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Agenda PacketCITY OF CUPERTINO PARKS AND RECREATION COMMISSION AGENDA 10185 N Stelling Rd, Quinlan Social Room Thursday, April 4, 2024 7:00 PM CALL TO ORDER ROLL CALL APPROVAL OF MINUTES 1.Subject: March 7, 2024 Parks and Recreation Commission Meeting Minutes Recommended Action: Review and approve the March 7, 2024 Parks and Recreation Commission meeting minutes. A - Draft Minutes POSTPONEMENTS ORAL COMMUNICATIONS This portion of the meeting is reserved for persons wishing to address the Commission on any matter within the jurisdiction of the Commission and not on the agenda. Speakers are limited to three (3) minutes. In most cases, State law will prohibit the Commission from making any decisions with respect to a matter not on the agenda. WRITTEN COMMUNICATIONS OLD BUSINESS NEW BUSINESS 2.Subject: Commissioner Discussion on Fiscal Year 2023-25 City Work Program Item Senior Services and Youth Engagement Recommended Action: Discussion of Commissioners on the Fiscal Year 2023-25 City Work Program item Senior Services and Youth Engagement. 3.Subject: Fiscal Year 2024-25 Community Funding Application Evaluations and Recommendation to City Council. Page 1 1 PRC 04-04-2024 1 of 196 Parks and Recreation Commission Agenda April 4, 2024 Recommended Action: Receive staff report, allow for clarifying questions, receive public comment, receive Commissioner scoring, consider evaluations, and decisions to provide funding recommendation to City Council for the Fiscal Year 2024-25 Community Funding applications. Staff Report A - Community Funding Grant Policy B - Community Funding Applications & Eligibility Criteria C - Commissioner Community Funding Evaluation Form D - Evaluation Totals Form E - Community Funding Historical Funding FY 2019 to 2024 F - Community Funding Applications Summary STAFF AND COMMISSION REPORTS COMMISSIONER ATTENDANCE AT UPCOMING MEETINGS AND EVENTS FUTURE AGENDA SETTING ADJOURNMENT In compliance with the Americans with Disabilities Act (ADA), anyone who is planning to attend this meeting who is visually or hearing impaired or has any disability that needs special assistance should call the City Clerk's Office at 408-777-3223, at least 48 hours in advance of the meeting to arrange for assistance. In addition, upon request, in advance, by a person with a disability, meeting agendas and writings distributed for the meeting that are public records will be made available in the appropriate alternative format. Any writings or documents provided to a majority of the members after publication of the agenda will be made available for public inspection. Please contact the City Clerk’s Office in City Hall located at 10300 Torre Avenue, Cupertino, California 95014, during normal business hours. IMPORTANT NOTICE: Please be advised that pursuant to Cupertino Municipal Code section 2.08.100 written communications sent to the Cupertino City Council, Commissioners or City staff concerning a matter on the agenda are included as supplemental material to the agendized item. These written communications are accessible to the public through the City’s website and kept in packet archives. Do not include any personal or private information in written communications to the City that you do not wish to make public, as written communications are considered public records and will be made publicly available on the City website. Members of the public are entitled to address the members concerning any item that is described in the notice or agenda for this meeting, before or during consideration of that item. If you wish to address the members on any other item not on the agenda, you may do so during the public comment. Page 2 2 PRC 04-04-2024 2 of 196 CITY OF CUPERTINO Agenda Item 24-13057 Agenda Date: 4/4/2024 Agenda #: 1. Subject: March 7, 2024 Parks and Recreation Commission Meeting Minutes Review and approve the March 7, 2024 Parks and Recreation Commission meeting minutes. CITY OF CUPERTINO Printed on 3/27/2024Page 1 of 1 powered by Legistar™4 PRC 04-04-2024 3 of 196 CITY OF CUPERTINO PARKS AND RECREATION COMMISSION 10185 N Stelling Rd, Quinlan Social Room Thursday, March 7, 2024 7:00 PM DRAFT MINUTES CALL TO ORDER Chair Shearin called the Parks and Recreation Commission meeting to order at 7:00 p.m. in the Quinlan Community Center Social Room, 10185 N Stelling Rd. ROLL CALL Commissioners present: Jennifer Shearin, Hemant Buch (7:01 p.m.), Carol Stanek, Seema Swamy (7:02 p.m.), Claudio Bono Commissioners absent: None Staff present: Jenny Koverman, Jessica Javier, Jacinta Liang, Susan Michael, Chad Mosley, Matt Morley Guest speakers: Casey Case, Michael Freitag, Shauna Wright APPROVAL OF MINUTES 1.Subject: February 1, 2024 Parks and Recreation Commission Meeting Minutes Recommended Action: Review and approve the February 1, 2024 Parks and Recreation Commission meeting minutes. Commissioner Bono requested to update the minutes to include that he recommended implementation of dynamic rates verses static rates in order to increase revenue for the City. Commissioner Bono motioned to approve the February 1, 2024 Parks and Recreation meeting minutes as amended. Commissioner Stanek seconded. Motion carried with 3 yes (Shearin, Stanek, Bono) and 2 absent (Buch, Swamy). POSTPONEMENTS None ORAL COMMUNICATIONS None WRITTEN COMMUNICATIONS Written communications were emailed to the commission and are included for the record. 5 PRC 04-04-2024 4 of 196 OLD BUSINESS None NEW BUSINESS 2.Subject: Memorial Park Specific Plan design and the Parks & Recreation System Master Plan initial study/mitigated negative declaration (IS/MND) Addendum. Recommended Action: Recommend that City Council approve the Memorial Park Specific Plan (“Plan”) design and adopt the addendum to the Parks & Recreation System Master Plan (PRSMP) initial study/mitigated negative declaration (IS/MND). Jenny Koverman, Recreation Manager, introduced Susan Michael, Capital Improvement Programs (CIP) Manager, to present on the item. CIP Manager Michael provided an overview on the purpose of the item and introduced Casey Case, Principal in Charge from GATES and Associates to present. Presented on the background of the project and the final concept plan and introduced Michael Freitag, Project Manager from GATES and Associates to present. Presented on the festivals and events area, site circulation, and proposed trees. GATES Consultant Case then followed up on the implementation phases and next steps. Commissioner Buch requested clarification on the added trees in relation to a reduction in open space. GATES Consultant Freitag clarified that the park currently has a lot of open lawn space, and the addition of the trees will help better define the spaces. GATES Consultant Case added that in the renderings they incorporated event tents and clarified that the trees add for more structure and usability for events. CIP Manager Michael added that a priority of the project was to provide for festivals and events, and the final concept plan was designed with that intent. Commissioner Stanek requested clarification on the number of bocce ball courts. GATES Consultant Case clarified one bocce ball court. Commissioner Stanek requested clarification on the height of the softball field fence in front of the picnic area as there have been concerns previously that it is not tall enough. CIP Manager Michael clarified that concern is more operational and could be addressed presently verses being added to the final concept plan. Commissioner Stanek requested clarification on the proposed implementation timeframe and whether there could be parts implemented earlier such as the dog off- leash area (DOLA). CIP Manager Michael clarified that the phasing implementation 6 PRC 04-04-2024 5 of 196 was a suggestion with associated costs, and yes there could be elements taken out and implemented separately. Commissioner Swamy requested clarification on prioritization of the phases and whether or not the pickleball and bocce ball courts will be prioritized as they are more functional and usable. GATES Consultant Case clarified that they prioritized the elements they heard from the community while also thinking about infrastructure and constructability. Added that the recommendations take into account logical sequencing, and it doesn’t necessarily have to go in that order – it can evolve as funding becomes available. Commissioner Bono requested clarification on whether or not there were contingencies for drought. CIP Manager Michael clarified that drought resistant plantings such as native plants have always been a priority and will be a long-term condition. Commissioner Bono requested clarification on the specifics for the amphitheater upgrades including evaluation of costs based on the number of parking spaces for events. CIP Manager Michael clarified that there were extensive parking studies done showing that the parking was adequate for day to day and to use DeAnza College for events. Added that originally there was additional parking where the pickleball courts are, and they were asked to reduce the added parking to accommodate more pickleball courts. Clarified that there are no specific amphitheater upgrades decided yet, but it will focus mainly on accessibility. Chair Shearin requested clarification on how the following dates were determined – construction starting in 2028 and lasting approximately 15 years. CIP Manager Michael clarified that they took into account the City’s fiscal reality given they would need to figure out funding sources. GATES Consultant Case added that it is an estimate based on the magnitude of the improvements and the likelihood of funding. Chair Shearin opened public comment. Andrea Wald, representing Community for Natural Play Surfaces, advocated for no artificial turf in any of the open grass areas and no toxic materials (such as PIP) in the playground. Deepa M, Cupertino resident, supported the addition of a dog off-leash area (DOLA) in the Memorial Park Specific Plan and supported starting a DOLA trial earlier than the implementation of the entire plan. 7 PRC 04-04-2024 6 of 196 Chair Shearin closed public comment. Chair Shearin requested clarification on whether or not there were plans for artificial turf. GATES Consultant Case clarified that there are currently no plans for artificial turf. Chair Shearin requested clarification on whether or not implementing a DOLA was operational and if it would be up to City staff. Recreation Manager Koverman clarified that it would be up to staff as it is a City program. Commissioner Stanek supported the basketball court, new restroom in the middle of the park, upgrades to the two on sides, all-abilities playground using safe materials, pickleball courts location, and the softball field shared use for a DOLA. Expressed concerns surrounding one bocce ball court given that it would not support the current senior social program as they take up two bocce courts at Blackberry Farm. Commissioner Swamy supported Commissioner Stanek’s comments and the Memorial Park Specific Plan as a whole. Vice Chair Buch supported a multi-generational playground and requested clarification on the all-abilities playground and whether it is multi-generational. CIP Manager Michael clarified that the playground would bring together all generations and abilities. Commissioner Bono supported Commissioner Stanek’s comments and requested clarification on the implementation estimated costs and whether or not it could change in the next three to four years once inflation goes down (therefore helping with cost savings). CIP Manager Michael clarified that it would be up to the community, Commissions, and City Council given the funding reality. Chair Shearin commended the team for taking into consideration what the Commission and community have asked for in the plan – grassy hill light area, amphitheater with ADA accessibility, all-abilities and all generation playground, pickleball courts away from resident homes as much as feasible, no additional parking lots, plantings incorporating low water usage and native species, enhanced bicycle facilities in the park, and consideration for lighting. Expressed concern that during the community outreach process, keeping the softball field was a low community priority, but ultimately was added following Council direction. Commissioner Stanek motioned to recommend that City Council approve the Memorial Park Specific Plan (“Plan”) design and adopt the amendment to the Parks & Recreation System Master Plan (PRSMP) initial study/mitigated negative declaration (IS/MND) 8 PRC 04-04-2024 7 of 196 with the additional comment that when this moves forward there will be consideration for two bocce ball courts. Commissioner Bono seconded. Chair Shearin made a friendly amendment to recommend two bocce ball courts and adopt the addendum to the PRSMP IS/MND. (Commissioner Stanek and Commissioner Bono accepted the friendly amendment). The motion to recommend that City Council (1) adopt the Addendum to the Parks & Recreation System Master Plan initial study/mitigated negative declaration and (2) approve the Memorial Park Specific Plan design with the recommendation to consider two bocce courts when implementation of the design moves forward, as amended carried unanimously. 3. Subject: Review Fiscal Year 2024-2025 Community Funding Grant Applications and Program Evaluation Process Recommended Action: Review Fiscal Year 2024-2025 Community Funding Grant Applications and Program Evaluation Process Recreation Manager Koverman introduced Jacinta Liang, Management Analyst, to present on the item. Chair Shearin called for a five-minute break at 7:46 p.m. and resumed the meeting at 7:51 p.m. Management Analyst Liang requested that Commissioners make it known for complete transparency if they are affiliated with any of the applicant organizations. Vice Chair Buch and Commissioner Bono are members of Cupertino Rotary. Management Analyst Liang presented an overview of the community funding item and moved into the applicant presentations and clarifying questions from Commissioners. Each organization was given three minutes to present, and Commissioners were given a total of eight minutes across all applicant presentations to ask clarifying questions. 1.) Special Olympics Northern California for their 2024 Spring Games. Representatives from the organization presented and Commissioners asked clarifying questions: • Commissioner Buch requested clarification on whether or not they have looked into sponsorships. Special Olympics Northern California clarified that they do rely heavily on sponsorships for all their events – they currently do not have any sponsorships for this specific event, but their team is actively working on additional sponsorships. 9 PRC 04-04-2024 8 of 196 • Commissioner Stanek requested clarification from City staff on whether or not the Commission has previously approved community funding grants for an event that occurs prior to the fiscal year funding period. Management Analyst Liang clarified that staff would check and follow-up. • Commissioner Stanek requested clarification on whether or not they have done this event in Cupertino before. Special Olympics Northern California clarified that this would be their second year in Cupertino following COVID. • Commissioner Bono requested clarification on the calculation of travel and lodging costs. Special Olympics Northern California clarified that they work with a travel agent. • Chair Shearin requested clarification on whether or not it’s typical that almost 25% of the participants are from the City where the event is held. Special Olympics Northern California clarified that an estimated 50 participants are within the Cupertino billing address out of 200 participants. • Commissioner Bono requested clarification on exposure for the event. Special Olympics Northern California clarified that all their events are widely advertised through their social media platforms, websites, and word of mouth through their coaches, athletes, and families. 2.) Bay Area Urban Eagles for their Summer Aviation Academy 2024. Representatives from the organization presented and Commissioners asked clarifying questions: • Commissioner Swamy requested clarification on how they identify at risk youth and the how they came up with the targeted number of participants. Bay Area Urban Eagles clarified that they want to provide a more intimate and engaging one on one experience. • Commissioner Stanek followed up on Commissioner Swamy’s clarification question regarding how they identify at risk youth. Bay Area Urban Eagles clarified that “at risk” means students who are not exposed to aviation or the potential career opportunities available. • Vice Chair Buch requested clarification on whether or not the program was free. Bay Area Urban Eagles clarified that the program is free. • Vice Chair Buch requested clarification on advertising efforts. Bay Area Urban Eagles clarified that they have a community engagement plan that includes them going to schools in the Cupertino community. • Vice Chair Buch requested clarification on whether or not they considered a sliding scale instead of offering the program for free. Bay Area Urban Eagles clarified that would go against their mission statement as at risk youth aren’t in aviation because of costs. • Chair Shearin requested clarification on how many kids in Cupertino have participated in their programs previously. Bay Area Urban Eagles clarified that this would be the first time. 10 PRC 04-04-2024 9 of 196 • Commissioner Stanek requested clarification on whether or not they would still be able to offer the program if they were only awarded a partial funding amount. Bay Area Urban Eagles clarified that they would make program adjustments such as participants bringing their own supplies while keeping costs as low as possible. 3.) Cupertino Little League for their Scoreboard Replacements at Wilson Park. Representatives from the organization presented and Commissioners asked clarifying questions: • Vice Chair Buch requested clarification on whether the scoreboards were electric or solar. Cupertino Little League clarified electric. • Commissioner Stanek requested clarification on who would own and maintain the scoreboards. Cupertino Little League clarified that the City would own and maintain the scoreboards. 4.) Omniware Networks for their project Improve Mental Health for Low Income Seniors. Representatives from the organization presented and Commissioners asked clarifying questions: • Commissioner Swamy requested clarification on whether or not the target demographic was Chinese only. Omniware Networks clarified that they target the entire community. • Commissioner Swamy requested clarification on the breakdown of the demographics. Omniware Networks clarified that they offer services in English, Spanish, and Chinese. • Chair Shearin requested clarification on whether or not everything offered is through the Cupertino Senior Center. Omniware Networks clarified that they also partner with Sunnyvale Senior Community and West Valley Social Services. • Chair Shearin requested clarification on the differences between their services and those currently offered at the Cupertino Senior Center as there seems to be duplicates. Omniware Networks clarified that they have been talking to the Cupertino Senior Center to ask what programs are unique and they then offer services based on that response – they only partner with the Cupertino Senior Center for two out of the eight events. • Commissioner Bono requested clarification on whether they also include Chateau Cupertino. Omniware Networks clarified yes. 5.) Rotary Club of Cupertino for their project Rebuilding Together House Renovations. Representatives from the organization presented and Commissioners did not have any clarifying questions. 6.) STEMBoost for their Elementary Science Olympiad Summer Workshops. Representatives from the organization presented and Commissioners asked clarifying questions: 11 PRC 04-04-2024 10 of 196 • Commissioner Stanek requested clarification on where the workshops were held last year and whether or not students attended multiple workshops. STEMBoost clarified they were held at Omei Academy and St. Jude’s Church in Cupertino, and that students did attend multiple workshops. • Commissioner Stanek requested clarification on number of anticipated workshops for this year. STEMBoost clarified six to eight workshops. • Commissioner Swamy requested clarification on how they define low-income students in Cupertino and how many were low-income in 2023. STEMBoost clarified that they ask the question Does your student receive free lunch from school? on the application to determine low-income, and there were 91 out of 500 self-reported low-income students. • Chair Shearin requested clarification on whether or not the 91 low-income students were all from Cupertino. STEMBoost clarified that all 500 students were from Cupertino. • Vice Chair Buch requested clarification on how many Science Olympiad programs there are in Cupertino. STEMBoost clarified that other schools (such as Kennedy and Miller) have teams independent from STEMBoost. • Vice Chair Buch requested clarification on their outreach to the schools. STEMBoost clarified that they reach out to all schools in Cupertino and only accept students who are Cupertino residents. 7.) Cupertino Symphonic Band for their Band Equipment and Materials. Representatives from the organization presented and Commissioners asked clarifying questions: • Chair Shearin requested clarification on the 500 number of Cupertino residents served. Cupertino Symphonic Band clarified that they base it on four concerts per year, an estimated 200 per concert. 8.) Monta Vista High School Speech Boosters for their Monta Vista Speech Program. Representatives from the organization presented and Commissioners asked clarifying questions: • Vice Chair Buch requested clarification on the summer camp – commitment level including hours/weeks, number of volunteers, and coaches. Monta Vista High School Speech Boosters clarified it is a one-week intensive summer camp for three to four hours, in the past it has been Monta Vista Speech Captains teaching the students, and that moving forward they are planning to integrate more professional coaches. • Commissioner Swamy requested clarification on whether this is only for Monta Vista or is it open to all High Schools in Cupertino. Monta Vista High School Speech Boosters clarified that the High School Speech Program is only for Monta Vista but that the grant request is focused on the Kennedy Middle 12 PRC 04-04-2024 11 of 196 School Program and Summer Camp that is open to all Cupertino residents and non-Cupertino residents. • Commissioner Swamy requested clarification on advertising and how many students outside of Monta Vista participate. Monta Vista High School Speech Boosters clarified no students outside of Monta Vista for the summer camp – all incoming from Kennedy. Added that their goal is to increase participation from other schools, and they plan to advertise through social media, different initiatives, and working with other organizations. • Commissioner Swamy requested clarification on the number 7,232 Cupertino residents served. Monta Vista High School Speech Boosters clarified that the number represents the potential Cupertino residents that can be served. • Commissioner Stanek requested clarification on how many students participated in the summer camp last year. Monta Vista High School Speech Boosters clarified 19 students. • Chair Shearin requested clarification on whether or not they have received funding for this program from the PTSA, ASB, or FUHSD Foundation, and if they haven’t applied, why not. Monta Vista High School Speech Boosters clarified they have received funding from FUHSD and through donations for the High School Program specifically, but that the Summer Camp and Kennedy Program is new and something they cannot use current funds for. • Chair Shearin requested clarification on the number of Cupertino residents as there are 10,000 students across FUHSD. Monta Vista High School Speech Boosters clarified they are referring to FUHSD and Cupertino middle school students including CUSD. • Chair Shearin requested clarification on a previous community funding grant report from FY21-22 as the funding was supposed to be used on scholarships but was instead used for chaperones and coaches, so how can they ensure that the funding proposed this year will be used for the purpose stated. Monta Vista High School Speech Boosters clarified that they are committed to their mission of equity and inclusiveness, and that they intend on using the funds effectively to better the next generation of students. 9.) AINAK for their Eyeglasses. Representatives from the organization presented and Commissioners asked clarifying questions: • Commissioner Stanek requested clarification on the number of Cupertino residents served from the 18 individuals who received eyeglasses from the FY22-23 community funding grant. AINAK clarified that number should be 100. Chair Stanek requested clarification on how many of the 100 were children. AINAK clarified 50/50. 10.) West Valley Community Services for their Gift of Hope 2024. Representatives from the organization presented and Commissioners asked clarifying questions: 13 PRC 04-04-2024 12 of 196 • Chair Shearin requested clarification for how they determine Cupertino residency. West Valley Community Services clarified that they complete an eligibility client intake where they request documentation/proof of residency. 11.) Chinese American Coalition for Compassionate Care (CACCC) for their Loss and Grief Workshop and Starting the Conversation. Representatives from the organization presented and Commissioners asked clarifying questions: • Commissioner Stanek requested clarification on where the in-person events are held. CACCC clarified they have been virtual but they are gradually bringing them back in-person. Added that they have held them at the Senior Centers previously. • Commissioner Stanek requested clarification on the 5500 total number of individuals and whether that was just virtual programs. CACCC clarified that number encompasses participants in their virtual and in-person programs. • Commissioner Stanek requested clarification on how many participants they see in a particular program. CACCC clarified that the number varies and depends on the program but estimated 300 for a virtual program. • Commissioner Stanek requested clarification on what their most popular program was. CACCC clarified that it is the doctor talks and the virtual forum with spiritual leaders who talk about perspective on end of life. • Commissioner Stanek requested clarification on why $13,000 was the minimum level of funding needed. CACCC clarified that was the amount they have received previously for a community funding grant. • Commissioner Swamy requested clarification on whether or not their target demographic was only the Chinese American community. CACCC clarified they focus on the Chinese American community, but they also collaborate with health care professionals to educate them about cultural barriers. Added that they conduct their programs mainly in Mandarin but if someone is interested in attending, they will arrange for interpretation. • Commissioner Swamy requested clarification on whether there were ideas for making it more inclusive to other demographics while still keeping the programs culturally specific. CACCC commented that they could discuss offline to explore the possibilities. • Chair Shearin requested clarification on whether or not they have reached out to other municipalities for funding. CACCC clarified they have not requested funding from any other municipalities. Commissioner Bono expressed concerns regarding Special Olympics Northern California’s funding request that includes funds for a third-party travel agent as costs could be reduced. 14 PRC 04-04-2024 13 of 196 Vice Chair Buch commented that he hopes the Special Olympics Northern California, if given community funding, can host the event for years to come in Cupertino and that it isn’t a one-time event in the City. Commissioner Swamy commended the Special Olympics Northern California for the work that they do and commented that sometimes there are better rates through an agency for travel and lodging costs. Commissioner Stanek thanked all the applicants for their presentations and for sharing their passions. Management Analyst Liang reviewed the eligibility and evaluation process for the April 4 Parks and Recreation Commission meeting. STAFF AND COMMISSION REPORTS Commissioner Stanek reported on her conversation with San Francisco Shakespeare, the March 5 City Council meeting, and the Earth and Arbor Day Festival eNotification. Vice Chair Buch reported on the February 6 City Council meeting. Commissioner Bono reported on community concerns regarding Parks and Recreation Commission meetings no longer being televised. Chair Shearin reported on the February 6 and March 5 City Council meetings and the Mandatory Annual Commissioner Training. Recreation Manager Koverman presented the Liaison’s update as submitted. COMMISSIONER ATTENDANCE AT UPCOMING MEETINGS AND EVENTS Chair Shearin will attend the upcoming March Mayor’s Commissioners meeting. Chair Shearin will attend the [April 3] City Council meeting to represent the Parks and Recreation Commission for the Memorial Park Specific Plan item. FUTURE AGENDA SETTING None ADJOURNMENT Chair Shearin adjourned the meeting at 9:33 p.m. to the April 4, 2024 meeting at 7:00 p.m. 15 PRC 04-04-2024 14 of 196 Respectfully Submitted by, Jessica Javier, Administrative Assistant Parks and Recreation Department Minutes approved at the _____ regular meeting 16 PRC 04-04-2024 15 of 196 CITY OF CUPERTINO Agenda Item 24-13068 Agenda Date: 4/4/2024 Agenda #: 2. Subject: Commissioner Discussion on Fiscal Year 2023-25 City Work Program Item Senior Services and Youth Engagement Discussion of Commissioners on the Fiscal Year 2023-25 City Work Program item Senior Services and Youth Engagement. CITY OF CUPERTINO Printed on 3/27/2024Page 1 of 1 powered by Legistar™17 PRC 04-04-2024 16 of 196 CITY OF CUPERTINO Agenda Item 24-13058 Agenda Date: 4/4/2024 Agenda #: 3. Subject: Fiscal Year 2024-25 Community Funding Application Evaluations and Recommendation to City Council. Receive staff report, allow for clarifying questions, receive public comment, receive Commissioner scoring, consider evaluations, and decisions to provide funding recommendation to City Council for the Fiscal Year 2024-25 Community Funding applications. CITY OF CUPERTINO Printed on 3/27/2024Page 1 of 1 powered by Legistar™18 PRC 04-04-2024 17 of 196 PARKS AND RECREATION COMMISSION STAFF REPORT Meeting: April 4, 2024 Subject Fiscal Year 2024-25 Community Funding Application Evaluations and Recommendation to City Council. Recommended Action Receive staff report, allow for clarifying questions, receive public comment, receive Commissioner scoring, consider evaluations, and decisions to provide funding recommendation to City Council for the Fiscal Year 2024-25 Community Funding applications. Discussion Background At the March 7th Parks and Recreation Commission meeting, the 11 applicants for the Fiscal Year (FY) 2024-25 Community Funding Grant Program had the opportunity to attend, provide additional information on their request, and answer any clarifying questions from Commissioners. Prior to the meeting, staff reviewed all submitted applications for completeness and eligibility, determined by compliance to the Community Funding Policy (Attachment A). The Commission was provided with all applications as well as the staff evaluation forms (Attachment B). The application requested organizations provide the minimum funding amount needed for their program/project/event if only partial funding was awarded and two organizations provided responses: 1. STEMBoost Minimum Amount: $3,000 ($4,000 requested) 2. Chinese American Coalition for Compassionate Care (CACCC) Minimum Amount: $13,000 ($15,000 requested) Evaluation Process At the April 4th regular meeting, the Commission will facilitate the evaluation process and will provide a funding recommendation to City Council. Prior to this meeting the Commissioners should prepare their preliminary evaluation scoring for the organizations. Commissioners will have the opportunity to discuss organization 19 PRC 04-04-2024 18 of 196 eligibility and to ask clarifying questions. After receiving public comment on the item, the Commissioners will complete their evaluation form (Attachment C) before providing their total out of 100 for each application. Staff will take the totals from each Commissioner and compile them into the evaluation totals form (Attachment D). The Commission will continue the discussion of the data utilizing the evaluation totals form, will have the opportunity to adjust rankings accordingly, and will determine a funding recommendation for City Council. Historical funding information for the past five years is included as a reference (Attachment E). Eligibility Staff concluded that 11 applications fully met eligibility requirements which is reflected in the Community Funding Applications Summary (Attachment F). Final eligibility of applications will be determined by the Commission during the evaluation process. When completing the evaluation form, Commissioners should give a score of zero to any applicants they do not deem eligible. Any applicants deemed eligible should be evaluated according to the given criteria. The Commission will be able to review the scores during the evaluation process and discuss eligibility further as a group. Sustainability Impact No sustainability impact. Fiscal Impact The Commission will review application evaluations and provide a recommendation regarding funding to City Council for final approval. Prepared by: Jacinta Liang, Management Analyst Reviewed by: Jenny Koverman, Recreation Manager Approved by: Rachelle Sander, Director of Parks and Recreation Attachments: A – Community Funding Grant Policy B – Community Funding Applications & Eligibility Criteria C – Commissioner Community Funding Evaluation Form D – Evaluation Totals Forms E – Community Funding Historical Funding FY 2019 to 2024 F – Community Funding Applications Summary z 20 PRC 04-04-2024 19 of 196 Revised due to November 15, 2022 City Council Meeting PURPOSE SCOPE POLICY Fiscal Policies – Community Funding Grant Policy The City of Cupertino currently provides funding to local non-profit organizations in the areas of social services, fine arts, and other programs for the general public. The policy provides a framework for the City's Community Funding Grant Program and guides the administration of the program and decision-making process. It also provides guidance on key aspects of the City's Community Funding Grant Program processes including Eligibility, Evaluation Criteria, Restrictions/Guidelines, and Procedure. All requests for funding must comply with this policy. The City has established the Community Funding Grant Program, subject to availability of funds, with a range of $70,000 to $90,000 in total funding available. Community Funding Grants shall not exceed $20,000 per applicant, per year. City Council will determine the organizations to be awarded funds through the Community Funding Grant Program. City Staff shall review applications for completeness and review the qualifications and accuracy based upon the eligibility criteria set forth below. In all cases, the City reserves the right to reject any and all applications in the event staff identifies a potential conflict of interest or the appearance of a conflict of interest. Submission of an application in no way obligates the City to award a grant and the City reserves the right to reject any or all applications, for any reason, at any time. Eligibility To receive consideration for a Community Funding Grant, grant requests must: • Be a 501(c)(3) non-profit organization with experienced members capable of implementing and managing the program/project/event. • Identify how the funds will be used to benefit the Cupertino community. • Be awarded only once per project • For specific needs, not ongoing, operational costs, or endowment funds. • Have more than 75% of the requested funds allocated for direct service costs versus administrative costs. • Be complete and submitted by the application deadline. Evaluation Criteria • Impact on and benefit to the Cupertino community o Number of Cupertino residents served vs. number of non-Cupertino residents served 21 PRC 04-04-2024 20 of 196 Revised due to November 15, 2022 City Council Meeting o Availability of the program/project/event to the entire Cupertino community • Community need for the program/project/event • Alignment with Cupertino General Plan Principles • Uniqueness of the program/project/event o Lack of duplication in service in Cupertino o Level of collaboration if a duplicated service • Qualifications and experience of the organization and its members • Reasonable cost • Demonstrated effort to secure funding from other sources and/or establishing partnerships with other community or city organizations • Clarity, completeness, and accuracy of grant application • Past performance and compliance with requirements if a recurring applicant Applications will be sorted into two categories: • New applicants • Past recipients Applications in each category will be evaluated using a tiered structure based on the dollar amount requested for award as follows: • < $999.99 • $1,000.00 - $4,999.99 • $5,000.00 – $9,999.99 • $10,000.00 - $20,000.00 Restrictions/Guidelines • An organization that is applying for multiple grants shall only submit one application. • If requested, recipients must provide full financial statements for the organization. • Festivals currently receiving funding through Festival Fee waivers may not apply for funding through the Community Funding Grant Process for the same festival • Admission to or participation in the event must be "free of charge" • If an applicant makes a grant request directly to a member of the City Council, whether individually or as a group, the Council shall refer the applicant to the Parks and Recreation Department for a Grant application to be reviewed in accordance with this policy. • Grant recipients shall acknowledge the City contribution in formal promotional materials and efforts related to the funded activity. Any use of the City logo must be approved by the City’s Communications Officer. 22 PRC 04-04-2024 21 of 196 Revised due to November 15, 2022 City Council Meeting Procedure 1. Applicants submit timely and complete grant applications by February 1. 2. City Staff reviews application for completeness and compliance eligibility. 3. Applications will then be forwarded to the Parks and Recreation Commission to be evaluated and sorted into the tiered funding structure. All applicants will be notified and invited to attend the Parks and Recreation Commission Meeting where their applications will be discussed. This meeting typically takes place in Spring. 4. City Council will make the final decision on grant amounts for each applicant as part of the budget adoption which typically happens in June. All applicants will be notified and invited to attend the City Council Meeting where their applications will be discussed. 5. Grant recipients shall submit a written report to the Parks and Recreation Department to show proof that the grant funds have been spent in the manner and for the purposes stated on the application, including information about the number of persons served and other results that benefit Cupertino. o Due by the 15th business day of July following the Fiscal Year in which grant funds are disbursed. o Failure to submit a written report by the July deadline could result in the loss of grant funding eligibility in the future. o Applicants will be expected to reimburse the City any funding awarded and not used for their program/project/event. 23 PRC 04-04-2024 22 of 196 ______________________________________________________ _____________________________ ____ _________ _______________________ ___________________________ ______________________ __________ __________________ ____________________ _____________________________ ____ _________ _____________________ ___________________________________________________________________________ _________________ _______________________ ________________ __________________________ _______________________________________________________________________________________ ________________________ __________________________ _______________________ ____________________________________ ____________________________ 501(c)(3)?: Yes Year Established: No (if different than above address information) City: State: Zip: Phone: Organization President/Executive Director Name and Title: City: State: Zip: Phone: Federal Tax ID: Total Organization Budget: Total # of Board Members: Total # of staff: Total # of Volunteers: Email: Phone: COMMUNITY FUNDING GRANT APPLICATION PARKS AND RECREATION | 408-777-3120 | WWW.CUPERTINO.ORG SECTION 1: CONTACT INFORMATION Full Legal Organization Name: Website: Address: Email: Phone: Contact Name and Title: (If different) SECTION 2: NON-PROFIT INFORMATION Sponsor Name: Sponsor Address: (If your program is fiscally sponsored, enter the tax ID of your sponsoring organization) SECTION 3: ORGANIZATION INFORMATION Organization has an endowment fund? Yes No Poonam Goyal Founder CEO poonam@myainak.org 4086215419 Poonam Goyal Founder/ CEO poonam@myainak.org 4086215419 2015 AINAK 10080 N Wolfe Rd SW3 200, CUPERTINO CA 95014 4086215419 81-0860783 0 AINAK www.myainak.org 10080 N Wolfe Rd SW3 200 CUPERTINO CA 95014 4086215419 $100000 4 20 24 PRC 04-04-2024 23 of 196 __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ _____________ _________________________________ __________________ __________________ _____ _____________ ϒ ϒ ϒ ϒ ________ Mission Statement: Brief Description of Organization and Services Provided: SECTION 4: GRANT REQUEST 1.Program/Project/Event Name: 2. Date(s) and/or duration of program/project/event (if applicable): Total program/project/event budget: $ Requested Amount: $ Percent of total program/project/event budget: % 3. 4. 5.What percentage of your organization’s projected income does your funding request represent? % 6.Type of Request: Program Support Event One-time project 7.Existing program/event; established in (year) New program/project/event No child should be left behind in the classroom due to the inability of a parent or guardian to afford proper eye-care. A 20/20 vision can help a child succeed in school and gain the confidence to thrive in life. Empowering the underprivileged to achieve 20/20 vision free of cost. Ainak is a nonprofit organization based in the Silicon Valley, California, dedicated to improving vision and well-being of school children in under-resourced and underserved communities in California. Our primary mission is to provide free eye exams and prescription eyeglasses to those who may not have access to proper eye care. Established with the belief that 20/20 vision can significantly impact a child's academic success and overall confidence, Ainak collaborates with local schools and nonprofits to extend our reach and make a meaningful difference in the lives of individuals facing vision challenges. Through our services, we aim to empower communities by enhancing vision health and fostering opportunities for success in education and life. The need for accessible vision care is indeed significant, as highlighted by the concerning statistics. According to the CDC, a staggering 62 million Americans lack access to vision care. Last fall, over 300,000 school children in California returned to the classroom with vision impairment. Compounding this, 1 in 4 preschool-aged children grappled with undiagnosed or untreated vision issues. Recognizing and addressing these concerns early on is pivotal to a child's overall well-being and future success. Timely detection and treatment of vision problems can be transformative, opening doors for children to excel in various profession such aa teachers, mechanics, truck drivers, nurses, doctors and even astronauts. Visit to the optometrist also helps in the timely diagnosis of various other health issues like glaucoma, eye infections, high blood pressure, etc. Ainak is committed to bridging this gap, providing free eye exams and eyeglasses to empower individuals and ensure that vision challenges do not hinder the pursuit of their dreams. July 1 2024 to June 2025 $100000 10,000.00 10 25 8 2018 AINAK 25 PRC 04-04-2024 24 of 196 __________ _________ ____________ __________ _____________________________________ _____________________________________________________: ____________ ___________________________________________________________________________________________ _______ 9.Please provide a line item breakdown of how the funds will be used in the categories below. If a category is not applicable, put $0: a) Staffing cost $ (ongoing operational cost) b)Materials/Equipment $ c)Entertainment $ d)Room/Venue Rental $ e)Other Professional Services such as $ $ f)Other _______________ ____________ ϒ No ___________________________________________________________________________________________ _______ 10.More than 75% of the requested funds will go towards direct service costs versus administrative costs? Yes 8.Describe the purpose of requested funds and the services that will be provided: 11. Explain how the request aligns to City mission and values. Describe how funds will be used to benefit or impact the Cupertino community: 12.Who will be served by this grant? a)Number of individuals total: b)N um_________ber of C______upert__ino residents: c)Will the program/project/event be available to the entire community/public or are there any eligibility criteria? or im_________pact the______ Cuper______tino_ comm_________unity: ____________________________________________________________ Is your event citywide or targeted to a particular neighborhood, demographic or geographic area? If targeted, describe your target audience. Awarded grant will be used to provide free eye exams and prescription eyeglasses to under- resourced school children and clients referred by partner nonprofits. Our specific request is for a donation of $10,000, is intended to benefit 100 children and adults within the City of Cupertino and Cupertino Unified School District. Of this amount, approximately $9000.00 will be used towards eye care and eyeglasses and remaining funds towards educational/ marketing materials. Your donation of $10,000.00 will help us in providing eye care to about 100 children and adults in and around the City of Cupertino and Cupertino Unified School District. Your donation of $10,000.00 will help us in providing eye care to about 100 children and adults from underserved communities in and around the City of Cupertino and Cupertino Unified School District. Ainak's initiative targets community members with an annual income below $50,000.00 who do not have vision insurance. This ensures that the program is reaching those who may face financial barriers to accessing vision care. Additionally, our collaboration with Cupertino Unified School District, local nonprofits, West Valley Community Services, and participation in school events demonstrates a community-focused approach to addressing vision needs of the underserved residents of the City of Cupertino. 0 1000 0 0 N/A 0 N/A 0 500 100 26 PRC 04-04-2024 25 of 196 d)Will there be a charge or fee for the program/project/event (if applicable)? SECTION 6: CERTIFICATION d)Will there be a charge or fee for the program/project/event (if applicable)? 13. Describe how you will promote/advertise your event or activity for awareness to the public. 14. How will your organization fund the program/project/event if the full requested funding amount is not awarded? If partial funding is awarded, what is the minimum funding amount needed for your program/ project/event to take place? 15. Have you received grant funding from the City of Cupertino in the past? If yes, please describe when, how much was received, and how the funds were used. There is no charge or fee for the program, and Ainak bears the full cost of basic eye exams, frames, and prescription lenses. Ainak makes payment directly to the service provider. Our commitment to providing CDC-approved eyeglasses for children under 13 years of age further ensures that the initiative covers essential aspects of vision care. The inclusion of retina imaging, if requested by the doctor, shows our comprehensive approach to addressing vision needs. This fee-free model reflects a significant contribution to the community, particularly for those facing financial barriers to accessing vision care. Ainak received a grant from the City of Cupertino in 2023. The allocation of $2500.00 for providing eye exams and prescription eyeglasses to under-resourced children and members of local underprivileged communities reflects a continued commitment to addressing vision care needs in the community. We received a first time grant from City Of Cupertino in the amount of $2500.00 for the year Starting July 1, 2023 to June 2024. From July to December 18 individuals received Ainak eyeglasses at the cost of $1439.10. Our CPA will be preparing tax returns fo Ainak continues to raise funds through grants, donations from family and friends, corporations, who align with the mission of providing vision care to under-resourced individuals. Partnerships and Collaborations: Ainak has partnership with eye-care foundation which provides vouchers for underserved children's vision care. We negotiate pricing with individual Optical Stores. Volunteer Support: Ainak utilizes volunteer services to help with administrative tasks, event organization, or outreach efforts. Social Media Campaigns: We leverage platforms like Facebook and LinkedIn to share information about our initiative. Create engaging posts, share success stories, and use relevant hashtags to reach a broader audience. Collaborate with Local Media: Reach out to local newspapers, radio stations, and community newsletters to feature your initiative. Press releases, interviews, and articles can help generate interest and coverage. Community Partnerships: Strengthen your collaboration with local organizations, schools, and community centers. They can help spread the word to their networks, increasing the reach of your message. Flyer Distribution: Create visually appealing flyers with essential details about the event and distribute them strategically in community spaces, schools, and local businesses. Website and Online Presence: Ensure that our organization's website provides comprehensive information about the event. Optimize it for search engines and consider online advertising to increase visibility. Email Newsletters: Regularly update your organization's email subscribers about the upcoming event. Include compelling stories, testimonials, and details on how people can participate or benefit. Word of Mouth: Encourage participants, volunteers, and beneficiaries to share their experiences and spread the word among their friends, family, and social circles. Event Calendars: List your event on local community event calendars both online and offline to reach a broader audience. 27 PRC 04-04-2024 26 of 196 17. Describe any funding requested from other agencies/organizations in regard to this program/project/event request. Indicate whether the funding was granted, denied, or is still pending: 16. If your organization has ever received financial or in-kind support from the City of Cupertino outside of Community Funding Grants, please describe this support: Last year we submitted grant request to the following organizations and all were granted: Zion Endowment Distribution Committee City of Cupertino Star One Credit Union N/A 28 PRC 04-04-2024 27 of 196 29 PRC 04-04-2024 28 of 196 30 PRC 04-04-2024 29 of 196 Projected Total Expense $100,600.00 Amount $20,000.00 $50,000.00 $3,500.00 $1,000.00 $2,000.00 $500.00 Lawyer Fee $500.00 CPA Fee $600.00 $500.00 Office Rental $10,000.00 2 Events (Major)$10,000.00 3 Events (Minor)$2,000.00 Total Revenue $55,000.00 Amount Interest Income $7,000.00 Individual Donations $22,500.00 Foundation Grants $25,500.00 AINAK Revenue 2023 Boarding, Lodging, Transportation and Parking Office Supplies Marketing Materials Volunteer Recognition Day Liability Insurance AINAK Expense 2024 Expense for 2024 Part time contractor General Adminstrative Support Payment for eyeglasses (500 clients) 31 PRC 04-04-2024 30 of 196 32 PRC 04-04-2024 31 of 196 Eligibility YES NO Notes: Be a 501(c)(3) non-profit organization with experienced members capable of implementing and managing the program/project/event. X Identify how the funds will be used to benefit the Cupertino community.X Funds will be used to provide free eye exams and prescription eyeglasses, and marketing/education materials Be awarded only once per project.X For specific needs, not ongoing, operational costs, or endowment funds.X Have more than 75% of the requested funds allocated for direct service costs versus administrative costs.X Be complete and submitted by the application deadline.X Restrictions/Guidelines YES NO Notes: Festivals currently receiving funding through Festival Fee waivers may not apply for funding through the Community Funding Grant Process for the same festival X NA Admission to or participation in the event must be "free of charge"X No charge/free AINAK (RETURNING) Eligibility Checklist (staff use only) 33 PRC 04-04-2024 32 of 196 ______________________________________________________ _________________________________________________________________ ___________________________ ______________________ __________ __________________ ____________________ _______________________________________________________________ ___________________________________________________________________________ ________________________________________ __________________________________________ _______________________________________________________________________________________ ________________________ __________________________ _______________________ ____________________________________ ____________________________ 501(c)(3)?: Yes Year Established: No (if different than above address information) City:State: Zip:Phone: Organization President/Executive Director Name and Title: City:State: Zip:Phone: Federal Tax ID: Total Organization Budget:Total # of Board Members: Total # of staff:Total # of Volunteers: Email:Phone: COMMUNITY FUNDING GRANT APPLICATION PARKS AND RECREATION | 408-777-3120 | WWW.CUPERTINO.ORG SECTION 1: CONTACT INFORMATION Full Legal Organization Name: Website: Address: Email: Phone: Contact Name and Title: (If different) SECTION 2: NON-PROFIT INFORMATION Sponsor Name: Sponsor Address: (If your program is fiscally sponsored, enter the tax ID of your sponsoring organization) SECTION 3: ORGANIZATION INFORMATION ›Š—’£Š’˜—ȱ‘ŠœȱŠ—ȱŽ—˜ –Ž—ȱž—ǵȱȱȱ ȱŽœȱȱȱȱȱȱȱȱ˜ȱ Michael Mashack bayareaurbaneagles@gmail.com 650-906-7937 Maya Reynolds (Managing member) m.d.reynolds01@gmail.com 209-872-9168 2023 N/A N/A N/A N/A 0 N/A N/A 8 Bay Area Urban Eagles, Inc. https://urbaneagles.org/ 1148 Mandela Court East Palo Alto CA 94303 650-906-7937 $85,000 7 8 34 PRC 04-04-2024 33 of 196 __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ _________________________________ __________________ _______________________ _____________ b b bbb ________ Mission Statement: Brief Description of Organization and Services Provided: SECTION 4: GRANT REQUEST 1. Program/Project/Event Name: 2. Date(s) and/or duration of program/project/event (if applicable): __________________________________ Total program/project/event budget: $ Requested Amount: $Percent of total program/project/event budget:% 3. 4. 5. What percentage of your organization’s projected income does your funding request represent? % 6. Type of Request: Program Support Event One-time project 7. Existing program/event; established in (year) New program/project/event Bay Area Urban Eagles aims to provide STEM based educational programs, mentorship, and resources that expose young minority individuals from ages 6 to 22 to the world of aviation and aerospace. Description of Organization: Bay Area Urban Eagles, Inc. is a 501(c)(3) nonprofit foundation dedicated to providing aviation education and opportunities for underprivileged youth in Cupertino. Our mission is to inspire, educate, and empower young individuals by introducing them to the world of aviation, incorporating STEM (Science, Technology, Engineering, and Mathematics) education, and opening doors to potential career paths. Through interactive programs, workshops, and hands-on experiences, we aim to create a diverse and inclusive community of future aviation professionals. Services Provided: Ground School & Pilot Training: Utilizing existing FAA approved flight training curriculum, BAUE conducts three - 12 week Ground School sessions per year. After successfully completing their Private Pilot written examination, students who are 15 years and older will begin private lessons with a Certified Flight Instructor with the goal to solo within their first three months in the training program. Simulator Sessions: Hands-on experience with flight simulators, allowing scholars to virtually pilot different types of aircraft. Online Resources: Provide a comprehensive online platform with educational resources, articles, videos, career guides, job listings and interactive tools for aviation students. Industry Networking: Facilitate networking events with aviation professionals to share experiences, insights, and advancements. Aviation Workshops: We will conduct hands-on workshops where students learn about aviation history, the basic principles of aeronautics, aircraft components, and the theory of flight. Mentorship Program: Connect students with aviation professionals for guidance and insight into potential careers. STEM Curriculum Development: Utilizing existing FAA approved flight training, the FAA’s STEM/AVSED curriculum, and NASA’s STEM Engagement curriculum, deliver age appropriate STEM focused training. BAUE has a relationship with a predominant eVTOL manufacturer and will continue to form other emerging technology partnerships. Scholarships and Internships: Pursue scholarships for aerospace-related training programs, internships at local aerospace companies to gain practical experience, and financial support for scholars pursuing higher education in STEM related disciplines. June 2024 - August 2024 25000 20000 80 13 ✘ Bay Area Urban Eagles Summer Aviation Academy 2024 35 PRC 04-04-2024 34 of 196 __________ _________ ____________ __________ _____________________________________ _____________________________________________________:____________ _______ ş. Please provide a line item breakdown of how the funds will be used in the categories below. If a category is not applicable, put $0: a) Staffing cost $ (ongoing operational cost) b) Materials/Equipment $ c) Entertainment $ d) Room/Venue Rental $ e) Other Professional Services such as $ $ f) Other _______________ ____________ tego Sta bb No ŗŖ. More than 75% of the requested funds will go towards direct service costs versus administrative costs? Yes Ş. Describe the purpose of requested funds and the services that will be provided: 11. Explain how the request aligns to City mission and values. Describe how funds will be used to benefit or impact the Cupertino community: 12. Who will be served by this grant? a) Number of individuals total: b)Num_________ber of C______upert__ino residents: c) Will the program/project/event be available to the entire community/public or are there any eligibility criteria? or im_________pact the______ Cuper______tino_ comm_________unity:____________________________________________________________ œȱ¢˜ž›ȱŽŸŽ—ȱŒ’¢ ’Žȱ˜›ȱŠ›ŽŽȱ˜ȱŠȱ™Š›’Œž•Š›ȱ—Ž’‘‹˜›‘˜˜ǰȱŽ–˜›Š™‘’Œȱ˜›ȱŽ˜›Š™‘’ŒȱŠ›ŽŠǵȱ  Š›ŽŽǰȱŽœŒ›’‹Žȱ¢˜ž›ȱŠ›ŽȱŠž’Ž—ŒŽǯ The requested funds will facilitate a ten-week summer educational program that explores aerospace and careers in the aviation industry. The program is designed to develop the critical thinking skills of youth ages 6-22 using practical applications of math and science. Subjects covered include aerodynamics, material science, general navigation, weather patterns, aircraft design, and energy systems. Sessions are taught by certified flight instructors and aviation professionals to ensure an insightful learning experience. The program provides Interactive experiences such as flight simulators, drone operation, hot air balloon construction, water rocket launching, and other hands-on STEM activities. Participants will develop leadership skills by working in teams and learn effective communication and decision making. The objective of the program is to inspire the next generation of aviation professionals by providing fun and educational experiences. Any remaining funds will be applied to the acquisition of a refurbished Redbird advanced flight training simulator certified by the FAA. Supporting purchases of the flight training simulator may include software licensing, freight costs, taxes, and a one-year technical support plan. The Redbird corporation has generously discounted the price of the flight simulator for BAUE. The flight simulator will be a valuable training tool for BAUE students by providing them realistic training experiences and exposure to various flight scenarios in a safe, controlled environment. The Cupertino General Plan is a roadmap to the future that encompasses the hopes, aspirations, values and dreams of the community. The purpose of Bay Area Urban Eagles, is to align with the youth of Cupertino in realizing their dreams to become a pilot, an astronaut, an aerospace engineer or other aviation professional. The aeronautical sector is experiencing a significant workforce shortage while grappling with methods to improve inclusion and diversity. Bay Area Urban Eagles will help prepare Cupertino's youth to compete, secure employment, and attain lucrative careers that can afford them the ability to remain Cupertino residents. Participants will receive free career development services including internship and job placement assistance, career exploration and guidance, and networking events with professionals in aviation. In addition, students receive free ground school and STEM education from certified flight instructors and a former NASA professional. To enhance the technology and learning resources currently available from BAUE, the requested funds would be used to acquire an FAA flight training device and educational software. The training device would provide students a realistic training experience, and exposure to various flight scenarios in a safe, controlled environment. In the process, they’ll learn a wealth of STEM related connections not usually covered in schools. The grant is intended to serve Cupertino youth residents ages 6 to 22. The program will be promoted city-wide with outdoor STEM based activities scheduled at Cupertino public parks with appropriate permits and insurance. Indoor learning sessions will take place at the Cupertino library or at the Bay Area Urban Eagles headquarters located near Palo Alto Airport with appropriate permits and insurance. Our program serves all youth ages 6 to 22 with a primary focus on those from minority or underserved communities in Cupertino and the greater Bay Area. 0 18,000 0 2000 0 0 35 25 36 PRC 04-04-2024 35 of 196 d) Will there be a charge or fee for the program/project/event (if applicable)? SECTION 6: CERTIFICATION d) Will there be a charge or fee for the program/project/event (if applicable)? ŗřǯȱȱŽœŒ›’‹Žȱ‘˜ ȱ¢˜žȱ ’••ȱ™›˜–˜ŽȦŠŸŽ›’œŽȱ¢˜ž›ȱŽŸŽ—ȱ˜›ȱŠŒ’Ÿ’¢ȱ˜›ȱŠ Š›Ž—Žœœȱ˜ȱ‘Žȱ™ž‹•’Œǯ ŗŚǯȱȱȱ ˜ ȱ ’••ȱ¢˜ž›ȱ˜›Š—’£Š’˜—ȱž—ȱ‘Žȱ™›˜›Š–Ȧ™›˜“ŽŒȦŽŸŽ—ȱ’ȱ‘Žȱž••ȱ›ŽšžŽœŽȱž—’—ȱŠ–˜ž—ȱ’œȱ—˜ȱ Š Š›Žǵȱ ȱ™Š›’Š•ȱž—’—ȱ’œȱŠ Š›Žǰȱ ‘Šȱ’œȱ‘Žȱ–’—’–ž–ȱž—’—ȱŠ–˜ž—ȱ—ŽŽŽȱ˜›ȱ¢˜ž›ȱ™›˜›Š–Ȧ ™›˜“ŽŒȦŽŸŽ—ȱ˜ȱŠ”Žȱ™•ŠŒŽǵ ŗśǯȱȱȱ ŠŸŽȱ¢˜žȱ›ŽŒŽ’ŸŽȱ›Š—ȱž—’—ȱ›˜–ȱ‘Žȱ’¢ȱ˜ȱž™Ž›’—˜ȱ’—ȱ‘Žȱ™Šœǵȱ ȱ¢Žœǰȱ™•ŽŠœŽȱŽœŒ›’‹Žȱ ‘Ž—ǰȱ‘˜ ȱ –žŒ‘ȱ Šœȱ›ŽŒŽ’ŸŽǰȱŠ—ȱ‘˜ ȱ‘Žȱž—œȱ Ž›ŽȱžœŽǯ No fees or charges for program participants. The organization has not received grant funding from the City of Cupertino in the past. The organization will fund the project through local support of Cupertino community members, businesses, and philanthropists. The organization will continue to grow its network, raise awareness, and request donations for support. The organization will diversify its outreach strategy and apply to other grant opportunities from different foundations or corporate entities. If partial funding is awarded, it would be applied to the Bay Area Urban Eagles Summer Aviation Academy 2024. A traditional marketing strategy will be used to generate interest in the program. Posters, flyers, and banners placed with permission in frequented areas of Cupertino will be used to advertise. In addition, an open house information session at the Cupertino Library will be scheduled to highlight the benefits of the program, services rendered, and answer questions. 37 PRC 04-04-2024 36 of 196 1ŝ.ȱ Describe any funding requested from other agencies/organizations in regard to this program/project/event request. Indicate whether the funding was granted, denied, or is stillȱ pending: 1Ŝ.ȱ If your organization has ever received financial or in-kind support from the City of Cupertino outside of Community Funding Grants, please describe this support: Funding requests are pending for the CIty of East Palo Alto. The organization has not received financial support from the City of Cupertino. 38 PRC 04-04-2024 37 of 196 39 PRC 04-04-2024 38 of 196 Eligibility YES NO Notes: Be a 501(c)(3) non-profit organization with experienced members capable of implementing and managing the program/project/event. X Identify how the funds will be used to benefit the Cupertino community.X Requested funds will facilitate a 10-week aerospace and aviation program Be awarded only once per project.X For specific needs, not ongoing, operational costs, or endowment funds.X Have more than 75% of the requested funds allocated for direct service costs versus administrative costs.X Be complete and submitted by the application deadline.X Restrictions/Guidelines YES NO Notes: Festivals currently receiving funding through Festival Fee waivers may not apply for funding through the Community Funding Grant Process for the same festival X N/A Admission to or participation in the event must be "free of charge"X Free for youth ages 6 to 22 Bay Area Urban Eagles (NEW) Eligibility Checklist (staff use only) 40 PRC 04-04-2024 39 of 196 ______________________________________________________ _____________________________ ____ _________ _______________________ ___________________________ ______________________ __________ __________________ ____________________ _____________________________ ____ _________ _____________________ ___________________________________________________________________________ _________________ _______________________ ________________ __________________________ _______________________________________________________________________________________ ________________________ __________________________ _______________________ ____________________________________ ____________________________ 501(c)(3)?: Yes Year Established: No (if different than above address information) City: State: Zip: Phone: Organization President/Executive Director Name and Title: City: State: Zip: Phone: Federal Tax ID: Total Organization Budget: Total # of Board Members: Total # of staff: Total # of Volunteers: Email: Phone: COMMUNITY FUNDING GRANT APPLICATION PARKS AND RECREATION | 408-777-3120 | WWW.CUPERTINO.ORG SECTION 1: CONTACT INFORMATION Full Legal Organization Name: Website: Address: Email: Phone: Contact Name and Title: (If different) SECTION 2: NON-PROFIT INFORMATION Sponsor Name: Sponsor Address: (If your program is fiscally sponsored, enter the tax ID of your sponsoring organization) SECTION 3: ORGANIZATION INFORMATION Organization has an endowment fund? Yes No Sandy Chen Stokes, Founder & Executive Director sandystokes@caccc-usa.org 916-835-4007 Jeanne Wun, Past Board Chair jeanne@caccc-usa.org 408-896-7366 2007 Chinese American Coalition for Compassionate Care 4070 Cactus Road Shingle Springs CA 95682 916-835-4007 26-0895114 3 Chinese American Coalition for Compassionate Care caccc-usa.org PO Box 276 Cupertino CA 95015 (866) 661-5687 $180,000 9 400 41 PRC 04-04-2024 40 of 196 __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ _____________ _________________________________ __________________ __________________ _____ _____________ ϒ ϒ ϒ ϒ ________ Mission Statement: Brief Description of Organization and Services Provided: SECTION 4: GRANT REQUEST 1.Program/Project/Event Name: 2. Date(s) and/or duration of program/project/event (if applicable): Total program/project/event budget: $ Requested Amount: $ Percent of total program/project/event budget: % 3. 4. 5.What percentage of your organization’s projected income does your funding request represent? % 6.Type of Request: Program Support Event One-time project 7.Existing program/event; established in (year) New program/project/event CACCC Mission •Encourage dialogue among Chinese Americans about end of life issues so that it is viewed as a natural part of life. •Enhance advanced illness and end of life care by improving advance care planning and decision-making for Chinese Americans through community outreach education and volunteer, caregiver, and health professional training. •Empower Chinese Americans by improving access to end of life resources: producing original Chinese language materials or translating existing materials into Chinese and providing referrals to appropriate agencies. •Use a coalition model, where expertise and resources are shared, to insure Chinese Americans receive exceptional end of life care and services that address physical, psychosocial, emotional and spiritual needs. CACCC Vision A community in which Chinese Americans are able to face the end of life with dignity and respect. CACCC was formed 12/2005 to address the lack of linguistically and culturally appropriate end-of-life information and training available to the Chinese community and those who serve them. CACCC, incorporated and achieved 501c3 status in 2007, is the first coalition in the nation devoted to end-of-life care concerns in the Chinese community. An active working coalition of 250 local, state and national partner organizations and approximately 5,500 individual members dedicated to the mission. Nine (9) dedicated volunteer board of directors set policy with one (1) full time and two (2) part time staff. Prior to COVID, CACCC used facilities of its coalition partners for training and events. Today, events are still provided virtually, with planned collaborative opportunities for in person community engagement. CACCC’s focus: helping the Chinese community with advance care planning (ACP); mindful self-care; providing hospital patient ambassadors; hospice volunteer training; educating Chinese community, and the healthcare providers who serve them. Services: An overview of the programs, products and services CACCC provides to increase awareness and address healthcare disparity at the end-of-life care in the Chinese community. 1. Produce and translate end-of-life resources and materials from English to Chinese, or Chinese to English: a. DVDs: Loving Life...Understanding Hospice; Kathy & Windy - a documentary film b. Book: Learning to Let Go: Saying Goodbye Peacefully c. Videos: Hospice Care & Palliative Care, Advance Health Care Directive & POLST, Heart to Heart® Cards & Heart to Heart® Café d. Decision Guides: What is CPR; What is Ventilator; What is Tube Feeding; What is Artificial Hydration e. The Chinese Conversation Starter Kits (Your Conversation Starter Guide, Your Guide to Choose a Health Care Proxy, Your Guide to Being a Health Care Proxy, Your Guide to Talk to a Health Care Team, For Caregivers of People with Alzheimer’s or Other Forms of Dementia, For Caregivers of a Child with Serious Illness, What Matters to Me) f. End-of Life-Care Glossary 2. Community education and Advance Care Planning outreach 3. Heart to Heart® Cafés 4. Healthcare professional trainings 5. Caregiver and volunteer trainings 6. Weekly Compassionate Care Forum 7. Eight (8) Week Mindful Self-Care Workshops 8. Loss and Grief Workshop 9. Hospital Patient Ambassador Program 10. Toll free Warmline: 866-661-5687 July 2024/June 2025 38,900 15,000 39 0 8 Loss and Grief Workshop and Starting the Conversation 42 PRC 04-04-2024 41 of 196 __________ _________ ____________ __________ _____________________________________ _____________________________________________________: ____________ ___________________________________________________________________________________________ _______ 9.Please provide a line item breakdown of how the funds will be used in the categories below. If a category is not applicable, put $0: a) Staffing cost $ (ongoing operational cost) b)Materials/Equipment $ c)Entertainment $ d)Room/Venue Rental $ e)Other Professional Services such as $ $ f)Other _______________ ____________ ϒ No ___________________________________________________________________________________________ _______ 10.More than 75% of the requested funds will go towards direct service costs versus administrative costs? Yes 8.Describe the purpose of requested funds and the services that will be provided: 11. Explain how the request aligns to City mission and values. Describe how funds will be used to benefit or impact the Cupertino community: 12.Who will be served by this grant? a)Number of individuals total: b)N um_________ber of C______upert__ino residents: c)Will the program/project/event be available to the entire community/public or are there any eligibility criteria? or im_________pact the______ Cuper______tino_ comm_________unity: ____________________________________________________________ Is your event citywide or targeted to a particular neighborhood, demographic or geographic area? If targeted, describe your target audience. Mindfully Facing Loss and Grief Program Loss is universal. Loss is inherent to the experience of chronic and terminal illness. If we avoid facing the grief that can come with loss, grief can accumulate and eventually have detrimental impacts on an individual’s health and mental well-being. In a mindful approach to loss, we attempt to meet grief directly. That is, to be with the responses to loss, rather than push them away, pretend they are not there, or put them off for another day. CACCC has developed a four-module workshop: “Mindfully Facing Loss and Grief”. Each module is a 2-hour workshop. Each workshop includes: mindfulness practice, instructor presentation, breakout room instructor facilitated exercise. This workshop is open to all Mandarin- speaking adults who have completed the Mindful Self-Care Workshop (a free seven-week training provided by CACCC). New program/project/event With a generous community grant funding from the City of Cupertino in 2022/2023, CACCC developed a new much needed program: Mindfully Facing Loss and Grief to address life, death, grief and loss, mindfully, for the Chinese community, multigenerational Chinese families and family caregivers experiencing grief and loss during these challenging times. Additionally, CACCC’s intends to continue to build on the program successes of Starting the Conversation from previous funding years (2019/20, 2020/21 and 2022/23 with the Chinese community in Cupertino and surrounding areas by training the staff, case managers and trained volunteers of organizations in Cupertino and surrounding areas who serve the Chinese community. Mindfully Facing Loss and Grief Purpose: Encourage participants to face and address their loss and grief by providing mindful approaches to grief and loss, bereavement, mourning and a life memory book to foster positive mental and emotional health and well-being, overall. The City of Cupertino’s Community Grant Funding helped develop this new course conducted in Chinese (Mandarin): Mindfully Facing Grief and Loss to help a family loved one, family members, family caregivers and everyday people to be able to mindfully embrace life and death and mindfully facing grief and loss. Each module is a 2-hour workshop. The four modules developed included: Module 1: Loss and Grief: This module is primarily focused on an exercise that replicates the variety of loss experienced when confronted with chronic and terminal illness. Mindfulness helps us see again there’s nothing inherently wrong with grief. Grief is not a problem it’s a process to go through as it is life’s natural response to a loss that has meaning and significance. Module 2: Bereavement: Bereavement is the period after a loss during which grief and mourning occurs. The time spent in bereavement for the loss of a loved one depends on the circumstances of the loss and the level of attachment to the person who died or personal loss. Module 3: Mourning: Mourning is the outward expression of our grief; it is the expression of one’s grief. Mindful breathing, mindful walking and giving and receiving kindness can help us mourn. Mourning is greatly influenced by cultural beliefs, practices, and rituals. Between Modules 2 or 3, incorporate a Self-Care Stress Reduction exercise session for participants to reduce stress, to stimulate mind and body and emotional spirits to alleviate symptoms of grief and loss. Module 4: Life Memory Book: Create a template for people to use as a guide to review their lives, their memories, post their photos and write down the words they like to share with their families, loved ones and friends. Starting the Conversation Program Purpose: 1.Encourage participants to examine their overall health and well-being and adopt a healthier lifestyle. 2.Encourage advance care planning conversations regarding medical care wishes, as well as their loved one’s wishes who are living with chronic disease(s) and/or facing the end of life to consider available care options and discuss with family members, loved ones and the health professional team that will lead to completing an Advance Health Care Directive during a pandemic. CACCC will provide services as below: 1.Heart to Heart cards Cafés: to encourage Chinese Americans to discuss EOL issues with their loved ones, and their healthcare teams and encourage them to complete the AHCD. 2.ACP and AHCD workshop: 3.Healthcare Provider Presentation/Workshop 4.Caregiver and volunteer training 5.Weekly Caregiving Stress Reduction Meetings 6.Seven (7)- 8-Week Mindful Self-Care Workshops 7.Guest speaker series: “Redefining What Matters” 8.Produce and translate end-of-life resources and materials from English to Chinese CACCC’s proposed Loss and Grief Workshop and Starting the Conversation 2024/25 Initiative is aligned with three of the twelve guiding principles in Cupertino’s General Plan: a) Embrace Diversity; b) Support Education; and c) Ensure a Responsive Government. CACCC is uniquely qualified to address the advance care planning and end-of-life education needs of the Chinese community. There is no other organization in the nation whose mission is to build a community where Chinese Americans are able to face the end of life with dignity and respect. a)Embrace Diversity: CACCC’s community programs are designed to meet the needs of the large multigenerational Chinese American community in Cupertino and the surrounding areas. b)Support Education: The City of Cupertino has generously provided grant funding to preserve and support quality community education to improve programs that enhance learning and expand community-wide access, specific to the Chinese American community. c)Ensure a Responsive Government: Since 2019, the Parks and Recreation and the City Council leadership teams have been flexible and responsive to changing community needs and have recognized and supported CACCC, a local and regional organization to address the importance of advance care planning and discuss end-of-life care needs of the Chinese American community. As noted in item *8: With a generous community grant funding from the City of Cupertino in 2022/2023, CACCC developed a new much needed program: Mindfully Facing Loss and Grief to address life, death, grief and loss, mindfully, for the Chinese community, multigenerational Chinese families and family caregivers experiencing grief and loss during these challenging times. In 2024/25, CACCC will promote the workshop to the Chinese community of Cupertino and surrounding areas. Additionally, CACCC’s intends to continue to build on the program successes of Starting the Conversation from previous funding years (2019/20, 2020/21 and 2022/23 with the Chinese community in Cupertino and surrounding areas by training the staff, case managers and trained volunteers of organizations in Cupertino and surrounding areas who serve the Chinese community. Mindfully Facing Loss and Grief Workshop Purpose: Encourage participants to face and address their loss and grief by providing mindful approaches to grief and loss, bereavement, mourning and a life memory book to foster positive mental and emotional health and well-being, overall. The City of Cupertino’s Community Grant Funding helped develop this new course conducted in Chinese (Mandarin): Mindfully Facing Loss and Grief to help a family loved one, family members, family caregivers and everyday people to be able to mindfully embrace life and death and mindfully facing grief and loss. Each module is a 2-hour workshop. The four modules developed included: Module 1: Loss and Grief: This module is primarily focused on an exercise that replicates the variety of loss experienced when confronted with chronic and terminal illness. Mindfulness helps us see again there’s nothing inherently wrong with grief. Grief is not a problem it’s a process to go through as it is life’s natural response to a loss that has meaning and significance. Module 2: Bereavement: Bereavement is the period after a loss during which grief and mourning occurs. The time spent in bereavement for the loss of a loved one depends on the circumstances of the loss and the level of attachment to the person who died or personal loss. Module 3: Mourning: Mourning is the outward expression of our grief; it is the expression of one’s grief. Mindful breathing, mindful walking and giving and receiving kindness can help us mourn. Mourning is greatly influenced by cultural beliefs, practices, and rituals. Between Modules 2 or 3, incorporate a Self-Care Stress Reduction exercise session for participants to reduce stress, to stimulate mind and body and emotional spirits to alleviate symptoms of grief and loss. Between Modules 2 or 3, incorporate a Self-Care Stress Reduction exercise session for participants to reduce stress, to stimulate mind and body and emotional spirits to alleviate symptoms of grief and loss. Module 4: Life Memory Book: Create a template for people to use as a guide to review their lives, their memories, post their photos and write down the words they like to share with their families, loved ones and friends. Starting the Conversation Program Purpose: 1.Encourage participants to examine their overall health and well-being and adopt a healthier lifestyle. 2.Encourage advance care planning conversations regarding medical care wishes, as well as their loved one’s wishes who are living with chronic disease(s) and/or facing the end of life to consider available care options and discuss with family members, loved ones and the health professional team that will lead to completing an Advance Health Care Directive during a pandemic. CACCC will provide services as below: a)Heart to Heart Cafés: to encourage Chinese Americans to discuss EOL issues with their loved ones, and their healthcare teams and encourage them to complete the Advance Health Care Directive. b)ACP and AHCD workshop: c)Healthcare Provider Presentation/Workshop d)Caregiver and volunteer training e)Weekly Compassionate Care Focus Forum f)Eight (8) Week Mindful Self-Care Workshops g)Guest speaker series: Doctor Talk: Redefining What Matters and Spiritual Form: What Really Matters at the End of Life h)Produce and translate end-of-life resources and materials from English to Chinese Chinese Mandarin-speaking individuals, Chinese American multigenerational families residing in Cupertino, surrounding communities and in the Bay Area. All programs and events are free and available to the community and general public who speak Chinese (Mandarin). Simultaneous interpretation available in Cantonese and English, when applicable. 3750 3500 0 850 6000 Shipping, mailing 900 5500 1000 43 PRC 04-04-2024 42 of 196 d)Will there be a charge or fee for the program/project/event (if applicable)? SECTION 6: CERTIFICATION d)Will there be a charge or fee for the program/project/event (if applicable)? 13. Describe how you will promote/advertise your event or activity for awareness to the public. 14. How will your organization fund the program/project/event if the full requested funding amount is not awarded? If partial funding is awarded, what is the minimum funding amount needed for your program/ project/event to take place? 15. Have you received grant funding from the City of Cupertino in the past? If yes, please describe when, how much was received, and how the funds were used. There will be no charge or fee to participate in CACCC programs and events. 2022/23: CACCC intentionally did not apply, allowing other nonprofits an opportunity 2021/22: Mindfully Facing Grief and Loss $13K 2020/21: Starting the Conversation and Mindful Self-Care $12K 2019/20: Starting the Conversation (requested $12K) received $6K CACCC will continue to seek program funding and sponsorships, as well as conduct fundraising events in support of our 2024 program initiatives and mission. Minimum funding amount needed for our programs is $13,000. CACCC will 1) send out a English and Chinese press announcement regarding the grant award; 2) schedule interviews with the Chinese media to promote programs: TV, radio, print; 3) create promotional event posters to include City of Cupertino logo; 4) program PowerPoint slide decks will include City of Cupertino 5) at events, it will be announced that this program was made possible by a generous grant from the City of Cupertino 44 PRC 04-04-2024 43 of 196 17. Describe any funding requested from other agencies/organizations in regard to this program/project/event request. Indicate whether the funding was granted, denied, or is still pending: 16. If your organization has ever received financial or in-kind support from the City of Cupertino outside of Community Funding Grants, please describe this support: Pending 2024: AARP, SCAN, Kaiser Permanente Denied 12/2023: SVCF/The Health Trust No 45 PRC 04-04-2024 44 of 196 46 PRC 04-04-2024 45 of 196 47 PRC 04-04-2024 46 of 196 CACCC City of Cupertino Fiscal Year 2022- 2023 Community Funding Report Category Applicational Budget Actual Expenditures % of Total a) Admin Staff $3,250.00 $ 3,237.57 25% b) Materials/Equipment $3,500.00 $ 4,030.72 31% c) Entertainment $0.00 0% d) Room/Venue Rental/Zoom $850.00 $ 989.80 8% e) Professional Services/Honorarium $4,500.00 $ 4,350.00 33% f) Other (Shipping)$900.00 $ 391.91 3% Total $13,000.00 $ 13,000.00 100% 48 PRC 04-04-2024 47 of 196 City of Cupertino Community Funding Grant Annual Project Report Program/Project/Event Name: Agency/Organization Project Contact Person Title Phone E-Mail Grant Received: A. Project Results: Was your program/project/event affected by COVID-19? Yes No Was the program/project/event successful? Please indicate how success was measured: B. Clients Served: Please report the number of clients served as a result of this grant: Proposed in Application Actual from Event Total Number of Individuals Cupertino Residents Particular community groups served: Was the program/project/event available to the entire community/public or were there any eligibility criteria? Was there a charge or fee for the program/project/event? Yes No Mindfully Facing Grief and Loss and Starting the Conversation Chinese American Coalition for Compassionate Care (CACCC) Mindfully Facing Grief and Loss and Starting the Conversation Jeanne Wun 408-896-7366 $13,000 Past Board Chair jeanne@caccc-usa.org 5000 1000 9687 2509 Multigenerational Chinese, Chinese Americans All CACCC programs and events are free and open to the general public, specifically to the Chinese-speaking community. When applicable, CACCC provides simultaneous interpretation in English. 49 PRC 04-04-2024 48 of 196 What outreach methods did your organization use to promote the program/project/ event? C. Budget: Please enter your proposed budget from your application, and your actual expenses accrued from this grant: Category Application Budget Actual Expenditures % of Total Admin Staff Materials/Equipment Entertainment Room/Venue Rental Professional Services (describe) Other: Other: Total 100% Remaining Balance Do you intend to apply for Community Funding next year? Yes No If yes, how much to you intend to apply for? Please list any additional funding received last year from other sources for this program: Person who Prepared Form Title Phone Number Date: D. Upload Documents: 1. Financial Statements 2. Supporting Receipts 3250.00 3500.00 0 850.00 4500.00 900.00 0 $13,000.00 3237.57 4030.72 0 989.80 4350.00 391.91 0 $13,000.00 0 0 25 31 0 8 33 3 Jeanne Wun Past Board Member 408-896-7366 July 6, 2023 Honorariums Shipping Not applicable 50 PRC 04-04-2024 49 of 196 3. Other Signature Date Jeanne Wun Jul 6, 2023 51 PRC 04-04-2024 50 of 196 52 PRC 04-04-2024 51 of 196 CACCC City of Cupertino Fiscal Year 2022- 2023 Community Funding Report Category Applicational Budget Actual Expenditures % of Total a) Admin Staff $3,250.00 $ 3,237.57 25% b) Materials/Equipment $3,500.00 $ 4,030.72 31% c) Entertainment $0.00 0% d) Room/Venue Rental/Zoom $850.00 $ 989.80 8% e) Professional Services/Honorarium $4,500.00 $ 4,350.00 33% f) Other (Shipping)$900.00 $ 391.91 3% Total $13,000.00 $ 13,000.00 100% 53 PRC 04-04-2024 52 of 196 Date Category Description Admin/Staff Total 9/22/22 Material/Equipment Printing program books 7/30/22 Material/Equipment Laptop 6/1/23 Material/Equipment Hard drive to store video 6/1/23 Material/Equipment Hard drive to store video Material/Equipment 200 AHCD form 9/55~9/22 Material/Equipment Beginner's Guide to The End Material/Equipment Decision Aid Material/Equipment 404 decks of Heart to Heart Cards Material/Equipment Total 1/24/23 Other (Shipping)Mail HTH cards to HTH Café participants 1/24/23 Other (Shipping)Bubble envelope (16pcs) 1/26/23 Other (Shipping)Bubble envelope (6pcs) 1/26/23 Other (Shipping)Mail HTH cards for HTH Café participants 1/31/23 Other (Shipping)Mail HTH cards for order 1/31/23 Other (Shipping)Mail 8 books to Cinny Feng 10/25/22 Other (Shipping)USPS, mailed 8 packages to donners. (program book, cards and books, with media rate) 10/13/22 Other (Shipping)USPS, mailed one package to requester (AHCD, program book, educational materials) 10/6/22 Other (Shipping)USPS, mailed 14 packages 9/30/22 Other (Shipping)USPS, mailed one flat rate package to Ling 10/8/22 Other (Shipping)USPS, mailed 8 decks of cards 10/7/22 Other (Shipping)USPS, mailed 9 packages ( cards, program books, books 10/18/22 Other (Shipping)Amazon, 25 padded envelope Other (Shipping)Total 6/30/23 Professional Services/Honorarium Honorarium to Redefining What Matters speakers: Dr. Cynthia Pan, Dr. Stephen Ma, Dr. BJ Miller 6/30/23 Professional Services/Honorarium Honorarium to What Ultimately Matters to End of Life Professional Services/Honorarium Total 11/17/22 Room/Venue Rental/Zoom Total 54 PRC 04-04-2024 53 of 196 55 PRC 04-04-2024 54 of 196 56 PRC 04-04-2024 55 of 196 Amount 3,237.57$ 748.00$ 1,564.83$ 140.07$ 140.07$ 400.17$ 302.58$ 300.00$ 435.00$ 4,030.72$ 61.30$ 10.94$ 5.74$ 49.45$ 9.65$ 17.10$ 46.84$ 9.00$ 66.95$ 16.10$ 35.29$ 44.95$ 18.60$ 391.91$ 3,000.00$ 1,350.00$ 4,350.00$ 989.80$ 13,000.00$ 57 PRC 04-04-2024 56 of 196 58 PRC 04-04-2024 57 of 196 59 PRC 04-04-2024 58 of 196 60 PRC 04-04-2024 59 of 196 61 PRC 04-04-2024 60 of 196 62 PRC 04-04-2024 61 of 196 63 PRC 04-04-2024 62 of 196 64 PRC 04-04-2024 63 of 196 65 PRC 04-04-2024 64 of 196 CACCC City of Cupertino Fiscal Year 2022- 2023 Community Funding Report Category Applicational Budget Actual Expenditures % of Total a) Admin Staff $3,250.00 $ 3,237.57 25% b) Materials/Equipment $3,500.00 $ 4,030.72 31% c) Entertainment $0.00 0% d) Room/Venue Rental/Zoom $850.00 $ 989.80 8% e) Professional Services/Honorarium $4,500.00 $ 4,350.00 33% f) Other (Shipping)$900.00 $ 391.91 3% Total $13,000.00 $ 13,000.00 100% 66 PRC 04-04-2024 65 of 196 Date Category Description Admin/Staff Total 9/22/22 Material/Equipment Printing program books 7/30/22 Material/Equipment Laptop 6/1/23 Material/Equipment Hard drive to store video 6/1/23 Material/Equipment Hard drive to store video Material/Equipment 200 AHCD form 9/55~9/22 Material/Equipment Beginner's Guide to The End Material/Equipment Decision Aid Material/Equipment 404 decks of Heart to Heart Cards Material/Equipment Total 1/24/23 Other (Shipping)Mail HTH cards to HTH Café participants 1/24/23 Other (Shipping)Bubble envelope (16pcs) 1/26/23 Other (Shipping)Bubble envelope (6pcs) 1/26/23 Other (Shipping)Mail HTH cards for HTH Café participants 1/31/23 Other (Shipping)Mail HTH cards for order 1/31/23 Other (Shipping)Mail 8 books to Cinny Feng 10/25/22 Other (Shipping)USPS, mailed 8 packages to donners. (program book, cards and books, with media rate) 10/13/22 Other (Shipping)USPS, mailed one package to requester (AHCD, program book, educational materials) 10/6/22 Other (Shipping)USPS, mailed 14 packages 9/30/22 Other (Shipping)USPS, mailed one flat rate package to Ling 10/8/22 Other (Shipping)USPS, mailed 8 decks of cards 10/7/22 Other (Shipping)USPS, mailed 9 packages ( cards, program books, books 10/18/22 Other (Shipping)Amazon, 25 padded envelope Other (Shipping)Total 6/30/23 Professional Services/Honorarium Honorarium to Redefining What Matters speakers: Dr. Cynthia Pan, Dr. Stephen Ma, Dr. BJ Miller 6/30/23 Professional Services/Honorarium Honorarium to What Ultimately Matters to End of Life Professional Services/Honorarium Total 11/17/22 Room/Venue Rental/Zoom Total 67 PRC 04-04-2024 66 of 196 68 PRC 04-04-2024 67 of 196 69 PRC 04-04-2024 68 of 196 Amount 3,237.57$ 748.00$ 1,564.83$ 140.07$ 140.07$ 400.17$ 302.58$ 300.00$ 435.00$ 4,030.72$ 61.30$ 10.94$ 5.74$ 49.45$ 9.65$ 17.10$ 46.84$ 9.00$ 66.95$ 16.10$ 35.29$ 44.95$ 18.60$ 391.91$ 3,000.00$ 1,350.00$ 4,350.00$ 989.80$ 13,000.00$ 70 PRC 04-04-2024 69 of 196 71 PRC 04-04-2024 70 of 196 72 PRC 04-04-2024 71 of 196 73 PRC 04-04-2024 72 of 196 74 PRC 04-04-2024 73 of 196 75 PRC 04-04-2024 74 of 196 76 PRC 04-04-2024 75 of 196 77 PRC 04-04-2024 76 of 196 78 PRC 04-04-2024 77 of 196 Unsolicited Testimonial: Thoughts on Mindfulness Self Care Class At the completion of the 8-week Mindfulness Self Care class, my heart is filled with gratitude and hope: how fortunate I am to stumble upon this class offered by CACCC; and hopeful that I am about to embark on a journey of mindfulness and compassion living, one that will bring joy and fulfillment to myself and those around me. I have always considered myself a lifelong learner, and have enjoyed many new classes, but never have I taken a class that is as transformative as this one. After the Week-2 class on mindfulness, I tried mindfulness while driving. The experience was so pleasant that I kicked my 40+year habit of driving with the radio on, just like that. The Week-4 self-compassion class led me to mindful eating: savoring every bite, appreciating the food, and stopping when full. I lost a few pounds in a month, without trying. I started listening, really listening, to my friends, and especially to my introverted daughter, who said to me, “Mom, I feel you are listening to me.” Her quiet comment shook me. For years, I have yearned to be able to communicate with my two grown daughters at a deeper level. I tried hard to be an active listener, and then inadvertently reverted to my old way of being an authoritative, all-knowing, problem- solving Chinese mother, and in so doing, closed the door to our communication. This course has shown me a different path. It sets itself apart from other mindfulness classes or books in my experience: in that it incorporates the Chinese culture, value and family structure in its content. The teachers’ stories resonate with my struggles as a Chinese American. It is indeed a rare gift. As a retired teacher from the California public schools, I couldn’t help but noticed how well these classes were conducted. Each class started with a short meditation to quiet our mind and collect our focus, followed by an informative lecture on a specific topic. All the teachers are full of wisdom and compassion. Such beautiful people! The small group discussions, often to share our weekly homework, took me out of my comfort zone. But it was precisely what I needed to go from a passive listener to an active participant. The teachers demonstrated mindful listening by their actions, creating a safe haven for the students to share our stories, doubts and questions. I feel such tender camaraderie towards my classmates because of our shared experience. The weekly assignments were not easy, but thought- provoking. They forced us to delve into our deep self, then apply the new knowledge in our daily life. So impactful. As the course drew to a close, I was eager to continue these practices, but apprehensive about my ability to navigate in uncharted waters. Imagine my relief to learn about the after-class support group, which I am grabbing onto as a lifesaver. Now I am confident that I can do it. The world would be a much better place if we all learned mindfulness and compassion. My heartfelt appreciation to CACCC for this life-changing course, as well as all the classes and services it offers: a great contribution to the Chinese American community. Thank you. —Lillian C., Mindful Self-Care Workshop participant 79 PRC 04-04-2024 78 of 196 Eligibility YES NO Notes: Be a 501(c)(3) non-profit organization with experienced members capable of implementing and managing the program/project/event. X Identify how the funds will be used to benefit the Cupertino community.X Funds will go towards workshops addressing end-of-life care in the community Be awarded only once per project.X For specific needs, not ongoing, operational costs, or endowment funds.X Have more than 75% of the requested funds allocated for direct service costs versus administrative costs.X Be complete and submitted by the application deadline.X Restrictions/Guidelines YES NO Notes: Festivals currently receiving funding through Festival Fee waivers may not apply for funding through the Community Funding Grant Process for the same festival X NA Admission to or participation in the event must be "free of charge"X Programs and events are free Chinese American Coalition for Compassionate Care (RETURNING) Eligibility Checklist (staff use only) 80 PRC 04-04-2024 79 of 196 ______________________________________________________ _____________________________ ____ _________ _______________________ ___________________________ ______________________ __________ __________________ ____________________ _____________________________ ____ _________ _____________________ ___________________________________________________________________________ _________________ _______________________ ________________ __________________________ _______________________________________________________________________________________ ________________________ __________________________ _______________________ ____________________________________ ____________________________ 501(c)(3)?: Yes Year Established: No (if different than above address information) City: State: Zip: Phone: Organization President/Executive Director Name and Title: City: State: Zip: Phone: Federal Tax ID: Total Organization Budget: Total # of Board Members: Total # of staff: Total # of Volunteers: Email: Phone: COMMUNITY FUNDING GRANT APPLICATION PARKS AND RECREATION | 408-777-3120 | WWW.CUPERTINO.ORG SECTION 1: CONTACT INFORMATION Full Legal Organization Name: Website: Address: Email: Phone: Contact Name and Title: (If different) SECTION 2: NON-PROFIT INFORMATION Sponsor Name: Sponsor Address: (If your program is fiscally sponsored, enter the tax ID of your sponsoring organization) SECTION 3: ORGANIZATION INFORMATION Organization has an endowment fund? Yes No George Chong, President president@cupertinolittleleague.org 650-740-5566 2016 0 94-1692157 0 Cupertino Little League https://www.cupertinolittleleague.org PO Box 146 Cupertino California 95015 650-740-5566 $65,000 23 150 81 PRC 04-04-2024 80 of 196 __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ _____________ _________________________________ __________________ __________________ _____ _____________ ϒ ϒ ϒ ϒ ________ Mission Statement: Brief Description of Organization and Services Provided: SECTION 4: GRANT REQUEST 1.Program/Project/Event Name: 2. Date(s) and/or duration of program/project/event (if applicable): Total program/project/event budget: $ Requested Amount: $ Percent of total program/project/event budget: % 3. 4. 5.What percentage of your organization’s projected income does your funding request represent? % 6.Type of Request: Program Support Event One-time project 7.Existing program/event; established in (year) New program/project/event The objective of Cupertino Little League (CLL) is to bring the joy of baseball to over 120 Cupertino children aged 5 to 16. We are a non-profit, all volunteer-run organization and take pride in serving our community, including special needs kids. Cupertino Little League (CLL) was founded in 2016 following the merger of Cupertino National (founded in 1962) and Tri-Cities (1964) Little Leagues.Children play baseball during practices, games, and tournaments held primarily at Wilson Park. Cupertino Little League runs the Wilson Park Snack Shack, a beloved point of gathering for all CLL families and beyond. CLL also enables boys and girls with physical and mental challenges to enjoy the game of baseball with the CLL Challenger team. Other CLL teams support the Challenger team through a “buddy” system. We are planning for the works to be executed in the Summer of 2024 timeframe, during the offseason. $46,000 $20,000 43 71 8 Replacement of two scoreboards at Wilson Park 82 PRC 04-04-2024 81 of 196 __________ _________ ____________ __________ _____________________________________ _____________________________________________________: ____________ ___________________________________________________________________________________________ _______ 9.Please provide a line item breakdown of how the funds will be used in the categories below. If a category is not applicable, put $0: a) Staffing cost $ (ongoing operational cost) b)Materials/Equipment $ c)Entertainment $ d)Room/Venue Rental $ e)Other Professional Services such as $ $ f)Other _______________ ____________ ϒ No ___________________________________________________________________________________________ _______ 10.More than 75% of the requested funds will go towards direct service costs versus administrative costs? Yes 8.Describe the purpose of requested funds and the services that will be provided: 11. Explain how the request aligns to City mission and values. Describe how funds will be used to benefit or impact the Cupertino community: 12.Who will be served by this grant? a)Number of individuals total: b)N um_________ber of C______upert__ino residents: c)Will the program/project/event be available to the entire community/public or are there any eligibility criteria? or im_________pact the______ Cuper______tino_ comm_________unity: ____________________________________________________________ Is your event citywide or targeted to a particular neighborhood, demographic or geographic area? If targeted, describe your target audience. The funds will be used to purchase 2 new scoreboards for the City of Cupertino, which will be used at Wilson Park primarily by Cupertino Little League, but also potentially by any organization renting the fields from the City of Cupertino (such as commercial baseball camps). The scoreboards will be mounted in collaboration with Cupertino City staff, with whom we are in close contact already. The operation of the current scoreboard has become less and less safe for our volunteers. These are old (at least 15 years old) and have malfunctioned several times through the seasons which required intervention of City staff: one such malfunction related to the wired and powered scoring box resulted in a shock hazard to our kids and parents. A new scoreboard with wireless updating capabilities would resolve these types of issues. As described in the General Plan Principles, “the City has an excellent system of community and neighborhood parks that provide a place for community gathering, recreation and healthy programs.”. Cupertino Little League is a sports organization and provides to 135 kids the opportunity to practice a physical activity for a modest registration fee. We want Wilson Park with these new scoreboards to reflect the excellent infrastructure the City provides to its residents and to the Cupertino Little League community. “The City will rely heavily on partnerships and collaboration with other service providers in sharing facilities and services, and ensuring that City plans meet the community's current and future needs. This will allow the City to deliver services in a manner that is efficient and fiscally responsible.” Cupertino Little League is willing to fund a significant share of the project, which eventually benefits directly the City of Cupertino, as the owner of the fields. CLL does not foresee any additional capital costs after the scoreboards are taken into service. Moreover, the new scoreboards will be less prone to malfunction, thus freeing time for City Park staff to focus on more important matters. To be eligible to play with Cupertino Little League, a player’s parent(s) must live within Cupertino Little League boundaries (which cover most of the City of Cupertino) or attend a school located in Cupertino. For the Spring season 2024, out of the 130 players (aged 5-16 years old) who registered with CLL, 115 are Cupertino residents (100 families). We expect this ratio of resident/non-resident players to stay constant in the future. These scoreboards can also be used by any organization renting the fields with the City of Cupertino. Over the course of Spring season 2023, CLL organized more than 125 baseball games at Wilson Park: these were attended by a total of around 2,600 players and families (including 400 from Cupertino, as well as others from Santa Clara, Sunnyvale and Los Altos Little Leagues). The presence of these boards will reflect positively on the City of Cupertino for all these visitors. While CLL is the main organization to use the fields at Wilson Park (and hence these boards), they are available to rent by any organization. 0 20,000 0 0 0 0 1350 400 83 PRC 04-04-2024 82 of 196 d)Will there be a charge or fee for the program/project/event (if applicable)? SECTION 6: CERTIFICATION d)Will there be a charge or fee for the program/project/event (if applicable)? 13. Describe how you will promote/advertise your event or activity for awareness to the public. 14. How will your organization fund the program/project/event if the full requested funding amount is not awarded? If partial funding is awarded, what is the minimum funding amount needed for your program/ project/event to take place? 15. Have you received grant funding from the City of Cupertino in the past? If yes, please describe when, how much was received, and how the funds were used. No further capital expenses will be required for this project, there will be no fee for the use of the boards, besides the regular fees the city charges CLL for the use of the fields. CLL has, to the best of our knowledge, never received a grant funding from the City of Cupertino. Cupertino Little League’s board has already approved the funding of this project from its capital reserves that it had managed to accumulate in previous years. However this project will deplete that capital savings. Given the fees for renting fields have increased significantly during the past years, the league is not able to put as much into reserves as previously. Receiving a grant from the City would alleviate the financial pressure on our non-profit organization and not require us to put this back on the community families participating. If $20,000 is not an option in 2024, we would like to see that sum divided: $11,500 in 2024 and $11,500 in 2025 for this project (50% of total project costs). As we expect the boards to be installed for the opening of the Spring season 2025, we will have an inauguration ceremony as part of our traditional opening day in March 2025 and we will invite the City Council, the Parks & Recs commission, as well as City Staff. We expect 300 people to be present at that ceremony. 84 PRC 04-04-2024 83 of 196 17. Describe any funding requested from other agencies/organizations in regard to this program/project/event request. Indicate whether the funding was granted, denied, or is still pending: 16. If your organization has ever received financial or in-kind support from the City of Cupertino outside of Community Funding Grants, please describe this support: No other funding source was requested for this project at this stage. N/A 85 PRC 04-04-2024 84 of 196 86 PRC 04-04-2024 85 of 196 87 PRC 04-04-2024 86 of 196 88 PRC 04-04-2024 87 of 196 Eligibility YES NO Notes: Be a 501(c)(3) non-profit organization with experienced members capable of implementing and managing the program/project/event. X Identify how the funds will be used to benefit the Cupertino community.X Funds will be used towards the replacement of two scoreboards at Wilson Park Be awarded only once per project.X For specific needs, not ongoing, operational costs, or endowment funds.X Have more than 75% of the requested funds allocated for direct service costs versus administrative costs.X Be complete and submitted by the application deadline.X Restrictions/Guidelines YES NO Notes: Festivals currently receiving funding through Festival Fee waivers may not apply for funding through the Community Funding Grant Process for the same festival X NA Admission to or participation in the event must be "free of charge" X To qualify for CLL, the child's home address or school must be within League Boundaries. Boards available to rent by other organizations when not in use by CLL Cupertino Little League (NEW) Eligibility Checklist (staff use only) 89 PRC 04-04-2024 88 of 196 ______________________________________________________ _____________________________ ____ _________ _______________________ ___________________________ ______________________ __________ __________________ ____________________ _____________________________ ____ _________ _____________________ ___________________________________________________________________________ _________________ _______________________ ________________ __________________________ _______________________________________________________________________________________ ________________________ __________________________ _______________________ ____________________________________ ____________________________ 501(c)(3)?: Yes Year Established: No (if different than above address information) City: State: Zip: Phone: Organization President/Executive Director Name and Title: City: State: Zip: Phone: Federal Tax ID: Total Organization Budget: Total # of Board Members: Total # of staff: Total # of Volunteers: Email: Phone: COMMUNITY FUNDING GRANT APPLICATION PARKS AND RECREATION | 408-777-3120 | WWW.CUPERTINO.ORG SECTION 1: CONTACT INFORMATION Full Legal Organization Name: Website: Address: Email: Phone: Contact Name and Title: (If different) SECTION 2: NON-PROFIT INFORMATION Sponsor Name: Sponsor Address: (If your program is fiscally sponsored, enter the tax ID of your sponsoring organization) SECTION 3: ORGANIZATION INFORMATION Organization has an endowment fund? Yes No Alysa Sakkas asakkas2011@gmail.com (408) 772-5550 Orrin Mahoney, Fund Development Lead orrinmahoney@comcast.net 4086210073 0 Cupertino Rotary Endowment Foundation PO Box 1101 Cupertino CA 95015 77-0288042 0 Rotary Club of Cupertino www.cupertinorotary.org PO Box 237 Cupertino CA 95014 408-658-0077 $200,000 14 210 90 PRC 04-04-2024 89 of 196 __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ _____________ _________________________________ __________________ __________________ _____ _____________ ϒ ϒ ϒ ϒ ________ Mission Statement: Brief Description of Organization and Services Provided: SECTION 4: GRANT REQUEST 1.Program/Project/Event Name: 2. Date(s) and/or duration of program/project/event (if applicable): Total program/project/event budget: $ Requested Amount: $ Percent of total program/project/event budget: % 3. 4. 5.What percentage of your organization’s projected income does your funding request represent? % 6.Type of Request: Program Support Event One-time project 7.Existing program/event; established in (year) New program/project/event Rotary International Mission Statement-“Together, we see a world where people unite and take action to create lasting change — across the globe, in our communities, and in ourselves.” Cupertino Rotary is the local arm of Rotary International, the world's largest service organization. We provide charitable projects and services in the local area including services for seniors, youth, and other needy members of the community. We have 210 members representing a broad cross section of local business, professional, government, and community leaders. Cupertino Rotary focuses on hands-on projects that connect us directly to with those in need. Our members volunteer over 12,000 hours yearly working to make our community a better place Two times per year, Spring and Fall $4,000 $4,000 100 4 8 Rebuilding Together House Renovations 91 PRC 04-04-2024 90 of 196 __________ _________ ____________ __________ _____________________________________ _____________________________________________________: ____________ ___________________________________________________________________________________________ _______ 9.Please provide a line item breakdown of how the funds will be used in the categories below. If a category is not applicable, put $0: a) Staffing cost $ (ongoing operational cost) b)Materials/Equipment $ c)Entertainment $ d)Room/Venue Rental $ e)Other Professional Services such as $ $ f)Other _______________ ____________ ϒ No ___________________________________________________________________________________________ _______ 10.More than 75% of the requested funds will go towards direct service costs versus administrative costs? Yes 8.Describe the purpose of requested funds and the services that will be provided: 11. Explain how the request aligns to City mission and values. Describe how funds will be used to benefit or impact the Cupertino community: 12.Who will be served by this grant? a)Number of individuals total: b)N um_________ber of C______upert__ino residents: c)Will the program/project/event be available to the entire community/public or are there any eligibility criteria? or im_________pact the______ Cuper______tino_ comm_________unity: ____________________________________________________________ Is your event citywide or targeted to a particular neighborhood, demographic or geographic area? If targeted, describe your target audience. Rebuilding Together works to preserve affordable housing and non-profit community facilities throughout the City of Cupertino. House by house, and block by block, they are helping to keep people in their homes, revitalize low income neighborhoods and maintaining our city’s diverse character by providing free building repair, modification, clean-up, and renovation work to community members. The requested funds will allow Cupertino Rotary to partner with Rebuilding Together to refurbish two houses or non-profit facilities. The funds will be used for supplies, etc. and will be augmented by up to 70 volunteers each providing hours of hands-on service. The purpose of the Funds was already covered above. They match the following General Plan Principles Chapter 3: Land Use and Community Character Element Chapter 4: Housing Element Chapter 6: Environmental Resources and Sustainability Element Chapter 7: Health and Safety Element The homes are selected Citywide Rebuilding Together has a selection process to identify needy residents 0 4000 0 0 0 0 0 0 10 10 92 PRC 04-04-2024 91 of 196 d)Will there be a charge or fee for the program/project/event (if applicable)? SECTION 6: CERTIFICATION d)Will there be a charge or fee for the program/project/event (if applicable)? 13. Describe how you will promote/advertise your event or activity for awareness to the public. 14. How will your organization fund the program/project/event if the full requested funding amount is not awarded? If partial funding is awarded, what is the minimum funding amount needed for your program/ project/event to take place? 15. Have you received grant funding from the City of Cupertino in the past? If yes, please describe when, how much was received, and how the funds were used. The home renovations are done free of charge. Yes, We historically received funding for our Fall Festival, but not since 2021. We are not sure that we can do this year's Rebuilding Together program without the City's support. We will do press releases to notify the public and also have an extensive Social Media plan. 93 PRC 04-04-2024 92 of 196 17. Describe any funding requested from other agencies/organizations in regard to this program/project/event request. Indicate whether the funding was granted, denied, or is still pending: 16. If your organization has ever received financial or in-kind support from the City of Cupertino outside of Community Funding Grants, please describe this support: No other funding requested for this program Fee waivers for the Fall Festival 94 PRC 04-04-2024 93 of 196 95 PRC 04-04-2024 94 of 196 96 PRC 04-04-2024 95 of 196 97 PRC 04-04-2024 96 of 196 Eligibility YES NO Notes: Be a 501(c)(3) non-profit organization with experienced members capable of implementing and managing the program/project/event. X Identify how the funds will be used to benefit the Cupertino community.X Funds will allow partnership with Rebuilding Together to refurbish two houses or non-profit facilities in Cupertino Be awarded only once per project.X For specific needs, not ongoing, operational costs, or endowment funds.X Have more than 75% of the requested funds allocated for direct service costs versus administrative costs.X Be complete and submitted by the application deadline.X Restrictions/Guidelines YES NO Notes: Festivals currently receiving funding through Festival Fee waivers may not apply for funding through the Community Funding Grant Process for the same festival X NA Admission to or participation in the event must be "free of charge"X Homes are selected Citywide and renovations are free of charge to residents in need Rotary Club (RETURNING) Eligibility Checklist (staff use only) 98 PRC 04-04-2024 97 of 196 ______________________________________________________ _____________________________ ____ _________ _______________________ ___________________________ ______________________ __________ __________________ ____________________ _____________________________ ____ _________ _____________________ ___________________________________________________________________________ _________________ _______________________ ________________ __________________________ _______________________________________________________________________________________ ________________________ __________________________ _______________________ ____________________________________ ____________________________ 501(c)(3)?: Yes Year Established: No (if different than above address information) City: State: Zip: Phone: Organization President/Executive Director Name and Title: City: State: Zip: Phone: Federal Tax ID: Total Organization Budget: Total # of Board Members: Total # of staff: Total # of Volunteers: Email: Phone: COMMUNITY FUNDING GRANT APPLICATION PARKS AND RECREATION | 408-777-3120 | WWW.CUPERTINO.ORG SECTION 1: CONTACT INFORMATION Full Legal Organization Name: Website: Address: Email: Phone: Contact Name and Title: (If different) SECTION 2: NON-PROFIT INFORMATION Sponsor Name: Sponsor Address: (If your program is fiscally sponsored, enter the tax ID of your sponsoring organization) SECTION 3: ORGANIZATION INFORMATION Organization has an endowment fund? Yes No Brigid Oram, President brigid.oram@gmail.com 650-477-0144 Robert Ponce, board member robert911s@netscape.net 408-992-1102 1989 N/A 0 93-1055362 1 Cupertino Symphonic Band www.cupertinosymphonicband.org PO Box 2692 Cupertino CA 95015 408-992-1102 $15,000 8 45 99 PRC 04-04-2024 98 of 196 __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ _____________ _________________________________ __________________ __________________ _____ _____________ ϒ ϒ ϒ ϒ ________ Mission Statement: Brief Description of Organization and Services Provided: SECTION 4: GRANT REQUEST 1.Program/Project/Event Name: 2. Date(s) and/or duration of program/project/event (if applicable): Total program/project/event budget: $ Requested Amount: $ Percent of total program/project/event budget: % 3. 4. 5.What percentage of your organization’s projected income does your funding request represent? % 6.Type of Request: Program Support Event One-time project 7.Existing program/event; established in (year) New program/project/event To foster the musical talent and education of its members and provide quality musical entertainment to the community. The Cupertino Symphonic Band (CSB) provides free concerts throughout the year for Cupertino and other south bay communities. Sep 2024 - July 2025 Concert Season 15,000 6063 40 40 8 Music, Uniforms, Concert Venue Rentals, Publicity Banner, Event Signs, Programs 100 PRC 04-04-2024 99 of 196 __________ _________ ____________ __________ _____________________________________ _____________________________________________________: ____________ ___________________________________________________________________________________________ _______ 9.Please provide a line item breakdown of how the funds will be used in the categories below. If a category is not applicable, put $0: a) Staffing cost $ (ongoing operational cost) b)Materials/Equipment $ c)Entertainment $ d)Room/Venue Rental $ e)Other Professional Services such as $ $ f)Other _______________ ____________ ϒ No ___________________________________________________________________________________________ _______ 10.More than 75% of the requested funds will go towards direct service costs versus administrative costs? Yes 8.Describe the purpose of requested funds and the services that will be provided: 11. Explain how the request aligns to City mission and values. Describe how funds will be used to benefit or impact the Cupertino community: 12.Who will be served by this grant? a)Number of individuals total: b)N um_________ber of C______upert__ino residents: c)Will the program/project/event be available to the entire community/public or are there any eligibility criteria? or im_________pact the______ Cuper______tino_ comm_________unity: ____________________________________________________________ Is your event citywide or targeted to a particular neighborhood, demographic or geographic area? If targeted, describe your target audience. New sheet music, New outdoor uniforms (shirts/hats), Publicity banners, Folding event signs, Concert venue rentals, Concert programs CSB performances allow the entire community to listen and enjoy all types of live music. The concerts also allow the children in the community to see all the different wind and percussion instruments up close. This in turn may spark interest in youth to begin learning a musical instrument. CSB members, residents of Cupertino, and residents of serveral south bay cities. Everyone of all ages is invited to attend CSB concerts. Yes 0 5,103 0 960 0 0 2000 500 101 PRC 04-04-2024 100 of 196 d)Will there be a charge or fee for the program/project/event (if applicable)? SECTION 6: CERTIFICATION d)Will there be a charge or fee for the program/project/event (if applicable)? 13. Describe how you will promote/advertise your event or activity for awareness to the public. 14. How will your organization fund the program/project/event if the full requested funding amount is not awarded? If partial funding is awarded, what is the minimum funding amount needed for your program/ project/event to take place? 15. Have you received grant funding from the City of Cupertino in the past? If yes, please describe when, how much was received, and how the funds were used. No, All concerts and performances are free. Yes, a $4,000 Cupertino grant was awarded in July 2023. Thank you all for the city grant. The funds have been used to purchase much needed new sheet music, music stands, and several percussion instruments. CSB would have to reduce the number of line items purchased, and analyze which items we could still purchase using our existing savings account. For example, Eliminate the uniform upgrade, and reduce the quantity of new sheet music purchased. Publicity for all performances is announced with CSB audience email lists, social media, flyers posted at local libraries, senior centers, music stores, etc., and in all south bay community newspapers such as the Cupertino Courier,etc. P.S. CSB would like to request the help of the City of Cupertino, to post our concert dates in the Cupertino Scene magazines, City web site calendar, and the Cupertino Cable TV channel 26/99. 102 PRC 04-04-2024 101 of 196 17. Describe any funding requested from other agencies/organizations in regard to this program/project/event request. Indicate whether the funding was granted, denied, or is still pending: 16. If your organization has ever received financial or in-kind support from the City of Cupertino outside of Community Funding Grants, please describe this support: CSB has been awarded an Event Reimbursement Grant from the City of Sunnyvale, for our May 2024 concert. Sunnyvale offers a reimbursement grant program of 40% of actual costs for the event. Sunnyvale has capped the May CSB Event reimbursement at $702. No. 103 PRC 04-04-2024 102 of 196 104 PRC 04-04-2024 103 of 196 105 PRC 04-04-2024 104 of 196 106 PRC 04-04-2024 105 of 196 107 PRC 04-04-2024 106 of 196 108 PRC 04-04-2024 107 of 196 109 PRC 04-04-2024 108 of 196 110 PRC 04-04-2024 109 of 196 111 PRC 04-04-2024 110 of 196 112 PRC 04-04-2024 111 of 196 113 PRC 04-04-2024 112 of 196 114 PRC 04-04-2024 113 of 196 CSB Treasurer’s Report 2024 Jan 08 Dec Statements Wells Fargo Business Checking: $ 3,751.47 Wells Fargo Business Market Rate Savings: $ 6,431.66 Total cash in bank: $ 10,183.13 PayPal balance: $ 805.13 Venmo balance: $ 942.64 SubTotal: $ 11,930.90 Outstanding Checks: $ 200.00 Grand Total: $ 11,730.90 Previous Month’s Total: $ 13,802.85* Delta: $ -1,871.95* MTD Income: $1,167,12 (Paypal $100, WF $906.82, Venmo $10.30) MTD Expenses: -$1,309.20 (Paypal $2.48, WF $1103.28, Venmo $3.44, OC $200) YTD Income: $16,813.80 + $ 1,167,12 = $16,980.92 YTD Expenses: $13,902.47 + $ 1,309.20 = $15,211.67 YTD Total Delta: $1,769.25 Cash flow for Dec 2023 Membership $350 (Deposits $100, Paypal $100, Venmo $150.00) Donations/Bake Sale $806 Donations/Venmo $10.30 Benevity $0 Bank Interest $0.82 Total Income $1,167.12 Expenses: Insurance $232.00 Venmo Fees $3.44 Paypal Fees $2.48 Association of Concert Bands $290.00 Jason McChristian $410.18 ($10.18 to cover paypal fees) Ken Gudan - percussion $192.03 ($4.76 to cover paypal fees) Tom Brown – programs $201.43 ($4.99 to cover paypal fees) Checks 1539 – Matt Walterskirchen – Percussion bin, tray $67.64 Total Expenses $1,109.20 Outstanding Checks: 1536 – Jason McChristian, Veteran’s Day concert $200 Total Outstanding Checks $200 Upcoming Expenses: Insurance – Jan 2024 $232.20 Music, Spring/Childrens concert $630 115 PRC 04-04-2024 114 of 196 * Notes: Starting this month I am including outstanding checks in the top summary. 116 PRC 04-04-2024 115 of 196 Eligibility YES NO Notes: Be a 501(c)(3) non-profit organization with experienced members capable of implementing and managing the program/project/event. X Identify how the funds will be used to benefit the Cupertino community.X Funds used to purchase equipment a Be awarded only once per project.X For specific needs, not ongoing, operational costs, or endowment funds.X Have more than 75% of the requested funds allocated for direct service costs versus administrative costs.X Be complete and submitted by the application deadline.X Restrictions/Guidelines YES NO Notes: Festivals currently receiving funding through Festival Fee waivers may not apply for funding through the Community Funding Grant Process for the same festival X NA Admission to or participation in the event must be "free of charge"X CSB performances are free and open to all Cupertino residents and several other South Bay cities Cupertino Symphonic Band (RETURNING) Eligibility Checklist (staff use only) 117 PRC 04-04-2024 116 of 196 ______________________________________________________ _____________________________ ____ _________ _______________________ ___________________________ ______________________ __________ __________________ ____________________ _____________________________ ____ _________ _____________________ ___________________________________________________________________________ _________________ _______________________ ________________ __________________________ _______________________________________________________________________________________ ________________________ __________________________ _______________________ ____________________________________ ____________________________ 501(c)(3)?: Yes Year Established: No (if different than above address information) City: State: Zip: Phone: Organization President/Executive Director Name and Title: City: State: Zip: Phone: Federal Tax ID: Total Organization Budget: Total # of Board Members: Total # of staff: Total # of Volunteers: Email: Phone: COMMUNITY FUNDING GRANT APPLICATION PARKS AND RECREATION | 408-777-3120 | WWW.CUPERTINO.ORG SECTION 1: CONTACT INFORMATION Full Legal Organization Name: Website: Address: Email: Phone: Contact Name and Title: (If different) SECTION 2: NON-PROFIT INFORMATION Sponsor Name: Sponsor Address: (If your program is fiscally sponsored, enter the tax ID of your sponsoring organization) SECTION 3: ORGANIZATION INFORMATION Organization has an endowment fund? Yes No Michael Wang zhikui@gmail.com 6502458731 Ali Malik ali@einslab.com 4088938480 2017 Monta Vista High School Speech Boosters Inc 21840 McClellan Road Cupertino California 95014 (669) 256-2025 82-2152635 62 Monta Vista High School Speech Boosters Inc https://mvsd.team/ 21840 McClellan Road Cupertino California 95014 4088938480 43000 4 57 118 PRC 04-04-2024 117 of 196 __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ _____________ _________________________________ __________________ __________________ _____ _____________ ϒ ϒ ϒ ϒ ________ Mission Statement: Brief Description of Organization and Services Provided: SECTION 4: GRANT REQUEST 1.Program/Project/Event Name: 2. Date(s) and/or duration of program/project/event (if applicable): Total program/project/event budget: $ Requested Amount: $ Percent of total program/project/event budget: % 3. 4. 5.What percentage of your organization’s projected income does your funding request represent? % 6.Type of Request: Program Support Event One-time project 7.Existing program/event; established in (year) New program/project/event At MVSD, we are on a passionate mission to empower every student to find their voice and unleash their full potential. With a dedication to fostering synthesis, argumentation skills, and the art of public speaking, we provide a dynamic platform for self-expression and growth. Our ethos of inclusivity ensures that every member, regardless of background or experience, is welcomed with open arms into our community. Joining our speech team means stepping into a world where you're not just a participant, but a valued member of a supportive family. Speak up. Be heard. With Monta Vista Speech! To provide instruction, facilities, opportunities, equipment and resources for participants to engage in the promotion and participation of the activity of Individual Speaking Events (Speech) To sponsor, host and/or participate in events and activities that promote the activity of Individual Public Speaking Events (Speech) To support students in their journey to gain poise and confidence through competitive success To channel resources to help the Monta Vista High School Speech team achieve top rankings at the regional and national level To build community among speech members, parents, alumni, and coaches to facilitate a strong team culture Fiscal year 2025 (July 2024-June 2025) 43000 6500 15 15 8 8 2017 Monta Vista Speech Program 119 PRC 04-04-2024 118 of 196 __________ _________ ____________ __________ _____________________________________ _____________________________________________________: ____________ ___________________________________________________________________________________________ _______ 9.Please provide a line item breakdown of how the funds will be used in the categories below. If a category is not applicable, put $0: a) Staffing cost $ (ongoing operational cost) b)Materials/Equipment $ c)Entertainment $ d)Room/Venue Rental $ e)Other Professional Services such as $ $ f)Other _______________ ____________ ϒ No ___________________________________________________________________________________________ _______ 10.More than 75% of the requested funds will go towards direct service costs versus administrative costs? Yes 8.Describe the purpose of requested funds and the services that will be provided: 11. Explain how the request aligns to City mission and values. Describe how funds will be used to benefit or impact the Cupertino community: 12.Who will be served by this grant? a)Number of individuals total: b)N um_________ber of C______upert__ino residents: c)Will the program/project/event be available to the entire community/public or are there any eligibility criteria? or im_________pact the______ Cuper______tino_ comm_________unity: ____________________________________________________________ Is your event citywide or targeted to a particular neighborhood, demographic or geographic area? If targeted, describe your target audience. The funds will be allocated strategically across various key areas to enhance both the effectiveness of our current speech members as well as increasing opportunities for potential members. These include: 1. Tournament Fees Coverage: A portion of the funds will be dedicated to covering tournament costs for competitions that we were unable to attend previously such as prestigious and expensive travel tournaments such as the tournament of champions and glenbrooks. This initiative aims to provide more opportunities for our members to compete and qualify for national tournaments. 2. Enhanced Coaching Infrastructure: Another segment of the funds will be directed towards expanding our pool of coaches, specifically dedicated to each speech event. This expansion will enable us to offer more frequent workshops and personalized feedback sessions to nurture the skills of every student participant. 3. Boosters Program Expansion: Funds will also be allocated to bolster our boosters program. This expansion will facilitate smooth operations for our speech program without encountering any financial constraints and ensure a proper management of the funds 4. Summer Camp Enrichment: Most significantly, a substantial portion of the funds will be invested in expanding our summer camp program. This expansion will extend the duration of the camp, providing students with an extended period of access to high-quality coaching and training. Importantly, the camp will be offered at no cost to participants, thereby removing financial barriers and fostering inclusivity. MV Speech Boosters extends the mission of our city by providing support and opportunities for our student community to take responsibility and leadership roles as well as sharpen their public speaking and communication/collaboration skills. Our successful feeder middle school program provides leadership and mentor-ship roles for our speech members. Our success in tournaments proves the effectiveness of our coaches. The Monta Vista Speech team is ranked 6th in California and 45th nationwide. Our grant will primarily serve two target audiences. Firstly, our primary focus is on engaging middle schoolers from Kennedy Middle School and high schoolers from Monta Vista High School. These students represent the core demographic that MVSD seeks to support and empower through our speech services. Additionally, we are allocating significant resources to extend our reach to a broader audience within Cupertino high schools. This secondary target market encompasses all high school students in Cupertino, with a particular emphasis on those who may face financial barriers and who demonstrate exceptional dedication to improving their speaking skills. By prioritizing both established participants from Kennedy and Monta Vista and extending our services to encompass a wider spectrum of Cupertino high school students through free summer programs, MVSD aims to create a more inclusive and accessible platform for speech education and development within our community. While in the school year, the MVSD program is only available for Monta Vista high school students and the Kennedy program is only available to Kennedy middle school students, our additional programs reach out to the rest of the community with limited eligibility criteria. Through our annual MVSD summer program, anyone can receive public speaking lessons and professional experience free- of-charge, although the program is recommended and tailored to current or rising high schoolers. 4000 3000 0 0 0 0 2630 7232 120 PRC 04-04-2024 119 of 196 d)Will there be a charge or fee for the program/project/event (if applicable)? SECTION 6: CERTIFICATION d)Will there be a charge or fee for the program/project/event (if applicable)? 13. Describe how you will promote/advertise your event or activity for awareness to the public. 14. How will your organization fund the program/project/event if the full requested funding amount is not awarded? If partial funding is awarded, what is the minimum funding amount needed for your program/ project/event to take place? 15. Have you received grant funding from the City of Cupertino in the past? If yes, please describe when, how much was received, and how the funds were used. All of MVSD’s programs are free of charge, although donations are encouraged for the high school and middle school programs to keep the clubs running. Because MVSD attends various tournaments and holds weekly classes/events, funding is necessary to ensure long-term success and growth. On the other hand, the MVSD Speech Program is completely free of charge without any donations as our strong budgeting and finances, directed by our booster board, allow us to hold an annual free speech program over the Summer to contribute to our community. 2021 - we received $3000.00 We spent it on hiring a coach to strengthen the Original Oratory branch of our speech team. This served about 24% of our team members. We submitted the report as required in July 2022. If the full requested funding is not awarded, the main funding allocation will be for the expansion and enrichment of our summer camp program, as it is the largest priority. This is because of Monta Vista’s newfound commitment to expand public speaking opportunities to individuals who are unable to spend large amounts of money. MVSD’s main mode of promotion and advertisement is through the Monta Vista Speech Instagram. Whether it be announcing new apparel, upcoming tournaments, or posting vlogs of our team, the MVSD Instagram has gained a following for personal, well-designed posts showcasing one of the biggest clubs at Monta Vista. While Instagram effectively reaches MVSD’s younger audience, communication to the whole family is made through the Monta Vista Speech email. Through weekly emails, tournaments and major events are announced to foster an educated and connected community. The email also showcases a monthly newsletter, where speech families can catch up on all the events of the month and learn more about tournament winners, meeting activities, etc. 121 PRC 04-04-2024 120 of 196 17. Describe any funding requested from other agencies/organizations in regard to this program/project/event request. Indicate whether the funding was granted, denied, or is still pending: 16. If your organization has ever received financial or in-kind support from the City of Cupertino outside of Community Funding Grants, please describe this support: Not applicable Not applicable 122 PRC 04-04-2024 121 of 196 123 PRC 04-04-2024 122 of 196 124 PRC 04-04-2024 123 of 196 Eligibility YES NO Notes: Be a 501(c)(3) non-profit organization with experienced members capable of implementing and managing the program/project/event. X Identify how the funds will be used to benefit the Cupertino community.X Requested funds will cover tournament fees, coaches, current program expansion, summer camp program Be awarded only once per project.X For specific needs, not ongoing, operational costs, or endowment funds.X Have more than 75% of the requested funds allocated for direct service costs versus administrative costs.X Be complete and submitted by the application deadline.X Restrictions/Guidelines YES NO Notes: Festivals currently receiving funding through Festival Fee waivers may not apply for funding through the Community Funding Grant Process for the same festival X NA Admission to or participation in the event must be "free of charge" X Programs free of charge. Annual summer program available to all while during the school year, program only available to MV highschoolers and Kennedy middle schoolers Monta Vista HS Speech Boosters (RETURNING) Eligibility Checklist (staff use only) 125 PRC 04-04-2024 124 of 196 ______________________________________________________ _____________________________ ____ _________ _______________________ ___________________________ ______________________ __________ __________________ ____________________ _____________________________ ____ _________ _____________________ ___________________________________________________________________________ _________________ _______________________ ________________ __________________________ _______________________________________________________________________________________ ________________________ __________________________ _______________________ ____________________________________ ____________________________ 501(c)(3)?: Yes Year Established: No (if different than above address information) City: State: Zip: Phone: Organization President/Executive Director Name and Title: City: State: Zip: Phone: Federal Tax ID: Total Organization Budget: Total # of Board Members: Total # of staff: Total # of Volunteers: Email: Phone: COMMUNITY FUNDING GRANT APPLICATION PARKS AND RECREATION | 408-777-3120 | WWW.CUPERTINO.ORG SECTION 1: CONTACT INFORMATION Full Legal Organization Name: Website: Address: Email: Phone: Contact Name and Title: (If different) SECTION 2: NON-PROFIT INFORMATION Sponsor Name: Sponsor Address: (If your program is fiscally sponsored, enter the tax ID of your sponsoring organization) SECTION 3: ORGANIZATION INFORMATION Organization has an endowment fund? Yes No Fengdi Xu omniwarenetworks@gmail.com 6505398919 Judy Shen, Director 2004 0 26-0319712 5 Omniware Networks www.omniwarenetworks.com 4546 El Camino Real suite B10 #765 Los Altos CA 94022 6505398919 30000 3 60 126 PRC 04-04-2024 125 of 196 __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ _____________ _________________________________ __________________ __________________ _____ _____________ ϒ ϒ ϒ ϒ ________ Mission Statement: Brief Description of Organization and Services Provided: SECTION 4: GRANT REQUEST 1.Program/Project/Event Name: 2. Date(s) and/or duration of program/project/event (if applicable): Total program/project/event budget: $ Requested Amount: $ Percent of total program/project/event budget: % 3. 4. 5.What percentage of your organization’s projected income does your funding request represent? % 6.Type of Request: Program Support Event One-time project 7.Existing program/event; established in (year) New program/project/event to enhance community well-being, foster a sustainable and inclusive culture. We have been focusing on organizing activities and providing services with three themes: 1. Art educational opportunities to children, and community art sharing 2. Mental well-being and social connections through difficult times with a focus on seniors and low- income community 3. Social justice and inclusiveness From Q3 2024 to Q2 2025 6000 4000 66 12 8 2 ‘Improve mental health for low income seniors’ 127 PRC 04-04-2024 126 of 196 __________ _________ ____________ __________ _____________________________________ _____________________________________________________: ____________ ___________________________________________________________________________________________ _______ 9.Please provide a line item breakdown of how the funds will be used in the categories below. If a category is not applicable, put $0: a) Staffing cost $ (ongoing operational cost) b)Materials/Equipment $ c)Entertainment $ d)Room/Venue Rental $ e)Other Professional Services such as $ $ f)Other _______________ ____________ ϒ No ___________________________________________________________________________________________ _______ 10.More than 75% of the requested funds will go towards direct service costs versus administrative costs? Yes 8.Describe the purpose of requested funds and the services that will be provided: 11. Explain how the request aligns to City mission and values. Describe how funds will be used to benefit or impact the Cupertino community: 12.Who will be served by this grant? a)Number of individuals total: b)N um_________ber of C______upert__ino residents: c)Will the program/project/event be available to the entire community/public or are there any eligibility criteria? or im_________pact the______ Cuper______tino_ comm_________unity: ____________________________________________________________ Is your event citywide or targeted to a particular neighborhood, demographic or geographic area? If targeted, describe your target audience. Many low-income seniors have cognition and mobility limits. In addition, their limited means and physical abilities keep them from having access to healthy recreation activities/ resources, and access to beautiful nature. Many of them feel lonely, isolated, and anxious after three years of global pandemic. Between 25-30% seniors have reported these mental health disorders since April 2020 (source: CDC). It can be as high as 60% among the low-income senior group. Memory problems, cognitive decline and a growing loneliness epidemic, all make seniors especially vulnerable to mental health issues. Our proposed program and activities are tailored to their needs, adeptive to their physical conditions, and appropriate for their cultural background. For instance, we have organized outing to the bay wetlands which are beyond their normal daily reach. We have selected recreation areas with paved roads / trails accessible to handicapped seniors. We have hosted health fair booths to provide information and resources of mental health. We organized senior talent shows which received tremendous positive feedback from seniors as they enhanced their confidence, and showcased their talents. We are also organizing group tour, such as a complimentary culture tour of Hakone Japanese Garden where we’ll introduce Japanese culture, guide the tour the garden, provide kimono photography opportunities, and offer Japanese souvenirs. Our program is well aligned to Cupertino’s general plan principles to improve the sense of connection between neighborhoods and make it a better place for all residents. Our program focuses on one of the most vulnerable groups of people to broaden their daily reach boundaries, to take them to enjoy California natural recreation assets to improve their mental health. It improves the community equity and quality. We have strong abilities to organize programs to serve the community because we are deeply rooted in the communities to have good understanding of the needs of the community, engage community members to co-lead projects, co-develop plans and implement programs tailored to meet the community needs effectively. We have a solid track record to serve low-income seniors and received very positive community feedback. For instance, we organized senior talent shows, social gatherings and culture tour for low-income seniors for the past several years. The feedback from the participants was very positive and our partners gave us high regards. Our program is free and serves low income seniors in Cupertino. Most of the audience we serve are people of color who may have limited English language skills. Our program will serve 60 low income seniors in Cupertino. 0 $ 1000 $ 400 $ 800 culture guide, art instruction, health counseling1800 0 60 60 128 PRC 04-04-2024 127 of 196 d)Will there be a charge or fee for the program/project/event (if applicable)? SECTION 6: CERTIFICATION d)Will there be a charge or fee for the program/project/event (if applicable)? 13. Describe how you will promote/advertise your event or activity for awareness to the public. 14. How will your organization fund the program/project/event if the full requested funding amount is not awarded? If partial funding is awarded, what is the minimum funding amount needed for your program/ project/event to take place? 15. Have you received grant funding from the City of Cupertino in the past? If yes, please describe when, how much was received, and how the funds were used. Our program is complimentary for the low-income seniors. We received $2000 from the City of Cupertino to support children’s art education program in 2022, and $4000 to support seniors’ wellbeing in 2023. We spent all of the grants to serve the community and the target audience and received tremendous positive feedback from the audience we served. In 2022, we organized a children's art contest, held children’s art exhibition and multi- generation art receptionist at Cupertino Library and Cupertino Senior Center. More than 100 Cupertino children and residents participated in our activities. In 2023, we organized outing to the bay wetlands, hosted health fair booths to provide information and resources of mental health, seniors talent shows, movie nights, art and hand craft workshops to serve Cupertino seniors. We are also organizing complimentary culture tour of Hakone Japanese Garden in March where we’ll introduce Japanese culture, guide the tour the garden, provide kimono photography opportunities, and offer Japanese souvenirs. In total, we have and will serve more than 100 seniors in Cupertino. All comments we received are very positive. Many seniors asked us to continue the program. Without the funding from Cupertino, our ability to support the program will be severely decreased. We will self fund the program via our individual donations, but it is smaller size of funding, which may lead to dramatic reduction of most programs and possibly shutdown of the program, which will be a loss for the seniors in Cupertino. Over the past two years, we have established communication channels with the senior community in Cupertino - we can send the information directly to seniors via senior living community, senior center, WVCS and adult day care centers. In addition, we posted our program flyers at Cupertino library, community centers and at our facebook page to expand the awareness to more people. 129 PRC 04-04-2024 128 of 196 17. Describe any funding requested from other agencies/organizations in regard to this program/project/event request. Indicate whether the funding was granted, denied, or is still pending: 16. If your organization has ever received financial or in-kind support from the City of Cupertino outside of Community Funding Grants, please describe this support: N/A N/A 130 PRC 04-04-2024 129 of 196 13 1 PRC 04-04-2024 130 of 196 13 2 PRC 04-04-2024 131 of 196 13 3 PRC 04-04-2024 132 of 196 SENIORS PROGRAMS IN CUPERTINO, CA BY OMNIWARE NETWORKS 2024 Non-senior programs organized by Omniware Networks not included in this report. 134 PRC 04-04-2024 133 of 196 SECTION 1 Overview Our mission Our mission is to enhance community well-being, foster a sustainable and inclusive culture. Our vision Omniware Networks was created by a woman of color who came to the US as an asylee. It is managed by a diverse group of volunteers to address a series of matters most relevant to our local communities in order to improve the community well-being, inclusiveness, sustainability and social justice, especially within the underserved communities in silicon valley. Our transparency We have earned the Gold Seal of Transparency from Guidestar. Focused themes We have been focusing on organizing activities and providing services with a focus on ● Art educational opportunities to children ● Mental well-being for seniors ● Social justice Seniors Served In Cupertino (July 2023 - June 2024) ● Completed activities: already served 120 seniors in Cupertino ● Ongoing activities: serving 40 seniors in Cupertino ● Upcoming activities: expect to serve 40 seniors in Cupertino 2135 PRC 04-04-2024 134 of 196 SECTION 2 Project Senior Talent Shows July 2023 More than 15 seniors, most of whom are people of color, demonstrated their talents. About 40 seniors watched the talent shows. Their active lifestyle and talents prove that age truly is just a number. Our events helped seniors enhance their self esteem, mental health, and social connections. 3136 PRC 04-04-2024 135 of 196 SECTION 2 Project Senior Movie Night August, 2023 We partnered with Cupertino Senior Center to offer 20 complimentary movie tickets to Cupertino Seniors. They picked their favorite movie and had a pleasant social time. 4137 PRC 04-04-2024 136 of 196 SECTION 2 Project National Senior Day August, 2023 We organized summer picnics and social gatherings for about 20 seniors around the National Senior Day. Our projects helped seniors to improve their mental health, social connections, self-esteem, active lifestyle, as well as improve the social justice and equity of our community. 5138 PRC 04-04-2024 137 of 196 SECTION 2 Project Health Fairs and Wellbeing Kits For Seniors December 2023 We hosted booths and tables to provide resources, information and distributed wellbeing kits for seniors in Health Fairs. About 40 seniors visited our booth and took our wellbeing kits. Many seniors learned about 10 ways to improve their mental health and pledged to do them regularly to keep an active lifestyle and take care of their mental wellbeing. 6139 PRC 04-04-2024 138 of 196 SECTION 2 Project Art and Handcraft For Seniors Jan - Feb 2024 We are organizing a weekly complimentary art and handcraft workshop for 30 seniors in Cupertino during January and February 2024. Our art teacher provides artistic coaching and suggestions for seniors to create their works. 7140 PRC 04-04-2024 139 of 196 SECTION 2 Project Cultural Tour of Hakone Garden March 2024 We will organize a complimentary cultural tour of Hakone Garden for 40 seniors in Cupertino in March. 8 141 PRC 04-04-2024 140 of 196 Connect with us Support us OMNIWARE NETWORKS 9 142 PRC 04-04-2024 141 of 196 Omniware Networks Program Budget Cupertino community fund Omniware Self Fund Note a) Staffing cost 0 We are all volunteers (no one is paid) b) Materials/Equipment $1,000 60 people at $15/person for the full year (ie lawn bowling, elder care supplies, handouts/resources) c) Entertainment $400 about $8/person (such as cultural music, dance, festive gathering) d) Room/Venue Rental $800 e) Other Professional Services $1,800 $1,000 elder care specialists, mental health counseling, language support, local transportation services f) In-kind donation $0 $1,000 Subtotal $4,000 $2,000 Total $6,000 143 PRC 04-04-2024 142 of 196 Eligibility YES NO Notes: Be a 501(c)(3) non-profit organization with experienced members capable of implementing and managing the program/project/event. X Identify how the funds will be used to benefit the Cupertino community. X Funds will be used towards organizing activities/outings for seniors such as bay wetland tours, hosting health fairs, organizing senior talent shows Be awarded only once per project.X For specific needs, not ongoing, operational costs, or endowment funds.X Have more than 75% of the requested funds allocated for direct service costs versus administrative costs.X Be complete and submitted by the application deadline.X Restrictions/Guidelines YES NO Notes: Festivals currently receiving funding through Festival Fee waivers may not apply for funding through the Community Funding Grant Process for the same festival X NA Admission to or participation in the event must be "free of charge"X Free and services low-income seniors in Cupertino Omniware Networks (RETURNING) Eligibility Checklist (staff use only) 144 PRC 04-04-2024 143 of 196 ______________________________________________________ _____________________________ ____ _________ _______________________ ___________________________ ______________________ __________ __________________ ____________________ _____________________________ ____ _________ _____________________ ___________________________________________________________________________ _________________ _______________________ ________________ __________________________ _______________________________________________________________________________________ ________________________ __________________________ _______________________ ____________________________________ ____________________________ 501(c)(3)?: Yes Year Established: No (if different than above address information) City: State: Zip: Phone: Organization President/Executive Director Name and Title: City: State: Zip: Phone: Federal Tax ID: Total Organization Budget: Total # of Board Members: Total # of staff: Total # of Volunteers: Email: Phone: COMMUNITY FUNDING GRANT APPLICATION PARKS AND RECREATION | 408-777-3120 | WWW.CUPERTINO.ORG SECTION 1: CONTACT INFORMATION Full Legal Organization Name: Website: Address: Email: Phone: Contact Name and Title: (If different) SECTION 2: NON-PROFIT INFORMATION Sponsor Name: Sponsor Address: (If your program is fiscally sponsored, enter the tax ID of your sponsoring organization) SECTION 3: ORGANIZATION INFORMATION Organization has an endowment fund? Yes No David Solo, President & CEO davids@sonc.org 9259448801 Antonia Barela antoniab@sonc.org 9253322004 1995 0 68-0363121 54 Special Olympics Northern California SONC.org 3480 Buskirk Ave., Ste. 340 Pleasant Hill CA 94523 9259448801 15,249,815 25 15000 145 PRC 04-04-2024 144 of 196 __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ _____________ _________________________________ __________________ __________________ _____ _____________ ϒ ϒ ϒ ϒ ________ Mission Statement: Brief Description of Organization and Services Provided: SECTION 4: GRANT REQUEST 1.Program/Project/Event Name: 2. Date(s) and/or duration of program/project/event (if applicable): Total program/project/event budget: $ Requested Amount: $ Percent of total program/project/event budget: % 3. 4. 5.What percentage of your organization’s projected income does your funding request represent? % 6.Type of Request: Program Support Event One-time project 7.Existing program/event; established in (year) New program/project/event The mission of Special Olympics Northern California is to create an inclusive community where people with and without disabilities can make connections, develop healthy lifestyles, achieve success, and experience the joy of sports. Our programs are free for participants and strive to challenge stigma, drive inclusivity, and create opportunities for everyone to shine. Our four pillars of service represent our core programs and demonstrate how we support athletes in all aspects of their lives. Special Olympics Northern California empowers athletes through sports, health initiatives, school partnerships, and leadership opportunities: • Sports are at the core of our mission and help to create wins for athletes and communities. Programs begin for children as young as two and expand into year-round training and competition opportunities for athletes 8-80+ years old. Individuals with intellectual disabilities are supported by coaches, unified partners, and volunteers to compete, connect, and stay active. • Health Initiatives help our athletes to be their best on and off the field. Our health initiatives include our Healthy Athletes Health Fairs, Inclusive Fitness Programs, and Athlete Health Messengers. Healthy Athletes partners with local healthcare professionals and students to offer free non- invasive screenings in eight disciplines, including podiatry, physical therapy, hearing, nutrition, physical exams, vision, dental, and mental wellness. Inclusive fitness programs offer walking clubs, fitness seasons, performance stations, and a fitness library that all athletes can access for guided fitness content. Health Messengers are trained to encourage healthy behaviors for their fellow athletes and advocate for inclusive healthcare outside of the organization. • School Partnerships enhance our impact by bringing Special Olympics to school campuses throughout Northern California. Our Unified Sports Program and Unified Champion Schools help ignite friendship and belonging between students with and without disabilities. Our programs span Pre-K to Transition Schools and include sports curriculum, youth leadership, and resources for educators. Students receiving special education services are joined by their general education peers in Unified Sports activities. Additionally, Special Olympics Northern California introduces Pre-K age students with perceived intellectual disabilities, as well as their peers, to programming through the Special Olympics Young Athletes Program. • Leadership Opportunities put Special Olympics athletes at the forefront of change, acting as the face and voice of everything we do. Our innovative Athlete Leadership Program empowers athletes to become advocates for themselves and others with disabilities through skills-based classes, presentation opportunities, and chances to take on leadership roles. Leadership opportunities better equip athlete leaders for success at school, work, and in the community. Athletes learn about public speaking, speech writing, and a variety of professional development skills that help then take on influential roles within the community and excel in their everyday lives. Tentatively Set for May 18th, 2024 15,959 15,959 100 100 8 0 2024 Spring Games 146 PRC 04-04-2024 145 of 196 __________ _________ ____________ __________ _____________________________________ _____________________________________________________: ____________ ___________________________________________________________________________________________ _______ 9.Please provide a line item breakdown of how the funds will be used in the categories below. If a category is not applicable, put $0: a) Staffing cost $ (ongoing operational cost) b)Materials/Equipment $ c)Entertainment $ d)Room/Venue Rental $ e)Other Professional Services such as $ $ f)Other _______________ ____________ ϒ No ___________________________________________________________________________________________ _______ 10.More than 75% of the requested funds will go towards direct service costs versus administrative costs? Yes 8.Describe the purpose of requested funds and the services that will be provided: 11. Explain how the request aligns to City mission and values. Describe how funds will be used to benefit or impact the Cupertino community: 12.Who will be served by this grant? a)Number of individuals total: b)N um_________ber of C______upert__ino residents: c)Will the program/project/event be available to the entire community/public or are there any eligibility criteria? or im_________pact the______ Cuper______tino_ comm_________unity: ____________________________________________________________ Is your event citywide or targeted to a particular neighborhood, demographic or geographic area? If targeted, describe your target audience. Funding from the City of Cupertino will offset expenses related to the 2024 Spring Games. Funding will only be used to cover direct service expenses including meals, facility rentals, lodging, venue operations, sports equipment, and transportation. Special Olympics Northern California’s Spring Games event aligns with Cupertino’s goal to embrace diversity in the community. While Spring games serves all of Santa Clara County, Cupertino is home to the Regional Spring Games event which creates a space for athletes with intellectual disabilities to showcase their talents and abilities. The 2024 Spring Games brings athletes, coaches, volunteers, and community members together in the spirit of inclusion. Athletes will showcase their talents and be celebrated for their diversity. Summer Games events will include Track and Field, Swimming, and Tennis, and will welcome athletes from Monterey, Santa Cruz, Santa Clara, San Mateo, San Francisco, and Marin. The event will feature an Opening Ceremony open to athletes, families, coached, honored guests, and the community, followed by sports competition, and concluding with an awards ceremony presented to athletes by local law enforcement officers. This program serves athletes with intellectual disabilities throughout the counties of Monterey, Santa Cruz, Santa Clara, San Mateo, San Francisco, and Marin, however the event itself will take place in Cupertino. Only Special Olympics Athletes who qualify for the 2024 Spring Games Competition will be eligible to participate in the sports competition. Athletes compete against each other in local competitions and select athletes qualify to compete in this region-wide competition. Additional, we recruit volunteers from the City of Cupertino to assist with the competition, giving them the chance to engage with the athletes and get a firsthand look at what we do. Although the public is not eligible to compete in the event, the entire community is welcome to attend and spectate at the Opening Ceremony, competitions, and Award Presentations. 0 7,146 0 8,267 0 546 200 43 147 PRC 04-04-2024 146 of 196 d)Will there be a charge or fee for the program/project/event (if applicable)? SECTION 6: CERTIFICATION d)Will there be a charge or fee for the program/project/event (if applicable)? 13. Describe how you will promote/advertise your event or activity for awareness to the public. 14. How will your organization fund the program/project/event if the full requested funding amount is not awarded? If partial funding is awarded, what is the minimum funding amount needed for your program/ project/event to take place? 15. Have you received grant funding from the City of Cupertino in the past? If yes, please describe when, how much was received, and how the funds were used. All Special Olympics programs are available free of charge for athletes and spectators. No If the City of Cupertino is unable to fund the full requested amount, we will identify alternate funding sources through sponsorship, grant opportunities, and community support. This event will be advertised in the community and on the Special Olympics Northern California Website. If funded, City of Cupertino will be listed as a key sponsor for the event itself. 148 PRC 04-04-2024 147 of 196 17. Describe any funding requested from other agencies/organizations in regard to this program/project/event request. Indicate whether the funding was granted, denied, or is still pending: 16. If your organization has ever received financial or in-kind support from the City of Cupertino outside of Community Funding Grants, please describe this support: There are currently no other funding opportunities attached to this specific event. Special Olympics Northern California uses a general fund to supplement financial support to areas that are in need of additional resources. N/A 149 PRC 04-04-2024 148 of 196 150 PRC 04-04-2024 149 of 196 151 PRC 04-04-2024 150 of 196 Eligibility YES NO Notes: Be a 501(c)(3) non-profit organization with experienced members capable of implementing and managing the program/project/event. X Identify how the funds will be used to benefit the Cupertino community. X Spring Games 2024 will take place in Cupertino. Requested funds will offset program expenses: materials/equipment and room/venue rentals Be awarded only once per project.X For specific needs, not ongoing, operational costs, or endowment funds.X Have more than 75% of the requested funds allocated for direct service costs versus administrative costs.X Be complete and submitted by the application deadline.X Restrictions/Guidelines YES NO Notes: Festivals currently receiving funding through Festival Fee waivers may not apply for funding through the Community Funding Grant Process for the same festival X N/A Admission to or participation in the event must be "free of charge" X Only Special Olympics Athletes compete in the event. Public is welcome to attend and watch opening ceremony, competitions, award presentations Special Olympics Northern California (NEW) Eligibility Checklist (staff use only) 152 PRC 04-04-2024 151 of 196 ______________________________________________________ _____________________________ ____ _________ _______________________ ___________________________ ______________________ __________ __________________ ____________________ _____________________________ ____ _________ _____________________ ___________________________________________________________________________ _________________ _______________________ ________________ __________________________ _______________________________________________________________________________________ ________________________ __________________________ _______________________ ____________________________________ ____________________________ 501(c)(3)?: Yes Year Established: No (if different than above address information) City: State: Zip: Phone: Organization President/Executive Director Name and Title: City: State: Zip: Phone: Federal Tax ID: Total Organization Budget: Total # of Board Members: Total # of staff: Total # of Volunteers: Email: Phone: COMMUNITY FUNDING GRANT APPLICATION PARKS AND RECREATION | 408-777-3120 | WWW.CUPERTINO.ORG SECTION 1: CONTACT INFORMATION Full Legal Organization Name: Website: Address: Email: Phone: Contact Name and Title: (If different) SECTION 2: NON-PROFIT INFORMATION Sponsor Name: Sponsor Address: (If your program is fiscally sponsored, enter the tax ID of your sponsoring organization) SECTION 3: ORGANIZATION INFORMATION Organization has an endowment fund? Yes No Queen Lee Foo, President of the Board qfoo@yahoo.com 408-828-7879 2017 0 82-2741857 30 Queen Lee Foo https://www.stemboost.org/ 10170 Santa Clara Ave Cupertino CA 95014 408-828-7879 48,000.00 3 30 153 PRC 04-04-2024 152 of 196 __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ _____________ _________________________________ __________________ __________________ _____ _____________ ϒ ϒ ϒ ϒ ________ Mission Statement: Brief Description of Organization and Services Provided: SECTION 4: GRANT REQUEST 1.Program/Project/Event Name: 2. Date(s) and/or duration of program/project/event (if applicable): Total program/project/event budget: $ Requested Amount: $ Percent of total program/project/event budget: % 3. 4. 5.What percentage of your organization’s projected income does your funding request represent? % 6.Type of Request: Program Support Event One-time project 7.Existing program/event; established in (year) New program/project/event STEMBoost, a 501(c)(3) non-profit organization, was founded in 2017 by a team of enthusiastic high school students who shared a deep passion for STEM. Our primary objective is to offer elementary and middle school students invaluable opportunities in the realm of STEM education. Through active involvement in diverse STEM activities, we strive to cultivate their comprehension of related disciplines and ignite their aspirations to pursue STEM careers. In line with our commitment to Science Olympiad initiatives, we actively organize Science Olympiad Invitationals and serve as proctors for Science Olympiad events. Moreover, we have conducted numerous workshops on a wide array of STEM topics, further bolstering our dedication to fostering knowledge and curiosity in these fields. In 2022, STEMBoost established a Community and International Relations department with the aim of broadening our reach beyond Silicon Valley. By doing so, we are able to further our dedication to engaging historically underserved groups within our local community, as well as communities worldwide. Provide STEM workshops in person and online Mentor Kennedy Science Olympiad teams Mentor STEM projects Jun 1 - Sept 10 5000.00 4000.00 80 10 8 8 2023 8 Elementary Science Olympiad summer workshops 154 PRC 04-04-2024 153 of 196 __________ _________ ____________ __________ _____________________________________ _____________________________________________________: ____________ ___________________________________________________________________________________________ _______ 9.Please provide a line item breakdown of how the funds will be used in the categories below. If a category is not applicable, put $0: a) Staffing cost $ (ongoing operational cost) b)Materials/Equipment $ c)Entertainment $ d)Room/Venue Rental $ e)Other Professional Services such as $ $ f)Other _______________ ____________ ϒ No ___________________________________________________________________________________________ _______ 10.More than 75% of the requested funds will go towards direct service costs versus administrative costs? Yes 8.Describe the purpose of requested funds and the services that will be provided: 11. Explain how the request aligns to City mission and values. Describe how funds will be used to benefit or impact the Cupertino community: 12.Who will be served by this grant? a)Number of individuals total: b)N um_________ber of C______upert__ino residents: c)Will the program/project/event be available to the entire community/public or are there any eligibility criteria? or im_________pact the______ Cuper______tino_ comm_________unity: ____________________________________________________________ Is your event citywide or targeted to a particular neighborhood, demographic or geographic area? If targeted, describe your target audience. The requested fund will support a series of in-person summer workshops offered from June to September in 2024. The majority of the fund will be used to pay facility rental. Additional expenses include materials such as building event materials, handouts, small prizes, snacks, and drinks for the volunteers. The topics of the workshops will cover physics, chemistry, biology, math, computer science, earth science, and engineering. In addition, the depth of knowledge the workshops cover will vary depending on the topics so that both beginner and advanced students can find subjects that interest them. For example, while Fundamentals of Physics will explore kinematics in 1 and 2 dimensions, along with force and other common topics, Rotation and Stellar Collapse will focus on the investigation of stellar collapse using the principles of rotational physics. As described above, each workshop will span 1-4 weeks with one or multiple 60-90 minute sessions, and the syllabus and instructor’s background will be provided before registration to help students select the right workshop that fits their interests. Our proposed program aligns with the City's mission and values perfectly, which is to provide exceptional service, encourage all members of the community to take responsibility for one another, and support the values of education, innovation, and collaboration. Additionally, our workshops are open to all Cupertino residents no matter their income level. As a result, this will also help low-income students gain STEM learning and education to reduce the gap between them and their more affluent peers. Our program not only enhances the exposure of elementary school students to STEM but also helps them build a unique interest in STEM-related topics. In addition, by offering these workshops in the summer, we can effectively prevent summer learning loss. The new skills and knowledge acquired will reinforce the confidence of the students and help them thrive in the coming school year. We will serve all citywide schools, all Cupertino residents who are of grades 2nd-5th. It will be available to all Cupertino residents who are in grades 2nd-5th. 0 2400.00 0 2400.00 0 snacks, drinks 200 100 100 155 PRC 04-04-2024 154 of 196 d)Will there be a charge or fee for the program/project/event (if applicable)? SECTION 6: CERTIFICATION d)Will there be a charge or fee for the program/project/event (if applicable)? 13. Describe how you will promote/advertise your event or activity for awareness to the public. 14. How will your organization fund the program/project/event if the full requested funding amount is not awarded? If partial funding is awarded, what is the minimum funding amount needed for your program/ project/event to take place? 15. Have you received grant funding from the City of Cupertino in the past? If yes, please describe when, how much was received, and how the funds were used. no Yes, $4000 in 2023. when: 2023 how much: $4000.00 funds were used to pay for facility rental and buying material to run several workshops. We will reduce the number of days the workshops are offered. If partial funding is awarded, we will raise the funds by selling boba and snacks, and by raising funds from parent donations. The minimum funding amount needed is $3000.00 We will promote via websites, libraries, and social media of parents in the Cupertino schools, handing out fliers outside the Cupertino schools, and emailing the principals. 156 PRC 04-04-2024 155 of 196 17. Describe any funding requested from other agencies/organizations in regard to this program/project/event request. Indicate whether the funding was granted, denied, or is still pending: 16. If your organization has ever received financial or in-kind support from the City of Cupertino outside of Community Funding Grants, please describe this support: No. No. 157 PRC 04-04-2024 156 of 196 158 PRC 04-04-2024 157 of 196 159 PRC 04-04-2024 158 of 196 Michael Smith, President, STEMBoost.org Queen-Lee Foo, President, Board of Directors 10170 Santa Clara Avenue., Cupertino, CA 95014 qfoo@yahoo.com 408-828-7879 1/30/2024 Subject: Post-Event Report - STEMBoost's Elementary Science Olympiad (ESO) Workshop Series 2023 Dear Sir/Madam, I am writing to provide you with a detailed report on STEMBoost's Elementary Science Olympiad (ESO) Workshop Series 2023 that took place from June to August 2023. This report aims to summarize the key aspects of the event, including the number of persons served (Cupertino residents), our program's impact on the community, and the requested funds for future initiatives. Event Overview: The STEMBoost ESO Summer Workshop Series is a critical component of our organization's efforts to promote STEM education among elementary school students. The program is designed to provide students with the opportunity to explore various STEM fields, enhance their knowledge, and foster a love for science, technology, engineering, and mathematics. Number of Persons Served: A total of 236 students participated in the 2023 Summer ESO Workshop Series. We are pleased to provide a breakdown of attendees: ●Cupertino Residents:236 students were residents of Cupertino, CA, constituting 100% of the total participants. ●Non-Residents:0 students attended the program from neighboring areas, making up 0% of the participants. ● 49 students attended on 6/24/2023 ● 49 students attended on 6/25/2023 ● 69 students attended on 7/1/2023 ● 69 students attended on 7/2/2023 Program Impact: The 2023 Summer Workshop Series had a significant impact on Cupertino residents: ●Enhanced STEM Knowledge:Students had the opportunity to delve into various STEM subjects, including physics, chemistry, biology, math, computer science, earth science, and engineering. The diverse range of workshops catered to both beginner and advanced students, allowing them to explore subjects of their interest. ●Preventing Summer Learning Loss:By offering these workshops during the summer break, STEMBoost helped prevent summer learning loss. Students acquired new skills and knowledge, reinforcing their confidence and readiness for the upcoming school year. ●Community Engagement:The program aligns perfectly with the City of Cupertino's mission and values by encouraging education, innovation, and collaboration. It fosters a unique interest 160 PRC 04-04-2024 159 of 196 in STEM-related topics among middle school students and supports the values of the community. Requested Funds: We are seeking financial support to continue and expand our efforts in 2024. The requested funds will primarily cover the following expenses: ●Facility Rental:A significant portion of the fund will be allocated to renting suitable facilities to conduct the in-person summer workshops, ensuring a conducive learning environment. ●Materials and Prizes:Additional expenses include materials such as building event materials, handouts, and small prizes to motivate and engage students in the workshops. Future Initiatives: In line with our mission, we aim to expand our reach and impact on the Cupertino community. Our plans for future initiatives include: ●Continuation of Workshop Series:To offer an even wider array of STEM topics and cater to more students with varying interests and skill levels. ●Support for Kennedy Middle School Science Olympiad:Continued support and mentorship for the Kennedy Science Olympiad teams to maintain their competitive edge and success. ●Focus on Cyber Security and Robotics:Expanding our focus on projects related to cyber security and robotics, further engaging students in STEM fields. Conclusion: The 2023 STEMBoost Summer Workshop Series was a resounding success, with a diverse group of students from second to sixth graders benefitting from our STEM-focused programs. We are committed to continuing our efforts to enrich the community by inspiring young minds and fostering a passion for STEM. If you require any additional information or have specific questions regarding our programs, outcomes, or future initiatives, please do not hesitate to contact us at qfoo@yahoo,com or 408-828-7879 Thank you for your continued support in our mission to enhance STEM education and interests in Cupertino and beyond. Sincerely, Michael Smith, President, STEMBoost.org Queen-Lee Foo, President, Board of Directors 161 PRC 04-04-2024 160 of 196 Total Revenue Total Expenses ($ 4,000.00) ($ 5,707.13) 6/16/2023 food coloring - purple ($10.90) chemistry 6/16/2023 very big mixing bowl ($20.95) chemistry, cleanup 6/16/2023 storage tubs x4 ($53.09) organization 6/16/2023 26 pack cube ($ 310.38) mystery architecture 6/16/2023 200 plastic spoons engineering device building 6/16/2023 4 pack tape measure engineering device building 6/16/2023 spice drop candy write it do it workshop 6/16/2023 bounty paper towel cleanup 6/16/2023 blue painters tape engineering device building 6/16/2023 kids' goggles chemistry, engineering 6/16/2023 chromatography papers 2x chemistry 6/16/2023 2 squirt bottles chemistry 6/16/2023 poster board 50x engineering device building 6/16/2023 kraft boxes widi 6/16/2023 jumbo glue sticks widi engineering device building 6/16/2023 calcium sulphate chemistry 6/16/2023 kleenex hygiene 6/16/2023 food coloring multi colors ($80.04) chemistry 6/16/2023 clothpins engineering device building 6/16/2023 red coloring chemistry 6/16/2023 toothpicks widi 6/16/2023 iodine ($19.96) chemistry 6/16/2023 storm book ($14.32) earth science 6/16/2023 erasers ($ 226.30) all activities 6/16/2023 gelatin chemistry 6/16/2023 CaCO3 chemistry 6/16/2023 Cardstock engineering device building 6/16/2023 8.5" scissors engineering device building 6/16/2023 150 pencils engineering device building 6/16/2023 3-- pcs wooden pattern blocks engineering device building 162 PRC 04-04-2024 161 of 196 Total Revenue Total Expenses ($ 4,000.00) ($ 5,707.13) 6/16/2023 magnifying glasses ($ 226.30) chemistry, earth science 6/16/2023 scissors engineering device building 6/16/2023 8 inch scissors engineering device building 6/16/2023 colgate for chemistry chemistry 6/16/2023 alka seltzer chemistry 6/16/2023 baking soda chemistry 6/16/2023 printer papers printing worksheets, engineering device building 6/16/2023 hydrogen peroxide ($11.45) chemistry 6/16/2023 Omei rental (zelle) zelle to Omei ($ 1,200.00) rental 6/17/2023 fossils books 3x, vinegar, meteo book, shipping fees($76.40) earth science, chemistry, earth science 6/18/12023 posters 2x, mini tapes, straws 2 sets amazon Bus ($46.53) engineering builds 6/18/12023 Brain 2x, heart 2x amazon Bus ($ 110.64) anatomy 6/19/2023 detergent (costco receipt) ($10.25) chemistry hygiene 6/19/2023 dk fossils book amazon Bus ($13.05) fossils workshop 6/19/2023 fossils + fibre slides amazon Bus ($77.43) fossils workshop 6/19/2023 fossils book amazon Bus ($12.13) fossils workshop 6/19/2023 prepared slides biology amazon Bus ($27.06) biology 6/19/2023 ziplog bags to organize for ESO workshops amazon Bus ($28.07) 6/20/2023 STEM simple machine sets 2x amazon Bus ($48.06) physics 6/20/2023 DK Eyewitness Books: Fossil amazon Bus ($6.33) fossils workshop 6/20/2023 National Audubon Society Field Guide to North American Fossils amazon Bus ($ 95.33) fossils workshop 6/20/2023 National Audubon Society Field Guide to North American Fossils amazon Bus fossils workshop 6/20/2023 Ascorbic Acid Powder amazon Bus chemistry 6/20/2023 100% Citric Acid 5 Pound Bag amazon Bus chemistry 6/20/2023 The World Encyclopedia of Fossils amazon Bus ($20.94) fossils workshop 6/20/2023 Smithsonian Handbooks: Fossils amazon Bus ($13.07) fossils workshop 163 PRC 04-04-2024 162 of 196 Total Revenue Total Expenses ($ 4,000.00) ($ 5,707.13) 6/21/2023 Lab Coat, small 1 x Lab Coat, small Lab Coat, child 8-10 1 x Lab Coat, child 8-10 Stratigraphic Fossil Collection, 45 specimens 1 x Stratigraphic Fossil Collection, 45 specimens Fossil Study Kit, 8 specimens 1 x Fossil Study Kit, 8 specimens Subtotal $130.35 Shipping $7.95 Tax $11.89 Total $150.19 ($ 150.19) chemistry 6/21/2023 Biology Now 8.43 Biology 6/21/2023 bio book 79.55 Biology 6/21/2023 bio book 6.72 Biology 6/21/2023 bio book ($11.74) Biology 6/21/2023 fossils kit 2 + bio book ($54.94) fossils workshop 6/30/2023 projector ($ 653.66) class presentations 6/21/2023 fossils kit 1 ($32.68) fossils workshop 6/22/2023 first aid bandaids/box ($29.93) 6/22/2023 clear long storage box - to display rocks, minerals, fossils for ESO workshops($24.00) 6/23/2023 glasses ($21.81) 6/23/2023 returned ($ (21.81) 6/23/2023 Anatomy model (Menaka bought these) ($60.00) anatomy 6/24/2023 staples - markers + sticker notes ($23.44) building 6/24/2023 goggles 3x, putty 6x, stirrer sticks, paper bowls ($ 161.73) chemistry 6/24/2023 construction papers, paper clips, black paper building 6/24/2023 straws, pipe cleaners, test tube brushes ($36.68) building 6/24/2023 tennis balls 4x building 6/24/2023 boba for instructors and TAs ($55.34) 6/25/2023 boba ($25.05) 164 PRC 04-04-2024 163 of 196 Total Revenue Total Expenses ($ 4,000.00) ($ 5,707.13) 6/25/2023 clear display box for displaying rocks set 1 from Michaels($6.54) 6/26/2023 ink cartridges ($ 152.76) 6/27/2023 rock identification poster, cups ($20.38) rocks and minerals returned cups ($(9.99) 6/27/2023 fossils poster ($15.19) fossils 6/27/2023 laminated sheets on earth science returned on 6/30 ($44.18) earth science 6/27/2023 McDonald earth science energy posters earth science 6/28/2023 2.5 oz containers - 7x returned on 6/30 ($92.72) 6/28/2023 mimorou 2 oz containers - 20x 6/28/2023 silicone containers - 4x 6/28/2023 reusable bag/container 6/30/2023 return 6/28 purchase of 2.5 oz containers - 7x ($ (15.27) rocks and minerals 6/28/2023 Rocks/Gemstone/Crystal Properties (Quick Study Home)7.58 rocks and minerals 6/28/2023 Rocks Minerals posters 4x ($21.01) 6/28/2023 1.3 oz container - 7×1.3oz Mini Glass Storage (returned on 6/30) 17.27 6/28/2023 EONJOE 12 2oz containers - to store samples for CB($13.08) 6/28/2023 60 mini spoons, 6 1.6oz containers, spot plate ($33.75) 6/29/2023 composting poster ($16.36) 6/28/2023 Daiso - prizes ($14.44) 6/30/2023 return 6/28 purchase of 7×1.3oz Mini Glass Storage($(15.83) 6/30/2023 1/32 Teaspoon Micro Scoops - powder lab spoons ($6.86) chemistry 6/30/2023 small 2oz containers to store powder specimens ($36.55) chemistry 6/30/2023 lemon juice powder ($31.03) chemistry 6/30/2023 wet erase markers - need for 36 kids at one time 6/30/2023 soil mix for SO CB soil/horticultural Agri Sci soil workshop($14.02) agriscience 6/30/2023 loam mix for SO CB soil/horticultural Agri Sci soil workshop($15.92) agriscience 6/30/2023 minus colgate ($(9.99) 165 PRC 04-04-2024 164 of 196 Total Revenue Total Expenses ($ 4,000.00) ($ 5,707.13) 6/30/2023 return scissors ($(7.99) 6/30/2023 Daiso - prizes ($25.65) 6/30/2023 Michael's - 3x display boxes for fossils set 2, rock set2, minerals set2($17.97) 6/30/2023 staples (6 round tip scissors, wet erase markers, 2 magnifying lenses, jumbo paper clips($82.06) 6/30/2023 ESO Curriculum from National SO ($10.00) 6/30/2023 ESO lesson plans $26+$20 shipping ($46.00) 6/24/2023 microscope ($ 272.80) lab equipment 6/30/2023 Micro pipette and Microchemical Disposable Liquid Pipettor ($76.98) 6/30/2023 KEVENZ 60-Pack Ping Pong Balls, Assorted Color Table Tennis Balls, Multi-Color Pong Balls for Pong Games, Arts and Craft, Party Decoration and Pet Toy ($11.99) Matric mastery, Number estimation, Mystery Architecture 6/30/2023 Nike Mix Golf Balls - ($21.97) Mystery Architecture 6/30/2023 Bio prepared slides ($60.00) Biology 6/24 6/30/2023 iso propyrl alchohol ($10.00) chemistry 7/2 6/30/2023 microplates culture plates 10x ($46.50) Chemistry 7/1, 7/2 6/30/2023 tennis balls x12 ($21.99) 6/30/2023 sanitizer 6/30/2023 graduated cylinders ($18.54) lab equipment 6/30/2023 second microscope ($90.00) lab equipment 6/30/2023 thermometers ($18.50) lab equipment 6/30/2023 balance scale ($15.00) lab equipment 6/30/2023 venier calipers ($7.97) lab equipment 6/30/2023 digital calipers ($7.37) lab equipment 6/30/2023 caliper set ($16.99) lab equipment 6/30/2023 pens, pencils, erasers, food erasers, etc for prizes 6/30/2023 6/30/2023 return big bowl ($20.95) 7/1/2023 boba for instructors and TAs need to reimburse Sam Liu ($58.25) 166 PRC 04-04-2024 165 of 196 Total Revenue Total Expenses ($ 4,000.00) ($ 5,707.13) 7/2/2023 celebrate the success of the ESO camp ($ 265.90) 7/2/2023 Staple: Scotch tapes double-sided 2.89, scotch tape strong 6.49, 3M 4PK scotch tape 10.99($22.23) 7/2/2023 Daiso - prizes ($46.22) 7/2/2023 -rice crackers from Daiso receipt ($(2.50) 7/2/2023 -fruitfull from daiso receipt ($(2.00) 7/2/2023 snacks for instructors and TAs ($23.97) 7/2/2023 -kinoka iroiro ($(6.99) 7/3/2023 returned Scotch scissors ($ (17.45) 7/4/2023 returned national geo slides ($ (27.06) Cupertino City ($ 4,000.00) 167 PRC 04-04-2024 166 of 196 Eligibility YES NO Notes: Be a 501(c)(3) non-profit organization with experienced members capable of implementing and managing the program/project/event. X Identify how the funds will be used to benefit the Cupertino community.X Support a series of in-person summer workshops which includes facility rental fees and workshop materials Be awarded only once per project.X For specific needs, not ongoing, operational costs, or endowment funds.X Have more than 75% of the requested funds allocated for direct service costs versus administrative costs.X Be complete and submitted by the application deadline.X Restrictions/Guidelines YES NO Notes: Festivals currently receiving funding through Festival Fee waivers may not apply for funding through the Community Funding Grant Process for the same festival X NA Admission to or participation in the event must be "free of charge"X Available to all Cupertino residents grades 2nd-5th STEMBoost (RETURNING) Eligibility Checklist (staff use only) 168 PRC 04-04-2024 167 of 196 ______________________________________________________ _____________________________ ____ _________ _______________________ ___________________________ ______________________ __________ __________________ ____________________ _____________________________ ____ _________ _____________________ ___________________________________________________________________________ _________________ _______________________ ________________ __________________________ _______________________________________________________________________________________ ________________________ __________________________ _______________________ ____________________________________ ____________________________ 501(c)(3)?: Yes Year Established: No (if different than above address information) City: State: Zip: Phone: Organization President/Executive Director Name and Title: City: State: Zip: Phone: Federal Tax ID: Total Organization Budget: Total # of Board Members: Total # of staff: Total # of Volunteers: Email: Phone: COMMUNITY FUNDING GRANT APPLICATION PARKS AND RECREATION | 408-777-3120 | WWW.CUPERTINO.ORG SECTION 1: CONTACT INFORMATION Full Legal Organization Name: Website: Address: Email: Phone: Contact Name and Title: (If different) SECTION 2: NON-PROFIT INFORMATION Sponsor Name: Sponsor Address: (If your program is fiscally sponsored, enter the tax ID of your sponsoring organization) SECTION 3: ORGANIZATION INFORMATION Organization has an endowment fund? Yes No Sujatha Venkatraman Executive Director sujathav@wvcommunityservices.org 4089566113 1973 0 94-2211685 35 West Valley Community Services www.wvcommunityservices.org 10104 Vista Drive Cupertino California 95014 4082558033 5,178,898 14 100 169 PRC 04-04-2024 168 of 196 __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ _____________ _________________________________ __________________ __________________ _____ _____________ ϒ ϒ ϒ ϒ ________ Mission Statement: Brief Description of Organization and Services Provided: SECTION 4: GRANT REQUEST 1.Program/Project/Event Name: 2. Date(s) and/or duration of program/project/event (if applicable): Total program/project/event budget: $ Requested Amount: $ Percent of total program/project/event budget: % 3. 4. 5.What percentage of your organization’s projected income does your funding request represent? % 6.Type of Request: Program Support Event One-time project 7.Existing program/event; established in (year) New program/project/event Unite the Community to Fight Hunger and Homelessness West Valley Community Services is a non-profit organization providing safety net services to low- income and homeless individuals and families in the West Valley region of Santa Clara County for more than 50 years. The mission of West Valley Community Services is to unite the community to fight hunger and homelessness. Our work is guided by the vision of a community where every person has food on the table and a roof over their head. West Valley Community Services offers clients a range of safety net services, including a free weekly grocery, affordable housing, emergency financial assistance, a mobile food market, family support, case management, and referral services. Our programs target families with children, at-risk youth, seniors, individuals, and disabled adults who are extremely low-income, living on a fixed income, homeless, or are at risk of becoming homeless. Our services are eligible based on federal poverty determinations, and we serve individuals and families living at or below 275% of the federal poverty line. For an individual, that is an annual household income of $40,095; for a family of four or less, that is an annual household income of $82,500 or less. December 7th 2024 75000 10000 13 1 8 0 Gift of Hope 170 PRC 04-04-2024 169 of 196 __________ _________ ____________ __________ _____________________________________ _____________________________________________________: ____________ ___________________________________________________________________________________________ _______ 9.Please provide a line item breakdown of how the funds will be used in the categories below. If a category is not applicable, put $0: a) Staffing cost $ (ongoing operational cost) b)Materials/Equipment $ c)Entertainment $ d)Room/Venue Rental $ e)Other Professional Services such as $ $ f)Other _______________ ____________ ϒ No ___________________________________________________________________________________________ _______ 10.More than 75% of the requested funds will go towards direct service costs versus administrative costs? Yes 8.Describe the purpose of requested funds and the services that will be provided: 11. Explain how the request aligns to City mission and values. Describe how funds will be used to benefit or impact the Cupertino community: 12.Who will be served by this grant? a)Number of individuals total: b)N um_________ber of C______upert__ino residents: c)Will the program/project/event be available to the entire community/public or are there any eligibility criteria? or im_________pact the______ Cuper______tino_ comm_________unity: ____________________________________________________________ Is your event citywide or targeted to a particular neighborhood, demographic or geographic area? If targeted, describe your target audience. The December holidays are challenging for many people, as the stress of shopping, cooking, and family get-togethers make for a busy and often draining six weeks. For families living in poverty, however, the holiday season is particularly stressful. Homeless and low-income families cannot a?ord to purchase gifts - even necessary items such as seasonally appropriate clothing - and often cannot take the time or pay the travel costs to celebrate the holidays with family. This is particularly di?cult for children, who do not understand why they cannot celebrate seasonal holidays like their friends and neighbors do. For the last two years, increased cost of living, rent increases, income levels stagnant, and job losses have impacted the low-income and minority communities and added another layer of intense stress and anxiety on households already struggling to survive. As a result, the holiday season adds even more stress to the lives of homeless and low-income families. Researchers have found that the stress associated with living in poverty affects all members of a household, and extreme levels of stress can have long-term negative impacts on young people growing up in low-income households. According to the American Psychological Association, poverty-induced stress can cause permanent changes to developing brains that negatively impact "children's working memory, problem-solving, and other executive function skills." (Farah) The Gift of Hope program provides gifts and food to homeless and low-income families in our service area during the December holiday season. Gifts include traditional items, such as toys and small household appliances, and seasonally appropriate clothing items that families cannot afford, such as jackets, gloves, hats, warm socks, and blankets. In addition to providing much-needed items to families struggling financially, it relieves the stress caused by the pressure to engage in holiday spending that low-income families cannot afford. The Gift of Hope program also allows families living in poverty in Cupertino to preserve household assets that would have been spent on holiday gifts so that they can be spent on critical household needs such as rent, utilities, and food. In summary, the vision of the general plan emphasizes creating a balanced and vibrant community that is inclusive, safe, and healthy. WVCS and our programs ensure we are helping build an inclusive community for all ages, income groups, and minorities. This program will serve low-income households whose annual income is at or below 275% of federal poverty. For an individual, that is an annual household income of $40,095; for a family of four or less, that is an annual household income of $82,500 or less. The program is available to the entire community if they meet the income eligibility criteria. 0 0 0 0 0 Direct Program Cost 10000 350 100 171 PRC 04-04-2024 170 of 196 d)Will there be a charge or fee for the program/project/event (if applicable)? SECTION 6: CERTIFICATION d)Will there be a charge or fee for the program/project/event (if applicable)? 13. Describe how you will promote/advertise your event or activity for awareness to the public. 14. How will your organization fund the program/project/event if the full requested funding amount is not awarded? If partial funding is awarded, what is the minimum funding amount needed for your program/ project/event to take place? 15. Have you received grant funding from the City of Cupertino in the past? If yes, please describe when, how much was received, and how the funds were used. There is no fee for this program. We received funds for Gift of Hope in the amount of 10000. A unique program like Gift of Hope is solely a fundraising program. We seek support from local service organizations like Rotary clubs, Girl Scouts, etc., and reach out to our broad donor base. WVCS will promote this program through our agency newsletter, flyers, social media, and other channels such as Nextdoor. 172 PRC 04-04-2024 171 of 196 17. Describe any funding requested from other agencies/organizations in regard to this program/project/event request. Indicate whether the funding was granted, denied, or is still pending: 16. If your organization has ever received financial or in-kind support from the City of Cupertino outside of Community Funding Grants, please describe this support: All these funds are still pending. We receive funds from Rotary clubs, foundations, and individual donors. The funds we get from the City of Cupertino help us to meet the needs of Cupertino's low-income households. 173 PRC 04-04-2024 172 of 196 174 PRC 04-04-2024 173 of 196 Gift of Hope 2023 Report The Gift of Hope program provides gifts and food to homeless and low-income families in our service area during the December holiday season. Gifts include traditional items, such as toys and small household appliances, and seasonally appropriate clothing items that families cannot afford, such as jackets, gloves, hats, warm socks, and blankets. In addition to providing much-needed items to families struggling financially, it relieves the stress caused by the pressure to engage in holiday spending that low-income families cannot afford. The Gift of Hope program also allows families living in poverty to preserve household assets that would have been spent on holiday gifts so that they can be spent on critical household needs such as rent, utilities, and food. This year, the program was held on December 2, 2023. Program details The program helped serve 500 households. Out of the 500 households, 126 were households from Cupertino. The household compositions included families with children, young adults, older adults, and the unhoused. Budget Expenses Type Toys 1,000 Household Items 4,000 Food gift card 5,000 Program Budget 10,000 Client Story Theresa is a 35-year-old single mom with three children. Fleeing domestic violence, she lived in her car with her two youngest children. With limited resources, she could not find a safe place for her family until the Tenent-Based Rental Assistance program could assist her in moving into her new apartment. She is currently attending nursing school while also caring for her children. Her children enjoy having the freedom to walk to school, and the eldest enjoys taking on the significant brother role. WVCS was also able to assist her with signing up for the upcoming Thanksgiving meal and Gift of Hope for her family. 175 PRC 04-04-2024 174 of 196 176 PRC 04-04-2024 175 of 196 1/28/24, 9:28 PM Amazon.com - Order 113-6979696-3929011 https://www.amazon.com/gp/css/summary/print.html/ref=ppx_yo_dt_b_invoice_o00?ie=UTF8&orderID=113-6979696-3929011 1/13 Final Details for Order #113-6979696-3929011 Print this page for your records. Order Placed: November 19, 2023 Amazon.com order number: 113-6979696-3929011 Order Total: $4,895.72 Shipped on November 19, 2023 Items Ordered Price 2 of: Hot Wheels HW Celebration Box Complete Starter Set with 6 1:64 Scale Cars, Track, Connectors, 4-Speed Launcher, Ramps, Activity Page & Stickers, Gift for Kids 4 Years Old & Up Sold by: ZeroSix (seller profile) Supplied by: ZeroSix (seller profile) Condition: New $19.38 2 of: LOMAO Sherpa Fleece Blanket Fuzzy Soft Bed Blanket Dual Sided Throw Blanket fit Couch Sofa (Grey,51x63) Sold by: LOMAO (seller profile) Supplied by: LOMAO (seller profile) Condition: New $23.99 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 Items Ordered Price 3 of: Barbie Doll & Accessories, Make & Sell Boutique Playset with Display Rack, Create Foil Designs Medium Sold by: Amazon.com Services, Inc Supplied by: Other Condition: New $20.99 2 of: Elite Gourmet EHC-5055# Automatic Brew & Drip Coffee Maker with Pause N Serve Reusable Filter, On/Off Switch, Water Level Indicator, Black Sold by: Amazon.com Services, Inc Supplied by: Other Condition: New $18.99 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 20, 2023 177 PRC 04-04-2024 176 of 196 1/28/24, 9:28 PM Amazon.com - Order 113-6979696-3929011 https://www.amazon.com/gp/css/summary/print.html/ref=ppx_yo_dt_b_invoice_o00?ie=UTF8&orderID=113-6979696-3929011 2/13 Items Ordered Price 10 of: CARTMAN 39 Piece Tool Set General Household Hand Kit with Plastic Toolbox Storage Case Orange Sold by: Cartman (seller profile) | Product question? Ask Seller Supplied by: Other Condition: New $19.35 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 20, 2023 Items Ordered Price 3 of: CARTMAN 39 Piece Tool Set General Household Hand Kit with Plastic Toolbox Storage Case Orange Sold by: Cartman (seller profile) | Product question? Ask Seller Supplied by: Cartman (seller profile) Condition: New $19.35 4 of: Elite Gourmet EHC-5055# Automatic Brew & Drip Coffee Maker with Pause N Serve Reusable Filter, On/Off Switch, Water Level Indicator, Black Sold by: Amazon.com Services, Inc Supplied by: Other Condition: New $18.99 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 Items Ordered Price 3 of: REVLON Turbo Hair Dryer | 1875 Watts of Maximum Shine, Fast Dry (Silver) Sold by: Amazon.com Services, Inc Supplied by: Other Condition: New $19.99 1 of: Sunheir Orthopedic Dog Bed for Large Dogs and Extra Large Dogs, XL Dog Bed with Removable Waterproof Cover and Machine Washable Dog Bed, Pet Bed Mat Egg-Crate Foam, L(35"X22"X3"), Grey Sold by: Sunheir (seller profile) Supplied by: Sunheir (seller profile) Condition: New $24.99 2 of: Elite Gourmet EHC-5055# Automatic Brew & Drip Coffee Maker with Pause N Serve Reusable Filter, On/Off Switch, Water Level Indicator, Black Sold by: Amazon.com Services, Inc $18.99 178 PRC 04-04-2024 177 of 196 1/28/24, 9:28 PM Amazon.com - Order 113-6979696-3929011 https://www.amazon.com/gp/css/summary/print.html/ref=ppx_yo_dt_b_invoice_o00?ie=UTF8&orderID=113-6979696-3929011 3/13 Supplied by: Other Condition: New Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 Items Ordered Price 1 of: Disney100 Anniversary Puzzles, 4 Pack 48-Piece Jigsaw Puzzles in Storage Box, Puzzles for Kids Ages 4-8, Disney Toys for Adults & Kids Ages 4 and up, Spin Master Games Sold by: Amazon.com Services, Inc Supplied by: Other Condition: New $9.99 3 of: Hasbro Jenga Classic Game with Genuine Hardwood Blocks,Stacking Tower Game for 1 or More Players,Kids Ages 6 and Up, Hasbro Sold by: Amazon.com Services, Inc Supplied by: Other Condition: New $9.97 2 of: LOMAO Sherpa Fleece Blanket Fuzzy Soft Bed Blanket Dual Sided Throw Blanket fit Couch Sofa (Grey,51x63) Sold by: LOMAO (seller profile) Supplied by: LOMAO (seller profile) Condition: New $23.99 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 20, 2023 Items Ordered Price 4 of: Sleeping Bags for Adults Backpacking Lightweight Waterproof- Cold Weather Sleeping Bag for Girls Boys Mens for Warm Camping Hiking Outdoor Travel Hunting with Compression Bags（Navy Blue） Sold by: Hewcho (seller profile) Supplied by: Hewcho (seller profile) Condition: New $24.99 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 179 PRC 04-04-2024 178 of 196 1/28/24, 9:28 PM Amazon.com - Order 113-6979696-3929011 https://www.amazon.com/gp/css/summary/print.html/ref=ppx_yo_dt_b_invoice_o00?ie=UTF8&orderID=113-6979696-3929011 4/13 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 20, 2023 Items Ordered Price 4 of: Sleeping Bags for Adults Backpacking Lightweight Waterproof- Cold Weather Sleeping Bag for Girls Boys Mens for Warm Camping Hiking Outdoor Travel Hunting with Compression Bags（Navy Blue） Sold by: Hewcho (seller profile) Supplied by: Hewcho (seller profile) Condition: New $24.99 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 20, 2023 Items Ordered Price 1 of: Johnson & Johnson All-Purpose Portable Compact First Aid Kit for Minor Cuts, Scrapes, Sprains & Burns, Ideal for Home, Car, Travel, Camping and Outdoor Emergencies, 160 pieces Sold by: Amazon.com Services, Inc Supplied by: Other FSA or HSA eligible Condition: New $18.36 3 of: Sleeping Bags for Adults Backpacking Lightweight Waterproof- Cold Weather Sleeping Bag for Girls Boys Mens for Warm Camping Hiking Outdoor Travel Hunting with Compression Bags（Navy Blue） Sold by: Hewcho (seller profile) Supplied by: Hewcho (seller profile) Condition: New $24.99 1 of: Aroma Housewares Aroma 6-cup (cooked) 1.5 Qt. One Touch Rice Cooker, White (ARC-363NG), 6 cup cooked/ 3 cup uncook/ 1.5 Qt. Sold by: Amazon.com Services, Inc Supplied by: Other Condition: New $19.68 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 180 PRC 04-04-2024 179 of 196 1/28/24, 9:28 PM Amazon.com - Order 113-6979696-3929011 https://www.amazon.com/gp/css/summary/print.html/ref=ppx_yo_dt_b_invoice_o00?ie=UTF8&orderID=113-6979696-3929011 5/13 Items Ordered Price 4 of: ZQDOLL American 18 inch Doll Clothes and Accessories - Doll Travel Suitcase Play Set Including Suitcase Doll Clothes, Shoes, Sunglasses, Camera, Unicorn Pillow, for 18 inch Doll(No Doll) Sold by: Madhome (seller profile) Supplied by: Madhome (seller profile) Condition: New $19.99 6 of: Rintuf Small Space Heater, 1500W Electric Heater, Ceramic Heater w/ 3 Modes, Adjustable Thermostat, Overheat/Tip-Over Protection, Low Noise, Portable Heater Fan for Home Office Room Desk Indoor Use Sold by: daanUS (seller profile) Supplied by: daanUS (seller profile) Condition: New $21.59 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 Items Ordered Price 6 of: Rintuf Small Space Heater, 1500W Electric Heater, Ceramic Heater w/ 3 Modes, Adjustable Thermostat, Overheat/Tip-Over Protection, Low Noise, Portable Heater Fan for Home Office Room Desk Indoor Use Sold by: daanUS (seller profile) Supplied by: daanUS (seller profile) Condition: New $21.59 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 Items Ordered Price 1 of: Ceaco - 4 in 1 Multipack - Thomas Kinkade - Disney Dreams Collection - Tangled, Mickey and Minnie Mouse, Dumbo, & The Little Mermaid - (4) 500 Piece Jigsaw Puzzles , Blue Sold by: Amazon.com Services, Inc Supplied by: Other Condition: New $14.01 6 of: Rintuf Small Space Heater, 1500W Electric Heater, Ceramic Heater w/ 3 Modes, Adjustable Thermostat, Overheat/Tip-Over Protection, Low Noise, Portable Heater Fan for Home Office Room Desk Indoor Use Sold by: daanUS (seller profile) Supplied by: daanUS (seller profile) Condition: New $21.59 181 PRC 04-04-2024 180 of 196 1/28/24, 9:28 PM Amazon.com - Order 113-6979696-3929011 https://www.amazon.com/gp/css/summary/print.html/ref=ppx_yo_dt_b_invoice_o00?ie=UTF8&orderID=113-6979696-3929011 6/13 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 Items Ordered Price 6 of: Rintuf Small Space Heater, 1500W Electric Heater, Ceramic Heater w/ 3 Modes, Adjustable Thermostat, Overheat/Tip-Over Protection, Low Noise, Portable Heater Fan for Home Office Room Desk Indoor Use Sold by: daanUS (seller profile) Supplied by: daanUS (seller profile) Condition: New $21.59 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 20, 2023 Items Ordered Price 2 of: Digital Alarm Clock,7.5" Big LED Display & Full Dimmer,USB Cellphone Chargers,7-Color Night Light,Adjustable Volume,12/24 H,Plug-in Easy to Set Alarm Clock for Kids Elderly Bedside Desk Kitchen Office Sold by: Mestcool (seller profile) Supplied by: Mestcool (seller profile) Condition: New $19.99 7 of: Draizee Luxurious Coconut Scented 5 PCs Home Spa Basket - Spa Set with Body Scrub, Lotion, Shower Gel, and Bath Puff - Spa Basket for Women, Relaxation Gifts for Mom, Perfect Christmas Gift for Women Sold by: All In Retail (seller profile) Supplied by: All In Retail (seller profile) Condition: New $23.99 3 of: LEGO Minecraft The Mushroom House Set, 21179 Building Toy for Kids Age 8 Plus, Gift Idea with Alex, Mooshroom & Spider Jockey Figures Sold by: Amazon.com Services, Inc Supplied by: Other Condition: New $19.99 1 of: Rintuf Small Space Heater, 1500W Electric Heater, Ceramic Heater w/ 3 Modes, Adjustable Thermostat, Overheat/Tip-Over Protection, Low Noise, Portable Heater Fan for Home Office Room Desk Indoor Use Sold by: daanUS (seller profile) Supplied by: daanUS (seller profile) Condition: New $21.59 Shipping Address: 182 PRC 04-04-2024 181 of 196 1/28/24, 9:28 PM Amazon.com - Order 113-6979696-3929011 https://www.amazon.com/gp/css/summary/print.html/ref=ppx_yo_dt_b_invoice_o00?ie=UTF8&orderID=113-6979696-3929011 7/13 Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 Items Ordered Price 10 of: BLACK+DECKER Rice Cooker 6-Cup (Cooked) with Steaming Basket, Removable Non-Stick Bowl, White Sold by: Amazon.com Services, Inc Supplied by: Other Condition: New $24.71 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 Items Ordered Price 10 of: BLACK+DECKER Rice Cooker 6-Cup (Cooked) with Steaming Basket, Removable Non-Stick Bowl, White Sold by: Amazon.com Services, Inc Supplied by: Other Condition: New $24.71 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 Items Ordered Price 4 of: Keiby Citom Professional Stainless Steel Nail Clipper Travel & Grooming Kit Nail Tools Manicure & Pedicure Set of 18pcs with Luxurious Case (Black/Blue) Sold by: Zhonglei E-commerce Co., Ltd. (seller profile) Supplied by: Zhonglei E-commerce Co., Ltd. (seller profile) Condition: New $15.29 3 of: Pacific Pups Products 18 Piece Dog Toy Set with Dog Chew Toys, Rope Toys for Dogs, Plush Toys for Dogs and Puppy Teething Toys - Supports Non-Profit Dog Rescue Sold by: Pacific Pups Products, LLC (seller profile) Supplied by: Pacific Pups Products, LLC (seller profile) $23.99 183 PRC 04-04-2024 182 of 196 1/28/24, 9:28 PM Amazon.com - Order 113-6979696-3929011 https://www.amazon.com/gp/css/summary/print.html/ref=ppx_yo_dt_b_invoice_o00?ie=UTF8&orderID=113-6979696-3929011 8/13 Condition: New 16 of: ZICOROOP Bluetooth Speakers,Portable Wireless Speaker with 15W Stereo Sound, IPX6 Waterproof Speaker with LED Light, Bluetooth TWS, Portable Speaker for Shower Outdoor Party Beach Camping Sold by: Zicoroop (seller profile) Supplied by: Zicoroop (seller profile) Condition: New $22.99 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 20, 2023 Items Ordered Price 14 of: Aroma Housewares Aroma 6-cup (cooked) 1.5 Qt. One Touch Rice Cooker, White (ARC-363NG), 6 cup cooked/ 3 cup uncook/ 1.5 Qt. Sold by: Amazon.com Services, Inc Supplied by: Other Condition: New $19.68 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 20, 2023 Items Ordered Price 3 of: Monopoly The Super Mario Bros. Movie Edition Kids Board Game, Family Games for Super Mario Fans, Includes Bowser Token, Ages 8+ Sold by: Amazon.com Services, Inc Supplied by: Other Condition: New $16.99 2 of: LOMAO Sherpa Fleece Blanket Fuzzy Soft Bed Blanket Dual Sided Throw Blanket fit Couch Sofa (Grey,51x63) Sold by: LOMAO (seller profile) Supplied by: LOMAO (seller profile) Condition: New $23.99 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States 184 PRC 04-04-2024 183 of 196 1/28/24, 9:28 PM Amazon.com - Order 113-6979696-3929011 https://www.amazon.com/gp/css/summary/print.html/ref=ppx_yo_dt_b_invoice_o00?ie=UTF8&orderID=113-6979696-3929011 9/13 Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 Items Ordered Price 2 of: LOMAO Sherpa Fleece Blanket Fuzzy Soft Bed Blanket Dual Sided Throw Blanket fit Couch Sofa (Grey,51x63) Sold by: LOMAO (seller profile) Supplied by: LOMAO (seller profile) Condition: New $23.99 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 Items Ordered Price 2 of: LOMAO Sherpa Fleece Blanket Fuzzy Soft Bed Blanket Dual Sided Throw Blanket fit Couch Sofa (Grey,51x63) Sold by: LOMAO (seller profile) Supplied by: LOMAO (seller profile) Condition: New $23.99 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 Items Ordered Price 2 of: LOMAO Sherpa Fleece Blanket Fuzzy Soft Bed Blanket Dual Sided Throw Blanket fit Couch Sofa (Grey,51x63) Sold by: LOMAO (seller profile) Supplied by: LOMAO (seller profile) Condition: New $23.99 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: 185 PRC 04-04-2024 184 of 196 1/28/24, 9:28 PM Amazon.com - Order 113-6979696-3929011 https://www.amazon.com/gp/css/summary/print.html/ref=ppx_yo_dt_b_invoice_o00?ie=UTF8&orderID=113-6979696-3929011 10/13 Delivery in fewer trips to your address Shipped on November 20, 2023 Items Ordered Price 1 of: Utopia Bedding Queen Bed Sheets Set - 4 Piece Bedding - Brushed Microfiber - Shrinkage and Fade Resistant - Easy Care (Queen, Grey), Utopia Bedding Sold by: Utopia Deals (seller profile) | Product question? Ask Seller Supplied by: Utopia Deals (seller profile) Condition: New $15.95 2 of: LOMAO Sherpa Fleece Blanket Fuzzy Soft Bed Blanket Dual Sided Throw Blanket fit Couch Sofa (Grey,51x63) Sold by: LOMAO (seller profile) Supplied by: LOMAO (seller profile) Condition: New $23.99 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 Items Ordered Price 1 of: LOMAO Sherpa Fleece Blanket Fuzzy Soft Bed Blanket Dual Sided Throw Blanket fit Couch Sofa (Grey,51x63) Sold by: LOMAO (seller profile) Supplied by: LOMAO (seller profile) Condition: New $23.99 3 of: LEGO Classic Medium Creative Brick Box 10696 Building Toy Set - Featuring Storage, Includes Train, Car, and a Tiger Figure, and Playset for Kids, Boys, and Girls Ages 4-99 Sold by: Amazon.com Services, Inc Supplied by: Other Condition: New $22.49 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 Items Ordered Price 1 of: FZIIVQU 7200 Pcs Clay Beads 2 Boxes Friendship Bracelet Making Kit 24 Colors Letter Beads Flat Disc Heishi Clay Beads for Jewelry Making Preppy Set with Number Beads Glow Sold by: FZIIVQU US (seller profile) Supplied by: FZIIVQU US (seller profile) $16.99 186 PRC 04-04-2024 185 of 196 1/28/24, 9:28 PM Amazon.com - Order 113-6979696-3929011 https://www.amazon.com/gp/css/summary/print.html/ref=ppx_yo_dt_b_invoice_o00?ie=UTF8&orderID=113-6979696-3929011 11/13 Condition: New 9 of: Utopia Bedding Queen Bed Sheets Set - 4 Piece Bedding - Brushed Microfiber - Shrinkage and Fade Resistant - Easy Care (Queen, Grey), Utopia Bedding Sold by: Utopia Deals (seller profile) | Product question? Ask Seller Supplied by: Utopia Deals (seller profile) Condition: New $15.95 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 Items Ordered Price 12 of: 2-Person Camping Tent - Shelter with Rain Fly and Carrying Bag - Lightweight Outdoor Tent for Backpacking, Hiking, and Beach by Wakeman (Green) Sold by: Amazon.com Services, Inc Supplied by: Other Condition: New $22.85 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 Items Ordered Price 10 of: 2-Person Camping Tent - Shelter with Rain Fly and Carrying Bag - Lightweight Outdoor Tent for Backpacking, Hiking, and Beach by Wakeman (Green) Sold by: Amazon.com Services, Inc Supplied by: Other Condition: New $22.85 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 187 PRC 04-04-2024 186 of 196 1/28/24, 9:28 PM Amazon.com - Order 113-6979696-3929011 https://www.amazon.com/gp/css/summary/print.html/ref=ppx_yo_dt_b_invoice_o00?ie=UTF8&orderID=113-6979696-3929011 12/13 Visa ending in 2576 Rewards Points Payment Method: Billing address Christine Nguyen 10104 VISTA DR FRNT DESK/RECEPTION CUPERTINO, CA 95014-2253 United States Item(s) Subtotal:$4,530.25 Shipping & Handling:$0.00 Promotion Applied:-$16.79 ----- Total before tax:$4,513.46 Estimated tax to be collected:$412.06 Rewards Points:-$29.80 ----- Grand Total:$4,895.72 Items Ordered Price 9 of: Utopia Bedding Queen Bed Sheets Set - 4 Piece Bedding - Brushed Microfiber - Shrinkage and Fade Resistant - Easy Care (Queen, Grey), Utopia Bedding Sold by: Utopia Deals (seller profile) | Product question? Ask Seller Supplied by: Utopia Deals (seller profile) Condition: New $15.95 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Shipped on November 19, 2023 Items Ordered Price 6 of: Elite Gourmet EHC-5055# Automatic Brew & Drip Coffee Maker with Pause N Serve Reusable Filter, On/Off Switch, Water Level Indicator, Black Sold by: Amazon.com Services, Inc Supplied by: Other Condition: New $18.99 Shipping Address: Michelle Mattson (GOH) 10104 VISTA DR FRNT DESK CUPERTINO, CA 95014-2253 United States Shipping Speed: Delivery in fewer trips to your address Payment information FSA or HSA eligible FSA or HSA eligible amount (includes taxes & shipping): $20.04 Credit Card transactions Visa ending in 2576: November 20, 2023:$107.98 Visa ending in 2576: November 20, 2023:$211.20 Visa ending in 2576: November 20, 2023:$69.77 Visa ending in 2576: November 20, 2023:$109.08 Visa ending in 2576: November 20, 2023:$123.33 Visa ending in 2576: November 20, 2023:$109.08 Visa ending in 2576: November 20, 2023:$297.54 Visa ending in 2576: November 19, 2023:$52.36 Visa ending in 2576: November 19, 2023:$94.66 Visa ending in 2576: November 19, 2023:$52.36 188 PRC 04-04-2024 187 of 196 1/28/24, 9:28 PM Amazon.com - Order 113-6979696-3929011 https://www.amazon.com/gp/css/summary/print.html/ref=ppx_yo_dt_b_invoice_o00?ie=UTF8&orderID=113-6979696-3929011 13/13 Visa ending in 2576: November 19, 2023:$95.90 Visa ending in 2576: November 19, 2023:$52.36 Visa ending in 2576: November 20, 2023:$300.72 Visa ending in 2576: November 19, 2023:$124.32 Visa ending in 2576: November 20, 2023:$146.24 Visa ending in 2576: November 19, 2023:$156.65 Visa ending in 2576: November 19, 2023:$110.17 Visa ending in 2576: November 19, 2023:$228.60 Visa ending in 2576: November 19, 2023:$141.36 Visa ending in 2576: November 19, 2023:$134.14 Visa ending in 2576: November 19, 2023:$99.80 Visa ending in 2576: November 19, 2023:$175.23 Visa ending in 2576: November 19, 2023:$156.69 Visa ending in 2576: November 19, 2023:$269.60 Visa ending in 2576: November 19, 2023:$141.36 Visa ending in 2576: November 19, 2023:$269.60 Visa ending in 2576: November 19, 2023:$546.74 Visa ending in 2576: November 19, 2023:$299.28 Visa ending in 2576: November 19, 2023:$219.60 To view the status of your order, return to Order Summary. Conditions of Use | Privacy Notice © 1996-2024, Amazon.com, Inc. or its affiliates Back to top English United States Help Conditions of Use Privacy Notice Your Ads Privacy Choices © 1996-2024, Amazon.com, Inc. or its affiliates 189 PRC 04-04-2024 188 of 196 19 0 PRC 04-04-2024 189 of 196 Eligibility YES NO Notes: Be a 501(c)(3) non-profit organization with experienced members capable of implementing and managing the program/project/event. X Identify how the funds will be used to benefit the Cupertino community.X Clothing, household items, and food for Gift of Hope 2024 Program Be awarded only once per project.X For specific needs, not ongoing, operational costs, or endowment funds.X Have more than 75% of the requested funds allocated for direct service costs versus administrative costs.X Be complete and submitted by the application deadline.X Restrictions/Guidelines YES NO Notes: Festivals currently receiving funding through Festival Fee waivers may not apply for funding through the Community Funding Grant Process for the same festival X NA Admission to or participation in the event must be "free of charge"X Free for low income households West Valley Community Services (RETURNING) Eligibility Checklist (staff use only) 191 PRC 04-04-2024 190 of 196 Fu n d i n g f r o m p r i o r y e a r (i f a p p l i c a b l e ) Impact on and benefit to the Cupertino Community - Total # participants - # of Cupertino part. - Cost per resident - Availability of event to the Cupertino Community Alignment with General Plan Principles - 12 Guiding Principles Community Need for the program/ project/event - Demonstrated community impact Uniqueness of the program/ project/event - Unduplicated service/ originality - Level of collaboration if a duplicated service Reasonable Cost - How will the organization use the grant funds Demonstrated effort to secure funding from other sources - Non-City funding sources or - Established partnerships with other organizations Qualifications /experience of the organization/ members NEW APPLICANTS: Application Impact - Originality RETURNING APPLICANTS: Application Impact - Past performance and program efficacies Total Score NOTES: Max Points 20 20 15 15 10 10 5 5 5 100 0 0 0 0 0 0 0 0 0 0 0 Organization: Monta Vista High School Speech Boosters Program/Project/Event: Monta Vista Speech Program Organization: STEMBoost Program/Project/Event: Elementary Science Olympiad Summer Workshops Organization: Cupertino Symphonic Band Program/Project/Event: Band Equipment and Materials Organization: West Valley Community Services Program/Project/Event: Gift of Hope 2024 Organization: AINAK Program/Project/Event: AINAK Eyeglasses Organization: Special Olympics Northern California Program/Project/Event: 2024 Spring Games Organization: Bay Area Urban Eagles Program/Project/Event: Summer Aviation Academy 2024 Organization: Cupertino Little League Program/Project/Event: Scoreboard Replacement Organization: Omniware Networks Program/Project/Event: Improve Mental Health for Low Income Seniors Organization: Rotary Club of Cupertino Program/Project/Event: Rebuilding Together House Renovations Organization: Chinese American Coalition for Compassionate Care Program/Project/Event: Loss and Grief Workshop and Starting the Conversation Evaluation Criteria To t a l B u d g e t Am o u n t R e q u e s t e d 192 PRC 04-04-2024 191 of 196 Status Applicant Shearin Buch Stanek Swamy Bono Commission Average Commission Ranking Amount Requested Tier Project Name Cupertino Residents Served Eligibility New Special Olympics Northern California 0 $15,959.00 Tier 4 2024 Spring Games 43 Eligible New Bay Area Urban Eagles 0 $20,000.00 Tier 4 Summer Aviation Academy 2024 25 Eligible New Cupertino Little League 0 $20,000.00 Tier 4 Scoreboard Replacement 400 Eligible Status Applicant Shearin Buch Stanek Swamy Bono Commission Average Commission Ranking Amount Requested Tier Project Name Cupertino Residents Served Eligibility Last Funded Amount Funded Project Returning Omniware Networks 0 $4,000.00 Tier 2 Improve Mental Health for Low Income Seniors 60 Eligible FY2023-2024 $4,000 Mental Health Program Returning Rotary Club of Cupertino 0 $4,000.00 Tier 2 Rebuilding Together House Renovations 10 Eligible FY2021-2022 $12,000 Cupertino Fall Festival Returning STEMBoost 0 $4,000.00 Tier 2 Elementary Science Olympiad Summer Workshops 100 Eligible FY2023-2024 $4,000 Elementary Science Olympiad Fun Day/Night Returning Cupertino Symphonic Band 0 $6,063.00 Tier 3 Band Equipment and Materials 500 Eligible FY2023-2024 $4,000 Band Equipment Returning Monta Vista High School Speech Boosters Inc 0 $6,500.00 Tier 3 Monta Vista Speech Program 7,232 Eligible FY2021-2022 $3,000 Monta Vista High School Speech Program Returning AINAK 0 $10,000.00 Tier 4 AINAK Eyeglasses 100 Eligible FY2023-2024 $2,500 AINAK - Eye Exams & Eyeglasses Returning West Valley Community Services 0 $10,000.00 Tier 4 Gift of Hope 2024 100 Eligible FY2023-2024 $10,000 Gift of Hope 2023 Returning Chinese American Coalition for Compassionate Care (CACCC)0 $15,000.00 Tier 4 Loss and Grief Workshop and Starting the Conversation 1,000 Eligible FY2022-2023 $13,000 Mindfully Facing Grief and Loss and Starting the Conversation TOTAL Community Funding Grants Requested $115,522.00 Tier 1 <$999.99 Tier 2 $1,000.00 - $4,999.99 Tier 3 $5,000.00 - $9,999.99 Tier 4 $10,000.00 - $20,000.00 Tiers *Maximum award $20,000 Community Funding Approved Funding Range - Up to $32,500 193 PRC 04-04-2024 192 of 196 Applicant COMMISSION AVERAGE Amount Requested Special Olympics Northern California 0 $15,959.00 Bay Area Urban Eagles 0 $20,000.00 Cupertino Little League 0 $20,000.00 Omniware Networks 0 $4,000.00 Rotary Club of Cupertino 0 $4,000.00 STEMBoost 0 $4,000.00 Cupertino Symphonic Band 0 $6,063.00 Monta Vista High School Speech Boosters Inc 0 $6,500.00 AINAK 0 $10,000.00 West Valley Community Services 0 $10,000.00 Chinese American Coalition for Compassionate Care (CACCC)0 $15,000.00 194 PRC 04-04-2024 193 of 196 Applicant Shearin Shearin Rank Buch Buch Rank Stanek Stanek Rank Swamy Swamy Rank Bono Bono Rank COMMISSION AVERAGE COMMISSION RANKING RANKING AVERAGE AMOUNT REQUESTEDSpecial Olympics Northern California 0 1 0 1 0 1 0 1 0 1 0 5 1 $15,959.00 Bay Area Urban Eagles 0 1 0 1 0 1 0 1 0 1 0 5 1 $20,000.00 Cupertino Little League 0 1 0 1 0 1 0 1 0 1 0 5 1 $20,000.00 Omniware Networks 0 1 0 1 0 1 0 1 0 1 0 5 1 $4,000.00 Rotary Club of Cupertino 0 1 0 1 0 1 0 1 0 1 0 5 1 $4,000.00 STEMBoost 0 1 0 1 0 1 0 1 0 1 0 5 1 $4,000.00 Cupertino Symphonic Band 0 1 0 1 0 1 0 1 0 1 0 5 1 $6,063.00 Monta Vista High School Speech Boosters Inc 0 1 0 1 0 1 0 1 0 1 0 5 1 $6,500.00 AINAK 0 1 0 1 0 1 0 1 0 1 0 5 1 $10,000.00 West Valley Community Services 0 1 0 1 0 1 0 1 0 1 0 5 1 $10,000.00 Chinese American Coalition for Compassionate Care (CACCC)0 1 0 1 0 1 0 1 0 1 0 5 1 $15,000.00 195 PRC 04-04-2024 194 of 196 Organization FY 18-19 FY 19-20 FY20-21 FY 21-22 FY 22-23 FY 23-24 Total Funding Received Friends of Deer Hollow Farm $ 15,000 $ 15,000 $ 15,000 $ 7,000 --52,000$ Cupertino Rotary $ 12,000 $ 12,000 $ 12,000 $ 12,000 --48,000$ Euphrat Museum of Art $ 10,000 $ 10,000 $ 10,000 $ 15,000 --45,000$ Cupertino Historical Society $ 15,000 20,000$ 20,000$ 20,000$ --75,000$ Iranian Federated Women's Club $ 400 -----400$ Bay Area Chrysanthemum Show - $ 1,300 ----1,300$ Cupertino Symphonic Band - $ 2,000 ---4,000$ 6,000$ Santa Clara Valley Audubon Society - $ 10,000 7,500$ 8,500$ --26,000$ Cupertino DeAnza Lion's Charities - $ 10,000 ----10,000$ Heart of the Valley - $ 7,000 --6,160$ -13,160$ West Valley Community Services - $ 20,000 20,000$ 10,000$ 10,000$ 10,000$ 70,000$ Breathe CA - $ 2,500 4,000$ -4,000$ -10,500$ Elevate the Future --3,000$ ---3,000$ Chinese American Coalition for Compassionate Care --6,000$ 12,000$ 13,000$ -31,000$ Bhubaneswar Sister City --7,500$ ---7,500$ Silicon Valley Jewish Film Festival --5,000$ ---5,000$ Cupertino Library Foundation ---15,000$ --15,000$ Buddhist Tzu Chi Medical Foundation ---7,400$ 8,300$ -15,700$ Valkyrie Robotics ---3,000$ --3,000$ Tian Hong Foundation ---3,000$ --3,000$ Monta Vista High School Music Boosters ---3,000$ --3,000$ Omniware Networks ----2,000$ 4,000$ 6,000$ Relay for Life ----6,000$ -6,000$ Women SV ----20,000$ -20,000$ AINAK -----2,500$ 2,500$ Asian American Parents Association -----3,000$ 3,000$ STEMBoost -----4,000$ 4,000$ No Time to Waste -----5,000$ 5,000$ Total 52,400$ 109,800$ 110,000$ 115,900$ 69,460$ 32,500$ 490,060$ Community Funding Historical Funding Report Fiscal Year 2019-2024 196 PRC 04-04-2024 195 of 196 Status Applicant Project Name Cupertino Residents Served Amount Requested Tier Eligibility New Special Olympics Northern California 2024 Spring Games 43 $15,959.00 Tier 4 Eligible New Bay Area Urban Eagles Summer Aviation Academy 2024 25 $20,000.00 Tier 4 Eligible New Cupertino Little League Scoreboard Replacement 400 $20,000.00 Tier 4 Eligible Status Applicant Project Name Cupertino Residents Served Amount Requested Tier Eligibility Last Funded Amount Funded Project Notes Returning Omniware Networks Improve Mental Health for Low Income Seniors 60 $4,000.00 Tier 2 Eligible FY2023-2024 $4,000 Mental Health Program Returning Rotary Club of Cupertino Rebuilding Together House Renovations 10 $4,000.00 Tier 2 Eligible FY2021-2022 $12,000 Cupertino Fall Festival Returning STEMBoost Elementary Science Olympiad Summer Workshops 100 $4,000.00 Tier 2 Eligible FY2023-2024 $4,000 Elementary Science Olympiad Fun Day/Night Returning Cupertino Symphonic Band Band Equipment and Materials 500 $6,063.00 Tier 3 Eligible FY2023-2024 $4,000 Band Equipment Returning Monta Vista High School Speech Boosters Inc Monta Vista Speech Program 7,232 $6,500.00 Tier 3 Eligible FY2021-2022 $3,000 Monta Vista High School Speech Program Returning AINAK AINAK Eyeglasses 100 $10,000.00 Tier 4 Eligible FY2023-2024 $2,500 AINAK - Eye Exams & Eyeglasses Returning West Valley Community Services Gift of Hope 2024 100 $10,000.00 Tier 4 Eligible FY2023-2024 $10,000 Gift of Hope 2023 Returning Chinese American Coalition for Compassionate Care (CACCC)Loss and Grief Workshop and Starting the Conversation 1,000 $15,000.00 Tier 4 Eligible FY2022-2023 $13,000 Mindfully Facing Grief and Loss and Starting the Conversation TOTAL Community Funding Grants Requested $115,522.00 Tier 1 <$999.99 Tier 2 $1,000.00 - $4,999.99 Community Funding Approved Funding Range - Up to $32,500 Tier 3 $5,000.00 - $9,999.99 Tier 4 $10,000.00 - $20,000.00 Tiers 197 PRC 04-04-2024 196 of 196