._. 89b X c Enter: Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 _._.:._ -._.._ ... .._. _...- _.._._ ........-.. - 0 d Enter: Amount of tax on line 89c, above, reimbursed by the organization --_-___--..,_„_.._........ - 0 e All organizations. At any time 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 funds. Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year? .................. 89g X 90 a 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 __ .................._.....-__.._: 90b 2 91 a The books are in care of - WILLIAM E . MOY Telephone no. - (9 2 5) 8 2 9 -19 2 8 Locatedat- 8435 DAVONA DRIVE, DUBLIN, CA ZIP+4-9 4568 b At any time during the calendar year, did the organization have an interest in or a signature or other authority over @S a financial account in a foreign country (such as a bank account, securities account, or other financial account)? .................. 91b X If "Yes," enter the name of the foreign country - N/A See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts. 623162 /01-18-07 Form 990 (2006) 7 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 Form 990 (2006) DUBLIN PARTNERSHIPS IN EDUCATION 9 4- 3 2 0 7 7 8 0 Page 8 Part VI ter n ormation (continued) Yes No c At any time during the calendar year, did the organization maintain an office outside of the United States? 91c X If "Yes,° enter the name of the foreign country - N /A 92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041- Check here ......................:............................... - and enter the amount of tax-exempt interest received or accrued during the tax year .._.___ .... ........._... - 92 N/A Part VII na ys~s o neome- rocTueing~~-etiv~t~es (see the mstruct~ons.) r less otherwise t t N t E Unte~at edbusiness income Exclud ed by section 512, 513, or b14 (E) n er g oss amoun s un o e: indicated. 93 Program service revenue: (A) Business code (B) Amount E~C~_ S;o~ code (~) Amount Related or exempt function income a b c d e f Medicare/Medicaid payments __.__._,__,.___._.__.__ g Fees and contracts from government agencies _, 94 Membership dues and assessments ..__. ...,._. __. _ 95 Interest on savings and temporary cash investments . 14 4 4 0 . __ 96 Dividends and interest from securities ____.._._.__.. 97 Net rental income or (loss) from real estate: a debt-financed property .. ___,..__._._.._._.._..._ _.__. b not debt-financed property _..__..,....._______._._,__ 98 Net rental income or (loss) from personal property 99 Other investment income 100 Gain or (loss) from sales of assets other than inventory __.__.___.,_.._...._._.,___. ___,__ 101 Net income or (loss) from special events 110 , 8 9 2 . 102 Gross profit or (loss) from sales of inventory _____. 103 Other revenue: a b c d e 104 Subtotal (add columns (B), (D), and (E)) . _ . _. _.. _ _ .: 0 . 4 4 0 . 110 , 8 9 2 . columns (B), (D), and (E)) 105 Total (add line 104 _._. - 11, 332 . _.____ , Note: Line 105 plus line 1 e, Part 1, should equal the amo .-.,__;... unt on line 1 2, Part 1. Part VIIF a ationship of etivities tote ccomplis ment o xempt 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). 101 HESE ACTIVITIES"ONLY INCIDENTALLY ACCOMPLISH AN EXEMPT FUNCTION. THE RIMARY PURPOSE IS TO RAISE FUNDS THAT ARE OTHER THAN CONTRIBUTIONS TO INANCE THE ORGANIZATION'S EXEMPT ACTIVITIES. Part IX Information Regard ing Taxable Subsidiaries and Disregarded Entities (see the instructions.) Name, address, and EIN of corporation, partnership, or disregarded entity Percentage of ownership interest Nature of activities Total income End-of-year assets N/A % cart x ~ tnrormazwn rtegaramg ~ ransrers f+-ssoc~azea wain rersvnar ~C~~~~u ~.v~n~a~aa ~~~ ~~~C ~~~~~~~~~~~~~~-~ (a) Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? __...__.,.,. LJ Yes l.~J No (b) Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....................................... ~ Yes 0 No Note: If "Yes" to (b), file Form 8870 and Form 4720 (see instructions). _ Form 990 (2006) 623163 01-18-07 8 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 f=orm 990 (2006) DUBLIN PARTNERSHIPS IN EDUCATION 9 4- 3 2 0 7 7 8 0 Page 9 Part XI In ormation Regarding ransfers To and rom ontro a EntIt12S. Complete only if the organization is a controlling organization as defined in section 512(b)(13). N / A Yes No 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. (A) (B) (C) (D) Name, address, of each Employer Description of Amount of controlled entity Identification Number transfer transfer a b c Totals Yes No 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. (A) (B)< (C) (D) Name, address, of each Employer. Description of Amount of controlled entity identifieation Number transfer transfer a b 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 perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer)'.is-based on all information of which preparer has any knowledge. Please s/ William E. Moy I 05/12/08 , Sign ~Ignature o oi(icer ate Here ' WILLIAM E. MOY, TREASURER ype or pant name an td e f c I Preparer's SSN a PTIN (See Gen. Inst. X) Preparer's a e Paid ' sel signature ' ELAINE LEE KAWASAKI 0 5 / 12 / 0 8 employed - ~ Preparer s Firm's name (or TIMPSON GARCIA LLP Elty - ' Use Only , Yours rf _„ seN-employed), ' 7 0 WASHINGTON STREET , SUITE 3 0 0 address, and OAKLAND, CA 94607-3705 Phone no. - (510) 832-2325 ZIP + 4 Form 990 (2006) szstsaiot-zs-o~ 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 SCHEDULE A Organization Exempt Under Section 501(c)(3) OMB No. 1545-0047 (Form 990 or 990-EZ) (Except Private foundation) and Section 501(e), 501(f), 501(k), 501(n), or 4947(a)(1) Nonexempt Charitable Trust 2006 Department of the Treasury Supplementary Information-(See separate instructions.) Internal Revenue Service ~ MUST be completed by the above organizations and attached to their Form 990 or 990-EZ Name of the organization Employer identification. number DUBLIN PARTNERSHIPS IN EDUCATION 94:3207780 Part 1 Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (See page 2 of the instructions. List each one. If there are none, enter "None.") (a) Name and address of each employee paid more than $50,000 i e an average ours per week devoted to position (c) Compensation employee benefit plans & deferred compensation a xpense account and other allowances NONE --------------------------------- Total number of other employees paid over $50,000._... .._ -_......._...- 0 ~ hart a-w ~ compensation of the Five Highest Paid Independent Contractors for Professional Services (See page 2 of the instructions. List each one (whether individuals or firms). If there are. none, enter "None:') (a) Name and address of each independent contractor paid more than $5Q,000 (b) Type of service (c) Compensation ----------------------------------------- NONE Total number of others receiving over $50,000 for professionalservices , _..:.... - .._:.:.. ..__..........- 0 Part II-B Compensation of the Five 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 page 2 of the 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 ._-...-- ... _ , ~ 0 sz3,ovo,-,a-o7 LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990-EZ. Schedule A (Form 990 or 990-EZ) 2006 10 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 Schedule A (Form 990 or 990-EZ) 2006 DUBLIN PARTNERSHIPS IN EDUCATION 9 4- 3 2 0 7 7 8 0 Page 2 Part II Statements About Activities (See page 2 of the 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'^(es,"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 PartVl-B.) 1 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-BAND 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? (/f the answer to any question is "Yes, " attach a detailed statement explaining the transactions.) a Sale,exchan e, orleasin of roe ~ _--__ ..............„ 9 9 P P rtY~ - - _ -- _....._......_ .................... - - ----_ 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)? -..-_,-__.-._,--_..., 2d X e Transfer of any part of its income or assets? .,._-..._..-_-_._.-_.:...--_-_-,:,-,:,,.,-_,_.._..... .-_-. 2e X 3 a 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 X b Dd the organization have a section 403(b) annuity plan for its employees? ...-.._. _....-,-___„_-_„---------------:..::_...-.-_-...-_-.---.......-.. -..._ 3b X 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 X d Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services? . ___. _ ,,,,, _ . ....... ...... 3d X 4 a Did the organization maintain any donor advised funds? If "Yes," complete lines 4b through 4g. If"No,".complete lines 4f and 49 ..._-......-.-_ .......... ......_..__......_.............._ _............ _ _ __ _ _ _ 4a X b Did the organization make any taxable distributions under section 4966? _„--. _,,.__ ...:........... N/A -_.. 4b c Did the organization make a distribution to a donor, donor advisor, or related person? .,.__.._.'._-. ,-..__--.._-..-.-._ .... ...... ... N/A _-_-_ 4c d Enter the total number of donor advised funds owned at the end of the tax year __ _. _. _-....... _. - .-... - 0 e Enter the aggregate value of assets held in all donor advised funds owned atthe end of the tax year __-------------------- ---------_..-...._..___ - 0 f Enter the total number of separate funds or accounts owned at the end of the 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 funds or accounts --,-„ ,,,,.,-, - 0 g Enter the aggregate value of assets in all funds or accounts included on ine 4f at the end of the tax year --:- __,_, -_.--- _._..--. - 0 Schedule A (Form 990 or 990-EZ) 2006 623111 01-18-07 11 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 Schedule A (Form 990 ,or 990-EZ) 2006 DUBLIN PARTNERSHIPS IN EDUCATION 94-3207780 Page3 Part IV Reason for Non-Private Foundation Status (See pages 4 through 7 of the instructions.) I certify that the organization is not a private foundation because it is: (Please check only ONE applicable box.) 5 0 A church, convention of churches, or association of churches. Section 170(b)(1)(A){i). 8 ~ A school. Section 170(b)(1)(A)(ii). (Also complete Part V.} 7 0 A hospital or a cooperative hospital service organization. Section 170(b)(1)(A)(iii). 8 ~ A federal, state, or local government or governmental unit Section 170(b){1)(A)(v). 9 0 A medical research organization operated in conjunction with a hospital. Section 170(b)(1)(A)(iii)_Evter the hospital's name, city, and state - __ 10 0 iia 0 lib ,2 a An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(1)(A)(iv). (Also complete the Support Schedule in Part IV-A.) An organization that normally receives a substantial part of its support from a governmental unit or from the general public. Section 170(b)(1)(A)(vi). (Also complete the Support Schedule in Part IV-A.) A community trust Section 170(b)(1)(A)(vi). (Also complete the Support Schedule in Part IV-A.) An organization that normally receives: (1) more than 33 1!3% of its support from contributions, membership fees, antl gross receipts from activities related to its charitable, etc., functions - subject to certain exceptions, and (2j eo 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 after June 30, 1975. See section 509(a)(2). (Also complete the Support Schedule ih Part IV-A.) 13 0 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 ~ Type II 0 Type III-Functionally Integrated ~ Type III-Other Provide the following information about the supported organizations.,(See page 7 of the instructions.) (a) Name(s) of supported organization(s) (b) Employer identification number (EIN) (b) Type of organization (described in lines 5 through 12 above or IRC section) (d) Is the supported organization listed in the supporting organization's governing documents. (e) - Amount of support Yes No Total . - 14 ~ An organization organized ahd operated to test for public safety. Section 509(a)(4). (See page 7 of the instructions.) Schedule A (Form 990 or 990-EZ) 2006 623121 01-18-07 12 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 Schedule A (Form 990 or 990-EZ) 2006 DUBLIN PARTNERSHIPS IN EDUCATION 9 4- 3 2 0 7 7 8 0 Page 4 8 - Support Schedule (Complete only if you checked a box on line 10, 11, or 12.) Use cash method of accounting. Note: You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting. a en ar year or isca year beginning in) ...............___.__,. _. - (a) 2005 (b) 2004 (c) 2003 {d) 2002 {e) Total 15 ~ s, grants, an contra utions received. (Do not include unusual grants. see line28.)....._-_, ,._ 48,036. 35,564. 36,178. 50,510. 170,288. 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 __-...,_,. 182,267. 129,350. 105,271. 80,582. 497,470. 18 Gross income from interest, dividends, amounts received from payments on securities loans (sec- tion 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975 19 Net income from unrelated business activities not included in line 18 20 ax revenues ewe or e organization's benefit and either paid to it or expended on its tiehalf 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 furnished to the public without charge 22 er mcome. ac a sc e u e. Do not include gain or (loss) from SEE STATEM T 7 sale of capital assets ..__-__._-_... 37, 300. 37, 300. 23 Total of lines l5 through 22 _.. 230,303. 16:4,914,' 141,449. 168,392. 705,058. 24 Line 23 minus line l7 ,.______.___ 48, 036. 35, 564. 36,178. 87, 810. 207, 588. 25 Enter 1% of line 23 2 , 3 0 3 . 1, 6 4 9 . 1, 414. 1, 6 8 4 . 26 Organizations described on lines 1 0 or 11: a Enter 2% of amount'in:column (e), line 24 __.,._.___..__._._._._..,..___,____ - 26a N/A 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 of all these excess amounts __..__.__._.__.__-.--_..-__...,._-,___..___._--- 26b N/A c Total support for section 509(a)(1) test: Enter line 24, cotumn (e) - 26c N/A d Add: Amounts from column (e) for lines: 18 19 22 26b - 26d N/A e Public support (line26cminusline26dtotal)._._ _-.__,.__.._..____-__.-___.--_._,_-._..-,-.....- 26e N/A f Public support percentage (line 26e (numerator),divided byline 26c (denominator)) ..-..._- _...... _ - 26f N/A 27 Organizations described on line 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 person." Do not fife this list with your return. Enter the sum of such amounts for each year: (2005) ...... - - -............0.• (2004) ..._......._..__.._.._......_Q.._ 2003 _......0.:~. (2002) _...Q.~. b For 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 the larger 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 ib, as weii as intlividuais.) Do not file this list with your return: After computing the difference between the amount received and the larger amount described in (1) or (2j, enter the sum of these differences (the excess amounts) for each year: (2005) ._.... _._......_.....Q:.:. (2004) Q.~. (2003) 0.~. (2002) 0-•. c Add: Amounts from column (e) for lines: 15 17 0 , 2 8 8 . 16 17 497 , 470. 20 21 - 27c 667 , 758 . d Add: Line 27a total 0 . and line 27b total 0 . - 27d 0 . - ... e Public support (line 27c total minus line 27d total) ....................... - 27e 6 6 7 , 7 5 8 . f Total support for section 509(a)(2) test Enter amount on line 23, column (e) , _,.. _., - 27f 7 0 5 , 0 5 $ . g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) --------------------------------- - 27g 9 4.70 97% h Investment income percentage (line 18, column (e) (numerator) divided by line 27f (denominator)) ... - 27h . 0 0 0 0 28 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 2002 through 2005, prepare a listforyour 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. 623131 01-18-07 NONE Schedule A (Form 990 or 990-EZ) 2006 3 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 Schedule A (Form 990 or 990-EZ) 2006 DUBLIN PARTNERSHIPS IN EDUCATION 9 4- 3 2 0 7 7 8 0 Page 5 Part V Private chool uestionnaire (See page 9 of the instructions.) N/A (To be completed ONLY by schools that checked the box on line 6 in Part IV) 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 other written communications with the public dealing with student admissions, programs, and scholarships? .............. 30 31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known to all parts of the general community it serves? .,.___.__._ ._._..._.......____ ..................._... 3f If "Yes," please describe; if "No,"please explain. (If you need more space, attach a separate statement) No 32 Does the organization maintain the following: a Records indicating the racial composition of the student body, faculty, and administrative staff? _... _.:-_ 32a b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory basis? ........................ 32b c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student admissions, programs, and scholarships? -..--__-___ _-.__,.,,_-___._-._.,..... 32c d Copies of all material used by the organization or on its behalf to solicit contributions? -,..,__, ____- 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'rightsorprivileges? -_ __.__,--._--_..._._._ _.,_..._--_._._._ 33a b Admissions policies? _.__-.__.-.. 33b ....._-,.- ,-_-____--. c Employment of faculty or administrative staff? ................................ . 33c . . d Scholarships or other financial assistance? _- -:.--,_ _.-..-.__-..._ .............._._-..._...__..........._...._ 33d e Educational policies? --....-_-. _..__..-_-_-__-_-_,__ 33e f Use of facilities? 33f g Athletic programs? -...._._.._._ _._.. -...... - ~ .............._ - ..........._....... - 33g h Other extracurricularactivities? .................._ .-._..-__-_. _..._.--.__---.-...-._. 33h If you answered "Yes" to any of the above, please explain,. (If you need more space, attach a separate statement) 34 a Does the organization receive any financial aid or assistance from a governmental agency? ..._.-__,..-..,.-_._--..._,..__-_....-_-._ .............. 34a b Has the organization's right to such aid ever been revoked or suspended? - __.._,. ..... ......... .....-...-_.. 34b If you answered "Yes" 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 through 4.05 of Rev. Proc. 75-50, 1975-2 C.B. 587, covering racial nondiscrimination? If "No," attach an explanation _______ ____________,-..,._.-_.__-, .....-_.--...... 35 Schedule A (form 990 or 990-EZ) 2006 623141 01-18-07 14 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 Schedule A (Form 990 or 990-EZ) 2006 DUBLIN PARTNERSHIPS IN EDUCATION 9 4- 3 2 0 7 7 8 0 Page s Part VI-A Lobbying Expenditures by Electing Public Charities (See page 10 of the instructions.) N/A (To be completed ONLY by an eligible organization that filed Form 5768) Check - a if the nrnani7atinn helnnns to an affiliated nrrnm Cherk - h if vrnl rherked "a"and "limited control" provisions cooly. Limits on Lobbying Expenditures Affiliated group To be compbeted for all (The term "expenditures" means amounts paid or incurred.) totals electing organizations N/A 36 Total lobbying expenditures to influence public opinion (grassroots lobbying) --_ _-. _.-_.-_., __,_ 36 37 Total lobbying expenditures to influence a legislative body (direct lobbying) -,_....-„-__,__ ,__,___. 37 38 Total lobbying expenditures (add lines 36 and 37) --..-_--___.-_ _.- _..._ ..............._...... 38 39 Other exempt purpose expenditures -,___ „ _, .-_._.___--.-.--_,,. 39 40 Total exempt purpose expenditures (add lines 38 and 39) 40 41 Lobbying nontaxable 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°h of the amount on line 40 Over $500,000 but not over $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 me excess over $1,000,000 41. Over $1,500,000 but not over $17,000,000 $225,OOD 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) 42 43 Subtract line 42 from line 36. Enter -0- if line 42 is more than line 36 43 -' 44 Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38 44 Caution: If there is an amount on either line 43 or line 44, you must file Form 4720. 4-Year Averaging Period Under Section 501 (h) (Some organizations that made a section 501(h) election`do not have to complete all of the five columns below. See the instructions for lines 45 through 50 on page 13 of the instructions.) Lobbying Expenditures During 4-Year Averaging Period N /A Calendar year (or (a) (b) (c) (d) (e) fiscal year beginning in) - 2006 2005 2004 2003 Total 45 Lobbying nontaxable amount ...-.._..... -....... 0. 46 Lobbying ceiling amount (150% of line 45(e)) -....._. 0 . 47 Total lobbying expenditures ._.........._. 0 • 48 Grassroots nontaxable amount .__ ................._ 0. 49 Grassroots ceiling amount (150% of line 48(e)) ......... 0 . 50 Grassroots lobbying expenditures ._..__..._.._ 0 . ~ Part yl-6 ~ Lodpying Activity by Nonelecting Public Charities (For reporting only by organizations that did not complete Part VI-A) (See page 13 of the instructions.) N/A During the year, did the organization attempt to influence national, state or local legislation, including any attempt to Yes No Amount influence public opinion on a legislative matter or referendum, through the use of: a Volunteers b Paid staff or management (Include compensation in expenses reported on lines cthrough h.) ..,__,,,,,,-___.--.,.._.-,,,_ c Media advertisements d Mailings to members, legislators, or the public .--___-_,,,,,.,_,,,_,--,-,_.._-,_..--..,_„-_,_.,.__.__„_-.-_,.,-,.-._.-„-.,-, e Publications, or published or broadcast statements f Grants to other organizations 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 lines cthrough h.) . --____ 0 If "Yes" to any of the above, also attach a statement giving a detailed description of the lobbying activities. o1-1a-o7 Schedule A (Form 990 or 990-EZ) 2008 15 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 Schedule A (Form 990 or 990-EZ) 2006 DUBLIN PARTNERSHIPS IN EDUCATION 9 4- 3 2 0 7 7 8 0 Page 7 Part VII Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations (See page 13 of the instructions.) 51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations? a Transfers from the reporting organization to a noncharitable exempt organization oY. Yes No (i) Cash -- ...._. ... 51a(i) X (ii) Other assets - - - .....-.. - _ _- -- - ................._ __ ...._.... - _ _..... _.. a(ii} X b Other transactions: (i)Salesorexchangesofassetswithanoncharitableexemptorganization -..--,_...,,_--_-_._.._ .................._...-:.-....._......_.......... -.. b(~) X (ii) Purchases of assets from a noncharitable exempt organization __.-.-. _ ...... ... ...... .............. ... b(ii) X (iii) Rental of facilities,equipment, or other assets.-....... __.....:_-._...__ ................---.-.--.._..........-.....--.--.--.--.............._..._........ ... b(iii) X (iv) Reimbursement arrangements _.,___..--.-._..--..-_.-.- b(iv) X (v) Loans or loan guarantees --_--_.-.__.-.-._--.-_ b(v) X (vi) Pertormance of services or membership or fundraising solicitations __._._._--_..-__.-_..,--._ ......:......._..-,. -._ _-. b(vi) X c Sharing of facilities, equipment, mailing lists, other assets, or paid employees _„ _ _._ ... c X d If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the#air market value of the goods, other assets, or services given by the reporting organization. If the organization received less than fair market value in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received: N /A (a) (b) (c) (d) Line no. Amount involved Name of noncharitable exempt organization Description of transfers, transactions, and sharing arrangements 16 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 52 a Is the organization directly or indirectly affiliated with, orreiated to, one or more tax-exempt organizations described in section 501(c) of the Code(otherthansection501(c)(3))orinsection527?-__,.____,._-_,_„-_,_ .................................._-...--....-,...._._.-._.__....- Yes OX No b If "Yes," complete the following schedule: N/A Schedule B (Form 990, 990-EZ, or 990-PF) Department of the Treasury Internal Revenue Service Schedule of Contributors Supplementary Information for Tine 1 of Form 990, 990-EZ, and 990-PF (see instructions) OMB No. 1545-0047 2006 Name of organization DUBLIN PARTNERSHIPS IN EDUCATION Organization type(check one): Filers of: Section: Forrn 990 or 990-EZ Form 990-PF © 501(c)( 3) (enter number) organization 4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization 0 501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation Employer identification number 94-3207780 Check if your organization is covered by the General Rule or a Special Rule. (Note: Onlya section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule-see instructions.) General Rule- OX 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 IL) Special Rules- 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 11.) 0 For a section 501(c)(7), (8), or (10) organization filing. Form 990, or Form 990-F2, that received from any one contributor, during the year, aggregate contributions or bequests of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. (Complete Parts I, 11, and III.) 0 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 for use exclusively for 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 an exclusively religious, charitable, etc., purpose. Do not complete any of the Parts unless the General 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-P~, 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 8 (Form 990, 990-EZ, or 990-P~. LHA For Paperwork Reduction Act Notice, see the Instructions Schedule B (Form 990, 990-EZ, or 990-PF) (2006) for Form 990, Form 990-EZ, and Form 990-PF. 623451 03-19-07 17 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 Schedule B (Form 990, 990-EZ, or 990-PF) (2006) Page 1 of 1 of Part I Name of organization DUBLIN PARTNERSHIPS IN EDUCATION Employer identification number 94-3207780 Part 1 COntrlbUtOCS (See Specific Instructions.) (a) No. (b) Name, address, and ZIP + 4 (c) Aggregate contributions (d) Type of contribution 1 BANGOR PROPERTIES, LLC (REALTORS GETTING REAL GRANT) Person ~ 2068 FIRST STREET $ 14, 933. Payroll Noncash L I VERMORE , CA 9 4 5 5 0 (Complete Part II if there is a noncash contribution.) (a) No. (b) Name, address, and ZIP + 4 l~) Aggregate contributions (d) Type of contribution 2 CITY OF DUBLIN ~ Person 100 CIVIC PLAZA $ 12, 500. Payroll 0 Noncash ~ DUBLIN , CA 9 4 5 6 8 (Complete Part II if there is a noncash contribution.) la) No. (b) Name, address, and ZIP + 4 (c) Aggregate contributions (d) Type of contribution 3 CHEVRON CORPORATION Person 6 0 01 BOLL INGER CANYON ROAD $ 5 , 0 0 0 . Payroll 0 Noncash ~ SAN RAMON , CA 9 4 5 8 3 (Complete Part II if there is a noncash contribution.) (a) No. (b) Name, address, and ZIP + 4 (c) Aggregate contributions (d) Type of contribution 4 ORACLE USA, INC. Person 2 2 0 7 BRIDGEPOINTE PARKWAY $ 5, 0 0 0. Payroll 0 Noncash 0 SAN MATEO , CA 9 4 4 0 4 (Complete Part II if there is a noncash contribution.) (a) No. (b) Name, address, and ZIP + 4 (c) Aggregate contributions (d) Type of contribution Person $ Payroll 0 Noncash (Complete Part II if there is a noncash contribution.) (a) No. (b) Name, address, and ZIP + 4 (c) Aggregate contributions (d) Type of contribution Person $ Payroll Noncash (Complete Part II if there is a noncash contribution.) s2saea m-,a_n~ Schedule 8 (form 9 90. 990-EZ, or 990-PF) (2006) 18 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 DUBLIN PARTNERSHIPS IN EDUCATION 94-3207780 FORM 990 SPECIAL EVENTS AND ACTIVITIES STATEMENT 1 DESCRIPTION OF EVENT GROSS RECEIPTS CONTRIBUT. INCLUDED GROSS REVENUE DIRECT NET EXPENSES INCOME GOLF TOURNAMENT 77,710. 77,710. .20,039. 57,671. STUDENT ART AUCTION 55,865. 55,865. 14,999. 40,866. FIREWORKS 12,505. 12,505. 150. 12,355. TO FM 990, PART I, LINE 9 146,080. 146,080... 35,188. 110,892. FORM 990 OTHER EXPENSES STATEMENT 2 (A) (B) (C) (D) PROGRAM MANAGEMENT DESCRIPTION TOTAL SERVICES AND GENERAL FUNDRAISING BANK FEES 2,281.- 2,281. INSURANCE 3,214. 3,214. MARKETING AND ADVERTISING 417. 417. PROFESSIONAL DEVELOPMENT 55. 55. STUDENT ACTIVITIES AND SCHOOL PROGRAMS 32,398. WORKER'S COMPENSATION INSURANCE 1,485. TAXES AND FEES 70. OFFICE SUPPLIES 7$5. BOARD MEETING EXPENSES 438. OFFICE EQUIPMENT EXPENSE 22. MEMBERSHIP DUES 100. SUPPORT OF OTHER NONPROFIT ORGANIZATIONS 906. MISCELLANEOUS EXPENSE 720. 720. 195. TOTAL TO FM 990, LN 43 42,891. 32,398. 34,1in". 8,580. 195. 812. 478. 70. 785. 438. 22. 100. 906. 19 STATEMENT(S) 1, 2 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 DUBLIN PARTNERSHIPS IN EDUCATION 94-3207780 FORM 990 CASH GRANTS AND ALLOCATIONS STATEMENT 3 TO OTHERS CLASS OF ACTIVITY/DONEE'S NAME AND ADDRESS AMOUNT TEACHER GRANTS VARIOUS DUSD TEACHERS DUBLIN UNIFIED SCHOOL DISTRICT DUBLIN, CA 94568 30,710. TOTAL INCLUDED ON FORM 990, PART II, LINE 22B 30,710. FORM 990 STATEMENT OF ORGANIZATION'S PRIMARY EXEMPT PURPOSE STATEMENT 4 PART III EXPLANATION. TO FOSTER MUTUALLY BENEFICIAL BUSINESS EDUCATION PARTNERSHIPS IN ORDER TO MAXIMIZE COMMUNITY RESOURCES FOR THE STUDENTS OF THE DUBLIN UNIFIED SCHOOL DISTRICT. FORM 990 OTHER LIABILITIES STATEMENT 5 DESCRIPTION AMOUNT PAYROLL TAXES PAYABLE DEFERRED GOLF REVENUE TOTAL TO FORM 990, PART IV, LINE 65, COLUMN B 2,337. 13,570. 15,907. 20 STATEMENT(S) 3, 4, 5 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 DUBLIN PARTNERSHIPS IN EDUCATION 94-3207780 FORM 990 PART V-A - LIST OF CURRENT OFFICERS, TRUSTEES AND KEY EMPLOYEES DIRECTORS, - STATEMENT 6 EMPLOYEE TITLE AND COMPEN- BEN PLAN EXPENSE NAME AND ADDRESS AVRG HRS/WK SATION CONTRIB ACCOUNT DONNA MCMILLION EXECUTIVE DIRECTOR 8435 DAVONA DRIVE 30.00 35,345. 0. 0. DUBLIN,. CA 94568 DON BIDDLE PRESIDENT 8435 DAVONA DRIVE 0.00 0. 0. 0. DUBLIN, CA 94568 TESS THOMAS VICE PRESIDENT 8435 DAVONA DRIVE 0.00 0. 0. 0. DUBLIN, CA 94568 WILLIAM MOY TREASURER 8435 DAVONA DRIVE 0.00 0. 0. 0. DUBLIN, CA 94568 DR. DAVE HARKEN BOARD MEMBER 8435 DAVONA DRIVE 0.00 0. 0. 0. DUBLIN, CA 94568 ANGELA FONTES BOARD MEMBER 8435 DAVONA DRIVE 0.00 0. 0. 0. DUBLIN, CA 94568 TED HOFFMAN, JR. BOARD MEMBER 8435 DAVONA DRIVE 0.00 0. 0. 0. DUBLIN, CA 94568 KELLEE JONES BOARD MEMBER 8435 DAVONA DRIVE 0.00 0. 0. 0. DUBLIN, CA 94568 CHRIS BENNETT CO-SECRETARY 8435 DAVONA DRIVE 0.00 0. 0. 0. DUBLIN, CA 94568 KATHY DE JONG CO-SECRETARY 8435 DAVONA DRI`JE 0.00 0. 0. 0. DUBLIN, CA 94568 BILL PRESCOTT BOARD MEMBER 8435 DAVONA DRIVE 0.00 0. 0. 0. DUBLIN, CA 94568 21 STATEMENT(S) 6 16550128.748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 DUBLIN PARTNERSHIPS IN EDUCATION 94-3207780 VICTOR UNO BOARD MEMBER 8435 DAVONA DRIVE 0.00 0. 0. 0. DUBLIN, CA 94568 ALICE WATERMAN BOARD MEMBER 8435 DAVONA DRIVE 0.00 0. 0. 0. DUBLIN, CA 94568 ALCINA WEGRYNOWSKI BOARD MEMBER 8435 DAVONA DRIVE 0.00 0. 0. 0. DUBLIN, CA 94568 PAT KOHNEN LIAISON TO DUSD DOARD 8435 DAVONA DRIVE 0.00 0. 0. 0. DUBLIN, CA 94568 MICHAEL HARTSHORN STUDENT REPRESENTATIVE 8435 DAVONA DRIVE 0.00 0. 0. 0. DUBLIN, CA 94568 TOTALS INCLUDED ON FORM 990, PART V-A 35,345. 0. 0. SCHEDULE A OTHER INCOME' STATEMENT 7 200'5 2004 2003 2002 DESCRIPTION AMOUNT AMOUNT AMOUNT AMOUNT PROGRAM SERVICE REVENUE 0. 0. 0. 37,300. TOTAL TO SCHEDULE A, LINE 22 0. 0. 0. 37,300. 22 STATEMENT(S) 6, 7 16550128 748525 19412 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 Form 8868 (Rev- 4-2007) Page 2 • If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box .............................. - Note. Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868 • If you are filing for an Automatic 3-Month Extension, complete only Part 1(on page 1). Part II Additional (not automatic) 3-Month Extension of Time. You must file original and one copy. Name of Exempt Organization Employer identification number Type or print UBLIN PARTNERSHIPS IN EDUCATION 94-3207780 extendede Number, streets, and room? or suite no. If a P.O. box, see instructions. For IRS use only due date for ~ O ~ BOA 2 3 0 '/ filing the return. See City, town or post office, state, and ZIP code. For a foreign address, see instructions. 'nshu«.°ne. UBLIN , CA 9 4 5 6 8 Check type of return to be filed (File a separate application for each return): © Form 990 0 Form 990-EZ ~ Form 990-T (sec. 401(a) or 408(a) trust) ~ Fonn 1041-A ~ Form 5227 0 Form 8870 0 Form 990-BL 0 Form 990-PF 0 Form 990-T (trust other than above) ~ Form 4720 ~ Form 6069 STOP! Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868. • The books are in the care of - WILLIAM E . MOY TelephoneNo.- (925) 829-1928 FAxNo. - (510) 465`-2979 • If the organization does not have an office or place of business in the United States, check this box ,-__.._..___...,._ .................._....._ ~ • If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) . If this is for the whole group, check this box - 0 . If it is for part of the group, check this box - ~ and attach a list with the names and EINs of all members the extension is for. 4 I request an additional 3-month extension of time until MAY 15 , 2'0.0 8 5 For calendar year , or other tax year beginning JUL 1 , 2 0 0 6 ,and ending JUN 3 0 , 2 0 0 7 6 If this tax year is for less than 12 months, check reason: Initial returh Final return Change in accounting period 7 State in detail why you need the extension MORE TIME IS REQUIRED TO FILE A COMPLETE AND ACCURATE RETURN. 8a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enterthe tentative tax, less any nonrefundable credits. See instructions. If this application is for Fonn 990-PF, 990-T, 4720, or 6069., enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit and any amount paid with Form 8868. c Balance Due. Subtract line 8b from line 8a. Include your payment with this form, or, if required, deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions. Signature and Verification ~ N/A Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete, and that I am authorized to prepare this form. Signature - Title - CPA Date - Notice to Applicant. (To Be Completed by the IRS) We have approved this application. Please attach this form to the organization's return. We have not approved this application. However, we have granted a 10-day grace period from the later of the date shown below or the due date of the organization's return (including any prior extensions). This grace period is considered to be a valid extension of time for elections otherwise required to be made on a timely return. Please attach this form to the organization's return. We have not approved this application. After considering the reasons stated in item 7, we cannot grant your request for an extension of time to file. We are not granting a 10-day grace period. We cannot consider this application because it was filed after the extended due date of the return for which an extension was requested. h-I Other By: Director Date Alternate Mailing Address. Enter the address if you want the copy of this application for an additional 3-month extension returned to an address different than the one entered above. Name TIMPSON GARCIA, LLP Type or print Number and street (include suite, room, or apt. no.) or a P.O. box number 70 WASHINGTON STREET, SUITE 300 City or town, province or state, and country (including postal or ZIP code) os3oi o~ OAKLAND, CA 94607-3705 Form 8868 (Rev. 4-2007) 23 16550128 748525 19412. 2006.08010 DUBLIN PARTNERSHIPS IN EDUC 19412_1 Dublin Partners in Education P.O. Box 2307 Dublin, CA 94568 925.828.2551 x8024 Fax: 925.803.9746 Email: dpie@dublin.k12.ca.us Website: www.dublin.k12.ca.us January 12, 2009 Mr. Roger Bradley Administrative Analyst City of Dublin 100 Civic Plaza Dublin, CA 94568 Dear Mr. Bradley, This letter certifies that the Board of Directors for Dublin Partners in Education, a 501(c)3 organization, approved the submittal of the Community Group Organizational Funding Request Application on January 14, 2009. Sincerely, Mary Beth Phillips Executive Director Dublin Partners in Education DPIE is a 501 (c) (3) Non-Profit organization All donations are tax-deductible to the extent allowable by law. Federal Tax ID 94-3207780 Dublin Partners in Education is anon-profit foundation dedicated to foster mutually beneficial business, community and education partnerships in order to maximize resources and enrich the learning experiences for all students in the Dublin Unified School District. Dublin Partners in Education P.O. Box 2307 Dublin, CA 94568 925.828.2551 x8024 Fax: 925.803.9746 Email: dpie@dublin.k12.ca.us Website: www.dublin.kl2.ca.us ~}{~lC~1r~l~G DPIE is a 501 (c) (3) Non-Profit organization All donations are tax-deductible to the extent allowable by law. Federal Tax ID 94-3207780 Dublin Partners in Education is anon-profit foundation dedicated to foster mutually beneficial business, community and education partnerships in order to maximize resources and enrich the learning experiences for all students in the Dublin Unified School District. ACCIRIJ! CERTIFICATE OF L!A$!LlTY INSURANCE oP~D JF DATEIMMlDD/YYYY) DUBLI-1 Ol 13 09 PRODUCER THIS CERTIFICATE tS tSSUED AS A MATTER OF INFORMATlO Nonprofit Services Ins . Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE -F'~>nnis Costa HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 43 Hopyard Rd. #169 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW rseasanton CA 94588 Phone: 877-669-5101 Fax: 8'77-669-5109 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: 23IAC INSURER B: State Campensatian Inc. Fund Dublin Partners In Education INSURER C: P . O . BOX 2.307 INSURER D: Dublin CA 94568-1599 INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN tSSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, fiERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT iNITH RESPECT TO WHICH THIS CERTIFICATE MAY BE tSSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLK:Y NUMBER DATEYMMlDD DATE MM1D UMITS GENERAL IJABIUTY EACH OCCURRENCE $ 1 OOO ~ OOO A X COMMERCIAL GENERALLiABILITY 2008-12954-NPO 03jb9j0$ 03/09J09 PREMISES (Easxcuren~ $ 100,000 CLAIMS MADE a OCCUR MED EXP (fury one person) $ 10 r OOO PERSONAL 8 ADV INJURY $ 1 ~ OOO ~ 000 X liquor liabl.llty GENERAL AGGREGATE $ 1 r OOO ~ OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG $ 1 OOO ~ OOO POLICY PRO- JECT LOC AUT OMOBILE uAB1UTY COMBINED SINGLE LIMIT $ 1 OOO a0a A ANY AUTO ZOOS-12954-NPO 03/09j08 03f09/09 (EaacadeM> ~ , ALL OW NED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per persrm) HIRED AUTOS BODILY INJURY $ $ NON-0WNEDAUTOS (Peracadent) PROPERTY DAMAGE ~ (Per accident) GARAGE LU181UTY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC OTHER THAN $ AUTO ONLY: AGG $ EXCESSlUMBRELLA LU-BIUTY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS'LlABI X TORY LiMRS ER _ B LITY ANY PROPRIETORIPARTNER/EXECUTIVE 1761723-08 12/01/08 12/01/09 E.L. EACH ACCIDENT S 1000000 OFFICERJMEMBER EXCLUDED? tf es des ibe und E.L. DISEASE-EA EMPLOYE $ 1OD000O yy , cr er SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ ~ OOOOOO OTHER ...........~.. .. ... ...-~.....,v..a. a. 'c,.vrtar vcrnt,r.caru~warvna AUUtu tll tl'1WKStMENTlSPELIAL PROVISIONS * 10 days notice of cancellation for nonpayment of premium. Certificate balder is included as an Additional-InsuredjLandlord as respects our insured's use of the Regional Raom on 1J22J2009 for an appreciation event. CERTIFICATE HOLDER CANCELLATION C I TYDUB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, T1iE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O * DAYS 4vRtrrEN NOTICE TO THE CERTIFICATE HOLDER NAMED 70 7HE LEFT, BUT FAILURE TO DO SO SHALL City Of Dublin IMPOSE NO OBIJGATION OR uABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR - 100 C1V1C Plaza REPRESENTATIVES. Dublin CA 94568 RUTH REPRESENTATt ~~~~ ,~,, ~ti ol~prof its' . ~ ~~~~ i\onprofit~ Insurance .alliance of California COMMERCfAL GENERAL LWBILtTY COVERAGE PART DECLARATIONS NONPROFITS' INSURANCE ALLIANCE OF CAL{FORMA P.O. Box 8507, Santa Cruz, CA 95061 P: (800) 359-6422 Nonprofits' Insurance F: (831)459-0853 Alliance of California A tFM i0R 61SUQMICE... A tEARf f0! N5 PRODUCER: Nonprofit Services (ns. Agency 2843 Hopyard Rd #169 Pleasanton, CA 94588 NAME OF INSURED AND MAIt_tNG ADDRESS: Dublin Partners in Education h.0. Box 2307 Dublin, CA 94568 POLICY NUMBER: 200&12954 -NPO RENEWAL OF NUMBER: 2007-12954 -NPO POLICY PERIOD: FROM 03/09/2008 TO 03109/2009 AT 12:01 AM. STANDARD TIME AT YOUR MA{LING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION: Education IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS 01= THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. LtMiTS OF COVERAGE: -~ GENERAL AGGREGATE UMiT toTHER THAN PRODUCTS - coMPt.ErED OPERATIONS) $1,000,000 / PRODUCTS -COMPLETED OPERATIONS AGGREGATE LIMIT ............................. $1,000,000 PERSONAL AND ADVERTISING INJURY LIMIT .................................................... $1,000,000 EACH OCCURRENCE L1MIT ................................................................•---..........---.. $1,000,000 DAMAGE TO PREMISES RENTED TO YOU ......................................................... $1~,OOOanyoneprelnises MEDICAL EXPENSE L1MIT ..................................................................................•--- 10,000anyoneperscxr ADDITIONAL COVERAGES; SOCIAL SERVICE PROFESStONAL LIABILITY EXCLUDED CLASSIFICATtONiS) SEE ATTACHED SUPPLEMENTAL DECLARATIONS SCHEDULE G PREMIUM ;775 FARMS AND ENDORSEMENTS APPLICABLE TO TMS POLICY ARE INCLUDED IN CCIAL LINES COMMMON POLICY DECLARATIONS - ,OUNTERSIGNED: 02/19/2008 BY (AUTHORIZED REPRESENTATIVE) THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS, ff APPLICABLE, TOGETtIER YYlTH THE COMMON POLICY CONDITIONS, COVERAGE FORM(S) ACID FORMS AND ENDORSENEN78, E' ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE /flIMBERED POLICY. NIAC - GL - NPO (02341) NONPF~.drITS' INSURANCE ALLIANCE OF CAL.=.JRN1A P.O_ Box 8507, Santa Cruz, CA 95061 P: (800) 359-6422 F: (839) 459-0853 NONPROFITS OWN COMMERCIAL LINES COMMON POLICY DECLI~RATIONS Nonprofits` Insurance Alliance of California A tF~D f~ ~IRANCE ... A HE/iRTPOR DIO1nY0Ri5 PRODUCER: Nonprofit Services ins_ Agency 2843 Hopyard Rd #169 Pleasanton, CA 94588 NAME OF INSURED AND MAILING ADDRESS: Dublin Partners in Education P.O. Box 2307 Dublin, CA 94568 POLICY NUMBER: 2008-12954- NPO RENEWAL OF NUMBER 2007-12954- NPO POLICY PERIOD: FROM 03/09/200$ TO 03/09/2009 AT 12:01 A.M. STANDARD TIME AT YOUR MA}UNG ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION: Education iN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. THIS POLICY CONSISTS OF THE FOLLOWB~G COVERAGE PARTS FOR WHICH A PREMIUM IS )rIDICATED_ THESE PRENIIL/MS MAYBE SUBJECT TO ADJUSTMENT. PREMIUM COMMERCIAL GENERAL LIABILITY COVERAGE PART -OCCURRENCE .................. $775 COMMERCIAL AUTO LIABILITY COVERAGE PART .................................:................ $150 COMMERCIAL AUTO PHYSICAL DAMAGE COVERAGE~PART .................................... Not Covered IMPROPER SEXUAL CONDUCT COVERAGE PART .......................... Not Covered COMMERCIAL LIQUOR LIABILITY COVERAGE PART ................................................... INCLUDED TERRORISM COVERAGE (Certified Acts) --• .................................................................... Not Covered TOTAL: _ __ 5925 FORMS} AND ENDORSEMENT(S) MADE A PART OF THIS POLICY AT•71ME OF ISSUE:• NIAGGL-NPO NWGl1-NPO NIAC-AL-NPO SCHEECULE GJ0180.. SGt~DULE W180, SCHEDULE BAi0180. CG 00 01!07 98. NPO-001/0208. NWC-X1/02, N1AC•E311.89. NIAC£IH004, NWC-E11t7-92, NtAG~E121S92. NIAG-E15r3~+94. N{RC-E?TJ8-3rs. NWC-E25I0't 98. N1AG•E28-1~99, NIAC-E29J1-9.4. NtAC400. NtAGES3N-02, NIAC-E42/0706, CG2101/11 85, CG 00 3310196, CG 2011-NP010196, CG 2012/07 ~, CG2018i11-85, CG2020111-85, CG 2(128107 04, CG 20 34N7 04, CG 21 16107 ~, CG 2190ID1 O6, CG223Ql11-$5, CG2244111-85, CG2407fi 1-85, GG2504l11-85, CG7794/04 93, IL 00 17111 98, IL 02 70!11 04, 'OlIMTS APPLICABLE FORMS AND ENDORSEMENT$ IF SHOWN !N SPECIFIC COYERA6E PART /COVERAGE FORM DECLARATIONS. ~- COUNTERSIGNED: 02119!2008 BY (AUTHORIZED REPRESENTATIVE) THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS, ~ APPUCI-BLE, TOGETHER W}TII THE C01lIMON POLICY CONDR}OHS, COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS. IF ANY. ISSUED TO FORM A PART THEREOF, COMPLETE TIC ABOVE NUMBERED POLICY. NIAC - CO - NPO (02341 -AB> PRODUCER: NONPFt..rITS' INSURANCE ALLIANCE OF CAL. JRNIA P.O. Box 8507, Santa Cruz, CA 95061 P: (800) 359-6422 F: {831) 459-0853 Nonprofits' Insurance Alliance of California A fEM fOR R~IIIR7AHCF ... A 4~ART FOR NOt~RROFIiS NONPROFITS OWN COMMERCIAL LINES COMMON POLICY DECLARATIONS POLICY NUMBER: 2008-12954- NPO Nonprofit Services Ins. Agency 2843 Hopyard Rd #169 Pleasanton, CA 94588 NAME OF INSURED AND MAILING ADDRESS: Dublin Partners in Education P.O. Box 2307 Dublin, CA 94568 RENEWAL OF NUMBER 2007-12954- NPQ POLICY PERIOD: FROM 03/09/2008 TO 03/09/2009 AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION: Education IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJEGT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED iN THIS POLICY. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS Ft)R WHICH A PREMIUM iS >F~IDICAT®. THESE PREMIUMS MAY SE SUB.IECT TO ADJUSTMENT. PREMIUM COMMERCIAL GENERAL LIABILITY COVERAGE PART -OCCURRENCE .............:.... $775 COMMERCIAL AUTO LIABILITY COVERAGE PART .................................................. $150. COMMERCIAL AUTO PHYSICAL DAMAGE COVERAGE'PART .................................... Not Covered IMPROPER SEXUAL CONDUCT COVERAGE PART .........................:. Not Covered COMMERCIAL LIQUOR LIABILITY COVERAGE PART ................................................... INCLUDED TERRORISM COVERAGE (Certified Acts) ...................................................:................... Not Covered TOTAL: ;925 FORM(S) AND ENDORSEMENT(S) MADE A PART OF THIS POLICY AT TIME OF ISSUE:` NIAC-GL-NPO NIAC-Li..-NPO NIAC-AL-NPO SCHEDULE G101 80, ~ SCHEDULE U01 80, SGHEflULE BA/01 80, Cc o0 o1ro~ sa, NPO.001/02 08, RIIAGX1K18 O2, NIAC-E3/1-99, NIAC-E7110 04, NFAG-E41/7-92, NIAC-E1?/5.92, NIAC-E15/3-94, NIAC-E22/8-95, NWC~2510198, NWC-E28/1-99. NU-GE29H-99. NIAC-E30/4~. NU1C-E33N-02. NIAC-Ed2J07 °8. CG2101H 185, CG 00 3310198, CG 2011~JPOro1 9B, CG 2012roT 98, CG2018/i 1-85, CG2020/11~55, CG 20 26107 fl4, CG 20 34!07 04. CG 21 16/07 98, CG 21 90ro1 06, CG2230H 1-85, CG224AN 1-85, CG2407/11,85, CG2504/11~5, CG7794ro4 93, IL 0017!11 98, IL 02 70!11 04, 'OMITS APPUCABIE FORMS AND ENDORSEMENTS IF SHOWN IN SPECIFIC COVERAGE PART /COVERAGE FORM DECLARATIONS. COUNTERSIGNED: 02!19/2008 BY ,.~.~~. -- (AUTHORIZED REPRESENTATIVE) THESE DECLARATIONS AND THE COMMON POLKY DECLARATIONS, N• APPLICABLE, TOGE'niER WITH'fHE COMMON POLICY CONDI'RONS, COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS. IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. NIAC - CO - NPO t°23°1 -AS) ~ • • • NONPROFITS' INSURANCE ALLIANCE OF CALIFORNIA P.O. Box 8507, Santa Graz, CA 95061 - P: (800} 359-6422 . .. F: (831) 459-0853 Nonprofits' Insurance Alliance of California A kEAO FOY BJS1mANCE ... A Nrl1RT FOR NONPRORI$ COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS PRODUCER: Nonprofit Services Ins. Agency 2843 Hopyard Rd #169 Pleasanton, CA 94588 POLICY NUMBER: 2008-12954 -NPO RENEWAL OF NUMBER: 2007-12954 -NPO NAME OF INSURED AND MA{LING ADDRESS: Dublin Partners in Education P.O. Sox 2307 Dublin, CA 94568 POLICY PERIOD: FROM 03/09/2008 TO 03/09/2009 AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION: Education iN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. LIMITS OF COVERAGE: GENERAL AGGREGATE LIMIT toTHER THAN PRODUCTS -COMPLETED OPERATIONS) $1,000,000 PRODUCTS -COMPLETED OPERATIONS AGGREGATE LIMIT ............................. $1,000,000 PERSONAL AND ADVERTISING INJURY LIMIT .................................................... $1,000,000 EACH OCCURRENCE LIMIT ................................................................................... $1,000,000 DAMAGE TO PREMISES RENTED TO YOU ......................................................... $100,000 any one premises MEDICAL EXPENSE LIMIT ................................................ .... 10,OOOanyoneperson ADDITIONAL COVERAGES: SOCIAL SERVICE PROFESSIONAL LIABILITY EXCLUDED CLASSIFICATION(S) SEE ATTACHED SUPPLEMENTAL DECLARATIONS SCHEDULE G PREMIUM $775 FORMS AND ENDORSEMENTS APPLICABLE TO THIS POLICY ARE INCLUDED )N COMMERCIAL LINES COMMMON POLICY DECLARATIONS -_ ~ ~ ,~. .;OUNTERSIGNED: 02/19/2008 BY (AUTHORIZED REPRESENTATIVE) FHESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS, IF APPLICABLE, TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE FORM{S) AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED 70 FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. NIAC - GL - NPO {02341) City of Dublin Fiscal Year 2009-2010 Application for Funds APPLICATION VERIFICATION I attest that the information contained in this FY 2009-2010 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: ~~ ~~.,~~ _ ~;~- ~a Executive irector Date l ~~ ~~ Board President/Chairperson Date SECTION 2 Page 17 of 22 w Dublin Partners in Education P.O. Box 2307 Dublin, CA 94568 925.828.2551 x8024 Fax: 925.803.9746 Email: dpie@dublin.kl2.ca.us Website: www.dublin.k12.ca.us Y`~`~LLI'~'1VYl-Eal~t t~ DPIE is a 501 (c) (3) Non-Profit organization All donations are tax-deductible to the extent allowable by law, Federal Tax ID 94-3207780 Dublin Partners in Education is anon-profit foundation dedicated to foster mutually beneficial business, community and education partnerships in order to maximize resources and enrich the learning experiences for all students in the Dublin Unified school District. STATE OF CAUFORNtA - ~ FRANCHDSE TAX BOARp ~~ PO BOX 942857 -~ ~" SACRAMENTO, CA 94257-0540 ENT#TY SY~41'l!S in Reply Refer To: 657HEZ Date t)3113106 Note: This letter does not reflect the entity's status with any other agency. Entlfy Name :DUBLIN PARTNERSHIPS IN EDUCATION ntityNumber...:..1.885462--_ __.-_ -------._-_ ___.--__ __ _ ___ ~. ~ 1. The above entity is in good standing with #his agency. ~ . 2. The above entity is currently exempt from tax under Revenue and Taxation Cade Section 237tH D. ~ 3. Our recards indicate the above enti#y is not incorporated, qualified, organized, or registered through the Secretary of State to transact business in California. ~ 4. The above entity was incorporated, qualified, organized, or registered through the Secretary of State on ~ 5. The above entity has an unpaid liability of $ for account period(s) ending ~ 6. Our records do not show that the above entity filed returns for account period{s} ending ~ 7. The above entity was effective ~ 8. The above entity's current address on record with this agency is: ~ 9. We do not have current informa#ion about the above entity. omments: REP NTA SSISTANCE ;lephone assistance is available year-round from 7 a.m. until 8 p.m. Monday through Friday. From January through June, assistance also available from 8 a.m. until 5 p.m. on Saturdays. We may modify these hours without notice to meet operational needs. From within the United States, call ................................. (800} 852-5711 From outside the United States, call (not toll-free} .,...,,..~,,, (816} 845-8500 Website at: www.ftb.ca.gov ~sistance for person with disabilities: We comply with the Americans w'sth Disabilities Act. Persons with hearing or speech pairments please call TfY/TOD (800) 822-6288. t 4263A {REV OS-2002)