HomeMy WebLinkAbout8.1 Budget Study Attch 7 l
Tri-Valley Housing Opportunity Center (TVHOC) Funding Request Review Checklist
PART I - APPLlCATI~liiSUBMITTAL..I'IIIII.
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.
1.
2.
3.
4.
c.
Organization Information
Name of the organization... ... ... ... ... ... ... ... ... ... ... ....... ... ... ... .... I Tri-Valley Hosuing Opportunity Center (TVHOC) I
Is the applicant a nonprofit organization?...................................... I Yes
Does the organization has a 501 (c)3 State of California ID#?....... ! 94-3227787
Does the organization have a current City Business License?..... ! No
Funding Request
1. Funding amount requested... ............ ................... ...... ...... .....
2. FundingSource (i.e. General Fund, CDBG Fund).....................
D.
1.
Project Information
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....................
2/5/2007
Yes
$20,000
General Fund
TVHOC Family Stability And Home Linkage
Program
7/1/2007
6/30/2008
600
153
Yes
Yes
Yes
Yes
Yes, 02/05/07
Yes
Yes
Yes
Yes
1. Is the application complete?* (Y/N).................................................I X II
If no, which sections are incomplete?.............................................!
2. Did the applicant organization complete a mandatory I II
presentation at City Council Public Hea ring?' (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)
* Failure it e or comply with:iCl
requireme ideration.
H:\Budget\COMMGRPS\TVHOC Funding Request Checklist.xls
No
Attachment ]
Date Printed: 2/23/20072:06 PM
CI
RECEiVED
C\TY OF DUBLIN
,
~ i.
,j
CITY OF DUBLIN
Fiscal Year 2007-2008
en" MANAGER'S OFFlce
COMMUNITY GROUP/ORGANIZATION
ApPLICA TION FOR FUNDS
COVER PAGE
AGENCY NAME: TRI- V ALLEY BUSINESS COUNCIL
EDUCATIONAL COLLABORATIVE/TRI- V ALLEY HOUSING
OPPORTUNITY CENTER (TVHOC)
PROPOSED PROJECT/PROGRAM NAME:
TVIIOC FAMILY STABILITY AND HOME LINKAGE
PROGRAM
FUNDING AMOUNT REQUESTED: $20,000
SECTION 2
Page 2 of 22
CITY OF DUBLIN
Fiscal Year 2007-2008
ApPLICATION FOR. FUNDS
1. Please select one.. expense category: 0 Cilpital X Operating
2. Applicant Information:
Organization/Agency Name Tn-Valley Business Council Educational CollaborativelTri-Valley
Housing OpportUnity Center
Mailing Address 20-A SoutllL Street
Street Address
City Livermore
State CA
Zip 94550
J acaueline Rickman
Executive Director/Chairperson
Bill Aboumrad
Board President (if applicable)
(925) 373-3930
Work Phone
(925) 744-3555
Work Phone
iacqueline@tvhoc.org
Email
boomer3555@aol.com
Email
Please list the Primary Project Contact PeJison who would be able to answer questions about this application and
project/program during the funding period.
J acaueline Rickman Center Director
Contact Person for ProjectlProgram Job Title
(925) 373-3930 jacqueline@tvhoc.org
Work Phone Email
(925) 373-3934
Fax
Nonprofit Identification No. (Required) 94-3227787
City of Dublin Business License No. (Required)
SECTION 2
Page 3 of 22
City of Dublin
Fiscal Year 2007-2008
Application for Funds
3. Proposed Project/Program Information (Do not describe Organization.)
Amount of Funds Requested $ 20,000
(Maximum $25,000 per project.)
Proposed Project/ProgramName: Tri-Vallev Housine: Opportunity Center Familv Stability
and Home Linkae:e Proe:ram
Proposed Project/Program Date(s): Start 07 1 01 12007 and End 06 1 30/2008
day mo. day yr.
a. How would the requested funds be. usedw
. Descri~e, in detail, the PROPOSED PROJECT/PROGRAM.(not the Agency)~
· Hulleted text is acceptablei
. Identify if the proposeqproject/program is a neW' service, or extension of an
existing one.
· An additional page be added, if n ed.
The Tri-Valley Housing OpportunityG.enter (TVHOG) Family Stability and H~!11e
Linkage Program is a One-Stop-Financiat1l;ducation Program for extrernely-low4()-low-
income, English aod Spanish speaking individuals,families, disabled,seniors, aOd
emancipated youth and will providefi13anciallitera<DY education; credit counseling, renter
and homebuyer counseling and education; AfIj~~dable Housing ownership and Below
Market Rate rentallinkag~ opportunities; participation in an Individual Dev~lopment
Account (IDA) and/or an Individual Development EmpowermentiAccount(IDEA); and
free income tax preparation in 2008, through a partner$hip with the Associated
Community Action Program (ACAP).
TVHOC currently provides the Tri-Valley region (Dublin, Danville, Livermore,
Pleasanton, and San Ramon) with a housing counseling and education program, which
primarily focuses on the low-to-moderate-income first time homebuyer and
complements our partnering municipalities' Affordable Housing and Mortgage
Assistance programs. TVHOC has identified several factors and indicators in the Dublin
community, which supports the feasibility and demonstrates the severe need of
TVHOC's expansion of services to include Workforce, Asset Development, and Free
Income Tax services, which will mitigate and reduce the number of families and
SECTION 2
Page 4 of 22
individuals living in poverty. The Program will provide Financial Literacy Education,
Affordable Rental and Homeownership Opportunities, Workforce Development and
Asset Development services to underserved minorities, and emancipated youth in the
City of Dublin; which currently has very few direct services available in the City of Dublin
to assist the growing need of the extremely-low-income families, Spanish speaking and
emancipated youth populations.
The financial literacy programwHl be taught in English and in Spanish, and will use
the FDIC "Money Smart" 12-module bur~!culum over six weeks....The program will
include one-on-one case management to assist individuals dev~lop a monthly spending
plan, establish or improv~ credit;IQGi:lte a saving program, jObitraining or micro-business
opportunities, and stabilize housing. The case management will allow c1i~nts to receive
individualized assistance and be successful in meeting goal~ determined atthe time of
enrollment. The financial literacy Progflii!~ willi:lddress the Life Skills that many
emancipated youth in Dublin need to master in orcl~r to successful in their life transition.
TVHOC will continue to work with its Municipal Partners and Developers to link. low-
to-moderate income households with the.Affordable and Inclusionary rental and
homeownership opportunities in thecg 1.1l0lity. TVHOC will provide individual housing
counseling, an eight hour certificate h buyer workshop or R~l0lter's guide workshgp,
and application processing for renters at0lcl buyers. TVHOC will al$o work with the
Individual Development Empowerment..Account (IDEA) recipients tofind additional
layering subsidies to achieve homeownership throu.gh the City's Below Market Rate
programs.
The Program will include Workforce Development classes, which will assist thg~e
having trouble locating work, update their resumes, and lei:l~1Jlhow to use the intern~t for
job searches, improvement of English and job interviewing skills. We will coordinate our
case management and workshops to w along with the Tri-Valley On -Stop Career
Center and Las Positas College!s Cal programs for placement ortunities.
The Asset Development programiwiH be off~~ecl to those who are extremely low-
income, and if eligible, will be enrollment into the Individual Development Aqcount (IDA)
or if interested in hOmeownership, the Individual Empowerment Account Program.
These programs are designed to assist households establish gOi:lIS to build assets that
will lead to stability of individui:lls, fi:lrnil!es i:lnd th~ creation of wealthlh the long term.
The IDA and IDEA programs are amatohed savings program to assist low-income
individuals decrease their chances of remaining in poverty, and assist them in investing
in their future through job training, higher education, micro-business, and
homeownership. The IDA and IDEA savers must attend all six financial literacy
workshops and have consistent deposits to savings for a minimum of 10 months, before
money can be withdrawn. The matched program will be offered at a rate of 2:1 for
education, micro-business, and 3:1 for homeownership, both with a $2000 cap in
savings. The Associated Community Action Program (ACAP) will be TVHOC's
collaborating partner in the management of the savings and free income tax programs.
SECTION 2
Page 5 of 22
The final component of the Family Stability and Home Linkage Program is the free
income tax services. TVHOC will provide free income tax services to low-income Dublin
residents in 2008. The tax services will begin with assisting in preparing 2008 federal
and state short forms only. We will attempt to assist low-income households claim their
Earned Income Tax Credits, and apply those funds to savings. TVHOC will look to
recruit interested micro-business oriente.d ipdividuals to receive the IRS training in tax
preparation, become a volunteerahd following the 2008 tax season, continue to provide
tax preparation services as a small business.
SECTION 2
Page 6 of 22
City of Dublin
Fiscal Year 2007-2008
Application for Funds
b. How would the PROPOSED PROJECT/PROGRAM address an unmet community
need and improve the quality of life for Dublin residents. Why is this project/program
needed? (Additional page may be added, if needed):
The TVHOC Family Stability and Home Linkage Program would meet the needs of
the growing population of those living in or at pov~r;ty, low-income, emancipated youth
and the Spanish speaking blue coUatworkforce, inl!)ublin. The City of Dublin has very
few services being provided within the City of Dublin that provides finan(llialliteracy, life
skills for emancipated youth, how to ren~ipr how to buy a home, and there are currently
no other programs within the City of Dublin, that Offer~I$av'ngs programs designed to
improve the quality of lif~~y providing tools in which will enhance self-suffi~iencY and
help move toward long..tetm employment and financial goals.
Participation in this Program can bring about substantial changes to a low income
household's view on how to deal wittlJtI!9ir finanC~~,I.~ut qttl~r impacting life choices.
Small successes might be assisting alimited-Engli~t11 unbanked client to open a bank
account, to avoid high-cost wire sel0'\libes to their relative, so they (llan find ways of
putting money towards their children's education or obtaining houSing security through
homeownership. Learning<t1pw to pick a bank or choose a credit card, ahc!d~f11ystifying
the myths surrounding financial institutions, opens the door to opportuniti.eS, ~t1a~many
low incomes, minorities have traditionally been underserved or not able to acCess.
This Program is needed to help the Gityof Dublin mitigate poverty and fill the gap
of disparity that is growing as the population cqntinues to expand and takes on new
diverse communities, services need to b!9In to strength the City's workforce,
availability of resources to address limited=English speakers, and to remove
Impediments to Fair Housing, and protect classes from unfair rental and lending
practices. The Family Stability and Horne Linkage program can provide the educational
and savings vehicles in which an individual or family can develop wealth through
investment in their community.
SECTION 2
Page 7 of 22
c. What documentation/data/records support the need for this PROPOSED
PROJECT/PROGRAM? Please identify your data sources. (Additional page may be
added, if needed.)
The number of extremely low-to-Iow~ income households in the City of Dublin
according to the 2000 Census, was approximately 3% of the population or roughly 913
households was living at or below poverty, 50% of area median income and
approximately 25% was living at or below 80% of the area median income. With the
extreme cost of housing/and basic living needs in the B$y Area, the 3% in poverty has
certainly increased/with growth in the Dublinpopulation; which currently is estimated at
41,907.
Unfortunately, the majority of underserved households living in poverty are Children,
single parent head of households, emancipated youth, and foreign born, Latino/Hispanic
limited-English speaking, and/or of color.1 The City of Dublin reports a significant
Latino/Hispanic population, about 13.54%, which also reported that their E;nglishWas
not spoken "well" or "at all" at home\~ !he..y.itY.andpther public agencies are strivi~.g to
meet the growing needs of thelo~ inco~e... Hl11ited+English speal5ing populations;
however, there remains gaps in h.~u~ipgresource~and opportunities, life skill
development, culturally and language appropriate finanCial/banking services, and asset
development programs that are available in the City of Dub.Hn.
In the 2000 Census, numbers reflected that only 20% of the DlllPlih POPllltation 25
years and older had att~iined a high school diploma, 4336 individuals, and thatth~re
were 2,268 individuals in Dublin that dldnof<;;ot;nplete higiD school, and did not receive a
diploma.3 For many low incomet;nlnoritiesand emancipated youth the lack offin.ancial
knowledge, savings, investments and the understanding of financial institutions is
normal, and are prevalent causes to remaining in poverty. In many cases, trlllst,
language and cultural barriers contribute to the financial repression of limited-English
speaking minorities and emancipated YOlllth, however, it is important that we find
innovated ways of braking down these b~rriers; to avoid having these underserved
populations from becoming exploited.
The stress of rental housing cost on. the extremely low-and-Iow-income households
is apparent, where 30% is paying more then 35% of their incomes towards rent, and for
individuals trying to sustain a Self-Sufficiency Standard of Living in the City of Dublin, is
often finding in an emergency, they are on the edge of being evicted or homeless. For
1 u.s. Census Bureau, "Poverty Thresholds: 2000" Available online:
www.census.gov/hhes/poverty/threshld/thresh02.htm
2 U.S. Census Bureau, "Poverty Thresholds: 2000" Available online:
www.censlls.gov/hhes/poverty/threshld/thresh02.htm
3 U.S. Census Bureau, "Bay Area Census" Available online: www.bayareacensus.ca.gov/citieslDublin.htm
SECTION 2
Page 8 of 22
an individual, in the case of an emergency basic essentials can be sometimes be
sacrificed, whereas a family could not do without food, utilities, or childcare.4
4 u.s. Department of Housing and Urban Development, Fair Market Rents 2005. Available online:
www.huduser.org/Datasets/FMR.FMR2005/map/ca]Y2005]MR.pdf
SECTION 2
Page 9 of 22
City of Dublin
Fiscal Year 2007-2008
Application for Funds
d. Specify the PROPOSED PROJECT/PROGRAMpopulation to be served.
The Family Stability and Home l"inkage Prograrp Will service 153 Dublin at risk
households: low income, minority, limit-English, disabled, seniots, and emancipated
youth, and will offer. all orientations, workshops, Hterature, anq curric!Jla and case
management in English and Spanish. To address the high demand for Spanish
speaking services, the Program Coordinator will ~e bi-lingual ~panish~ The Program
will provide four Dublin orientations andfolJr fin9ncialliteracy workshops, two in English
and two in Spanish. The orientations will serve asani.introduction to the. services, and
enrollment.
e. Projects/programs mu.~t be evall.1atyf;tJo determine if they are being carried out efficiently
and if project/program goalsat'e being met. Please describe ho~you plan t~mpnitor
your project/program's sUCcess and impact.
· An additional page miilY be adf;t~f;t, if need~d.
The TVHOC Family StabiliW9ndHome Linkage Program will be monitored. on a
quarterly basis through.i~he AssoqiatEilq Community Action Program, Alameda County,
which has mandatory enrollrpent forms, eligIbility reqlJirementand verificatiOn forms,
and a data base program to coll~ct recipient's demographics, notes, and financial
information. It is mandatory for Gontractors of ACAP to receive technic~r9ssistance,
and attends m.onthly Contractor meetings to discuss issues of enrollment and
collaboration opportunities.
TVHOC will be willing to provide monthly invoices and milestones, to reflect the
Program's progress and future plans to all supporters of the Family Stability and Home
Linkage Program.
The measure of success for this Progr€lm will be through assisting participants
successfully complete their establisheq gOals and through C9Se management and
tracking of changes that allow the p9rticipants to aChieve individual financial and
housing stability. The goals of this program to measure success and client achievement
would include the following:
1) 50 Dublin households will have taxes prepared, and assist in the campaign to
help low income tax filers collect their Earned Income Tax Credit and encourage
savings
2) 120 Dublin households will attend an one hour TVHOC Family Stability and
Home Linkage Program and eligibility overview
SECTION 2
Page 10 of22
3) 60 Dublin households will meet with Program Coordinator one-on-one for
Program assessment and eligibility confirmation
4) 50 Dublin households will enroll into the six week financial literacy course and
case management program
5) 25 Dublin emancipated youth will enroll into the six week life skills course and
case management program
6) 20 Dublin household will attend homebuyer counseling, eight hour homebuyer
workshop, and loan application properness
7) 3 Dublin households will qualify for and enroll into IDA/IDEA matched saving plan
8) 3 Dublin households will successfylly complete their saver plan and invest in an
asset: job training/education, micro-business, or homeownership
f. Specify numbers of clients served byagency~ then by PROPOSED
PROJECT/PROGRAM:
SECTION 2
Page 11 of22
City of Dublin
Fiscal Year 2007-2008
Application for Funds
5. Financial Information -6perating Budget
a. Expense Budget
Services & Supplies
Capital Costs
Other (please specify)
IDA/IDEA for Matcl1 Savings
Funds for Dublin residents
accounts
Other (please ~pecify) ACAP
IDA/IDEA Administrative fee
T6TAL
46,010
o
35,450
10,000
o
50,000
2000
o
14,550
245,460
1500
100,500
450
20,000
FurtherComments/Explanations (ifnecessary):
SECTION 2
Page 12 of22
City of Dublin
Fiscal Year 2007-2008
Application for Funds
b. Revenue Budget
FY 2006-2007
REVENUE BUDGET ORGANIZATION PROJECTIPROGRAM
CommittedlRestricted Funds
(specify source)
ACAP 26,685 Family Stability Program
Citibank 15,000 Center
Bay East Realtor Association 20,000 Center
City of Livermore 12,500 Center
City ofDanville 13,500 Center
Non..CommittedlRestricted Funds
(specify source)
Partnership Program 25,000 Fee for Services
BMR Program 50,000 Fee for Services
Vendor Program 25,000 Fee for Services
BMR Resale Program 10,000 Fee for Services
City of Pleasanton 25,000 City Funds/Family Stabil.
East Bay Foundation 25,000 Family Stability
TOTAL 247,685
Further Comments/Explanations (if necessary):
SECTION 2
Page 13 of22
City of Dublin
Fiscal Year 2007-2008
Application for Funds
6. General Agency Information
a. List all years that Organization has previously received City of Dublin funding (not
Community Development Block Grant - CDBG).
The. Tri-Valley Business Council-lEducational Collaborative received $50,000
from the City of Dublin in 2004-2005, as seed.rt;).on~y to the Tri-Valley Housing
Opportunity Program, to cover opel'i~tiol1lal and start-up cost as a newnon~profit,
regional housing program.
b. Describe the populatibn(s) served by the Organization,
The Center's mission is to educate, coun~~I,an~ provid.e resources to the low-
to-moderate income first time homebuyers iqthe Tri-Valley r~gion.
The populatiqns that haveH~een tqrg~te~ and<mave utilized services over the
past year are low-to7moderate<I~come fqli'hili~s, earning incoll1es of >/:;:80% of the
area median income, We Cilre providing Serv'~es to the disqble and unemployed
communities, those seeking assistance in finding and securing below market rate
rentals an~ ownership opportunities in the Tri-Valley region,
The population which has so~ghfownershipqpportunities is greatlY
represented<~y the Caucasian, working c1as~,white and blueicollaremplbyee.
The Asian and Latino/Hispanic communities have begun to seek our services
through the assistance of our bi-lingual<Gity Partners, Realtors and Lenders,
which has allow us to expand our housing services to other populations, such as
Iranian and Afghan.
c. Describe all the services the Organization currently provides to Dublin residents.
· An additional page may be added, if needed,
We currently provide the following services to Dublin Residents:
· Fist Time Homebuyer Orientations: Introduction to Program
· First Time Homebuyer Workshops: Eight hour educational program
SECTION 2
Page 14 of22
. One-on-one housing counseling and credit evaluation: Case
management, minimum of 90 days to 60 months
. Rental counseling: Knowing your Responsibilities as a Renter
. Below Market Rate Rental Information and Referral
. Affordable Housing and Inclusionary Linkage and Application
Processing
. Debt Management Counseling Linkage: National Budget Planners,
Pleasanton
. Below Market Resale Lihkage Program: Assistance for the City, Seller,
and Buyer
. Post Purchase Counseling and education
. Ahti-Predatory Lending education and legal..referr(il
d. Has your agency ever previously received funqs from the City of Dublin? If yes,
please specify in what FiscaL.f'ears and the amount ryceived each year.
The Tri-Valley Business Gouncil-Educational C9Ilaborative received $50,000
from the City of Dublin in 200:402005, as/seed ~~ney to the tjri-Valley Housing
Opportunity Program, to cov~r operatiohal and~~art-u~cost as a new nOh-profit,
regional housing prOgram. TVHOC has/not receivedCDBG funding.
SECTION 2
Page 15 of22
~}.-\C:::1:C y...,\'"":l"\lL.A.....-\- A
Tri-Valle,y HousingOpportunit,y Center
20 South L St, livermore, CA 9+550
925.)7).)9)0
rT"/ l
Board of Directors
Mr. Bill Aboumrad (Chair)
ReMax Executive
1642 Lodestone Road
Livermore, CA 94550
Phone: (510) 744-3555
Fax: (510) 744-3530
boomer3555@aol.com
Mr. Tim Sbranti
4243 Clarinbridge Circle
Dublin, CA 94568
Work: (925) 833-3300
Fax: (925) 833-3322
Cell: (925) 858-5303
Home: (925) 551-3665
sbranti Timothv@dublin.kI2.ca.us
Gin MAl'It,V.:;,>.,.
~cR ;:;" ("<frJCE
Mr. Rick Anixter
Bank of America
391 Diablo Road, #100
Danville, CA 94526
Phone: (925) 876-9534
Fax: (925) 855-2107
rick. s. anixter(li),bankofamerica. com
Mr. Robert Storer
Danville Planning Commissioner/ Builder
86 La Pera Court
Danville, CA 94526
Phone: (510) 614-6200 or (510) 343-4415
Fax: (510) 614-6203
storer@pacbell.net
Ms. May Lee
City of Fremont
39550 Liberty Street
Fremont, CA 94537
Phone: (510) 494-4506
Fax: (510) 494-4636
mlee@ci.fremont.ca.us
Kevin Martin
McNichols, Randick, O'Dea & Tooliatos
LLP
5000 Hopyard Road, Suite 400
Pleasanton, CA 94588
Phone: (925) 460-3700
Fax: (925)
kmartin@mcnicholslaw.com
Ms. Laura Olson
UNCLE Credit Union
2100 Las Positas Court
Livermore, CA 94551
Phone: (925) 447-5001 x1185
Cell: (925) 525-3510
Fax: (925) 960-6035
lolson@unclecu.org
Mayor Janet Lockhart
City of Dublin
100 Civic Plaza
Dublin, CA 94568
Phone: (925) 833-6650
Cell: 925 819-0463
i anet.lockhart@ci.dublin.ca.us
Mr. James Paxson
Hacienda Owners Association
4473 Willow Road #105
Pleasanton, CA 94588-8570
Phone: (925) 734-6510
Fax: (925) 734-6501
i ames@hacienda.org
A\\<:~..L~.\---..-...\:::..~......\ ~
T ri-Valle"y Housing Opportunit"y Center
20 South L St, Livermore, CA 9+550
925.37).3930
Advisory Board and Staff
Advisory Board
Staff Positions
Milly Seibel, Chair
City of Livermore
925-960-4583
mlseibel((1),ci.livermore.ca. us
Jacqueline Rickman
Center Director
925-373-3930
i acqueline@tvhoc.org
Scott Erickson, Vice-Chair
City of Pleasanton
925-931-5007
serickson@ci. pleasanton. ca. us
Kerri Bock-Willmes
Center Coordinator
925-373-3930
kerri@tvhoc.org
Brooke Littman, co-Secretary
City of San Ramon
925-973-2573
blittman@sanramon.ca.gov
Intern - Volunteer
Now accepting applications
Jill Bergman, co-Secretary
Town ofDanville
925-314-3369
i bergman((1),ci . danville. ca. us
Gaylene Burkett, Member at Large
City of Dublin
925-833-6610
gaylene. burkett@ci.dublin.ca.us
Weldon Moreland, Treasurer
Weldon Moreland CPA
925-449-0100
Nancy Flores
Department ofHUD
Office of the Regional Director
600 Harrison Street, 3rd Floor
San Francisco, CA 94107-1300
(415) 489-6406
nancy flores((1),hud. gOY
A\>.a...c:,J(...~ ''\- ~
COST ALLOCATION PLAN
SOURCES AND USES OF FUNDS REPORT
ORGANIZATION:
PROGRAM NAME
PROGRAM YEAR.
PROJECT NUMBER'
REPORT PERIOD:
Tri-Valley Housing Opportunity Center
The Housing Opportunity Stability Program
2007 -2008
85-32-03-07
January 1, 2007 through December 31,2007
Source Source Source Source
ACAP P a rtnersh I ps/F oundat Ions Cltv Partners TrI Vallev CDBG
Project Kevenues Kevenues I Revenues I Kevenues
Budget Secured Secured Secured Secured
(all Thru Thru Thru Thru
funding Reportmg Reporting Reportmg Reporting
SOURCES OF FUNDS sources) Budqet Period') Balance Budqet Period") Balance Budaet Period") Balance Budqet Perlod,)1 Balance
Revenue $241285 $26,685 $26,685 $0 $82,000 $25,000 $57,000 $102,600 $66,000 $36,600 $30,000 $39~
FUNDING SOURCES
--
Source Source Source Source
ACAP Partnerships Cltv Partners CDBG
Project Expenses Expenses Expenses Expenses
Budget Incurred Incurred Incurred Incurred
(all Thru Thru Thru Thru
fundmg Reporting Reporting Reporting Reportmg
USES OF FUNDS sources) Budqet Period Balance Budqet Period Balance Budqet Period Balance Budqet Period Balance
Expenses Incurred
Personnel Expenses
Salary
Center Director FTE(4) $78,750 $68,750 $68,750 $10,000 $10000
Housing Coordinator FTE 14) $35,040 $23,829 $23,829 $2,856 $2,856 $8,355 $8,355
Housing Coordinator FTE") $52,500 $31,035 $31,035 $15,850 $15850 $5615 $5,615
Benefits/T axes $14,916 $2,856 $2,856 $6,030 $6,030 $6.030 $6,030
Overhead Cost $4,269 $4,269 $4,269
Other Expenses
Rent $16,200 $16,200 $16,200
Utilities $2,000 $2 000 $2,000
Telephone $2,000 $2, 000 $2,000
Office Supplies/Computers $5,500 $3 700 $3,700 $1,800 $1,800
Outreach Materials/Marketing $5,000 $5 000 $5,000
Legal Services $4,610 $4,610 $4,610
Printing $3,000 $3000 $3,000
Travel $2,500 $2 500 $2,500
Postage $2, 000 $2000 $2,000
Staff Development/Traming $8,000 $8 000 $8,000
Insurances/Licenses $5,000 $5,000 $5,000
Totals $241,285 $26,685 $0 $26,685 $82,000 $0 $82,000 $102,600 $0 $102,600 $30,000 $0 $30,000
FUNDING SOURCES
f\l.otes
(1) The revenues secured thru the reportmg period should mclude (1) the total of grants awarded for the program year and (2) the revenue received thru the reporting period
from the other sources (i.e donations, speCial events. etc )
(2) If It is anticipated that revenue from a particular funding source will be less than the amount that was budgeted, specify the shortfall and Identify the alternate source of fundmg
(3) The budget line Items shown in the template are examples Please use the line Items from the proJ8ct agreement budget
(4) An FTE IS defined as all employee workmq 40 hours per week
(5) The cells with $0 are formula cells
(6) rhe reports ale cumulative (I e the amounts shown 011 the second ,warter report Sh()ul" II,elude the fllst '1ue1l\el numbers)
,6.\,\ c.-~~...... "\ ~
. Form 990 Rleturn of Organization Exempt From Income Tax
OMS No 1545.0047
Under section 501(c), 527, or 4947(a)(1) of lhelnlemal Revenue Code
(excepl black lung benefit lrust or private foundation)
e:=~n:es~~ . TIle orgam;~atlon may have to use a copy of thIs return to satiSfy state reporting requirements
2005
Open to Public
Inspection
~
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=
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0-
W
en
10
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2:
,~
~
A For Ihe 2005 calendar year, or tOJ' year bealnnina ,2005 and endino
B Checll. If iilIPphuble 0 Employ.' IdffrtifiCltJon Numb.,
PI.... usa TRI-VALLEY BUS CNCL EDUC, COLLABORATIVE 94-3227787
~_.- IR$labld
Name c/1atW;le :~"':. 142:4 CONCANNON BLVD E Telephone numtM,
SH LIVERMORE, CA 94550 (925) 449-0100
InitIal return specific
InstNc. F ~~~~~In" ~ Cash U Accrual
FII'\,11 relurn tlonL
Amended retum nn~he( (Spe(lfv) ~
ApphcatlOl\ pending . Section 5011(C~3) organizations and 4947aarc~ nonexempt H .ndl .r. not 'PP/able to section 527 orp.tnIlat,lQ(lS
charilable Irus s must attach a complete c edule A H (a) Is lhls a Qroup return tot athletes' Dvu lRl No
(Form 990 or 99O-EZ).
G Web site: ~ N/A H (b) II 'Yos: enter number of affllllltes ..
H (e) Ate all affiliates Include<P Ovu oNO
J ~rganizalion ~~e ~ [Xl 501(c) 3" (Insert no) n 4947(a)(1) or n 521 (It 'No,' attach a list See If\SlructlOns )
check onlv one H (d) Is thIS a separate (eturn filed by an
K Check here ~ r=Jlf the organization's gross receipts are normally not more than organIzation coveled by a group ruling' n Yu [Xl..
$25,000 The organization need not file a return With the IRS, but If the organization Grouo Exemotlon Number ~
chooses to file a return, be sure to file a complete return Some states require a I
complete return. M Check ~ 0 If the orgamzatlon IS not reqUJred
L Gross receipts Add lines 6b, 8b, 9b, and lOb to line 12 ~ 206,459. to alt.!ch Schedule 8 (Form m, 99O.EZ, or 99O.PF),
IPart I I Revenue Exoenses and Chances in Net Assets or Fund Balances (See Instructions)
1 Contnbutlons, giftS, grants, and Similar amounts received I lal
. Dlfect public support 42 000.
b Indlfect public support I 1 bl
c Government contributions ("rants) I 1 cl 149 952.
d r;tt~ 11~ncaSh $ 191,952. no""'" $ ) ld 191 952.
2 Program service revenue Including government fees and contracts (from Part VII, line 93) 2
3 MembershJp dues and assessments 3
4 Interest on savings and temporary cash Investments 4 244.
5 DIVidends and Interest from seCUrities I 6al 5
6a Gross rents .,
bLess. rental expenses I 6bl
c Net rental Income or (loss) (subtract line 6b from line 6a) 6c
R 7 Other Investment Income (describe ~ 1 7
E (A) Securities (8) Other
v 8a Gross amount from sales of assets other
E
N than Inventory 8a
u b Less: cost or other baSIS and sales expenses 8b
E
C Galn (J( (loss) (alt.!ch schedule) 8c
d Net gain or (loss) (combine line Be, columns (A) and (8)) 8d
9 Special events and actlvlt'es (attach schedule) If any amount IS from gaming, check here ~o
a Gross revenue (not including $ 191,952. of contributions I 9al
reported on line 1 a) 14 263.
b Less: direct expenses other than fundralsmg expenses I 9b 203,695, .,
c Net Income or (loss) from speCial events (subtraclline 9b from line 9a) 110al STATEMENT 1 90 -189 432,
lOa Gross sales of Inventory, less returns and allowances
b Less' cost of goods sold 110b
c GroS! profit or (loss) from sales of Invenlory (attach sci'<dule) (subtract line lOb from line lOa) 10e
11 Other revenue (from Part VII, line 103) 11
12 Total revenue (add tines ld, 2,3,4,5, 60, 7, Bd, 9c, 10c, and 11\ .-- 12 2 764.
E 13 Program services (from line 44, column (8)) ~r SEP Il ~OO61~ 13
x 14 Management and general (trom line 44, column (C)) 14 8 38l.
p
E 15 FundralSJng (from line 44, column (0)) 15
N
s 16 Payments to affiliates (attach schedule) 16
E
S 17 Total eXDenses (add lines 16 and 44, column (A)l r~1 H-P>J liT 17 8,381,
A 18 Excess or (defiCit) for the y"ar (subtract line 17 from line 12) _h 18 -5 617.
N S 19 Net assets or fund balanc"" at beginning of year (from line 73, column (A)) 19 -86,359.
E s
T E 20 Other changes In net assetl' or fund balances (attach explanation) 20
T
s 21 Net assets or fund balances at end of vear (combine lines 18,19, and 20) 21 -91,976.
BAA For Privacy Ael and Paperworl: Reduction Ael Notice, see the separate instruelions.
TEEA01091. 02103106
Form 990 (2005)
~~,
Schedule A (Form 990 or 990.EZ) 2005 TRI -VALLEY BUS CNCL EDUC. COLLABORATIVE
I Part III I Statements About Activities (See instructions)
1 DUring the year, has the organization attempted to Influence nalronal, state, or localleglslalron, 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 ~ $ N/A
(Must equal amounts on Irne 38, Part VI-A, or line i of Part VI.S )
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.S AND attach a statement giVing a detailed descnptlon of the
lobbYing actlvllres.
2 DUring the year, has the organization, either directly or Indirectly, engaged In any of the follOWing acts with any
substantial contributors, trustees, directors, officers, creators, key employees, or members of their famllres, or with any
taxable organization with which any such person IS affllrated as an officer, director, trustee, majority owner, or prinCipal
beneficiary' (If the answer to any quest/on /s 'Yes,' attach a deta1led statement explammg the transactIons)
94-3227787
a Sale, exchange, or leaSing of property?
b Lending of money or other extension of credit?
c Furnishing of goods, services, or 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?
3a 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'
c DUring the year, dId the organization receive a contribution of qualified real property mterest under section 170(h)?
4a Did you mamtaln any separate account for participating donors where donors have the right to provide advice
on the use or distribution of funds?
b Do vou provide credit counsellnQ, debt manaQement, credit reoalr, or debt neQotlatlon services?
I Part.lY I Reason for Non-Private Foundation Status (See Instructrons )
Pace 2
Yes No
x
I- -I---
28 X
2b X
2c X
2d X
2e X
3a X
3b X
3c X
48 X
4b X
The organization IS not a private foundatron because It IS (Please check only ONE applrcable box)
5 ~ A church, convention of churches, or association of churches Sectron 170(b)(1)(A)(I)
6 A school Section 170(b)(1)(A)(II) (Also complete Part V)
7 A hospital or a cooperative hospital service organization Sectron 170(b)(1)(A)(III).
8 A Federal. state, or local government or governmental unit Section 170(b)(1)(A)(v)
9 A medical research organization operated In conjunction With a hospItal Section 170(b)(1 )(A)(III) Enter the hospital's name, city,
and state ~ ...1 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
10 0 An organization operated for the benefit of a college or university owned or operated by a governmental Unit. Section 170(b)(1)(A)(lv)
(Also complete the Support Schedule In Part IV.A)
"8 [R] 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)(vl). (Also complete the Support Schedule In Part IV.A)
11 bOA community trust. Section 170(b)(1)(A)(vl) (Also complete the Support Schedule In Part IV.A)
12 0 An organization that normally receives (1) more than 33-113% of ItS support from contnbulrons, membership fees, and gross receipts
from activities related to Its chantable, etc, funclrons - subject to certain exceptions, and (2) no more than 33-113% of ItS support
from Qross Investment Income and unrelated bUSiness taxable Income (less seclron 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 0 An organization that IS not controlled by any disqualified persons (other than foundatron managers) and supports organizations
descnbed m (1) Irnes 5 through 12 above; or (2) section 501 (c)(4), (5), or (6), If they meet the test of section 509(a)(2) Check the
box that deSCribes the type of supportmg organization' · 0 Type 1 D Type 2 [l Type 3
PrOVide the follOWing Information about the supported organizations. (See mstructlons )
(a) Name(s) of supported organlzatlon(s)
(b) Line number
from above
14 n An organlzalron organized and operated to test for publrc safety Section 509(a)(4) (See Instructions)
BAA TEEA04021 0Ml9105 Schedule A (Form 990 or Form 990.EZ) 2005
Schedule A (Form 990 or 990- 2005 TRI-VALLEY BUS CNCL EDUC. COLLABORATI 94-3227787
Part IV-A Support Schedule (Complete only If you checked a box on line 10, 11, or 12) Use c6sh method of accounting.
Pa e 3
Note: You mav use the worksheet In the instructIOns for convertlno from the accrual to the cash method of accountlno
Calendar year (or fiscal year ~a& ~ ~) it) (e)
beginning in) ~ 2 3 2 02 01 Total
15 GiftS, grants, and contflbu\1ons
received. (00 not Include 231,207. 139,810. 57,543. 428,560.
unusual-giants See Ime 28.)
16 Membershlo fees received O.
17 Gross receipts from admiSSions,
merchandise sold or services performed,
or furnishing of facilttles 10 any acbvlty
that IS related to the orgaOlzabon's -187,626. -161,641. -108,466. -457,733.
chantable, etc, purpose
18 Gross mcome from mteres~ diVidends,
amounts received from payments on
secufltJes loans (sectIOn 512(a)(5)),
rents, royalbes, and unrelated busmess
taxable mcome (less secbon 511 taxes)
from bus messes acqUired by the organ. 956. 1. 199. 3 697. 5,852.
Izatlon after June 3D, 1975 .
19 Net mcome from unrelated busmess O.
actiVities not mcluded mime 18
20 Tax revenues leVied for the
or~anlzatlon's benefit and
elt er paid to It or expended O.
on Its behalf .
21 The value of services or
faCilIties furnished to the
orqanlzatlon by a governmental
unit Without charge Do not
Include the value of services or
faCilities generally furnished to O.
the public Without charae
22 Other Income Attach a
schedule, Do not Inctude
gain or (Joss) from sale of O.
caoltal assets . . .
23 Total of lines 15 throuQh 22 44,537. -20,632. -47,226. -23,321.
24 Line 23 minus line 17 232,163. 141,009. 61,240. 434 412.
25 Enter 1 % of line 23 445. -206. -472 . I
26 Organizations described on lines 10 or 11: a Enter 2% of amount In column (e), line 24 ~ 26a 8,688.
b Prepare a list for your records to shOW the name of and amount contnbuted by each person (other than a governmental UOIt or publicly I
supported orgaOlzabon) whose total gifts for 2001 through 2004 exceeded the amount shown In Ime 26a. Do not file thiS list With your
return. Enter the total of a\l these excess amounts ~ 26b
c Total support for seclion 509(a)(1) test Enter Ime 24, column (e) ~ 26c 434,412.
d Add' Amounts from column (e) for lines' 18 5,852. 19 I
22 26b 26d 5,852.
e Public support (Ime 26c minus line 26d total) ~ 26e 428,560.
f Public suooort percentage (line 26e (numerator) divided bv line 26c (denominator)) ~ 26f 98.65 %
27 Organizations described on line 12: N/A
a For amounts Included In lines 15, 16, and 17 that were received from a 'disqualified person: prepare a list for your records fa show the
name of, and total amounts received In each year from, each 'dIsqualified person.' Do not file thIS list with your return. Enter the sum of
such amounts for each year.
(2004) _ _ _ _ _ _ _ _ _ _ _ _ (2003) _ _ _ _ _ _ _ _ _ _ _ _ (2002) _ _ _ _ _ _ _ _ _ _ _ _ (2001) _ _ _ _ _ _ _ _ _ _ _ __
bFor any amount Included In line 17 that was received from each person (other than 'disqualified persons'), prepare a list for your records
to show the name of, and amount received for each year, that was more than 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 11b, as well as individuals) Do not file this list with your return.
After computing the difference between the amount received and the larger amount descnbed In (1) or (2), enter the sum of these
differences (the excess amounts) for each year
(2004) _ _ _ _ _ _ _ _ _ _ _ _ (2003) _ _ _ _ _ _ _ _ _ _ _ _ (2002) _ _ _ _ _ _ _ _ _ _ _ _ (2001) _ _ _ _ _ _ _ _ _ _ _ __
c Add: Amounts from column (e) for lines 15 16
11 20 21
and line 27b total
27c
27d
~ 27e
d Add Line 27a total
e PubliC support (line 27c total minus line 27d total)
f Total support for seclion 509(a)(2) test Enter amount from line 23, column (e) ~ 211
g Public support percentage (line 27e (numerator) divided by line 21f (denominator)) ~ 27 %
h Investment income ercenta e Ine 18 column e numerator divided b line 21f denominator ~ 27h %
28 Unusual Grants: For an organization descnbed In line 10, 11, or 12 that received any unusual grants dUring 2001 through 2004, prepare a
list for your records to show, for each year, the name of the contnbutor, the date and amount of the grant, and a brief descrlplion of the
nature of the grant, Do not file this list witn your return. Do not Include these grants In line 15.
BAA 'TEEA0403l 02103106 Schedule A (Form 990 or 990.EZ) 2005
Schedule A (Form 990 or 990.EZ 2005 TRI-VALLEY BUS CNCL EDUC. COLLABORAT
Lobbying Expenditures by Electing Public Charities (See Instructions)
(To be completed ONLY by an eligible organlzalion that filed Form 5768)
Check" b If ou checked 'a' and 'limited control' rOVISlons a
(a) (b)
Affiliated group To be completed
totals for AlL electing
or anlzalions
94-3227787
Pa e 5
Limits on Lobbying Expenditures
(The term 'expenditures' means amounts paid or Incurred)
36 Total lobbYing expenditures to Influence public opinion (grassroots lobbYing) 36
37 Total lobbYing expenditures to Influence a legislative body (direct lobbYing) 37
38 Total lobbYing expenditures (add lines 36 and 37) 38
39 Other exempt purpose expenditures 39
40 Total exempt purpose expenditures (add lines 38 and 39) 40
41 LobbYing nontaxable amount Enter the amount from the following table - ~ ':. ,~',
If the amount on line 40 is - The lobbying nontaxable amount is - f:'f 1 f~;'
Not over $500,000. 20% of the amount on line 40 ~ '1',J
Over $500,000 but not over $1,000,000. $100,000 plus 15% of the excess over $500,000 .~'~ ~;:k
Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess 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 " ~-Jr" ~, , '
~.~ ..',:
Over $17,000,000 $1,000,000 -=...: ."
42 Grassroots nontaxable amount (enter 25% of line 41) 42
43 Subtract line 42 from line 36 Enter .0. If line 42 IS more than line 36 43
44 Subtract line 41 from line 38. Enter .0. If line 41 IS more than line 38 44
Caution: If there IS an amount on either Ime 43 or Ime 44, ou must file Form 4720. r. A :~>~ ,~.' .:. J...J11: m. ,.::.i'~:, ..IP '. ~.1
4 -Year Averaging Period Under Section S01(h)
(Some organizations that made a section 501 (h) eleclion do not have to complete all of the five columns below
See the instructions for lines 45 through 50 )
. ~ 'i.~.'" + t'." ~"
. I'~": ; .~!!':- 'J..i,1-t'
... .I!'" -. r -.' - :- "">v,l~ iI ;:;:f:'-
k ... I t~~ ;- :.... .." ;- .~
. ~~:- - " v f f t.~.V;!. c .,,'a'.
.: '} :;., ~:~.~'f ~1 1~1 ~" 't"~~~.
Lobbying Expenditures During 4 -Year Averaging Period
Calendar year (a) (b) (c)
~or fiscal year 2005 2004 2003
eginning in) ..
45 LobbYing nontaxable
amount
46 Lobbz,lng ceiling amount
(150 Yo of line 45(e)) ,
47 Total lobbYing
ex endltures
48 Grassroots non.
taxable amount
49 Grassroots ceiling amount
(150% of line 48(e))
50
(d)
2002
(e)
Total
'i~-..r ~: :;
. .\ '&~....-t
~~......
N/A
DUring the year, did the organization attempt to Influence national. state or local leglslatJon, including any
attempt to Influence public opinion on a legislative matter or referendum, through the use of'
a Volunteers
b Paid staff or management (Include compensation In expenses reported on lines c through h.)
c Media adverlisements
d Mailings to members, legislators, or the public
e Publications, or published or broadcast statements
f Grants to other organizations for lobbYing purposes
9 Direct contact With legislators, their staffs, government offiCials, or a legislative body
h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means
i Total lobbYing expenditures (add lines c through h,) : lc~l:-: 1
If 'Yes' to any of the above, also attach a statement giving a detailed deSCription of the lobbYing actiVities,
BAA Schedule A (Form 990 or 990-EZ) 2005
Yes No
Amount
TEEA0405L 08108105
Schedule A orm 990 or 990. 2005 TRI -VALLEY BUS CNCL EDUC. COLLABORA 94- 3227787
Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations (See Instructions)
51 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 nonchantable exempt organization of Yes No
(i)Cash 51 a X
(ii)Other assets. X
b Other transactions.
(i)Sales or exchanges of assets with a nonchantable exempt organization X
(ii)purchases of assets from a nonchantable exempt organization X
(iii)Rental of facilities, equipment, or other assets X
(iv)Relmbursement arrangements X
(v)Loans or loan guarantees X
(vi)Performance of services or membership or fundralslng soliCitations X
c Shanng of facilities, eqUipment, mailing lists, other assets, or paid employees c X
d If the answer to any of the above IS 'Yes,' complete the follOWing schedule Column (b) should always show the fair market value of
th cd h b Ii If h d I th f k t I
Page 6
e ~o s, ot er assets, or services given y t e re~ortl~?c or{?,anlzatlon t e organization receive ess an air mar e va ue In
any ransactlon or shannq arranqement, show In co umn d)' e value of the QooBs, other assets, or services received
(a) (b) ~c) (d)
Line no. Amount Involved Name of nonchantab e exempt organization Descnptlon of transfers, transactIOns, and shanng arrangements
N/A
52a Is the organization directly or Indirectly affiliated with, or related to, one or more tax.exempt organizations
descnbed In section 501 (c) of the Code (other than section 501 (c) (3)) or In section 527'
b If 'Yes,' com lete the followln schedule'
(a)
Name of organization
~ 0 Yes ~ No
(b)
Type of organization
(c)
Description of relationship
N/A
BAA
Schedule A (Form 990 or 990.EZ) 2005
TEEA0406L 08108105
Department of the Treasy'Y
Internal Reve",,,, ServICe
Name of the o(~a",zat'on
Organization Exempt Under
Section 501 (cX3)
(Except Private Foundation) and Section 501 (e), 501(1), 501 (k),
SOl(n), or 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 99O-EZ.
Employer IllentJfieatlon number
OMB No 1545-0047
SCHEDULE A
(Form 990 or 99().EZ)
2005
TRI-VALLEY BUS CNCL EDUC. COLLABORATIVE 94-3227787
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
(See Instructions List each one if there are none, enter 'None ')
(a) Name and address of each (b) Title and average
employee paid more hours per week
than $50,000 devoted to POSition
(c) Compensation
(d) ContnbutJons
to employee benefit
plans and deferred
compensabon
(e) Expense
account and other
allowances
~Q~----------------------
Total number of other employees paid ~
over $50,000 ~ 0.' ,-' . t(3) and 50](c)(4) orgamzatlons. Old the organization engage In any section 4958 excess benefit transaction
dunng the year or did It become aware of an excess benefit transaction from a pnor year? If 'Yes,' attach a statement
explaining each transaction 89b X
e Enter' Amount of tax Imposed on the organization managers or dIsqualified persons dunng the
year under sections 4912, 4955, and 4958 ~ 0 .
d Enter: Amount of tax on Ime 89c, above, reimbursed by the organlzalion ~ 0 .
908 List the states With which a copy of thiS return IS flied" NONE
b Number of employees employed In the pay penod that m~ude~ 'M;;r;h 12. 2005(Se~ -;-n~t;;;ctl~n~)- - - - - - - - - - -~ - - - - 0
91 a The books are In care of ~ _M..:.J'!~lA~.O_N_~OJ~~~.!?_________ Telephonenumber'" J,n.51_i4J.:Q.l-0Q-----.
Located at ~ ).1~'t fQN_C~Oll~_L~.J_~tv.;:BM_OM,_f~,__ _ _ __ __ _ _ _ _ _ _ _ _ ZIP + 4 ~ Jl.1~5_0
b At any time dUrlnQ the calendar year, did the organlzallon have an Interest In or a Signature or other authonty over a
fmanclal account In a foreign country (such as a bank account, secunlies account, or other financial account)?
If 'Yes,' enter the name of the foreign country ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - - - - - - - - - -
See the instructions for exceptions and flhng reqUlremenls for Form TO F 90.22 1, Report of Foreign Bank and
Financial Statements
c At any lime dUring the calendar year, did the organization malntam an office outSide of the United States"
If 'Yes,' enter the name of the foreign country ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - - - - - - - - - - --
92 Section 4947(a)(1) nonexempt chantable trusts fJlmg Form 990 m "eu of Fonn 7047 - Check here
and enter the amount of tax.exem t mterest received or accrued dunn the tax ear ~ 92
BAA
--
Yes No
91 b X
~.
91 c X
NJA ~ 0
N/A
Form 990 (2005)
iEEAO 1 07\. 02103106
Form 990 (2005) TRI-VALLEY BUS CNCL EDUC. COLLABORATIVE 94-322 Page 8
I Part VIII Analvsis of Income-Producina Activities (See the instructions.)
Unrelated business Income Excluded bv section 512, 513. or 514 (E)
Note: Enter gross amounts unless (A) (B) (C) (0) Related or exempt
otherwise indicated. BUSiness code Amount Exclusion code Amount function Income
93 Program service revenue:
a
b
c
d
e
t MedlcarelMedlcald payments
9 Fees & contracts from Qovernment agencies
94 Membership dues and assessments
95 Interest on savings & temporary cash Invmnts 3 244.
96 DIvidends & Interest from securities
97 Net rental Income or (loss) from real estate. 1:;-~j;J,,(.." ~:f~~"::'~':"F:::' '.:,.'f1 ;rl''t ~:U~ "r~ ~":f.'.... ..'~~ itv,f"f'~ ~!:: :~:I
'.
a debt.financed property
b not debt.flnanced property
98 Net rental Income or (loss) from pers prop
99 Other Investment income
100 Gain or (loss) from sales of assets
other than Inventory
101 Net Income or (loss) from special events -189,432.
102 Gross profIt or (loss) from sales of Inventory
103 Other revenue a .....' <1J'o< U......:lt>,.l<ii:'. :t: r. ' )..:~ : i~ W ~:~" . ~~I~:~: ~~ ~i~ ~~;.l- .~ '<i.,; j
b
c
d
e
104 Subtotal (add columns (8). (D), and (E)) .~\~ I::':;' ........::. 244, -189,432.
7787
105 Total (add line 104, columns (8), (0). and (E)) ~ -189,188.
Note: Lme 105 Ius line ld. Part I, should equal the amount on line 12. Part I
'PartNIII' Relationshi of Activities to the Accom Iishment of Exem oses (See 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 exempt purposes (other than by providing funds for such purposes)
N/A
Name, address. and EIN ot corporation.
partnership, or disregarded entity
N/A
Nature ot activities
See the instructions)
(0) (E)
Total End-ot-year
Income assets
Please
Sign
Here
~
~ M. WELDON MORELAND, CFO
Type or pnnt name and bUe
~~erf.;:~~r;~1~~~ ~N (See
~ X N/A
Paid
Pre-
parer's
Use
Only
BAA
~~erFa~~~s ~
Firm's name (or
yours If self.
:~!r~t:d~;'d ~
ZIP + 4
BLDG G
EIN ~ N/A
Phone no ~ (925) 449-0100
TEEA0108L 10118105 Form 990 (2005)
A'\=~,~,-\ t:>
T ri- V alle!j Housing Opportunit!j Center
RESOLUTIONS OF THE BOARD OF DIRECTORS
RESOLUTION IN WRITING of the Directors of The Tri-Valley Housing Opportunity Center
(the "Corporation") dated this 5th day of February, 2007.
BACKGROUND:
A. The Corporation operating under the umbrella of the Tri-Valley Business Council
Education Collaborative, a nonprofit public benefit corporation organized and operating
under the laws of the State of California.
B. The Corporation desires to make certain resolutions.
IT WAS RESOLVED THAT:
1. RESOLVED, that the Board of Directors of the Tri-Valley Housing Opportunity Center,
authorize the submission of the TVHOC Family Home Stability and Linkage Program
proposals to the City of Dublin, for consideration to receive funds from the 2007-2008
Community Group/Organizational Grant Program.
2. RESOLVED, that Jacqueline Rickman, Center Director of the Tri-Valley Housing
Opportunity Center, is hereby authorized to do and perform any and all such acts, under
the Agreement, including execution of the Agreement, submission of required
documentation, reports, and reimbursements, as such deemed necessary or advisable, to
cany out the proposed scope of work, under such Agreement.
3. Anyone Board Executive officer of the corporation is authorized to sign all documents
and perform such acts as may be necessary or desirable to give effect to the above
resolutions.
4. This resolution may be executed in counterparts. Facsimile signatures are binding and are
considered to be original signatures.
Tri-Valley Housing Opportunity Center
Board Chair
20 South Lstreet, Uvennore, CA9+"0 · Fhone <92') "j-j9jO · Fax <92') jJj-j9j+
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GUARD
INSURANCE
GROUP
Workers' Compensation and Employer's Liability Policy
NorGUARO Insurance Company - A Stock Company
Policy Number TRWC600750
Renewal of NEW
NCCI No. [25844]
Policy Information Page - Final Audit
[1] Named Insured and Mailing Address Agency
TRI VALLEY BUSINESS COUNSIL PAYCHEX AGENCY, INC.
EDUCATIONAL COLLABORATIVE 150 Sawgrass Drive
20 South L Street
Livermore, CA 94550 Rochester, NY 14620
Agency Code: NYPAYClO
Federal Employer's 10 94-3227787
Additional Names of Insured
(N1) (DBA) TRI VALLEY HOUSING OPPORTUNITY CENTER
Insured is Not For Profit
[2] Policy Period
From October 06,2005 to October 06, 2006, 12:01 AM, standard time at the insured's mailing address.
[3] Coverage
A, Workers' Compensation Insurance - Part One of this policy applies to the Workers' Compensation
Law of the following states: California
B. Employer's Liability Insurance - Part Two of this policy applies to work in each of the states listed
in item [3JA. The limits of our liability under Part Two are:
Bodily Injury by Accident - each accident $1,000,000
Bodily Injury by Disease - each employee $1,000,000
Bodily Injury by Disease - policy limit $1,000,000
C. Other States Insurance - Part Three of this policy applies to all states, except any state listed in
item [3]A. and the states of North Dakota, Ohio, Washington, West Virginia, and Wyoming,
D. This policy includes these endorsements and schedules:
WC 000420 - TERRORISM RISK INSURANCE ACT ENDORSEMENT
WC 000112 - PENDING LAW CHANGES TO TRIA ACT 2002
WC 040004 - CA EXT OF INFO PAGE-SCHEDULE OF FORMS
WC 040301A - CA POLICY AMENDATORY ENDORSEMENT
WC 040310 - CA DUTY TO DEFEND
WC 040407 - CA PREMIUM ADJUSTMENT ENDORSEMENT
we 040410 - CA ESTIi<iATED ANNUAL PREMIUrvj Ei~DORSErvjEi~T
WC 040601A - CA CANCELLATION ENDORSEMENT
PN 049902B - CA POLICYHOLDER NOTICE - WC RATING LAWS
PN 049901C - CA YOUR RIGHT TO RATING AND DIVDEND INFO
PN 049904 - CA INS. GUARANTEE ASSOC.(CIGA) SURCHARGE
WC 000001A - INFORMATION PAGE
WC OOOOOOA - STANDARD POLICY
[4] Premium
The Premium Basis and, therefore, the premium will be determined by our Manual of Rules,
Classifications, Rates, and Rating Plans. All required information is subject to verification and change
by audit. (Continued on another page)
Total Policy Premium
Total Surcharges/ Assessments
Total Cost
$
$
$
1,071
28
1,099
,,,,,,,,,,,,,,,,,,,,,,~;,.,,.=w,,,,.w,,,,,;,"";-=,,,",~_,,,,,,,.:.,,,,,,,,,.,.,....,,=,,;,,,,,.'""''''''''r,'
:~LU;RNAL USE XX
t'^GA , TRWC600750
Date : 11/20/2006
Page - 1 -
Endorsement
WC890600
16 South River Street. P,O. Box A-H. Wilkes-Barre, PA 18703-0020. www.guard.com
-"
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GUARD
INSURANCE
GROUP
Workers' Compensation and Employer's Liabilitv Policv
NorGUARD Insurance Company - A Stock Company
Policy Number TRWC600750
Renewal of NEW
NCCI No. [25844]
Policy Information Page - Final Audit
[4] Premium (cont.)
Classification
California
Code
Premium Basis:
Total Annual
Remuneration
Rate per
$100
Remuneration
Annual
Premium
Effective: 10/06/2005-10/06/2006
CLERICAL OFFICE EMPLOYEES
8810
57,662
1.29
74,1
Increased Limits Emp Liability 1000000/1000000/100000 9812
Amt to Bal Inc Lim
Minimum Premium $300
Tot Premium 10/06/2005-10/06/2006
Tot Standard Premium for California
2.800%
21
129
894
894
TRIA - Certified Terrorism Losses for California
9740
17
Policy Totals
Total Standard Premium for California
Total TRIA - Certified Terrorism Losses
9740
894
160
17
Expense Constant CA
0900
Minimum Premium CA
$300
CA WCARF Assessment 10/06/2005-10/06/2006 0.481%
CA Fraud Surcharge 10/06/2005-10/06/2006 0.050%
CA CIGA Surcharge 10/06/2005-10/06/2006 2.000%
1,071
5
Total Annual Premium
1
21
CA UEBTr Assessment 10/06/2005-10/06/2006 0.0690/0
1
Total Cost for TRWC600750
1,099
I Adjustment to Total Cost
-981
THIS IS NOT A BILL
INTERNAL USE XX
MGA , TRWC600750
Date : 11/20/2006
Page - 2 -
Endorsement
WC890600
16 South River Street. P.O. Box A-H. Wilkes-Barre, PA 18703-0020. www.guard.com
A ~'n.~'\ \::
A CORa"
CERTIFICATE OF LIABILITY INSURANCE
PRODUCER LIC #0619252 1-925-463-9672
Tanner Insurance Brokers
A Division of UnionBanc Insurance Services, Inc.
4480 Willow Road
DATE (MM/DDIYY)
12/27/06
THIS CERTIFICATE 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.
INSURERS AFFORDING COVERAGE
P1easanton, CA 94588-2710
INSURED
Tri-Va11ey Housing Opportunity Center
, INSURER A: St. Paul Travelers
20 South L Street
INSURER B:
INSURER C:
INSURER D:
INSURER E'
Livermore, CA 94550
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~f~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
A ~ERAL LIABILITY 6601254C820 12/19/06 12/19/07 I EACH OCCURRENCE 1$1,000,000
X I COMMERCIAL GENERAL LIABILITY I FIRE DAMAGE (Anyone fire) 1$ 100,000 --
LL- CLAIMS MADE 0 OCCUR I MED EXP (Anyone person) 1$10,000
I . 1$1,000,000
PERSONAL & ADV INJURY
~., ^OG"n' U'" ""'" "" GENERAL AGGREGATE 1$2,000,000
PRODUCTS. COMP/OP AGG Is 2,000,000
I POLICY ~~PT n LOC I
~TOMOBILE LIABILITY ,
COMBINED SINGLE LIMIT IS
ANY AUTO (Ea accident)
- --
- ALL OWNED AUTOS BODILY INJURY I
(Per person) i$
SCHEDULED AUTOS I
-
- HIRED AUTOS BODILY INJURY 1$
NON.OWNED AUTOS (Per accident)
- 1
- PROPERTY DAMAGE IS
(Per accident)
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT I $
=1 ANY AUTO OTHER THAN EAACC i $
AUTO ONLY: AGG i $
A EXCESS LIABILITY CUP3055Y281 12/19/06 12/19/07 EACH OCCURRENCE : $ 1,000,000
~ OCCUR D CLAIMS MADE AGGREGATE 1$1,000,000 -~
is
I
~ DEDUCTIBLE :S
X RETENTION S10,000 i$
WORKERS COMPENSATION AND I '(!.,f STAW" I IOJltl
T RY IMI
EMPLOYERS' LIABILITY Is
E.L. EACH ACCIDENT
I E.L. DISEASE. EA EMPLOYE~ $
E.L. DISEASE. POLICY LIMIT I $
OTHER
A Business Personal Prop. 6601254C820 12/19/06 12/19/07 $ 5,250 S 500Ded.
S
$
DESCRIPTION OF OPERATIONS/LOCATIONSlVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/sPECtAL PROVISIONS
The certificate holder is Additional Insured per the language provided in the attached GN 01 88 01 96 Form
*30 Days Notice of Cancellation and 10 days for non-payment of Premium.
CERTIFICATE HOLDER 1 1 ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Alameda County Action Programs (ACAP) DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Attn: Paul Daniels IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
24100 Amador St., 3rd Floor
REPRESENT A TlVES,
Hayward, CA 94544-1203 AUTHORIZED REPRESENTATIVE
I USA ~~.~
ACORD 25-S (7/97) NDumag
5402586
@ ACORD CORPORATION 1988
AA\<~'I'-~'" ~
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 otherabcumeIlt providing..evidence that the Board of~irectors
approved the application as submitted. Successful applicants are required to submit a SUnllllary
report as soon as possible after submitting the reimbursement request, but not later than August
30,2008. Failure to submit a report will re.sult in.ineligibility for future funding,
Signatures: ~_.....
. 0) ."
,#/" )
. . /.,..~ _..._.~....~ .
. ~>--~ ----
'E'Xecutive DireClof"'~"'-
~\~\<Ol
Date
ift'it ~41'
Board President/Chairperson
d/~ft)f-
f .,.
Date
SECTION 2
Page 11 of 16
FEB-02-2007 17:05
A*<:.:J..c::::....~"(J'tLn\-- -a
AeAP
510 259 3620
P.01....01
City of Dublin
Fi$tal Year 2007-2008
ApplicatwlI/ol' Funds
COLLABORATION AGENCY
AFli'IDA VIT FORM
o This form is to be completed by each. collaborating organization :Ill.S lIlarned by tbe
applicant agency in the proposed projeetlprogram.
o Completed forms must be submitted at time ohppUcatiOD.
ColJaborating Agency Name: A~~ocia.ted Community Action Program
Agency DivisionIDepartment: ~~a County's Community Service BlQ.ck Grant ,
ProjectlProgram Title: AC.Af.f.;miHy Stal1.ili1)' and HQnlc Linkage Prog~
ProjectIPrograrn Role Description (i.e., facility space, l.'taffsllpport, etc.):
TrP/alley Housing. OPDortunhy Center (TVHOC) was awardeg with a grantin the amount of
~9.68S. to provide fin~JCialliteracy selJlS to the extremely low-low-income individuals and
families of Dublin, Liv~r:more. ~d Pleasanto~IVHOC's Progam, ACAP will be
~ing 15 slnts for Individual Dev;iliwmml Accoullikandlor In.!iividyaJ Develoomcnt
Emllowermijnt Accpunts. w..l.1imLiJ..!lIDl.I.tched ~vin..iJl""p-rogra.m to assist individuals and families
~ssets through iob creation (micrl.l;;business). job trainin.s, apd higher education. and
home.Qwoershjp, ACAP is orovidingjQ. T\r~technical assistance. administration for the IDA
gccounts. and. program fundins for TVH(X:'s Program stan up.
Agency Project/Program Contact PerSOll Paul Daniels
Title; Grants Manager
Phone: (S10) 510-265-8379
Email: Daniel~J.aul. SSA fPSDaniel(dla~gQv.org]
a ncy and our organization agree to work collaboratively to implement
as .dentified in the FY 2007-,2008 funding application.
, ~I ::4/.J- A2-
Date
-)
_ ~~vt,~~
Grants Manager
~
:;:;"/;;"(07 _.
Date
TOTr=L P. 01