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Home My WebLink About8.1 Budget Study Attch 7 e Dublin Partners in Education Funding Request Review Checklist A. Application 1. Date application received*..................... ... ... ... ... ... ... ... ... ... ... . (Completed applications are due by 5:00 p.m. on February 5, 2007) 2. Two copies of the completed application form are submitted....... B. Organization Information 1. Name of the organization... ... ... ...... ...... ... ...... .......... ......... .... I 2. Is the applicant a nonprofit organization?...................................... I 3. Does the organization has a 501 (c)3 State of California ID#?........ I 4. Does the organization have a current City Business License?..... I C. Funding Request 1. Funding amount requested... ... ... ... ... ... ... .... ... ... ... ... ... ... ... ..... 2. Funding Source (i.e. General Fund, CDBG Fund)..................... D. Project Information 1. Proposed project name.. ........... ... ... ... ............ .... ...... ..... ... ... 2. Project start date......... ... ...... ......... ......... ... ...... ... ...... ......... 3. Project complete date............... ... ...... ... ...... ...... .................. 4. Total # of organization clients...... ......... ..................... ........... 5. # of Dublin businesses / residents will serve... ...... ... ... ... ... ... .... E. Attachments 1. Name and home address of governing board of the organization.. 2. List of current board officers of the organization..................... ... 3. Current total organization operating budget, including revenue.... 4. Most recent audit or tax return is submitted... ... ........................ 5. Document providing evidence of board/organization approval of application and date of approval. .... .. .. . .... . . .. . ... . . .. .. . .. . .. .. .. .. . .. 6. Organization's certificate of insurance showing coverage of liability and worker's compensation. ... ...... ...... .... ......... .......... 7. Signed affidavit form from each collaborating agency identified for the proposed project (if applicable)........................ ...... ..... 8. Application verification declaration signature page... ................. 1/31/2007 Yes Dublin Partners in Education Yes 94-3207780 Pending 10048 $17,500 General Fund Vocational Mentoring Program 7/1/2007 6/30/2008 5,000 356 Yes Yes Yes Yes Yes, 01/25/07 Yes N/A Yes Yes No 1. Is the application complete?* (Y/N).................................................I II X If no, which sections are incomplete?.............................................I Not in City's format 2. Did the applicant organization complete a mandatory I II presentation at City Coun cil Public Hearing?' (Y IN). .. . . .. . .. . .. . .. . . . 3. Date notification letter of Council Approval of funding & I mandatory financial reporting packet sent............................... 4. Date summary report is submitted to City*............................... I (Report must submit to City by the end of August 2008. Failure to submit a report will result ineligibility for future funding) ~deadline or comply' l!!~Un9 consideration. H:\Budget\COMMGRPS\DPIE Funding Request Checklist.xls Attachment e Date Printed: 2/23/20074:10 PM v [rn) DUBLIN PARTNERS IN EDUCATION Dublin Partners in Education PO Box 2307 Dublin, CA 94568 925.828.2551 x8024 925.803.9746 fax email: dpie@dublin.k12.ca.us January 31, 2007 Mr. Richard Ambrose, City Manager Ms. Joni Pattillo, Assistant City Manager City of Dublin 100 Civic Plaza Dublin, CA 94568 ern,., ,"" ,..', nv'" Dear Mr. Ambrose and Ms. Pattillo: Dublin Partners In Education (DPIE) is submitting a grant proposal request for $17,500 for the two DPIE programs -- Promotion of the Arts Program and the Vocational Mentoring Program at Dublin High School. Last year DPIE experienced a significant amount of growth in all of our programs. The Dublin High School Vocational Mentoring Program grew from 45 sophomore students and 15 mentors to 300 sophomore, junior, and senior students and 40 mentors. This year there will be initially 356 students - if not more - who come during their lunch hour to meet with professionals to gain more insight about the various professions. Pizza, soft drinks, and waters are served to all participants. The number of guest artists who are visiting our Dublin schools has almost tripled in the last two years, thanks to the many volunteer artists from around the Tri-Valley. We have art coordinators at each of the Dublin school and they are requesting more guest artists, as the teachers many times do not have the expertise to demonstrate art in their classrooms. Besides coordinating guest artists, DPIE also funds art supplies for the schools, and coordinates a large Student Award night in May. Last year approximately 450 students, parents, relatives and neighbors attended the ceremony at the Dublin Regal Cinema. We respectfully request that the City of Dublin consider supporting the rapid growth of these two very important programs. All students and their families in Dublin would benefit! Kind Regards, rt'~'~"11 'j '-'/']jl1 t" Cltuiu 611L/" , . {; lVVU:L . Donna McMillion Executive Director Federal Non-Profit I.D. #94-3207780 Dublin Partners in Education is a non-profit foundation dedicated to fostering Mutually beneficial business and education partnerships in order to Maximize community resources for the students of the Dublin Unified School District. DUBLIN PARTNERS IN EDUCATION CITY OF DUBLIN FUNDING GRANT APPLICATION FOR 2007-2008 JANUARY 2007 o DUBLIN PARTNERS IN EDUCATION Table of Contents Application Summary & Mission ........................................... 1 Questions 3A,B,C,D,E.F ......................................................2-3 General Agency Information ............................................... 3-6 July 2006-June 2007 Agency Budget...................................... 7 Most recent tax retum.............................................................. 8 Evidence of Board Approval of City Application ............... 9 DPIE's Certificate of Insurance ........................................... 10 Application Verification Declaration Signature Page........ 11 GRANT APPLICATION SUMMARY Organization: Dublin Partners in Education Donna McMillion, Executive Director PO Box 2307, Dublin CA 94568 8435 Davona Drive, Dublin (Murray Elementary Portable P-4) 925.828.2551 x8024 Proposed Program Date: 7/1/07-6/30/08 Amount of Funds Requested: $17,500 Purpose of Funds: Operational and Program Expenses Non Profit Status: 501 (C) 3 Corporation, Tax ID 94-3207780 Executive Director: Donna McMillion Board President: Don Biddle Cantact Persan: Donna McMillion, Cell 925-846-7442 MISSION TO FOSTER MUTUALLY BENEFICIAL BUSINESS EDUCATION PARTNERSHIPS IN ORDER TO MAXIMIZE COMMUNITY RESOURCES FOR THE STUDENTS OF THE DUBLIN UNIFIED SCHOOL DISTRICT 1 '. APPLICATION FOR CITY FUNDS (QUESTIONS 3A-B-C-D-E-F) Amount Requested: $17,500 Proposed Program Name: Operational Expenses for Vocational Mentoring Program, Promotion of the Arts Program, and Student Arts Judging & Awards Night, period of 7/1/07 - 6/30/08 Population Served: Vocational Mentoring Program - Dublin High School students Promotion of the Arts Program & Student Arts Judging - All DUSD students Because of the financial and volunteer support by the City of Dublin and other community partners, DPIE is an effective, rapidly growing organization with a mission to bridge the gap between the schools and the community by creating programs that not only fund enhancement ta school programs but offer community members many ways to get involved. The quality of education desired by residents of Dublin far exceeds the very basic education funded by the State. DPIE seeks to help the Dublin Unified School District bridge the gap in the type and quality of programs offered to the students. The current programs DPIE is requesting funding for benefit the 5,000+ students of the Dublin Unified School District They are: . Vocational Mentoring Program at Dublin High Schaol to expose students to local professionals and help them refine their career goals. DPIE and DUSD's concerns are that our Dublin students are making decisions about their future careers early in their lives, and there is a strong need for the students to have current information about their chosen careers. Last fiscal year there were approximately 300 high school students and 40 mentors who participated in lunch-time question-and-answer meetings. Prior to the February, March, and April meetings, students chose one or more of the five Hcareer clusters." (Business, Sciences/Engineering/Math; Arts & Communications; Trades; Public & Human Services). DPIE staff then recruits mentors for the five clusters and coordinates the 20 lunch-time meetings. Pizza and beverages are served to all who attend. . A Strategic Plan was completed by the DPIE Board of Directors in April 2006, and one of the Plan's goals is for the expansion of the current Mentoring program to benefit more students Currendy DPIE is researching the possibility of an E-Mentoring Program. This innovative program connects mentors and students via the Internet after appropriate recruiting/ screening/ training. Many of our current Mentors have expressed an interest in this additional method of connecting professionals with students. . Promotion of the Arts Program This fiscal year 17 guest artists will be teaching art to the students in all schools. Art coordinators at each Dublin school have requested DPIE recruit as many professional artists as possible to help expose more arts learning to our Dublin students. Funds for art supplies have been given to each school and Special Project Funding is also available upon request. There is a belief that engagement in the arts ignites creativity and provides students with opportunities to critically interpret the world around them. 2 . Student Art Judging & Awards Night. After students' art is received, a panel of community members judges the art. The winners' art is then professionally framed and a large Student Awards Night follows in May. Last year approximately 450 students, family, and community friends attended the ceremony at the Regal Cinema in Dublin. The organizational board and committee structure of DPIE ensures that the programs and sponsorships offered to the teachers and students are appropriate with the goals of the School District and the community. Dr. Steven Hanke, Superintendent of DUSD, serves on DPIE's Honorary Council; Pat Kohnen, a member of DUSD's School Board, serves as a DPIE Board Liaison; Dr. Dave Marken, the Assistant Superintendent, serves on the DPIE Board of Directors, and Fallon School's Principal, Tess Thomas, serves on the DPIE Board and Chairs the Program Committee. The needs and evaluations of the current programs are regularly discussed at Board and committee meetings by the DUSD administrators and the DPIE Board of Directors. Program participants (volunteers and students) fill out written evaluation forms after the completion of the various programs. The information is reported back to the Board of Directors. A Program Committee of the Board of Directors was formally established to monitor program activities and outcomes. This year's Chair is Tess Thomas, Principal of Fallon School. The Program Committee makes recommendations concerning the expansion, maintenance or curtailment of programs and serves as the evaluation process for all programs. A public report is given annually at a farmal televised DUSD school board meeting, and questions and comments are taken from the audience. General Agency Information Population served: Students and families of the Dublin Unified School District City of Dubl~ Grants 2001 THROUGH 2006 Date Oneratinf! Year Amount 1997 Tax Return 1996/1997 $10,000 1998 Tax Return 1997/1998 $10,000 1999 Tax Return 1998/1999 $10,000 3/20/2001 200012001 $10,000 4/22/2002 2001/2002 $10,000 8/26/2002 2002/2003 $10,000 10/27/2003 2003/2004 $10,000 8/27/2004 2004/2005 $10,000 11/21/2005 2005/2006 $12,500 8/28/2006 2006/2007 $12,500 3 '. ~ Dublin Partners In Education Programs & Support 2006 THROUGH 2007 Vocational Mentoring Program at Dublin High School Teacher and Schaol Grants Program Promotion of the Arts Program Student Art Judging & Awards Night Performing Arts Grants Winter Concert Sponsorship Science Fair Sponsorship Pacific Chamber Symphony Sponsorship Barton Reading Pilot Program for Dyslexic Students (at Wells Intermediate School) Art Scholarship Program Special Arts Projects Sponsorships Dublin High School's Athletic Booster Sponsorship \Vinter Concert Sponsorships 4 .. HONORARY COUNCIL Don Babbitt, Heartwood Communities Stephen Brooks, Alameda County of Education Jim Gulseth, JG, P.C. Law Stephen Hanke, Superintendent Dublin Unified School District Janet Lockhart, Mayor of Dublin Roz Perazzo, Chevron Corporation Tim Sbranti, Dublin City Council John Sugiyama, Retired DUSD Superintendent DPIE BOARD PRESIDENT - DON BIDDLE Vice President - Tess Thomas Principal, Fallon School Co-Secretary - Chris Bennett W orkvantage Co-Secretary - Kathy De Jong Performance Management Treasurer - Bill Moy Timpson Garcia, LLC Board Members: Angela Fontes, Community Volunteer 5 .. Ted Hoffman, Jr. Earl Anthony's Dublin Bowl Kellee Jones Natural Wood Furniture Depot Dr. Dave Marken Assistant Superintendent, Educational Services B ill Prescott The Saranac Consulting Group, Inc. Victor Uno IBEW Local 595 DPIE BOARD...CONTINUED Alice Waterman Stoneridge Shopping Center Alcina Wegrzynowski Sybase, Inc. Pat Kohnen Liaison to DUSD Board DHS Student Representative Michael Hartshorn Class of 2007 6 City of Dublin Fiscal Year 2007-2008 Application for Funds o '",~ r t l" " L.. II CfT.. (f u: , !(l9 ,';;iff,>-J M-ffl'i i: I""" j1!V' .J..4... .Alrv' ~. tJ.~" (l,ft ,~ f). PrO J {v- ,tJ. It t"f. 1(-- rr' t V JL 1". tfl (; At '1'. C f1 T pr~i' THIs PROJECTI PROGRAM GRANT REQUEST 5. Financial Information - Operating Budget a. Expense Budget FY 2007-2008 EXPENSE BUDGET Personnel Costs Employee Salaries & Benefits Non-Personnel Costs Services & Supplies Capital Costs Other (please specify) F rD .d. Other (please specify) R.vJvw t TOTAL ORGANIZATION ;), (UJ fvrYli.. e' ""'L Q('/ (l t> ::> 3 (), D, :)..0 C DO ; to "J ;5 . )-S, L'O :.y- ,<7 C. [\ (-:J t ''XIx)P.J> II D :J.:r '3 ,co Cun. 5, bOO. ()r) (~,).. q;;.. 'f{ ()O 5" DOO. () () i I '5D. ()() .;? / ii5~ ^., :) w, 1 0 ,/.. (. 41, ~"'D.C ~ Further Comments/Explanations (if necessary): SECTION 2 Amended -Page 7 of 16 City of Dublin Fiscal Year 2007-2008 Application for Funds b. Revenue Budget FY 2007-2008 REVENUE BUDGET CommittedlRestricted Funds (s eci source) ORGANIZATION $1/5; OOtJ,()iJ 5'1 (){){):I: () 5-8; 6{lrJ, c " I {p ctJo: r,' ('\ I S L~ Ot) : () (~ d.. '01 '1M. {I (, ,?,) i). () {,\ -:;f / y if :2C{,1, () () Further Comments/Explanations (if necessary): SECTION 2 Amended -Page 8 of16 PROJECT/PROGRAM City of Dublin Fiscal Year 2007-2008 Application for Funds ApPLICATION VERIFICATION I attest that the information contained in this FY 2007-2008 grant application is accurate and that the funds requested will not supplant any other monies secured by the organization. Attached is a resolution, letter, or other document providing evidence that the Board of Directors approved the application as submitted. Successful applicants are required to submit a summary report as soon as possible after submitting the reimbursement request, but not later than August 30,2008. Failure to submit a report will result in ineligibility for future funding. Signatures: !~~J- IlL '-7Ju/J//'L/ Executive Director 1Ft;. /0:::;- , . Date /1/li II f J4tui;{{, 'J I t6/C '7- I ! Date Board President/Chairperson SECTION 2 Page 11 of 16 [rn) DUBLIN PARTNERS IN EDUCATION Dublin Partners in Education PO Box 2307 Dublin, CA 94568 925.828.2551 x8024 925.803.9746 fax email: dpie@dublin.k12.ca.us January 25,2007 To: Rich Ambrose, City of Dublin From: Don Biddle, President, Board of Directors, DPIE Subject: Verification ofDPIE Board Approval of City Grant Application This is to confirm the Dublin Partners In Education's Board approval ofDPIE's application for the 2007 City Grant funds. Than!< you. I (!({ #//;(, ') Don Biddle, Board President, DPIE Federal Non-Profit I.D. #94-3207780 Dublin Partners in Education is a non-profit foundation dedicated to fostering Mutually beneficial business and education partnerships in order to Maximize community resources for the students of the Dublin Unified School District. ACORD. CERTIFICATE OF LIABILITY INSURANCE OP JD DATE (MMItlOIYYYYI DUBLI-1 01 19 07 THIS CERTlFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER Nonprofi t Services Ins. Agency Dennis Costa 2843 Hopyard Rd. #169 Pleasanton CA 94588 Phone:877-669-5101 Fax: 877-669-5109 INSURED INSURERS AFFORDING COVERAGE INSURER Pc NIAC NAlC # Dublin Partners In Education P.O Box. 2307 Dubiin CA 94568-1599 INSURER B: INSURER C: INSURER 0: INSURER E: State ~.."bion In.. Fund COVERAGES THE POLICIES OF INSURANCE LlStlED eEl-OW HAVE eEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF NN CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS ANOCONornONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, 2006-12954-NPO 03/09/06 03/09/07 A TYPE OF INSURANCE GENERAL. LIABILITY X COMM"RCIAL GENERAl. LlAelLITY CLAIMS MADE [iJ OCCUR POUCY HUMBER DATE L Tft NSIt X liquor liability GEN'L AGGREGA IE LIMIT APPLIES PER: FjC8i LOC I AUT0M08ILE LlAllILITY R ANY AUTO ALL OWN"D AUTOS n SCH"DUL"D AUTOS -..-; i X I HIRED AUTOS 1----i ~ NON..QWNED AUTOS I ~ I GENERAL AGGREGATE r-----.~~._"'.-.~_.. . PROOUCTs-COMP/OPAGG o 000 00 o ,000 $ 1 000 000 $ 1,000 000 A , 2006-12954-NPO 03/09/06 03/09/07 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODilY INJURY (Per per:son) $ 600lL Y INJURY (Per alXidenl) $ I WORKERS COMPE\II$ATION AND I EMPLOYERS' LIAlillUTY B ANY PROPRIETORlPARTNERJEXECUTIVE I OFFICERIMEM8ER EXCLUDED? ~~~~lit~~VI~O~S beloW : OTHER I ! 12/01/07 $ GARAGE LlA81UTY H ANY AUTO IiXCliSSlUIIo18RELLA LIA.8ILITY OCCUR D CLAIMS MADE EACH OCCURRENCE. AGGREGATE DEDUCTIBLE RET"NTION $ 1761723-06 12/01/<:l6.\ $ 1000000 $ 1000000 $ 1000000 i DESCRIPTION OF OPEI'lATlONS I LOCATIONS IIIl!;HlCUiS I EXCLUSIONS ADDEO BY liiNOORSI!IolENT I SPECIAL PROVlSlONS PROOFON CANCELLATlON SHOULD ANY OF THE ASOVE DESCRI8IiD POUClES BE CANC&I.LEl) BEFORE THE EXPII'lATION DATE THEREOF, THE l$$UING IN$URER WILL ENDEAVOR TO MAIL 30 * DAYS wmTTEN NOllCE TO THE CEftTlFlCAl$H(lLDER NAMED TO THE LE!'T, lur FAILURE TO DO SO StlALL IMPOSE. NO O8lJGATION BIUTY 01' ANY KIND UPON THE INSUltEI'I,ITS AGENTS OR REPRESENTATMlS. AUTHORlZIW REPRESEN @ACORD CORPORATION 1988 CERTIFICATE HOLDER Proof of Insurance Only ACORD 25 (2001108) 1:40 PM 11/20/06 Cash Basis Dublin Partners in Education, Inc. Profit & Loss Budget Overview July 2006 through June 2007 Jul'06 - Jun 07 Income 3060 . Student Art Auction 3070, Fall Golf Tournament 3080, Fireworks 3200 . Grant Income 3200-02 . Realtors Get Real Grant 3200 . Grant Income - Other Total 3200 . Grant Income 3400 . Membership Dues 3400-01 . Company/Corporate Memberships 3400-02 . Individual Memberships Total 3400 . Membership Dues 3510. Bowling Program 3560. PGA Nationwide Tour Total Income Expense 4010. Un budgeted Programs 4016-01 . DPIE Student Board Scholarship 4016. Student Scholarships (AVSF) 4017 . Teacher Grants 4018. Winter Concert Sponsorship 4019. Performing Arts Grant 4020 . Science Fair Sponsorship 4021 . DHS Program Donation 4021-02. Band Booster Fireworks Donation 4021-04. Mentor Program 4021-06 . Art Scholarship Total 4021 . DHS Program Donation 4023 . Elementary Program Donations 4023-01 . Fireworks Donations Total 4023 . Elementary Program Donations 4024 . Fallon Program Donations 4024-01 . Golf Classic Grant Total 4024 . Fallon Program Donations 4025 . DUSD Reading Intervention Prog. 4025-01 . Wells Barton Reading Program Total 4025 . DUSD Reading Intervention Prog. 4060 . Students Art Auction 4060-02 . SAA Art Supplies 4060 . Students Art Auction - Other Total 4060 . Students Art Auction 4070, Fall Golf-Tournament 5001 . Board Meeting Expenses 5210. Office Supplies 5220 . Postage 5260 . Bank Fees 5300 . Office Equipment Expense 5450 . Outside CPA Services 5520 . Corporation Filing 5550 . Insurance-Liability & E&O 5620 . Exec Director-Expenses 5630 . Marketing & Advertising 6000, Misc Reserve 6560 . Payroll Expenses 6560-01 . Exec. Director Payt'oll Expenses 6560-02 . Admin. Srvcs. Payt'oll Expenses 6560-03 . Worker Comp Insurance Total 6560 . Payroll Expenses 51,000.00 58.000.00 16,000.00 15,000.00 15,000.00 30,000.00 25,300.00 3,100.00 28,400.00 200.00 600,00 184,200.00 1,450.00 500,00 1,000.00 32,000.00 1,500.00 1,000.00 1.000.00 8,000,00 3,800.00 400,00 12,200.00 1,500.00 1,500.00 400.00 400.00 15,473.00 15,473.00 4,750.00 15,500.00 20,250.00 22,000.00 500.00 1,750.00 1,500.00 1,500.00 550.00 1,200.00 175.00 3,700,00 300.00 2,500.00 5,000.00 32,000.00 20,280.00 1,700,00 53,980.00 Page 1 1:40 PM 11/20/06 Cash Basis Dublin Partners in Education, Inc. Profit & Loss Budget Overview July 2006 through June 2007 Jul'06 - Jun 07 Total Expense 182,928.00 Net Income 1,272.00 Page 2 Form 990 OMB No, 1545~004 7 Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Department of the Treasury Internal Revenue Service ~ The organization may have to use a copy of this return to satisfy state reporting requirements. A For the 2004 calendar year or tax year beginning JUL 1 2004 and ending JUN 30 2005 2004 Open to Public Inspection , B Check if PI I C Name of organization o Employer identification number applicable us:~~~ I DAddress labelo:b1 94-3207780 change prlntor UBLIN PARTNERSHIPS IN EDUCATION DName t~~: I Number and street (or P,O. box If mail is not delivered to street address) I Room/suite E Telephone number change I I~'~;:',~~ Speclflcp. O. BOX 2307 (925)828-2551 DFinal Instruc- F Accounting method: [X] Cash D Accrual return tions City or town, state or country, and ZIP + 4 DAm ended DUBLIN, CA 94568 D other return (specify) ~ DApplicat,on · Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts H and I are not applicable to section 527 organizations, pendmg must attach a completed Schedule A (Form 990 or 990-EZ). H(a) Is this a group return for affiliates? D Yes [X] No G Website: ~N / A H(b) If "Yes," enter number of affiliates~ J Organization type (CheCkonlyone)~[X] 501(c) ( 3 ).... (insert no) D 4947(a)(1) orD 527 H(c) Are all affiliates Included? N/A DYes DNa K Check here ~ D if the organization's gross receipts are normally not more than $25,000. The (If "No," attach a list.) H(d) Is this a separate return filed by an or~ organization need not file a return with the IRS; but If the organization received a Form 990 Package ganlzation covered by a group ruling? DYes [X] No In the mall, It should file a return without financial data. Some states require a complete return. I Group Exemption Number ~ M Check ~ [X] if the organization IS not required to attach L Gross receipts: Add lines 6b, 8b, 9b, and lOb to line 12 ~ 164 915. Sch. 8 (Form 990, 990~EZ, or 990-PF). I Part II Revenue, Expenses, and Changes in Net Assets or Fund Balances 1 Contributions, gifts, grants, and similar amounts received: a Direct public support 1a 22 702. b Indirect public support 1b 2,862. c Government contributions (grants) 1c 10,000. d Total (add lines 1a through 1c) (cash $ 35,564. noncash $ ) 1d 35 564. 2 Program service revenue Including government fees and contracts (from Part VII, line 93) 2 3 Membership dues and assessments 3 4 Interest on savings and temporary cash Investments 4 5 DIVidends and Interest from securities 16a I 5 6 a Gross rents b Less: rental expenses 6b c Net rental Income or (loss) (subtract line 6b from line 6a) 6c iJ) 7 Other investment income (describe ~ ) 7 :J 8 a Gross amount from sales of assets other (A) Secunties !B) Other c iJ) > than inventory 8a iJ) a: b Less: cost or other basis and sales expenses . 8b c Gain or (loss) (attach schedule) 8c d Net gain or (loss) (combine line 8c, columns (A) and (8)) 8d 9 Special events and activities (attach schedule). If any amount is from gaming, check here ~ a Gross revenue (not including $ o. of contributions I 9a I reported on line la) 129 351- b Less: direct expenses other than fundraislng expenses 9b 62,893. c Net Income or (loss) from special events (subtract line 9b from line 9a) SEE STATEMENT 1 9c 66 458. ql" r ,. "'" " ....,.., .'qq', 10 a Gross sales of inventory, less returns and allowances 10a b Less: cost of goods sold 10b c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line lOb from line lOa) iOc 11 Other revenue (from Part VII, line 103) 11 12 Total revenue laddlinesld 2 3 4 5 6c 7 8d 9c 10c andll) 12 102,022. 13 Program services (from line 44, column (B)) 13 39 293. VI iJ) 14 Management and general (from line 44, column (C)) 14 72,427. VI c iJ) 15 Fundraising (from line 44, column (OJ) 15 0- x 16 Payments to affiliates (attach schedule) 16 UJ 17 Total expenses (add lines 16 and 44. column (A)) 17 111 720. 18 Excess or (deficit) for the year (subtract line 17 from Itne 12) 18 <9,698. VI 46,831- Q)~ 19 Net assets or fund balances at beginning of year (from line 73, column (A)) 19 z~ 20 Other changes In net assets or fund balances (attach explanation) 20 o . ~ 21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) 21 37,133. > 6~3?n5 LHA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Form 990 (2004) 1 15440214 748525 19412 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 I Part II I Statement of Functional Expenses DUBLIN ~TNERSHIPS IN EDUCATION 94-3207780 All organizations must complete column (A). Columns (B). (C), and (D) are required for section 501(c)(3) and (4) 01 ganizatlons and section 494 7(a)( 1) nonexempt challtable trusts but optional for others. Page 2 Do not include amounts reported on line (A) Total (B) Program (C) Management (D) Fundralsing 6b 8b 9b 10b or 16 of Part I, services and general 22 Grants and allocations (attach schedule) (cash $ noncash $ 22 23 Specific assistance to individuals (attach schedule) 23 24 Benefits paid to or for members (attach schedule) 24 25 Compensation of officers, directors, etc. 25 39,412. o . 39 412. o . 26 Other salaries and wages 26 13 129. 13 129. 27 Pension plan contributions 27 28 Other employee benefits 28 29 Payroll taxes 29 30 Professional fundraising fees 30 31 Accounting fees 31 1.200. 1 200. 32 Legal fees 32 33 Supplies 33 1 467. 1 467. 34 Telephone 34 35 Postage and shipping 35 1 698. 1 698. 36 Occupancy 36 37 E qu ipment rental and maintenance 37 38 Printing and publicalions 38 39 Travel 39 40 Conferences, conventions, and meetings 40 41 Interest 41 42 DepreGIatlon, depletion, etc. (attach schedule) 42 43 Other expenses not covered above (Itemize): a 43a b 43b c 43c d 43d e SEE STATEMENT 2 43e 54 814. 39 293. 15,521. 44 6fgtaari,l~l~o~tJ~d~lpTe1Png~~I~Tnh1d(~i(8na~~ f~i~~~t~liiVlines 13-15 44 I 111 720. 39 293. 72,427. o . Joint Costs. Check ~ D If you are following SOP 98-2. Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services? ~ D Yes [X] No If "Yes," enter (i) the aggregate amount of these Joint costs $ ; (ii) the amount allocated to Program services $ iii the amount allocated to Mana ement and eneral $ . and iv the amount allocated to Fundraisin Part III Statement of Program Service Accomplishments What IS the organization's primary exempt purpose? ~ SEE STATEMENT 3 All organizations must describe their exempt purpose achievements in a clear and concise manner State the number of clients served, publications issued, etc. DIscuss achievements that are not measurable, (Section 501(cX3) and (4) organIzations and 4947(aX1) nonexempt charitable trusts must also enter the amount of grants and allocations to others.) a TEACHER GRANTS - TO PROVIDE ADDITIONAL FUNDING TO ENHANCE PROGRAMS THAT ARE OUTSIDE OF THE PURVIEW OF THE NORMAL SITE BUDGET. Grants and allocations $ b STUDENT SCHOLARSHIPS AND PROGRAMS - TO PROVIDE SCHOLARSHIPS TO DESERVING DUBLIN HIGH SCHOOL STUDENTS TO CONTINUE THEIR HIGHER EDUCATION. FUNDS WERE ALSO PROVIDED FOR INTERVENTION MUSIC AND PERFORMING ARTS PROGRAMS. Grants and allocations $ c Grants and allocations $ d Grants and allocations $ e Other rogram services attach schedule (Grants and allocations $ f Total of Program Service Expenses (should equal line 44, column (B), Program services) 423011 01-13-05 ~ Program Service Expenses (Required for 501(cX3) and (4) orgs" and 4947(aX1) trusts; but optional for others.) 22 332. 16 961. 39,293. Form 990 (2004) 15440214 748525 19412 2 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 Form 990 (2004\ DUBLIN PARTNERSHIPS IN EDUCATION I Part IV I Balance Sheets 94-3207780 Page 3 Note: Where required, attached schedules and amounts within the description column I (A) (B) should be tor end-ot-year amounts only Beginning of year End of year ~I 45 Cash - non-interest-bearing 43,620. 45 33 307. I 46 Savings and temporary cash investments 46 I I 47 a Accou nts receivable 47a b Less: allowance for doubtful accounts 47b 47c 48 a Pledges receivable 48a I b Less: allowance for doubtful accounts 48b 48c 49 Grants receivable 49 50 Receivables from officers, directors, trustees, and key employees 50 I/) 151a I ~ 51 a Other notes and loans receivable I/) I/) b Less: allowance for doubtful accounts 51b 51c <l: 52 Inventories for sale or use 52 53 Prepaid expenses and deferred charges 349. 53 964. 54 Investments - securities ~ D Cost DFMV 54 , 55 a Investments - land, buildings, and equipment: basIs 55a b Less: accumulated depreciation 55b 55c I 56 Investments - other 56 57 a Land, buildings. and equipment: basis I 57a I 2 862. b Less: accumulated depreciation 57b 2 862. 57c 2,862. 58 Other assets \ describe ~ ) 58 59 Total assets (add lines 45 throuah 581 (must eaualline 74\ . 46 831- 59 37 133. 60 Accounts payable and accrued expenses 60 61 Grants payable 61 62 Deferred revenue 62 I/) <lJ 63 Loans from officers, directors, trustees, and key employees 63 :E :0 64 a Tax-exempt bond liabilities 64a OJ b Mortgages and other notes payable 64b ...J 65 Other liabilities (describe ~ ) 65 66 Total liabilities (add lines 60 throuqh 65) o . 66 O. Organizations thatfollow SFAS 117, check here ~ [X] and complete lines 67 through 69 and lines 73 and 74. I/) 41 033. 31, 335. <lJ 67 Unrestricted 67 (J c Temporarily restricted 5 798. 68 5.798. OJ 68 ro co 69 Permanently restricted 69 . '. .".... "0 Organizations that do not follow SFAS 117, check here ~ D and complete lines c :J LL 70 through 74. ... 0 70 Capital stock, trust prinCipal, or current funds 70 I/) .... <lJ 71 Paid-in or capital surplus, or land, building, and equipment fund, 71 I/) I/) <l: 72 Retained earnings, endowment, accumulated income, or other funds 72 ~ 73 Total net assets or fund balances (add lines 67 through 69 or lines 70 through 72; z column (A) must equal line 19; column (B) must equal line 21) 46 831- 73 37 133. 74 Total liabilities and net assets / fund balances (add lines 66 and 73) 46 831- 74 37.133. Form 990 IS available for public inspection and, for some people, serves as the primary or sole source of information about a particular organization. How the public perceives an organization in such cases may be determined by the information presented on its return. Therefore, please make sure the return is complete and accurate and fully describes, In Part III. the organization's programs and accomplishments, 423021 01-13-05 15440214 748525 19412 3 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 Form 990 (2004) DUBLIN PARTNERSHIPS IN EDUCATION 94-3207780 Page 4 I Part IV-A I Reconciliation of Revenue per Audited Part IV-B I Reconciliation of Expenses per Audited Financial Statements with Revenue per Financial Statements with Expenses per Return Return a Total revenue, gains. and other support N/A a Total expenses and losses per N/A per audited financial statements ~ a audited financial statements ~ a b Amounts included on line a but not on b Amounts Included on line a but not on line 17, Form 990: line 12, Form 990: (1) Donated services (1) Net unrealized gains and use of facilities $ on investments $ (2) Prior year adjustments (2) Donated services reported on line 20, and use of facilities $ Form 990 $ (3) Recoveries of prior (3) Losses reported on year grants $ line 20, Form 990 $ (4) Other (specify I: I (4) Other (specify): I $ $ Add amounts on lines (1) through (4) ~ b Add amounts on lines (1) through (4) ~ b c Line a minus line b ~ c c Line a minus line b ~ c d Amounts included on line 12, Form d Amounts included on line 17, Form 990 but not on line a: 990 but not on line a: (1) Investment expenses (1) Investment expenses not Included on not included on line 6b, Form 990 :t line 6b, Form 990 $ (2) Other (SP8CIfy): (2) Other (specify): $ $ Add amounts on lines (1) and (2) ~ d Add amounts on lines (1) and (2) ~ d e Total revenue per line 12, Form 990 e Total expenses per line 17, Form 990 (line c plus line d) ~ e (line c plus line d) .. e I Part V I List of Officers, Directors, Trustees, and Key Employees (List each one even If not compensated.) (8) Title and average hours (e) Compensation (0 ~conlrrbullons to (E) Expense (A) Name and address pel week devoted to (If not ~li.~, enter e ployee benefit account and plans & deferred Dosltion comnensation other allowances --------------------------------- --------------------------------- SEE STATEMENT 4 39 412. o . o . --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- - -- ----------------------------- ----------------------------- --- --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- 75 Did any officer, director, trustee, or key employee receive aggregate compensation of more than $100,000 from your organization and all related organizations, of which more than $10,000 was provided by the related organizations? If "Yes," attach schedule. ~ D Yes [X] No 423031 01-13-05 Form 990 12004) 15440214 748525 19412 4 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 Form 990 (20041 DUBLIN PARTNERSHIPS IN EDUCATION Part VI Other Information 76 77 Old the organization engage in any activity not previously reported to the IRS? If "Yes," attach a detailed description of each activity Were any changes made in the organizing or governing documents but not reported to the IRS? If "Yes," attach a conformed copy of the changes. Did the olganizatlon have unrelated business gross Income of $1,000 or more during the year covered by thiS return? If "Yes," has it filed a tax return on Form 990-T for thiS year? Was there a liqUidation, dissolution, termination, or substantial contraction during the year? If "Yes," attach a statement Is the organization related (other than by association with a statewide or nationWide organization) through common membership, govermng bodies, trustees, officers, etc., to any other exempt or nonexempt organization? If "Yes," enter the name of the organization ~ 94- 3 2 0 778 0 Page 5 Yes No X X 76 77 78 a b 79 X N!A, 78a 78b 79 X 80 a 80a X and check whether it is D exempt or D nonexempt. 81 a Entp.r direct or Indirect political expenditures. See line 81 instructions 81a O. b Old the organization file Form 1120-POL for thiS year? 82 a Old the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially less than fair rental value? If "Yes," you may indicate the value of these Items here. Do not include this amount as revenue in Part I or as an expense in Part II. (See instructions In Part 111.) 82b 83 a Did the organization comply with the public Inspp.ction requirements tor returns and exemption applications? b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? 84 a Did the organization solicit any contributions or gifts that were not tax deductible? N / A, b If "Yes," did the organization Include with every solicitation an express statement that such contributions or gifts were not tax deductible? N / A., 85 501 (c)(4), (5), or (6) organizatIOns. a Were substantially all dues nondeductible by members? N /A, b Old the organization make only In-house lobbying expenditures of $2,000 or less? .N / A, if "Yes" was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a waiver for proxy tax owed for the prior year. c Dues, assessments, and similar amounts from members 85e N A d Sp.ctlon 162(e) lobbYing and political expenditures 85d N A e Aggregate nondeductible amount of section 6033(e)( 1 )(A) dues notices 85e N A f Taxable amount of lobbying and political expenditures (line 85d less 85e) 85f N A 9 Does the organization elect to pay the section 6033(e) tax on the amount on line 85f? N / A., 85 h If section 6033(e)( 1 )(A) dues notices were sent, does the organization agree to add the amount on line 85f to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year? N / A 85h 86 50 1 (c)(7) organizations. Enter: a Initiation fees and capital contributions included on line 12 86a N A b Gross receipts, included on line 12, for public use of club facilities 86b N A 87 501 (c)(12) organizations, Enter: a Gross income from members or shareholders 87a N A b Gross Income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) 87b N A 88 At any time dUring the year, did the organization own a 50% or greater interest in a taxable corporation or partnership, or an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Part IX 88 X 89 a 501 (c)(3) organizations. Enter: Amount of tax Imposed on the organization during the year under: section 4911 ~ 0 . ; section 4912 ~ 0 . ; section 4955 ~ 0 . b 501 (c)(3) and 501 (c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year or did It become aware of an excess benefit transaction from a prior year? If "Yes," attach a statement explaining each transaction 89b X c Enter: Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 . ~ 0 . d Enter: Amount of tax on line 89c, above, reimbursed by the organization ~ 0 . 90 a List the states with which a copy of thiS return is filed ~ CALI FORNIA b Number of employees employed in the pay period that includes March 12,2004, ~I 0 91 The books are In care of ~ ANGELA FONTES, TREASURER Telephone no, ~ (925) 828 - 2551 81b X 82a X 83a X 83b X 84a 84b 85a 85b Located at ~ 7500 AMARILLO ROAD DUBLIN, CA ZIP + 4 ~ 94568 92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041- Check here . and enter the amount of tax-exempt interest received or accrued during the tax year 423041 01 13-05 ~ GiJ ~D N/A Form 990 (2004) 15440214 748525 19412 5 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 Form 990 (2004) DUBLIN PARTNERSHIPS IN EDUCATION 94 3207780 Page 6 I Part VII I Analysis of Income-Producing Activities (See page 33 of the instructions.) Note: Enter gross amounts unless otherwise Unrelated business income Excluded by section 512, 513, or 514 (E) indicated. (A) (8) (e) (0) Related or exempt Business Amount Exclu- Amount slon function income 93 Program service revenue: code code a b c d e f Medicare/Medicaid payments g Fees and contracts from government agencies 94 Membership dues and assessments 95 Interest on savings and temporalY cash investments 96 Dividends and Interest from securities 97 Net rental Income or (loss) from real estate: a debt-tlnanced property b not debt-financed property 98 Net rental Income or (loss) from personal property 99 Other Investment Income 100 Gain or (loss) from sales of assets other than inventory 101 Net Income or (loss) from special events 66.458. 102 Gross profit or (loss) from sales of Inventory 103 Other revenue: a b c d e 104 Subtotal (add columns (B), (D), and IE)) o . o . 66 458. 105 Total (add line 104, columns (8), (0), and (E)) . ~ 66 , 458 . Note: Line 105 plus line 1 d, Part I, should equal the amount on line 12, Part I. Part VIII Relationship of Activities to the Accomplishment of Exempt Purposes (See page 34 of the instructions.) Line No. Explain how each activity for which Income is reported in column (E) of Part VII contrrbuted importantly to the accomplishment of the organization's T exempt purposes (other than by providing funds for such purposes). 101 HESE ACTIVITIES ONLY INCIDENTALLY ACCOMPLISH AN EXEMPT FUNCTION. THE PRIMARY PURPOSE IS TO RAISE FUNDS THAT ARE OTHER THAN CONTRIBUTIONS TO FINANCE THE ORGANIZATION'S EXEMPT ACTIVITIES. N A % % % % Transfers Associated with Personal Benefit Contracts (See page 34 of the instructions.) (a) Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? Yes [X] No (b) Old the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? Yes [X] No Note: If "Yes" to b , file 8 4720 (see instructions). PI Under penalties of xamined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, ease correct, and cample (other than officer) IS based on all Information of which preparer has any knowledge Sign Ill.. Ill.. Here r Signature of officer Date r Type or print name and title. Date Check if t' . 8 1 ~ 2006 self- .' .1. t employed ~ D EIN ~ Firm's name (or yours If self-employed), address, and ZIP + 4 Preparer's SSN or PTIN Paid Preparer's Ill.. signature r Preparer's Use Only LLP N STREET, SUITE 300 94607-3705 Phone no. ~ ( 510 ) 8 3 2 - 2 3 2 5 Form 990 (2004) 423161 01-13-05 15440214 748525 19412 6 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 SCHEDULE A (Form 990 or 990-EZ) Name of the organization Organization Exempt Under Section 501 (c)(3) (Except Private Foundation) and Section 501(e). 501(f). 501(k), 501(n). or Section 4947(a)(1) Nonexempt Charitable Trust Supplementary Information-(See separate instructions.) ~ MUST be completed by the above organizations and attached to their Form 990 or 990-El Employer identification number OMB No. 1545-0047 2004 Department of the Treasury Internal Revenue Service DUBLIN PARTNERSHIPS IN EDUCATION 94 3207780 Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (See page 1 of the instructions. List each one. If there are none. enter "None,") (a) Name and address of each employee paid (b) Title and average hours (d) Contributions to (e) Expense per week devoted to (c) Compensation employee benefit account and other more than $50,000 plans & deferred position compensation allowances NONE ---------------------------------- ---------------------------------- ---------------------------------- ~ ~ ------------------------------- ---------------------------------- Total number of other employees paid over $50,000 ~ 0 I Part /I I Compensation of the Five Highest Paid Independent Contractors for Professional Services (See page 2 of the instructions. List each one (whether individuals or firms). If there are none, enter "None.") (a) Name and address of each independent contractor paid more than $50,000 (b ) Type of service (c) Compensation NONE --------------------------- Total number of others receiving over $50,000 for professional services , ~ 0 423101/11-24-04 LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990-El. Schedule A (Form 990 or 990-El) 2004 7 15440214 748525 19412 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 Schedule A (Form 990 or 990-EZ) 2004 DUBLIN PARTNERSHIPS IN EDUCATION I Part III I Statements About Activities (See page 2 of the instructions.) 94- 3 2 0 7 7 8 0 Page 2 Yes No During the year, has the organization attempted to Influence national, state, or local legislation, including any attempt to influence public opinion on a legislative matter or referendum? If "Yes," enter the total expenses paid or incurred in connection with the lobbYing activities ~ $ $ (Must equal amounts on line 38, Part VI-A, or line i of Part VI-B.) Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI-A. Other organizations checking "Yes," must complete Part VI-B AND attach a statement giVing a detailed description of the lobbying activities. 2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any substantial contributors, trustees, director s, officers, creators, key employees, or members of their families, or with any taxable organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary? (If the answer to any question is "Yes," attach a detailed statement explaining the transactions.] a Sale, exchange, or leasing of woperty? b Lending of money or other extension of credit? c Furnishing of goods, services, 01 facilities? d Payment of compensation (or payment or reimbursement of expenses If more than $1.000)? e Transfer of any part of Its income or assets? 3 a Do you make grants for scholarships, fellowships, student loans, etc.? (If "Yes," attach an explanation of how you determine that recipients qualify to receive payments,) b Do you have a section 403(b) annuity plan for your employees? 4 a Old you maintain any separate account for partiCipating donors where donors have the right to provide advice on the use or distribution of funds? b Do ou rovlde credit counselin debt mana ement credit re air or debt ne otiation services? I Part IV I Reason for Non-Private Foundation Status (See pages 3 through 6 of the instructions.) The organization is not a private foundation because it is: (Please check only ONE applicable box,) 5 D A church, convention of churches, or association of churches, Section 170(b)(1)(A)(I). 6 D A school. Section 170(b)( 1 )(A)(ii). (Also complete Part V.) 7 D A hospital or a cooperative hospital service organization. Section 170(b)( 1 )(A)(Ii1). 8 D A Federal, state, or local government or governmental unit. Section 170(b)( 1 )(A)(v). 9 D A medical research organization operated in conjunction with a hospital. Section 170(b)(1)(A)(III). Enter the hospital's name, city, and state ~ 10 D An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(1)(A)(iv), (Also complete the Support Schedule in Part IV-A) 11a D An organization that normally receives a substantial part of its support from a governmental unit or from the general publiC. Section 170(b)(1)(A)(vi). (Also complete the Support Schedule in Part IV-A) 11 b D A community trust. Section 170(b)( 1 )(A)(vl). (Also complete the Support Schedule In Part IV-A.) 12 [X] An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its charitable, etc., functions - subject to certain exceptions, and (2) no more than 331/3% of ItS support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acqUired by the organization after June 30, 1975. See section 509(a)(2). (Also complete the Support Schedule in Part IV-A) 13 D An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations described in: ( 1)llnes 5 through 12 above; or (2) section 501 (c)( 4), (5), or (6), if they meet the test of section 509(a)(2). (See section 509(a)(3).) Provide the following rnformation about the supported organizations, (See page 5 of the instructions,) (a) Name(s) of supported organization(s) 2a 2b 2c 2d 2e 3a 3b 4a 4b (b) Line number from above x x x x x x x X X X 14 D An organization organized and operated to test for public safety. Section 509(a)(4), (See page 5 of the instructions.) i~36i_14 Schedule A (Form 990 or 99HZ) 2004 8 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 15440214 748525 19412 1 Schedule A (Form 990 or 990-EZ) 2004 DUBLIN PAR TNERSHI P S IN EDUCA TI ON 94- 3 2 07780 Part IV -A Support Schedule (Complete only if you checked a box on line 10, 11, or 12) Use cash method of accounting. Page 3 Note: You may use the worksheet in the Instructions for converting from the accrual to the cash method of accounting. Calendar year (or liscal year (e) Total beginning in) ~ (a) 2003 (b) 2002 (c) 2001 (d) 2000 15 GiftS, grants, and contributions received. (Do not in)clUde unusual 36.178. 50 510. 37.735. 70.488. 194 911- grants. See line 28. 16 Membership lees received 17 Gross receipts from admissions, merchandise sold or services perfor med, or furnishing of facilities In any activity that IS related to the organization's charitable, etc., purpose 105 271- 80.582. 50 312. 54.928. 291 093. 18 Gross income from Interest, dividends, amounts received from payments on securities loans (sec- tion 512(a)(5)), rents, royalties, and unrelated business taxable Income (less section 511 taxes) from businesses acquired by the organization after June 30,1975 1 275. 3.826. 5 101- 19 Net income from unrelated business actiVities not included in line 18 20 Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf 21 The value of services or facilities furnished to the organization by a governmental unit without charge, Do not Include the value of services or facilities generally furnished to the publiC without Charge 22 Other Income. Attach a schedule. SEE STATEME NT 5 Do not include gain or (loss) from sale of capital assets , 37,300. 53 683. 301.102. 392 085. 23 Total of lines 15 through 22 141 449. 168.392. 143 005. 430.344. 883 190. 24 Line 23 minus line 17 36 178. 87,810. 92 693. 375.416. 592 097. 25 Enter 1% of line 23 1 414. 1 684. 1 430. 4 303. 26 Organizations described on lines 10 or 11: a Enter 2% of amount in column (e), line 24 ~ 26a N/A b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental unit or publicly supported organization) whose total gifts for 2000 through 2003 exceeded the amount shown in line 26a. Do not lile this list with your return. Enter the total of all these excess amounts ~ 26b N/A c Total support for section 509(a)(1) test: Enter line 24, column (e) ~ 26c N/A d Add: Amou nts from column (e) for lines: 18 19 22 26b ~ 26d N/A e PubliC support (line 26c minus line 26d total) ~ 26e N/A I Public suooort oercentaoe {line 26e (numerator' divided bv line 26c (denominator)) ~ 261 N/A % 27 Organizations described on line 12: a For amounts included In lines 15, 16, and 17 that were received from a "disqualified person," prepare a list for your records to show the name of, and total amounts received in each year from, each "disqualified person." Do not lile this list with your return, Enter the sum of such amounts for each year: (2003) o. (2002) o. (2001)0. (2000) .0. b For any amount included In line 17 that was received from each person (other than "disqualified persons"), prepare a list for your records to show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000. (Include in the list organizations described in lines 5 through 11, as well as individuals.) Do not lile this list with your return. After computing the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year: (2003) O. (2002) pO . (2001) c Add: Amounts from column (e) for lines: 15 194 , 911 . 16 17 291 , 093. 20 21 ~ 27c Add: Line 27a total 0 . and line 27b total 0 . ~ 27d e Public support (line 27c total minus line 27d total) ~ 27e I Total support for section 509(a)(2) test: Enter amount on line 23, column (e) ~ 271 883 190. g Public support percentage (line 27e (numerator) divided by line 271 (denominator)) ~ 27 55 . 0282% h Investment income ercenta e line 18 column e numerator divided b line 27f denominator ~ 27h . 5776% 28 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants dUring 2000 through 2003, prepare a list for your records to show, lor each year, the name of the contributor, the date and amount of the grant, and a brief description of the nature 01 the grant. Do not lile this list with your return. Do not Include these grants in line 15. 423121 12-03-04 o. (2000) o. 486 004. o . 004. 486 NONE Schedule A (Form 990 or 990-EZ) 2004 15440214 748525 19412 9 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 Schedule A (Form 990 or 99D-EZ) 2004 DUBLIN PARTNERSHIPS IN EDUCATION I Part V I Private School Questionnaire (See page 7 of the Instructions.) (To be completed ONLY by schools that checked the box on line 6 in Part IV) 9 4 - 3 2 0 778 0 Page 4 N/A Yes No 29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing instrument, or in a resolution of its governing body? 30 Does the organization mclude a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues, and other vmtten communications with the public dealing with student admissions, programs, and scholarships? 31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of Solicitation for students, or durmg the registration period If It has no solicitation program. in a way that makes the policy known to all parts of the general community it serves? If "Yes," please describe; If "No," please explain, (If you need more space, attach a separate statement.) 29 30 31 32 Does the organization maintain the following: a Records mdicatlng the racial composition of the student body, faculty, and administrative staff? b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscrlmmatory basis? c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student admissions, programs, and scholarships? d Copies of all material used by the organization or on its behalf to solicit contributions? If you answered "No" to any of the above, please explain. (If you need more space, attach a separate statement.) 32a 32b 32c 32d 33 Does the organization dlscrimmate by race in any way with respect to: a Students' rights or privileges? b AdmiSSions policies? c Employment of faculty or administrative staff? d Scholarships or other financial assistance? . e Educational policies? 1 Use of facilities? 9 Athletic programs? h Other extracurricular activities? If you answered "Yes" to any of the above, please explam. (If you need more space, attach a separate statement.) 33a 33b 33c 33d 33e 331 33 33h 34 a Does the organization receive any fmancial aid or assistance from a governmental agency? 34a b Has the organization's right to such aid ever been revoked or suspended? 34b If you answered "Yes" to either 34a or b, please explain usmg an attached statement. 35 Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05 of Rev. Proc. 75-50, 1975-2 C.B, 587, covering racial nondiscrimination? If "No," attach an explanation. 35 Schedule A (Form 990 or 990-EZ) 2004 423131 11-24-04 15440214 748525 19412 10 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 ScheduleA(Form 990 or 990-EZ) 2004 DUBLIN PARTNERSHIPS IN EDUCATION I Part VI-A I Lobbying Expenditures by Electing Public Charities (See page 9 of the Instructions.) (To be completed ONLY by an eligible organization that filed Form 5768) D D 94- 3 2 0 7780 Page 5 N/A Check ~ a if the oraanizatlon belonas to an affiliated qroup. Check ~ b if you checked "a" and "limited control" provisions aoplv. Limits on Lobbying Expenditures (a) (b) Affiliated group To be completed for ALL (The term "expenditures" mp.ans amounts paid or Incurred,) totals electrng organizations N/A 36 Totallobbyrng expenditures to influence public opinion (grassroots lobbying) 36 37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37 38 Total lobbying expenditures (add Irnes 36 and 37) 38 39 Other exempt purpose expenditures 39 40 Total exempt purpose expenditures (add lines 38 and 39) 40 41 Lobbying nontaxable amount. Enter the amount from the follOWing table - If the amount on line 40 is . The lobbying nontaxable amount is - Not over $500,000 20% of the amount on line 40 Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000 Over $1,000 000 but not over $1,500,000 $175,000 plus 10% of the ex.cess over $1,000,000 41 Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000 Over $17,000,000 $1,000,000, 42 Grassroots nontaxable amount (enter 25% of line 41) 42 43 Subtract line 42 from line 36. Enter -0- if Irne 42 is more than line 36 43 44 Subtract line 41 from line 38. Enter -0- if Irne 41 is more than line 38 44 Caution: If there is an amount on either line 43 or line 44, you must file Form 4720. I Lobbying Expenditures During 4-Year Averaging Period N/A Calendar year (or (a) (b) (c) (d) (e) fiscal year beginning in) ~ 2004 2003 2002 2001 Total 45 LobbYing nontaxable amount o . 46 Lobbying ceiling amount (150% of line 45! e)) o . 47 Total lobbying exoendltures o . 48 Grassroots nontaxable amount o . 49 Grassroots ceiling amount (150% of line 481el) ,. o . 50 Grassroots lobbying expenditures o . I Part VI-B I Lobbying Activity by Nonelecting Public Charities 4-Year Averaging Period Under Section 501 (h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the rnstructlons for lines 45 through 50 on page 11 of the instructions.) (For reporting only by organizations that did not complete Part VI-A) (See page 11 of the instructions,) During the year, did the organization attempt to influence national, state or local legislation, including any attempt to influence public opmion on a legislative matter or referendum, through the use of: a Volunteers b Paid staff or management (Include compensation in expenses reported on lines c through h.) c Media advertisements d Mailings to members, legislators, or the publiC e Publications, or published or broadcast statements f Grants to other organizations for lobbying purposes g Direct contact with legislators, their staffs, government officials, or a legislative body h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means Total lobbying expenditures (Add lines c through h.) If "Yes" to any of the above, also attach a statement giving a detailed description of the lobbying activities. 423141 11-24-04 N A Yes No Amount o . Schedule A (Form 990 or 990-EZ) 2004 15440214 748525 19412 11 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 Schedule A (Form 990 or 990-EZ) 2004 DUBLIN PARTNERSHIPS IN EDUCATION 94 - 3 2 0 7 780 I Part VII I Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations (See page 11 of the Instructions.) Old the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations? a Transfers from the reporting organization to a noncharitable exempt organization of: (i) Cash (ii) Other assets Other transactions: (i) Sales or exchanges of assets with a noncharitable exempt organization (ii) Purchases of assets from a noncharltable exempt organization (iii) Rental of facilities, equipment, or other assets (iv) Reimbursement arrangements (v) Loans or loan guarantees (vi) Performance of services or membership or fundralslng solicitations c Sharing of facilities, equipment, mailing liSts, other assets, or paid employees d If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value of the goods, other assets, or services given by the reporting organization. If the organization received less than fair market value in any 51 51a(i) a(ii) b(i) b(ii) b(iii) b(iv) b(v) b(vi) Page 6 Yes No x X X X X X X X X transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received: N/A (a) (b) (c) (d) Line no. Amount involved Name of noncharltable exempt organization Description of transfers, fransactlons, and sharing arrangements 52 a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501 (c) of the Code (other than section 501(c)(3)) or in section 52?? ~ DYes b If "Yes," complete the following schedule: N A (a) Name of organization (c) Description of relationship (b) Type of organization 423151 11-24-04 CXJ No 15440214 748525 19412 12 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 Schedule A (Form 990 or 990-EZ) 2004 1 DUBLIN 'PARTNERSHIPS IN E CATION 94-3207780 FORM 990 SPECIAL EVENTS AND ACTIVITIES STATEMENT 1 GROSS CONTRIBUT. GROSS DIRECT NET DESCRIPTION OF EVENT RECEIPTS INCLUDED REVENUE EXPENSES INCOME GOLF TOURNAMENT 37,327. 37,327. 13,621. 23,706. STUDENT ART AUCTION 36,705. 36,705. 15,045. 21,660. FIREWORKS 55,319. 55,319. 34,227. 21,092. TO FM 990, PART I, LINE 9 129,351. 129,351. 62,893. 66,458. FORM 990 OTHER EXPENSES STATEMENT 2 (A) (B) (C) (D) PROGRAM MANAGEMENT DESCRIPTION TOTAL SERVICES AND GENERAL FUNDRAISING BANK FEES 1,764. 1,764. INSURANCE 3,433. 3,433. MARKETING AND ADVERTISING 4,855. 4,855. TEACHER GRANTS 22,332. 22,332. STUDENT SCHOLARSHIPS AND PROGRAMS 16,961. 16,961. WORKER'S COMPENSATION INSURANCE 1,371. 1,371. TAXES AND FEES 40. 40. DISCOUNT DINING CARDS EXPENSE 3,000. 3,000. BOARD MEETING EXPENSE 412. 412. OFFICE EQUIPMENT EXPENSE 271. 271. GIFT EXPENSE 90. 90. MEMBERHIP AND DUES 285. 285. TOTAL TO FM 990, LN 43 54,814. 39,293. 15,521. 15440214 748525 19412 13 STATEMENT(S) 1, 2 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 DUBLIN PARTNERSHIPS IN E CATION 94-3207780 FORM 990 STATEMENT OF ORGANIZATION'S PRIMARY EXEMPT PURPOSE PART III STATEMENT 3 EXPLANATION TO FOSTER MUTUALLY BENEFICIAL BUSINESS EDUCATION PARTNERSHIPS IN ORDER TO MAXIMIZE COMMUNITY RESOURCES FOR THE STUDENTS OF THE DUBLIN UNIFIED SCHOOL DISTRICT. FORM 990 PART V - LIST OF OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES STATEMENT 4 EMPLOYEE TITLE AND COMPEN- BEN PLAN EXPENSE NAME AND ADDRESS AVRG HRS/WK SATION CONTRIB ACCOUNT DON BIDDLE PRESIDENT 7500 AMARILLO ROAD PART o . o . o . DUBLIN, CA 94568 TESS THOMAS VICE PRESIDENT 7500 AMARILLO ROAD PART o . o . o . DUBLIN, CA 94568 ROZ PERAZZO VICE PRESIDENT 7500 AMARILLO ROAD PART O. o . o . DUBLIN, CA 94568 PAT KOHNEN SECRETARY 7500 AMARILLO ROAD PART o . o . o . DUBLIN, CA 94568 ANGELA FONTES TREASURER 7500 AMARILLO ROAD PART o . o . o . DUBLIN, CA 94568 RICK ROBINSON, JR. BOARD MEMBER 7500 AMARILLO ROAD PART o . o . o . DUBLIN, CA 94568 CHARLIE SHEA BOARD MEMBER 7500 AMARILLO ROAD PART o . o . o . DUBLIN, CA 94568 ALICE WATERMAN BOARD MEMBER 7500 AMARILLO ROAD PART o . O. o . DUBLIN, CA 94568 15440214 748525 19412 14 STATEMENT(S) 3, 4 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 DUBLIN'PARTNERSHIPS IN E CATION 94-3207780 SANDY HARE BOARD MEMBER 7500 AMARILLO ROAD PART o . o . O. DUBLIN, CA 94568 BILL PRESCOTT BOARD MEMBER 7500 AMARILLO ROAD PART o . O. o . DUBLIN, CA 94568 DAVID HAUBERT BOARD MEMBER 7500 AMARILLO ROAD PART o . o . o . DUBLIN, CA 94568 PAMELA GLYNN EXECUTIVE DIR (CURRENT) 7500 AMARILLO ROAD 75% 39,412. o . o . DUBLIN, CA 94568 TOTALS INCLUDED ON FORM 990, PART V 39,412. o . o . SCHEDULE A OTHER INCOME STATEMENT 5 DESCRIPTION 2003 AMOUNT 2002 AMOUNT 2001 AMOUNT 2000 AMOUNT PROGRAM SERVICE REVENUE o . 37,300. 37,300. 53,683. 53,683. 301,102. TOTAL TO SCHEDULE A, LINE 22 o . 301,102. 15440214 748525 19412 15 STATEMENT(S) 4, 5 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 Form 8868 (Rev 12~2004) Page 2 . If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box ~ [X] Note: Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868, . If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1). I Part II Additional (not automatic) 3-Month Extension of Time - Must file Original and One Copy. Type or Name of Exempt Organization Employer identification number pri nt. DUBLIN PARTNERSHIPS IN EDUCATION 94-3207780 File by the Number, street, and room or suite no. If a P.O, box, see instructions. For IRS use only extended due date for P. O. BOX 2307 filing the return See City, town or post office, state, and ZIP code, For a foreign address, see instructions, instructions DUBLIN, CA 94568 Check type of return to be filed (File a separate application for each return): [X] Form 990 D Form 990EZ D Form 990-T (sec. 401 (a) or 408(a) trust) D Form 1041-A D Form 5227 D Form 8870 D Form 990-BL D Form 990-PF D Form 990-T (trust other than above) D Form 4720 D Form 6069 STOP: Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868. . The books are in the care of ~ ANGELA FONTES, TREASURER Telephone No. ~ (925)828-2551 FAX No. ~ . If the organization does not have an office or place of business in the United States, check this box ~ D . If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) . If this is for the whole group, check this box ~ D . If it is for part of the group, check this box ~ D and attach a list with the names and EINs of all members the extension is for. 4 I request an additional 3-month extension of time until MAY 15, 2006 5 For calendar year _ ' or other tax year beginning JUL 1, 2004 and ending JUN 30, 2005 6 If this tax year is for less than 12 months, check reason: D Initial return D Final return D Change in accounting period 7 State in detail why you need the extension MORE TIME IS REQUIRED TO FILE A COMPLETE AND ACCUTATE RETURN. 8a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits. See instructions $ b If this application is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated tax payments made, Include any prior year overpayment allowed as a credit and any amount paid previously with Form 8868 $ c Balance Due. Subtract line 8b from line 8a. Include your payment with this form, or, if required, deposit with FTO coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System), See instructions, $ N/A Signature and Verification Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief, It IS true, correct, and complete, and that I am authorized to prepare this form. Signature ~ Title ~ CPA Date ~ Notice to Applicant - To Be Completed by the IRS D We have approved this application. Please attach this form to the organization's return. D We have not approved this application. However, we have granted a 1 O-day grace period from the later of the date shown below or the due date of the organization's return (including any prior extensions). This grace period is considered to be a valid extension of time for elections otherwise required to be made on a timely return, Please attach this form to the organization's return. D We have not approved this application, After considering the reasons stated in item 7, we cannot grant your request for an extension of time to file. We are not granting a 1 O-day grace period. D We cannot consider this application because it was filed after the extended due date of the return for which an extension was requested, D Other By: Director Date Alternate Mailing Address - Enter the address if you want the copy of this application for an additional 3-month extension returned to an address different than the one entered above, Name TIMPSON GARCIA, LLP Type Number and street (include suite, room, or apt. no.) or a P.O. box number or print 70 WASHINGTON STREET SUITE 300 City or town, province or state, and country (including postal or ZIP code) 423832 OAKLAND, CA 94607-3705 01-10-05 Form 8868 (Rev. 12~2004) 16 15440214 748525 19412 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 - 1 Form 8868 (Rev. December 2004) Application for Extension of Time To rile an Exempt Organization Return OMB No. 1545.1709 Department of the Treasury Internal Revenue Service ~ File a separate application for each return. · If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box . If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on page 2 of this form). Do not complete Part II unless you have already been granted an automatic 3.month extension on a previously filed Form 8868. .~ [X] I Part I I Automatic 3-Month Extension of Time - Only submit original (no copies needed) Form 990- T corporations requesting an automatic 6.month extension - check this box and complete Part I only . ~D All other corporations (including Form 990-C filers) must use Form 7004 to request an extension of time to file income tax retums. Partnerships, REMICs, and trusts must use Form 8736 to request an extension of time to file Form 1065, 1066, or 1041. Electronic Filing (e-file). Form 8868 can be filed electronically if you want a 3-month automatic extension of time to file one of the returns noted below (6 months for corporate Form 990.T filers). However, you cannot file it electronically if you want the additional (not automatic) 3.month extension, instead you must submit the fully completed signed page 2 (Part II) of Form 8868. For more details on the electronic filing of this form, visit www-irs.govlefile. Type or print Name of Exempt Organization Employer identification number File by the due date for filing your return. See instructions. DUBLIN PARTNERSHIPS IN EDUCATION Number, street, and room or suite no. If a P.O. box, see instructions, P. O. BOX 2307 94-3207780 City, town or post office, state, and ZIP code. For a foreign address, see instructions.C DUBLIN CA 94568, Check type of return to be filed (file a separate application for each return): [X] Form 990 D Form 990-BL D Form 990.EZ D Form 990.PF D Form 990.T (corporation) D Form 990-T (sec. 401 (a) or 408(a) trust) D Form 990.T (trust other than above) D Form 1041-A D Form 4720 D Form 5227 D Form 6069 D Form 8870 · The books are in the care of ~ ANGELA FONTES, TREASURER Telephone No. ~ (925) 828 - 2 5 51 FAX No. ~ · If the organization does not have an office or place of business in the United States, check this box.., ............. . ~ D · If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) . If this is for the whole group, check this box ~ D. If it is for part of the group, check this box ~ D and attach a list with the names and EINs of all members the extension will cover. I request an automatic 3-month (6.months for a Form 990- T corporation) extension of time until FEBRUARY 15, 2006 to file the exempt organization return for the organization named above. The extension is for the organization's return for: ~ D calendar year or ~ [X] tax year begin~ JUL 1, 2004 , and ending JUN 30, 2005 2 If this tax year is for less than 12 months, check reason: D Initial return D Final return D Change in accounting period 3a If this application is for Form 990.BL, 990-PF, 990.T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits. See instructions $ b If this application is for Form 990.PF or 990-T, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit .............. $ c Balance Due. Subtract line 3b from line 3a. Include your payment with this form, or, if required, deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions ..... .... $ N/A Caution. If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453.EO and Form 8879.EO for payment instructions. LHA For Privacy Act and Paperwork Reduction Act Notice, see instructions. Form 8868 (Rev. 12-2004) 423831 01-10-05 14121114 748525 19412 2004.07000 DUBLIN PARTNERSHIPS IN EDUC 19412 1 Form 8868 (Rev. 12-2004) Page 2 · If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box Note: Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868_ · If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1), Part III Additional (not automatic) 3-Month Extension of Time - Must file Original and One Copy. Name of Exempt Organization Employer identification number ~[Xl Type or print. UBLIN PARTNERSHIPS IN EDUCATION 94-3207780 File by Ihe extended due date for filing the return. See instructions Number, street, and room or suite no_ If a P,O_ box, see instructions. O. BOX 2307 City, town or post office, state, and ZIP code. For a foreign address, see instructions_ UBLIN CA 94568 For IRS use only Check type of return to be filed (File a separate application for each return): [Xl Form 990 0 Form 990-EZ D Form 990-T (sec_ 401 (a) or 408(a) trust) D Form 990-BL 0 Form 990.PF Form 990.T (trust other than above) U Form 1041.A o Form 4720 D Form 5227 D Form 6069 o Form 8870 STOP: Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868, · The books are in the care of ~ ANGELA FONTES , TREASURER Telephone No ~ (925) 828 - 2 5 51 FAX No_ ~ · If the organization does not have an office or place of business in the United States, check this box.. __ ~ 0 · If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) _ If this is for the whole group, check this box ~ 0 _ If it is for part of the group, check this box ~ 0 and attach a list with the names and EINs of all members the extension is for. 4 I request an additional 3.month extension of time until MAY 15 , 2006 5 For calendar year _ ' or other tax year beginning JUL 1 , 2004 6 If this tax year is for less than 12 months, check reason: 0 Initial return 7 State in detail why you need the extension MORE TIME IS REQUIRED TO FILE A COMPLETE AND ACCUTATE RETURN. and ending D Final return JUN 30 , 2005 D Change in accounting period 8a If this application IS for Form 990 BL, 990-PF. 990-T. 4720. or 6069, enter the tentative tax less any nonrefundable credits_ See instructions ~---------- b If this application is for Form 990-PI'-, 990-T. 4720. or 6069, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit and any amount paid previously with Form 8868 $ c Balance Due. Subtract line 8b from line 8a. Include your payment with this form, or, if reauired, deposit with FTO coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System)_ See instructions $ N / A Signature and Verification Under penalties ~.I ri,~II~1c!i'e )ml/"I\~xamlned thiS form. including accDmpanying schedules and s;atements, and tD the best Df my knDwledge and belief, It IS true, correct,\ilfb.l:~r'iele, ~d~!m lJuthDrlZed tD prepare thiS fDrm_ Signature ~ Title ~ CPA Notice to Applicant - To Be Completed by the IRS D We have approved this application. Please attach this form to the organization's return. D We have not approved this application. However, we have granted a 1 O-day grace period from the later of the date shown below or the due date of the organization's return (including any prior extensions). This grace period is considered to be a valid extension of time for elections otherwise required to be made on a timely return_ Please attach this form to the organization's return. D We have not approved this application. After considering the reasons stated In item 7, we cannot grant your request for an extension of time to file, We are not granting a 1 O-day grace period_ o We cannot consider this application because it was filed after the extended due date of the return for which an extension was requested_ o Other Date ~ By: Director Date Alternate Mailing Address - Enter the address if you want the copy of this application for an additional 3~month extension returned to an address different than the one entered above_ Name TIMPSON GARCIA LLP Type or print Number and street (include suite, room, or apt. no.) or a P.O, box number 70 WASHINGTON STREET SUITE 300 423832 01-10-05 City or town, province or state, and country (including postal or ZIP code) OAKLAND CA 94607-3705 Form 8868 (Rev. 12-2004) 15370214 748525 19412 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 2004 YEAR California Exempt Organization Annual Information Return FORM 199 MONTH MONTH DAY YEAR DAY YEAR 94-3207780 and endln JUNE 30 2005. A Final return? 0 Yes, Check applicable box. [X] No . 0 Dissolved 0 Withdrawn 0 Merged/Reorga~ized (attach explanation) If a box is checked, enter date . For calendar or fiscal ear be innln JULY 2004 IMPORTANT: Your number is required. California corporation number Federal employer identification number (FEIN) 1885462 DUBLIN PARTNERSHIPS IN EDUCATION Address PMB no B Check forms filed this year State: 0109 0,00 O'00S O,00W Federal: 1XI 990 990EZ 0 990T 0 990PF 0 1041 D 1120H 0 1120 C If organization is exempt under R&TC Section 23701d and is a school, public charity, religious organization, or is controlled by a religious operation, check box, See General Instruction F. No filing fee is required. . [X] o Is this a group filing? See General Instruction NOYeS [X] No Corporation/Organization name DUBLIN CA 94568 Part I Complete Part I unless not required to file this form. See General Instructions Band C. 1 Gross sales or receipts flam other sources. From Side 2, Part II, line 8 2 Gross dues and assessments from members and affiliates 3 Gross contributions, gifts, grants, and similar amounts received. See instructions 4 Total gross receipts for filing requirement test Add Ime 1 through line 3 This line must be completed. If the result is less than $25,000, see General Instruction C 5 Cost of goods sold 5 6 Cost or other baSIS, and sales expenses of assets sold 6 7 Total costs. Add line 5 and line 6 7 8 Total ross Income. Subtract line 7 from line 4 8 9 Total expenses and disbursements. From Side 2, Part II, line 18 9 10 Excess of receipts over expenses and disbursements. Subtract line 9 from line 8 10 11 Filing fee $10 or $25. See General Instruction F 11 12 Penalty for failure to file on time. See General Instruction L 12 13 Use tax. See instructions . 13 14 Balance due. Add line 11 line 12 and line 13 14 15 If exempt under R& TC Section 23701 d, has the organization dUring the year: (1) participated in any political campaign or (2) attempted to influence legislation or any ballot measure, or (3) made an election under R& TC Section 23704.5 (relating to lobbying by public charities)? If "Yes," complete and attach form FTB 3509, Political or Legislative Activities by Section 23701d Organizations 16 Old the organization have any changes in Its actiVIties, governing instrument, articles of incorporation, or bylaws that have not been reported to the Franchise Tax Board? If "Yes," complete an explanation and attach copies of revised documents 17 Is the organization exempt under R&TC Section 23701g? If "Yes," enter amount of gross receipts from nonmember sources $ 18 Old the organization file Form 100, Form 100S, 100W, or Form 109 to report taxable Income? If "Yes," enter amount of total income reported $ 19 The fmancial records are m care of ANGELA FONTES, TREASURER P. City O. Receipts and Revenues (Enclose, but do not staple any payment.) Expenses Filing Fee BOX 2307 E Accounting method used CASH F Type of organization [X] Exempt under Section 23701 o IRC Section 4947(aX1) trust (insert letter) d State ZIP Code . 1 2 3 129 351. . . 35 564. . 4 164 915. 164 174 915. 613. <9 698.> N A o Yes [X] No o Yes [X] No o Yes [X] No o Yes [X] No Daytime telephone (925)828-2551 located at 7500 AMARILLO ROAD Please Sign Here Paid Preparer's Use Only 428941/01-14-05 DUBLIN, CA 94568 Under penalties ,rr. ',' 1~lrt rrit.,~~"e examined this return, jnclUdin~ accompanying sChed~les and ~tatements, and to the best of my knowledge and belief, It IS true, correct. ~J;'I: '~Ttl~f preparer (other than taxpayer) IS based on all information of which preparer has any knowledge .1 ~ COpy Signature of officer Date Daytime telephone Paid preparer's SSN or PTIN Paid ~r;~~r~:~s ... . FEIN 9 4 - 3 3 8 4 4 7 5 Check If self.employed 0 . P00379080 Firm's name :~~~I~urs, ~ TIMPSON GARCIA LLP employed) 70 WASHINGTON STREET, SUITE 300 and address OAKLAND CA 9 4 6 0 7 - 3 7 0 5 Daytime . telephone 832-2325 19904104022 Form 199 C1 2004 Side 1 For Privacy Act Notice, get form FTB 1131. 1 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 15440214 748525 19412 DUBLIN PARTNERSHIP IN EDUCATION 9, 207780 Part II Organizations with gross receipts of more than $25,000 and private foundations regardless of amount of gross receipts - complete Part II or furnish substitute information. See Specific Line Instructions. 1 Gross sales or receipts from all business activities. See instructions 1 129,351. 2 Interest 2 3 Dividends 3 Receipts 4 Gross rents 4 from Other 5 Gross royalties 5 Sources 6 Gross amount received from sale of assets 6 7 Other Income 7 8 Total gross sales or receipts from other sources. Add line 1 through line 7. Enter here and on Side 1 Part I line 1 8 129,351. 9 Contributions, gifts, grants, and similar amounts paid 9 10 Disbursements to or for members 10 11 Compensation of officers, directors, and trustees SEE STATEMENT 1 11 39.412. Expenses 12 Other salaries and wages 12 13 129. and 13 Interest 13 Disburse- 14 Taxes 14 ments 15 Rents 15 16 Depr8CIation and depletion 16 17 Other SEE STA'.I'EM:ENT :2 17 122,072. 18 Total expenses and disbursements. Add line 9 through line 17. Enter here and on Side 1, Part I, line 9 18 174.613. Schedule L Balance Sheets Beginning of taxable year End of taxable year Assets (a) (b) (c) (d) 1 Cash 43 620. 33 307. 2 Net accounts receivable 3 Net notes receivable 4 Inventories 5 Federal and state government obligations 6 Investments In other bonds 7 Investments In stock 8 Mortgage loans (number of loans -) 9 Other investments , 10 a Depr8CIable assets 2.862. 2 862. b Less accumulated depreciation ( ) 2 862. ( ) 2.862. 11 Land 12 Other assets STMT ~ 349. 964. 13 Total assets 46,831. 37,133. Liabilities and net worth 14 Accounts payable. 15 Contributions, giftS, or grants payable 16 Bonds and notes payable 17 Mortgages payable I 18 Other liabilities 19 Capital stock or principle fund 20 Paid-In or capital surplus, Attach reconciliation 21 Retained earnings or income fund 46,831. 37 133. 22 Total liabilities and net worth 46.831. 37 133. Schedule M-1 Reconciliation of income per books with income per return Do not complete this schedule if the amount on Schedule L, line 13, column (d), IS less than $25,000 1 Net income per books.. <9 698. > 2 Federal Income tax 7 Income recorded on books this year 3 Excess of capital losses over capital gains not included in this return 4 Income not recorded on books this year " 5 Expenses recorded on books this year not deducted In this return 6 Total Add line 1 through line 5 9 10 <9 698.> 8 Deductions in this return not charged against book income this year Total. Add line 7 and line 8 Net income per return Subtract line 9 trom line 6 <9 698.> 428951111.24.04 Side 2 Form 199 C1 2004 19904204022 15440214 748525 19412 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 DUBLIN PARTNERSHIPS IN E" ~ATION 94-3207780 FORM 199 COMPENSATION OF OFFICERS, DIRECTORS AND TRUSTEES STATEMENT 1 NAME AND ADDRESS TITLE AND AVERAGE HRS WORKED/WK COMPENSATION DON BIDDLE 7500 AMARILLO ROAD DUBLIN, CA 94568 PRESIDENT PART o . TESS THOMAS 7500 AMARILLO ROAD DUBLIN, CA 94568 VICE PRESIDENT PART o . ROZ PERAZZO 7500 AMARILLO ROAD DUBLIN, CA 94568 VICE PRESIDENT PART o . PAT KOHNEN 7500 AMARILLO ROAD DUBLIN, CA 94568 SECRETARY PART o . ANGELA FONTES 7500 AMARILLO ROAD DUBLIN, CA 94568 TREASURER PART o . RICK ROBINSON, JR. 7500 AMARILLO ROAD DUBLIN, CA 94568 BOARD MEMBER PART o . CHARLIE SHEA 7500 AMARILLO ROAD DUBLIN, CA 94568 BOARD MEMBER PART o. ALICE WATERMAN 7500 AMARILLO ROAD DUBLIN, CA 94568 BOARD MEMBER PART o . SANDY HARE 7500 AMARILLO ROAD DUBLIN, CA 94568 BOARD MEMBER PART o . BILL PRESCOTT 7500 AMARILLO ROAD DUBLIN, CA 94568 BOARD MEMBER PART o . DAVID HAUBERT 7500 AMARILLO ROAD DUBLIN, CA 94568 BOARD MEMBER PART o . 15440214 748525 19412 STATEMENT(S) 1 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 DUBLIN PARTNERSHIPS IN E. ":ATION 94-3207780 PAMELA GLYNN 7500 AMARILLO ROAD DUBLIN, CA 94568 EXECUTIVE DIR (CURRENT) 75% 39,412. TOTAL TO FORM 199, PART II, LINE 11 39,412. FORM 199 OTHER EXPENSES STATEMENT 2 DESCRIPTION AMOUNT BANK FEES INSURANCE MARKETING AND ADVERTISING TEACHER GRANTS STUDENT SCHOLARSHIPS AND PROGRAMS WORKER'S COMPENSATION INSURANCE TAXES AND FEES DISCOUNT DINING CARDS EXPENSE BOARD MEETING EXPENSE OFFICE EQUIPMENT EXPENSE GIFT EXPENSE MEMBERHIP AND DUES DIRECT EXPENSES OF FUNDRAISING EVENTS ACCOUNTING FEES SUPPLIES POSTAGE AND SHIPPING 1,764. 3,433. 4,855. 22,332. 16,961. 1,371. 40. 3,000. 412. 271. 90. 285. 62,893. 1,200. 1,467. 1,698. TOTAL TO FORM 199, PART II, LINE 17 122,072. FORM 199 OTHER ASSETS STATEMENT 3 DESCRIPTION BEG. OF YEAR END OF YEAR PREPAID EXPENSES AND DEFERRED CHARGES 349. 964. TOTAL TO FORM 199, SCHEDULE L, LINE 12 349. 964. 15440214 748525 19412 STATEMENT(S) 1, 2, 3 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 DUBLIN PARTNERSHIPS IN E~ 2ATION 94-3207780 FORM 199 FUND BALANCES STATEMENT 4 DESCRIPTION BEG. OF YEAR END OF YEAR TOTAL TO FORM 199, SCHEDULE L, LINE 21 46,831. 31,335. 5,798. 37,133. UNRESTRICTED ASSETS TEMPORARILY RESTRICTED ASSETS 41,033. 5,798. 15440214 748525 19412 STATEMENT(S) 4 2004.08010 DUBLIN PARTNERSHIPS IN EDUC 19412 1 9. fl J t teJ.Lt_! I [ffi) DUBLIN PARTNERS IN EDUCATION Dublin Partners in Education PO Box 2307 Dublin, CA 94568 925.828.2551 x8024 925.803.9746 fax email: dpie@dublin.k12.ca.us January 31, 2007 Mr. Richard Ambrose, City Manager Ms. Joni Pattillo, Assistant City Manager City of Dublin 100 Civic Plaza Dublin, CA 94568 Dear Mr. Ambrose and Ms. Pattillo: Dublin Partners In Education (DPIE) is submitting a grant proposal request for $17,500 for the two DPIE programs n Promotion ofthe Arts Program and the Vocational Mentoring Program at Dublin High School. Last year DPIE experienced a significant amount of growth in all of our programs. The Dublin High School Vocational Mentoring Program grew from 45 sophomore students and 15 mentors to 300 sophomore, junior, and senior students and 40 mentors. This year there will be initially 356 students - if not more - who come during their lunch hour to meet with professionals to gain more insight about the various professions. Pizza, soft drinks, and waters are served to all participants. The number of guest artists who are visiting our Dublin schools has almost tripled in the last two years, thanks to the many volunteer artists from around the Tri-Valley. We have art coordinators at each of the Dublin school and they are requesting more guest artists, as the teachers many times do not have the expertise to demonstrate art in their classrooms. Besides coordinating guest artists, DPIE also funds art supplies for the schools, and coordinates a large Student Award night in May. Last year approximately 450 students, parents, relatives and neighbors attended the ceremony at the Dublin Regal Cinema. We respectfully request that the City of Dublin consider supporting the rapid growth of these two very important programs. All students and their families in Dublin would benefit! Kind Regards, l~lj7vvVt '-}~L (7'~_~A-/ , Donna McMillion Executive Director Federal Non-Profit 1.0. #94-3207780 Dublin Partners in Education is a non-profit foundation dedicated to fostering Mutually beneficial business and education partnerships in order to Maximize community resources for the students of the Dublin Unified School District. DUBLIN PARTNERS IN EDUCATION CITY OF DUBLIN FUNDING GRANT APPLICATION FOR 2007-2008 JANUARY 2007 D DUBLIN PARTNERS IN EDUCATION Table of Contents Application Summary & Mission ..................,........................ 1 Questions 3A,B,C,D,E,F ..............................,.......................2-3 General Agency Information ...............................,....,.......... 3-6 July 2006-June 2007 Agency Budget....................."..........,..,. 7 Most recent tax return..................................................,........... 8 Evidence of Board Approval of City Application...,........... 9 DPIE's Certificate of Insurance ...........................,............... 10 Application Verification Declaration Signature Page........ 11 GRANT APPLICATION SUMMARY Organization: Dublin Partners in Education Donna Mc:Million, Executive Director PO Box 2307, Dublin CA 94568 8435 Davona Drive, Dublin (Murray Elementary Portable P-4) 925.828.2551 x8024 Proposed Program Date: 7/1/07-6/30/08 Amount of Funds Requested: $17,500 Purpose of Funds: Operational and Program Expenses Non Profit Status: 501 (C) 3 Corporation, Tax ID 94-3207780 Executive Director: Donna McMillion Board President: Don Biddle Contact Person: Donna McMillion, mcmilliondonna@dublin.k12.ca.us, Cell 925-846-7442 MISSION TO FOSTER MUTUALLY BENEFICIAL BUSINESS EDUCATION PARTNERSHIPS IN ORDER TO MAXIMIZE COMMUNITY RESOURCES FOR THE STUDENTS OF THE DUBLIN UNIFIED SCHOOL DISTRICT 1 APPLICATION FOR CITY FUNDS (QUESTIONS 3A-B-C-D-E-F) Amount Requested: $17,500 Proposed Program Name: Operational Expenses for Vocational Mentoring Program, Promotion of the Arts Program, and Student Arts Judging & Awards Night, period of 7/1/07 - 6/30/08 Population Served: Vocational Mentoring Program - Dublin High School students Promotion of the Arts Program & Student Arts Judging - All DUSD students Because of the financial and volunteer support by the City of Dublin and other community partners, DPIE is an effective, rapidly growing organization '.Vith a mission to bridge the gap between the schools and the community by creating programs that not only fund enhancement to school programs but offer community members many ways to get involved. The quality of education desired by residents of Dublin far exceeds the very basic education funded by the State. DPIE seeks to help the Dublin Unified School District bridge the gap in the type and quality of programs offered to the students. The current programs DPIE is requesting funding for benefit the 5,000+ students of the Dublin Unified School District. They are: . Vocational Mentoring Program at Dublin High School to expose students to local professionals and help them refine their career goals. DPIE and DUSD's concerns are that our Dublin students are making decisions about their future careers early in their lives, and there is a strong need for the students to have current information about their chosen careers. Last fiscal year there were approximately 300 high school students and 40 mentors who participated in lunch-time question-and-answer meetings. Prior to the February, March, and April meetings, students chose one or more of the five "career clusters," (Business, Sciences/Engineering/Math; Arts & Communications; Trades; Public & Human Services). DPIE staff then recruits mentors for the five clusters and coordinates the 20 lunch-time meetings. Pizza and beverages are served to all who attend. . A Strategic Plan was completed by the DPIE Board of Directors in April 2006, and one of the Plan's goals is for the expansion of the current Mentoring program to benefit more students Currently DPIE is researching the possibility of an E-Mentoring Program. This innovative program connects mentors and students via the Internet after appropriate recruiting/screening/training, Many of our current Mentors have expressed an interest in this additional method of cannecting professionals '.Vith students. . Promotion of the Arts Program This fiscal year 17 guest artists will be teaching art to the students in all schools. Art coordinators at each Dublin school have requested DPIE recruit as many professional artists as possible to help expose more arts learning to our Dublin students. Funds for art supplies have been given to each school and Special Project Funding is also available upon request. 1here is a belief that engagement in the arts ignites creativity and provides students '.Vith opportunities to critically interpret the world around them. 2 . Student Art Judging & Awards Night. After students' art is received, a panel of community members judges the art. The winners' art is then professionally framed and a large Student Awards Night follows in May. Last year approximately 450 students, family, and community friends attended the ceremony at the Regal Cinema in Dublin. The organizational board and committee structure of DPIE ensures that the programs and sponsorships offered to the teachers and students are appropriate with the goals of the School District and the community. Dr. Steven Hanke, Superintendent of DUSD, serves on DPIE's Honorary Council; Pat Kohnen, a member of DUSD's School Board, serves as a DPIE Board Liaison; Dr. Dave Marken, the Assistant Superintendent, serves on the DPIE Board of Directors, and Fallon School's Principal, Tess Thomas, serves on the DPIE Board and Chairs the Program Committee. The needs and evaluations of the current programs are regularly discussed at Board and committee meetings by the DUSD administrators and the DPIE Board of Directors. Program participants (volunteers and students) fill out written evaluation forms after the completion of the various programs. The information is reported back to the Board of Directors. A Program Committee of the Board of Directors was formally established to monitor program activities and outcomes. TIlls year's Chair is Tess Thomas, Principal of Fallon SchooL The Program Committee makes recommendations concerning the expansion, maintenance or curtailment of programs and serves as the evaluation process for all programs. A public report is given annually at a formal televised DUSD school board meeting, and questions and comments are taken from the audience. General Agency Information Population served: Students and families of the Dublin Unified School District .<=1!I~~.!!1l !!1!1! .~!".~~!~. 2001 THROUGH 2006 Date Ooeratin!! Year Amount 1997 Tax Return 1996/1997 $10,000 1998 Tax Return 1997/1998 $10,000 1999 Tax Return 1998/1999 $10,000 3/20/2001 2000/2001 $10,000 4/22/2002 2001/2002 $10,000 8/26/2002 2002/2003 $10,000 10/27/2003 2003/2004 $10,000 8/27/2004 2004/2005 $10,000 11/21/2005 2005/2006 $12,500 8/28/2006 2006/2007 $12,500 3 City of Dublin Fiscal Year 2007-2008 Application for Funds (0 'K C FY 2007-2008 "" THIs PROJECT! EXPENSE BUDGET ORGANIZATION PROGRAM GRANT REQUEST Personnel Costs .". :f. tJtuJ knu -e11\.l)~ -zeS Employee Salaries & Benefits 5'3 q $rD, DO {).O 1000 "~(J Non-Personnel Costs Services & Supplies /3 I I ).-5"', DO 5" 000, to Capital Costs :)"50,00 Other (please specify) r fDOX'iJL m t t..;?ttK SV..J I J 0 I ~.'"13 ,CCl tI,'-/5000 Other (please specify) ~ s. Qu.j-. 5")00,00 TOTAL 1 f g,;k q -'-8'"/00 f/ '3 (.; 1'1 SOl t,' #/7. 5f;t). ~ ~ r kJ ) c l(lq .:.4J.{..>J 1)7 · ''";>1 {', "".1'(" z I f/ ,1 rnrl' . f5 ,'} Pre ti t~D-:;' It l~tJJ , F fY i7' () if tlc .:rfi tfl r.; t Pre/lIe 5. Financial Information - Operating Budget a. Expense Budget Further Comments/Explanations (if necessary): SECTION 2 Amended -Page 7 of 16 City of Dublin Fiscal Year 2007-2008 Application for Funds b. Revenue Budget FY 2007-2008 REVENUE BUDGET CommittedlRestricted Funds (s eci source) ORGANIZATION 41/ S; lJiJ ()) OiJ ~I (;t)O: (J (J S-8; 6t.>tl. e tJ J t.~ D (JO < t () / S I) ()t) r () (j [). fJ; 'f(){J, D () '6 eJi). () {.1 -$ I <j'if J-()Ci. () 6 Further Comments/Explanations (if necessary): SECTION 2 Amended -Page 8 of 16 PROJECTIPROGRAM Dublin Partners In Education Programs & Support 2006 THROUGH 2007 Vocational Mentoring Program at Dublin lligh School Teacher and School Grants Program Promotion of the Arts Program Student Art Judging & Awards Night Performing Arts Grants Winter Concert Sponsorship Science Fair Sponsorship Pacific Chamber Symphony Sponsorship Barton Reading Pilot Program for Dyslexic Students (at Wells Intennediate School) Art Scholarship Program Special Arts Projects Sponsorships Dublin High School's Athletic Booster Sponsorship Winter Concert Sponsorships 4 HONORARY COUNCIL Don Babbitt, Heartwood Communities Stephen Brooks, Alameda County of Education Jim Gulseth, JG, P.C. Law Stephen Hanke, Superintendent Dublin Unified School District Janet Lockhart, Mayor of Dublin Roz Perazzo, Chevron Corporation Tim Sbranti, Dublin City Council John Sugiyama, Retired DUSD Superintendent DPIE BOARD PRESIDENT - DON BIDDLE Vice President - Tess Thomas Principal, Fallon School Co-Secretary - Chris Bennett W orkvantage Co-Secretary - Kathy De Jong Performance Management Treasurer - Bill Moy Timpson Garcia, LLC Board Members: Angela Fontes, Community Volunteer 5 Ted Hoffman, JI. Earl Anthony's Dublin Bowl Kellee Jones Natural Wood Furniture Depot Dr. Dave Marken Assistant Superintendent, Educational Services B ill Prescott The Saranac Consulting Group, Inc. Victor Uno lBEW Local 595 DPIE BOARD...CONTlNUED Alice Waterman Stoneridge Shopping Center Alcina Wegrzyn ow ski Sybase, Inc. Pat Kohnen Liaison to DUSD Board DHS Student Representative Michael Hartshorn Class of 2007 6 1:40 PM 11/20/06 Cash Basis Dublin Partners in Education, Inc. Profit & Loss Budget Overview July 2006 through June 2007 Jul '06 - Jun 07 Income 3060 . Student Art Auction 3070, Fall Golf Tournament 3080 . Fireworks 3200 . Grant Income 3200-02 . Realtors Get Real Grant 3200 . Grant Income - Other Total 3200 . Grant Income 3400 . Membership Dues 3400-01. Company/Corporate Memberships 3400-02 . Individual Memberships Total 3400 . Membership Dues 3510 . Bowling Program 3560. PGA Nationwide Tour Total Income Expense 4010. Unbudgeted Programs 4016-01 . DPIE Student Board Scholarship 4016. Student Scholarships (AVSF) 4017, Teacher Grants 4018. Winter Concert Sponsorship 4019. Performing Arts Grant 4020 . Science Fair Sponsorship 4021 . DHS Program Donation 4021-02. Band Booster Fireworks Donation 4021-04. Mentor Program 4021-06' Art Scholarship Total 4021 . DHS Program Donation 4023 . Elementary Program Donations 4023-01 . Fireworks Donations Total 4023 . Elementary Program Donations 4024. Fallon Program Donations 4024-01 . Golf Classic Grant Total 4024 . Fallon Program Donations 4025 . DUSD Reading Intervention Prog. 4025-01 . Wells Barton Reading Program Total 4025 . DUSD Reading Intervention Prog. 4060 . Students Art Auction 4060-02 . SAA Art Supplies 4060 . Students Art Auction - Other Total 4060 . Students Art Auction 4070, Fall Golf-Tournament 5001. Board Meeting Expenses 5210. Office Supplies 5220 . Postage 5260 . Bank Fees 5300 . Office Equipment Expense 5450 . Outside CPA Services 5520 . Corporation Filing 5550 . Insurance-Liability & E&O 5620 . Exec Director-Expenses 5630 . Marketing & Advertising 6000 . Misc Reserve 6560 . Payroll Expenses 6560-01 . Exec. Director Payroll Expenses 6560-02 . Admin, Srvcs. Payroll Expenses 6560-03 . Worker Comp Insurance Total 6560 . Payroll Expenses 51,000,00 58.00000 16,000.00 15,000.00 15,000.00 30,000.00 25,300.00 3,100.00 28,400.00 200.00 600.00 184,200.00 1,450.00 500.00 1,000.00 32,000.00 1,500.00 1,000,00 1,000.00 8,000.00 3,800.00 400.00 12,200.00 1,500.00 1,500.00 400.00 400.00 15,473.00 15,473.00 4,750.00 15,500.00 20,250.00 22,000,00 500.00 1,750.00 1,500.00 1,500.00 550.00 1,200.00 175,00 3,700.00 300.00 2,500.00 5,000.00 32,000.00 20,280,00 1,700.00 53,980.00 Page 1 1:40 PM 11/20/06 Cash Basis Dublin Partners in Education, Inc. Profit & Loss Budget Overview July 2006 through June 2007 Jul .06 - Jun 07 Total Expense 182,928.00 1,272.00 Net Income Page 2