HomeMy WebLinkAbout8.1 Ala Cnty Green Bus Attch 13
RECEIVED
CITY OF DUBLIN
JAN 2 5 2008
CITY MANAGER'S OFFiCE
COMMUNITY GROUP/ORGANIZATION
ApPLICATION FOR FUNDS
CITY OF DUBLIN
Fiscal Year 2008-2009
COVER PAGE
AGENCY NAME: ASSOCIATION OF BAY AREA
GOVERNMENTS, BALANCE FuND
PROPOSED PROJECT/PROGRAM NAME:
ALAMEDA COUNTY GREEN BUSINESS PROGRAM
FUNDING AMOUNT REQUESTED: $2,000.00
SECTION 2
Page 2 of 18
AT7MHHaJI /3
CITY OF DUBLIN
Fiscal Year 2008-2009
ApPLICATION FOR FUNDS
1. Please select one expense category: D Capital ./ Operating
2. Applicant Information:
Organization! Agency Name _Association of Bay Area Governments, Balance Fund fiscal agent
for Alameda County Green Business Program
Mailing Address_l 0 1 8th Street, Oakland CA 94607 (ABAG)
Street Address 1131 Harbor Bay Parkway, Alameda CA 94502 (ACGBP)
Pamela J. Evans 510.567.6770
Alameda County Green Business Program Coordinator
Executive Director/ChairpetsonWotk Phone
NA
pamela.evans@acgov.org
Email
Board President (if applicable)
Work Phone
Email
Please list the Primary Project Contact Person who would be able to answer questions about this application and
project/program during the funding period.
Pamela J. Evans. Alameda County Green Business Program Coordinator. 510.567.6770
pamela.evans@acgov.org
Contact Person for ProjectlProgram (same as above) Job Title
Work Phone
Email
Fax
Federal Tax Identification No. (required) _94-305-8005 (for ABAG Balance Fund)
City of Dublin Business License No. (required)
aM~dutL
SECTION 2
Page 3 of 18
Business Name
Corporate Name
(if applicable)
Business Location
Mailing Address
Email Address
CITY OF DUBLIN
Finance Department
100 Civic Plaza. Dublin, CA 94568. (925) 833-6640
BUSINESS LICENSE APPLICATION
Q NOTE: FEES ARE NONREFUNDABLE ~
Please Check One:
00 New Application
D Home Occupation
D Change of Owner
D Change of Address
D Change of Bus.iness Name
Bus. Start Date IAwg~t, ' Q2fi-
BusinessPhone 1510.567.6770
Business Fax 1510.337.9135
Resale No. I
FederallD No. 194-305-8005
State iD No.
jAlameda County Green Business Program
Fiscal Agent- Balance Fund, Association of Bay Area Governments
jAlameda, CA
(Cannot be P.O. Box per state of CaJifomia Business & Professions Code-SacIion 17538.5)
11131 Harbor Bay Parkway
jAlameda CA 94502
State Lie. No.
Ipamela.evanS@acgov.org
State Lie. Type
Description of Business nonprofit environmental certification program
a~..QWNERSHIP-INfQRMATlQN
Ownership Type: r Corporation r Corp-Ltd Liability
1st Owner Name
Home Address
(Cannot be P.O. Box)
Home Phone No.
2nd Owner Name
Home Address
(Cannot be PO. Box)
I ~ttW\-ttit :J. ev~s
Il~101 (VlAS-{vr,)DI1 pLou
I tb-S{v'o V Vtttv-j Cf:t q u :) <5 J.,
-{Ul. ~~t}. lol'0L(] CeIIlPagerNo. Il!)jo. 57-0. ?J).OO
N fMp
Title
Driver Lie. No.
I N ~ C fJ rJ 1-] L-ftft-E-
I
Soc. Sec. No.
Title
I
I
I
Driver Lie. No.
Soc. Sec. No.
Home Phone No. I I Celli Pager No. 1
C..-EME GENCYCONTACT-.1NFORMATION
Contact Name IPamela J. Evans
Address 11131 Harbor Bay Parkway. Alameda CA 94502
CelllPager No.
1510.567.6770
1510.520.3200
D.CALCUI..:ATIONOFFEES.OUE
Annual Business License Fee.
$50 for each year starting in October
Prorated Business License Fee -
for first year of operation
Penalty - 7% Compounded each
month application is late.
Maximum $50 per year.
TOTAL DUE
I declare that all of the information on this application is correct to the best of my knowledge. I certify
that I will operate my business in accordance with all applicable federal, state and city laws and
regulations. I understand that any false statements made are grounds for denial or revocation of my
busili~~(/( ti~~ 1/10/og
Si~re of Owner or Representative Date
RETURN APPUCATlON TO ABOVE ADDRESS AND MAKE CHECK PAYABLE TO CITY OF DUBLIN
.
")
No. of Ernployees 0
Sq. Ft. of premises I 100 I
Business Hours IM-F 8:30-5:8
VI/ilI business use/store/sell alcohol?
DYes . lEI No
Will business use/store/sell flammable,
explosive, corrosive, hazardous
materials? DYes 00 No
Comments
/dtb:7o
Amount Paid $ IE: X f- """'0'7 ;-
Date Paid ). 4. '-I ~ 0 g
DCash OCheck No.
Credit Card: [JM/C DVisa
D APPROVED D DENIED
Review Initials & Date
Scan InitIals & Date
Print Form 11
City of Dublin
Fiscal Year 2008-2009
Application for Funds
a. How would the requested funds be used?
· Describe, in detail, the PROPOSED PROJECTIPROGRAM (not the Agency).
· Bulleted text is acceptable.
· Identify if the' proposed project/program is a new s'ervice, or extension of an
existing one.
· An additional page may be added, if needed.
· Recertify existing Dublin Green Businesses
· Do outreach to potential new Dublin Green Businesses, including commercial
businesses, nonprofit and government organizations.
· Assist new applicants to prepare for and undergo Green Business
certification.
· Coordinate with City staff and other Green Business team members on GD
certifications and recertifications.
· Promote Green Businesses to the public and other businesses.
b. How would the PROPOSED PROJECTIPROGRAM 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):
Many members of the public wish to patronize environmentally responsible businesses.
Distrustful of green claims, the public looks for third party assurances that back up such
claims. ISO 14001, LEED and certified organic certifications/accreditations are examples
of reliable third party certifications. However, these certifications are not applicable to or
attainable by small to medium-sized, locally based businesses in most cases. The Bay
Area Green Business Program, of which Alameda County Green Business Program is a
member, provides certification on environmental performance for the operations of these
kinds of businesses. By serving this business demographic, the ACGBP is serving both
Dublin businesses that wish to improve their environmental performance and be
recognized for it, and Dublin residents who wish to patronize environmentally
responsible companies.
SECTION 2
Page 5 of 18
City of Dublin
Fiscal Year 2008-2009
Application for Funds
d. Specify the PROPOSED PROJECTIPROGRAM population to be served.
The ACGBP will work with Dublin businesses that are currently certified and due for
recertification. For 2008/09, two organizations are due for recertification. We will assist
currently certified businesses (6) wishing assistance in further improving their environmental
performance. We will assist Dublin applicants, both current (1) and expected new (3 to 6) with
their applications and the certification process. We will contact local organizations such as the
Chamber of Commerce to seek paid and unpaid opportunities to include information about GB
certification in their newsletters and other outreach pieces.
e. Projects/programs must be evaluated to determine if they are being carried out efficiently
at)d if project/program goals are being met. Please describe how you plan to monitor
your project/program's success and impact.
· An additional page may be added, if needed.
The ACGBP has pre-identified program partners that offer in-kind services to the program and to
participating businesses at no cost to the Program or to businesses, so roughly two thirds of the
cost of the Program are covered by in-kind services. However, not all program costs are covered
by these in-kind donations. The funds requested, along with donations from other ACGBP
partners through out Alameda County, will fill the gap in pre-certification assistance, data
management, certification readiness evaluation and preparation, business outreach and
promotion of Dublin Green Businesses to the public. These services are provided by contractors
and service companies within Alameda County. When possible, certified Green Businesses are
used, and comparative cost of service is always considered in selecting vendors.
SECTION 2
Page 7 of 18
l'
City of Dublin
Fiscal Year 2008-2009
Application for Funds
5. Financial Information - Operating Budg.et
a. Expense Budget
FY 2008-2009
. . EXPENSE BUDGET .
Personnel Costs
Employee Salaries & Benefits
Non-Personnel. Costs
Services & Supplies
Capital Costs
Other (please specify)
Other (please specify)
TOTAL
o
o
$50,000.00
o
$2,000.00
Further CommentslExplanations (if necessary):
SECTION 2
Page 9 of 18
o
$2,000.00
o
$2,000.00
City of Dublin
FIScal Year 2008-2009
Applicadonfor Funds
6. General Agency Information
o Past grant applicants may check this box in lieu of completing item 6 (a-d) if the
program/organizational description on file with the City is correct and current.
a. List all years that Organization has previously received City of Dublin funding (not
Community Development Block Grant - CDBG).
2000,2001,2002,2003,2004,2005
b. Describe the population(s). served by the Organization.
Small to medium-sized, locally based businesses wishing to be certified ontheir environmental
performance.
Consumers wishing to patronize businesses based on their environmental performance.
c. Describe all the services the Organization currently provides to Dublin residents.
· An additional page. may be added, if needed.
The Bay Area GBP maintains a region-:wide, web-based directory where residents may find
certified Green Businesses in Dublin and other.parts ofth~.Bay Area.
The ACGBP maintains a local, printed directory of Green Businesses.
The ACGBP assists local businesses inoperMing incompliance with environmental laws and
regulations, implementing pollution prev~ntion practices, reducing. waste and increasing
recycling. Such businesses are good neighbors in the community.
d. Has your agency ever previously received funds from the City of Dublin? If yes,
please specify in what Fiscal Years and the amount received each year.
Yes. We received funding in 2000,2001,2002,2003,2004 and 2005 at $1500 each year.
SECTION 2
Page 11 of18
Attachment A.
Names of Governing Board (Alameda County Green Business Program Steering
Committee)
Pamela J. Evans, ACGBP Coordinator, Alameda County Environmental Health Services
Rachel Balsley, StopWaste.Org, Oakland
James Duffy, President, Alonzo Printing Company, Hayward
Mary Ortendah~ East Bay Economic Development Alliance, Oakland
Susan Sakaki, EnviroSystems Group, Oakland
Dennis Waespi, Board Member, Castro Valley Sanitary District
Jennifer Cogley, City of Berkeley
James Barse, City of Alameda, Alameda County Clean Water Consortium member
Identify current Board officers: There are no Board Officers.
Attachment B.
Total Organization Operating Budget
$47,500.00 current total, we are expecting to secure $50,000, and hoping to secure as
much as $57,000. Amount to be spent will not exceed revenues.
2007/08 Estimated Budget
Alameda County Green Business Program
Oescription
Technical consultation (EnviroSystems Group,
EPP consultant,GB assistant)
Design, marketing consultation
Outreach/ media, events
Printing
Copying, postage, supplies and
eQuipment
Assessment team
Administrative overhead (BALANCE
Foundation)
Administrative assistance
Total
AlloCation
$21,000
7,000
10,000
7,000
In kind
<In kind, value estimated $100,000>
7,000
5,000
$57,000
Attachment C. - Tax Return - See attachment
f, -t{ac,~l m e,vd- C-
Form 990
OMS No. 1545-0047
Return of Organization Exempt From Income Tax
.~@06
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
Intern", Revenue Service ~ The organization may have to use a copy of this return to satisfy state reporting requirements.
A For the 2006 calendar year, or tax year beginning 7/1/2006 , 2006, and ending 6/30/2007 , 20
B Check if applicable: Please C Name of organization 0 Employer identification number
D Address change ~::..:~~ BALANCE FOUNDA liON 94 : 3058005
D Name change print or Number and street (or P.O. box if mail is not delivered to street address) Room/suite E Telephone number
type.
D Initial return See POBox 2050
Specific
D Final return Instruc- City or town, state or country, and ZIP + 4
D Amended return tions. Oakland CA 94604-2050
D Application pending · Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable
trusts must attach a completed Schedule A (Form 990 or 990-EZ).
F Accounting method: D Cash Ii2I Accrual
D Other (specify) ~
H and I are not applicable to section 527 organizations.
H(a) Is this a group return for affiliates? DYes Ii2I No
H{b) If "Yes," enter number of affiliates ~ uu___..______
H(c) Are all affiliates included? DYes D No
(If "No, "'attach a list. See instructions.)
H(d} Is this a separate retum filed by an
orgallization covered by a group ruling? D Yes Ii2I No
I Group Exemption Number .~
M Check ~ D. if the organization is not required
L Gross receipts: Add lines 6b, 8b, 9b, and. 1Gb to line 12 ~ 76572 to attach Sch. B (Form 990, 990-EZ, or 990-PF).
Revenue, Expenses, and Changes in Net Assets or Fund Balances See the instructions.
1 Contributions, gifts, grants, and similar amounts received:
a Contributions to donor advised funds 1a
b Direct public support (not included on line 1a) 1b
c Indirect public support (not included on line 1a) 1c
d Government contributions (grants) (not included on line 1a) 1d
e Total (add lines 1a through 1d) (cash $ 69,978 noncash $ 0 ) .
2 Program service revenue including government fees and contracts (from Part VII, line 93) .
3 Membership dues and assessments .
4 Interest on savings and temporary cash investments
5 Dividends and interest from securities
6a Gross rents .
b Less: rental expenses .
c Net rental income or (loss). Subtract line 6bfrom line 6a
7 Other investment income (describe ~
8a Gross amount from sales of assets other
than inventory
b Less: cost or other basis and sales expenses.
c Gain or (loss) (attach schedule)
d Net gain or (loss). Combine line 8c, columns (A) and (8)
9 Special events and activities (attach schedule). If any amount is from gaming, check here ~ D
a Gross revenue (not including $ 0 of
contributions reported on line 1 b) . 9a
b Less: direct expenses other than fundraising expenses 9b
c Net income or (loss) from special events. Subtract line 9b from line 9a
10a 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 1 Ob from line 10a
11 Other revenue (from Part VII, line 103) . .....
12 Total revenue. Add lines 1e, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11
If) 13 Program services (from line 44, column (8))
3l 14 Management and general (from line 44, column (C))
c
8. 15 Fundraising (from line 44, column (D))
~ 16 Payments to affiliates (attach schedule). . . .
17 Total expenses. Add lines 16 and 44, column (A)
.; 18 Excess or (deficit) for the year. Subtract line 17 from line 12
~ 19 Net assets or fund balances at beginning of year (from line 73, column (A)).
a; 20 Other changes in net assets or fund balances (attach explanation)
z 21 Net assets or fund balances at end of year. Combine lines 18, 19, and 20
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 11282Y
G Website: ~ abagonline.ca.gov
J Organization type (check only one) ~ Ii2I 501 (c) (3 )... (insert no.) 0 4947(a)(1) or 0 527
K Check here ~ 0 if the organization is not a 509(a)(3) suppo.rting organization and its gross
receipts are normally not more than $25,000. A retum is not required, but if the organization chooses
to file a return, be sure to file a complete return.
Open to Public
Inspection
( 510 )
464-7900
(--
'-
6a
6b.
Q)
::>
c
Q)
>
Q)
a:
(A) Securities
(B) Other
o 8a
o 8b
o 8e
1e
2
3
4
5
69,978
o
o
6,334
o
o
o
260
o
o
o
o
o
o
See Statement 1
260
o
o
o
10c
11
12
13
14
15
16
17
18
19
20
21
o
o
76,572
51,601
1,771
o
o
53,372
23,200
154,948
o
178,148
Form 990 (2006)
Form 990 (2006)
rmm Statement of Program Service Accomplishments (See the instructions.)
Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a
particular organization. How the. public perceives an organization in such cases may be determined by the information presented
on its return. Therefore, please make sure the return is complete and accurate and fully descrlbes, in Part III, the organization's
programs and accomplishments.
What is the organization's primary exempt purpose? ~ ~~~':"_~~!~_~~_~~!~-'?~~':"~_~_~R~J!~~~.._.________...___.__
All organizations must describe their exempt purpose achievements in a clear and concise manner. State the number
of clients served, publications issued, etc. Discuss achievements that are not measurable. (Section 501 (c)(3) and (4)
organizations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants and allocations to others.}
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d
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(Grants -and -allocations - - -"$ - - - - u_ n - - - - - - - - - - - -- -- - - - - - - - - --)" If this -amount - incllJdes -foreign -grants: check -here -j;- - D
e Other program services (attach schedule)
(Grants and allocations $ ) If this amount includes foreign grants, check here ~ D
f Total of Program Service Expenses (should equal line 44, column (8), Program services). ~
Page 3
Program Service
Expenses
(Required lor 501 (c)(3) and
(4) orgs., and 4947(a)(1)
trusts; but optional for
others.)
51,601
Form 990 (2006)
Form 990 (2006) Page 5
Iml!D Reconciliation of Revenue per Audited Financial Statements With Revenue per Return (See the
instructions.
Total revenue, gains, and other support per audited financial statements 76,572
AmoLints included on line a but not on Part I, line 12:
Net unrealized' gains on investments b1 0
Donated services and use of facilities b2 0
Recoveries of prior year grants . . b3 0
Other (specify): u _ u_ u _ _ _._ u u_ uu.__ u ...... _ ..... u..u.. u__ _ u _u no. u
a
b
1
2
3
4
c
d
1
2
e
a
b
1
2
3
4
c
d
(~- 1
2
e
Add lines b1 through b4
Subtract line b from line a
Amounts included on Part I, line 12, but not on line a:
Investment expenses not included on Part I, line 6b. ....
Other (specify): u.__ uu u _. uu u_... uu..__. _..... u..._ .__ u_u_ u_ _ u u__
b4 0
0
76,572
d1 0
d2 0
o
76,572
53,372
o
53,372
Add lines d1 and d2 . . . . . . . . . . 0
Total expenses (Part I, line 17). Add lines c and d . . . . . . . ~ e 53,372
Current Officers, Directors, Trustees, and Key Employees (List each person who was an officer, director, trustee,
or key employee at any time during the year even if they were not compensated.) (See the instructions.)
(B) (C) Compensatjon (D) Contributions to employee (E) Expense account
(A) Name and address Title and average hours per (If not paid, ent!!r benefit plans & deferred and other allowances
week devoted to oosition -0-.) compensation plans
See Statement 6
- - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - ""--
- - --- - - - - - - - - - -- - - - - - -.- - - - - - - - - - - - - - - - - - - - -- --- -- - - -- - - - - -. -- ---
-- -- - - - --- - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - --- - - ---
-- --- - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - -- -- - - - - - - -- - - - - - ---
.- ---- -- --- -- ---- -- - - - - -- - .-- -- --- - -- - -- - --- - ----- -- ------- --- ---
- - - - - - - - - - -- -- - - -.- - - - - - - - - - - -- - -- - - - - - - - -- - - - - - - - _.- - - - - - - - -- - ---
- - - - - -- -- - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - -- - - - - -- - -- - - -- - - - - -- - --
------------ ---- - ------- -- -- -- ---- ---- - --- ----------------- -- ---
- - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - -- - -- - - - --
- - - -- - -. - - - - - - - - - - -- -. - - - - -- - - - - - - - - - - - - - - -- - -- -- - - - - - - - - - - - - - --
,
Add lines d1 and d2 . . . . .
Total revenue (Part I, line 12). Add lines c and d . . . . .....
Reconciliation of Expenses per Audited Financial Statements With Expenses
Total expenses and losses per audited financial statements . . . . . . . .
Amounts included on line a but not on Part I, line 17:
Donated services and use of facilities . . . b1
Prior year adjustments reported on Part I, line 20. . b2
Losses reported on Part I, line 20 . b3
Other (specify): __ ____ _. _ __ _ _ _ _'_.'_ _ _ _ _ _ _. _ __ _ _ _. _ _.. _ _ _ _ _. _ _ _ _. _ _ _. _ ___ _ _ _ _ __
b4
Add lines b1 through b4
Subtract line b from line a
Amounts included on Part I, line 17, but not on line a:
Investment expenses not included on Part I, line 6b. .... d1
Other (specify): _ _ _ _. _ _ _ _ _ _ _... _ _ _ _ _ _ _. _ _ __ __' _ _.. _._ __ _ _ _ _. _. __ _ __ _ _ _ __. _ _ _ _ _.
d2
Form 990 (2006)
82a Did the organization receive donated services or the. use of materials, equipment, or facilities at no charge
or at substantially less than fair rental value? . . . . .
b If "Yes," you may indicate the value of these items here. Do not include this
amount as revenue in Part I or as an expense in Part II.
(See instructions in Part 111.) . . . . . . . . 82b
83a Did the organization comply with the public inspection requirements for returns and exemption applications?
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? . .
84a Did the organization solicit any contributions or gifts that were not tax deductible? ......
b If "Yes," did the organization include with every solicitation an express statement that such contributions or
gifts were not tax deductible? . . . . . . . . .
85 501(c)(4), (5), or (6) organizations. a Were substantially all dues nondeductible by members?
b Did the organization make only in-house lobbying expenditures of $2,000 or less?
If "Yes" was answered to either 8513 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 85c
d Section 162(e) lobbying and political expenditures 85d
e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices 85e
f Taxable amount of lobbying and political expenditures (line 85d less 85e) 85f
9 Does the organization elect to pay the section 6033(e) tax on the amount on line 85f? .....
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? . . . . . . . . . . . . . .
86 501(c)(7) orgs. Enter: a Initiation fees and capital contributions included on line 12 . 86a
b Gross receipts, included on line 12, for public use of club facilities . . 86b
87 501(c)(12) orgs. Enter: a Gross income from members or shareholders 87a
b Gross income from other sources. (Do not net amounts due or paid to other
sources against amounts due or received from them.) 87b
88aAt 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. . . . . . . . . . . .
b At any time during the year, did the organization, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," complete Part XI . . . . . . . . . . . ...
89a 501(c)(3) organizations. Enter: Amount of tax imposed on the organization during the year under:
section 4911 .. _____________________~_ ; section 4912 .. _____________________~_ ; section 4955 .. __________u_____~_
b 501(c)(3) and 501(c)(4) orgs. 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. . . . . .
c Enter: Amount of tax imposed on the organization managers or disqualified
persons during the year under sections 4912, 4955, and 4958 . ..
d Enter: Amount of tax on line 89c, above, reimbursed by the organization. ...
e All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter
transaction? . . . . . . . . . .
f All organizations. Did the organization acquire a direct or indirect interest in any applicable insurance contract?
9 For supporting organizations and sponsoring organizations maintaining donor advised funds. Did the
supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings
at any time during theyear? . . . . . . . . . . . . .. .... 899
90a List the states with which a copy of this return is filed" ~~_ _ __ ___ ___ _ __ __ _. __. __ __. __ u __ u __ __ __ _ _. _. _ _ _. __ m __ __ _ _ _ _ _ _ _ _ _ _ _ m u
b Number of employees employed in the pay period that includes March 12, 2006 (See
instructions.) . .. ........................ 190b I 0
91a The books are in care of" ~~~c.?_~i!~~j_c:>>~_~!_,?_,!y_~~~~_~_c:>>y_~~~_~~~~~______ Telephone no. .. ___m_?_~~~~~_-!~~_~________
Located at .. -~~1-~~!'!-~~~~_~!'_~~~!~!"!~!_~~___Uh___________w______________ ZIP + 4 ~. ____w__u______~~_~~!_mu____u___
b At any time during the calendar year, did the organization have an interest in or a signature or other authority
over a financial account in a foreign country (such as a bank account, securities account, or other financial
account)? . . . . .
If "Yes," enter the name of the foreign country" __Uh_____________u_______m_'u____h_______m_____m____u_
See the instructions for exceptions and filing requirements for Form TO F 90-22.1, Report of Foreign Bank
and Financial Accounts.
Form 990 (2006)
Other Information
Page 7
Yes No
o
o
Form 990 (2006)
Form 990 (2006)
mIED
106
a
b
c
Page 9
Information Regarding Transfers To and From Controlled Entities. Complete only if the organization
is a controlling organization as defined in section 512(b)(13).
Yes No
Did the reporting organization make any transfers to a controlled entity as defined in section 512(b)(13) of
the Code? If "Yes," complete the schedule below for each controlled entity.
(A) (B) (C)
Name, address, of each Employer Identification Description of
controlled entity Number transfer
(D)
Amount of transfer
Totals
Yes No
107 Did the reporting organization receive any transfers from a controlled entity as defined in section
512(b)(13) of the Code? If "Yes," complete the schedule below for each controlled entity.
(A) (B) (e)
Name, address, of each Employer Identification Description of (D)
controlled entity Number transfer Amount of transfer
a
b
c
Totals
Yes No
108 Did the organization have a binding written contract in effect on August 17, 2006, covering the interest,
rents, royalties, and annuities described in question 107 above?
Under penalties of perjury, I declare that I have examined this retum, including accompanying schedules and statements, and to the best of my knowledge
and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which pre parer has any knowledge.
Please
Sign
Here
Paid
Preparer's
Use Only
~ Signature of officer
~ Joseph Chan, CFO
r Type or print name and title
Preparer's ~
signature r
Firm's name (or yours ~
if self-employed),
address. and ZIP + 4
Date
Preparer's SSN or PTlN (See Gen. Inst. Xl
~
Form 990 (2006)
@ Printed 011 recyr;Ied paper
Schedule A (Form 990 or 990-EZ) 2006
rmm Statements About Activities (See page 2 of the instructions.)
1 During the year, has the organization attempted to influence national, state, or local legislation, including any
attempt to influence public opinion on a legislative matter or referendum? If "Yes," enter the total expenses paid
or incurred in connection with the lobbying activities ~ $ 0 (Must equal amounts on line 38,
Part VlcA, 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, directors, officers, creators, key employees, or members of their families, or
with any taxable organization with which any such person is affiliated as an officer, director, trustee, majority
owner, or principal beneficiary? (If the answer to any question is "Yes," attach a detailed statement explaining the
transactions.)
a Sale, exchange, 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 ,ODD)?
e Transfer of any part of its income or assets?
(~-
,--
3a Did the organization make grants for scholarships, fellowships, student loans, etc.? (If "Yes," attach an explanation
of how the organization determines that recipients qualify to receive payments.) . Stmt.10
b Did the organization have a section 403(b) annuity plan for its employees? .
c Did the organization receive or hold an easement for conservation purposes, including easements to preserve open
space, the environment, historic land areas or historic structures? If "Yes," attach a detailed statement
d Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?
4a Did the organization maintain any donor advised funds? If "Yes," complete lines 4b through 4g. If "No," complete
lines 4f and 4g
b Did the organization make any taxable distributions under section 4966?
c Did the organization make a distribution to a donor, donor advisor, or related person?
d Enter the total number of donor advised funds owned at the end of the tax year . ~
e Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year ~
f Enter the total number of separate funds or accounts owned at the end of the tax year (excluding donor advised
funds included on line 4d) where donors have the right to provide advice on the distribution or investment of
amounts in such funds or accounts . ~
9 Enter the aggregate value of assets held in all funds or accounts included on line 4f at the end of the tax year ~
Page 2
Yes No
v'
2a v'
2b v'
2c v'
2d v'
2e v'
3a .v'
3b v'
3c v'
3d v'
4a v'
4b v'
4c v'
o
o
Schedule A (Form 990 or 990-EZ) 2006
Schedule A (Form 990 or 990-EZ) 2006 Page 4
Imm Support Schedule (Complete only if you checked a box on line 10, 11, or 12.) Use 'cash method of accounting.
Note; You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting.
Calendar year (or fiscal year beginning in) ~ (a) 2005 (b) 2b04 (c) 2003 (d) 2002
15 Gifts, grants, and contributions received. (Do
not include unusual grants. See line 28.) .
16 Membership fees received .
17 Gross receipts from admissions, merchandise
sold or services performed, or furnishing of
facilities in any activity that is related to the
organization's charitable, etc., purpose. .
18 Gross income from interest, dividends,
amounts received from payments on securities
loans (section 512(a)(5)), rents, royalties, and
unrelated business taxable income (less
section 511 taxes) from businesses acquired
by the organization after June 3D, 1975
19 Net income from unrelated business
activities not included in line 18.
(e) Total
125,168
o
72,427
o
315,188
o
326,399
o
839,182
o
o
o
o
o
o
o
300
299
558
1,157
o
o
o
o
o
20
Tax revenues levied for the organization's
benefit and either paid to it or expended on
its behalf .
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.
Other income. Attach a schedule. Do not
include gain or (loss) from sale of capital assets
Total of lines 15 through 22 .
Line 23 minus line 17 .
Enter 1 % of line 23
o
o
o
o
o
21
22
0 0 0 0 0
0 0 0 0
125,168 72,727 315,487 840,339
125,168 72,727 315,487 840,339
1,252 727 3,155
23
24
25
26 Organizations described on lines 10 or 11: a Enter 2% of amount in column (e), line 24. . ~
b Prepare a list for YOl!r records to show the name of and amount contributed by each person (other than a
governmental unit or publicly supported organization) whose total gifts for 2002 through 2005 exceeded the
amount shown in line 26a. Do not file this list with your return. Enter the total of all these excess amounts ~
c Total support for section 509(a)(1) test: Enter line 24, column (e) . . ~
d Add: Amounts from column (e) for lines: 18 1,157 19 0
22 0 26b 131,386 . ~ 26d 132,543
e Public support (line 26c minus line 26d total) . ~ 26e 707,796
f Public support percentage (line 26e (numerator) divided by line 26c (denominator)) . ~ 26f 84 %
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 file this list with your return. Enter the sum of such amounts for each year:
(2005) uu_mu..______________ (2004) __..mu_"....m___uu.. (2003) OO.__...mm.__......u.. (2002) __m..__..._____OO.mm
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 b, as well as individuals.) Do not file 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: .
(2005) ___U'muUU...um... (2004) _oo._.u_um___m_.uu. (2003) _.u_._u.___mOOm.mu (2002) _UUUUUUU_'___mm
c Add: Amounts from column (e) for lines: 15 16
17 20 21 .~ ~c
d Add: Line 27a total and line 27b total . ~ 27d
e Public support (line 27c total minus line 27d total). . ~ 27e
f Total support for section 509(a)(2) test: Enter amount from line 23, column (e). . ~ 27f
g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) . . ~
h Investment income percentage (line 18, column (e) (numerator} divided by line 27f (denominator)). ~
28 Unusual Grants: For an organization described in line 10, ii, or 12 that received any unusual grants during 2002 through 2005,
prepare a list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief
description of the nature of the grant. Do not file this list with your return. Do not include these grants in line 15.
Schedule A (Form 990 or 990-EZ) 2006
Schedule A (form 990 or 990-EZ) 2006
IimII!lD Lobbying Expenditures by Electing Public Charities (See page 10 of the instructions.)
(To be completed ONLY by an eligible organization that filed Form 5768)
Check ~ a 0 if the organization belongs to an affiliated group. Check ~ b 0 if you checked "a" and "limited control"provisions apply.
(b)
(a) To be completed
Affiliated group for all electing
totals organizations
Page 6
Limits on Lobbying Expenditures
(The tenn "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-
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 excess over $1,000,000
Over $1,500,000 but not over $17,000,000. $225,000 plus 5% of the excess over $1,500,000
Over $17,000,000 . $1,000,000 .
42 Grassroots nontaxable amount (enter 25% of line 41).
43 Subtract line 42 from line 36: Enter -0- if line 42 is more than line 36.
44 Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38.
Caution: If there is an amount on either line 43 or line 44, you must file Form 4720.
4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501 (h) election do not have to complete all of the five columns below.
See the instructions for lines 45 through 50 on page 13 of the instructions.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or
fiscal year beginning in) ~
(a)
2006
(b)
2005
(c)
2004
(d)
2003
(e)
Total
45 Lobbying nontaxable amount
46 Lobbying ceiling amount (150% of line 45(e))
47 Total lobbying expenditures.
48 Grassroots nontaxable amount .
49 Grassroots ceiling amount (150% of line 48(e))
50 Grassroots lobbying expenditures .
Lobbying Activity by Nonelecting Public Charities
(For reporting only by organizations that did not complete Part VI-A) (See page i 3 of the instructions.)
During the year, did the organization attempt to influence national, state or local legislation, including any Yes No
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 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, govemment 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 "Ves" to any of the above, also attach a statement giving a detailed description of the lobbying activities.
......
......
......
......
......
......
......
......
o
Schedule A (Form 990 or 990-EZ) 2006
Stat.ement 1
Form: 990
Page: 1
Part: I
Question: 9
BALANCE FOUNDATION
94-3058005
Schedule of Special Events
Gross Gross Direct Net Income
Description Receipts Contributions Revenue Costs (Loss)
Green Business Conference, April $260.00 $0.00 $260.00 $0.00 $260.00
Total: $260.00 $0.00 $260.00 $0.00 $260.00
CO
Statement 3
Form: 990
Page: 2
Part: II
Question: 43
Description
Overhead Paid to 3rd-Party Admin.
Subscriptions and Memberships
Technical Consultants
Total:
(-
~....~
Attachment listing other expenses for Part II
Total: Pgm Services Mgt and General
$3,003.00 $2,718.00 $285.00
$100.00 $~OO.OO $0.00
$28,986.00 $28,986.00 $0.00
$32,089.00 $31,804.00 $285.00
BALANCE FOUNDATION
94-3058005
Fundrasing
$0.00
$0.00
$0.00
$0.00
Statement 5
Form: 990
Page: 4
Part: IV
Question: 65
Other Liabilities
Liability Description
Leong-Tranter Intership Fund
Total:
BOY Amount
$95,397.00
$95,397.00
BALANCE FOUNDATION
94.3058005
EOY Amount
$148,689.00
$148,689.00
Name and Address
Ave. Hrs/week
TOTALS
Compo
$0.00
Benefits
$0.00
Expenses
$0.00
Statement 8
Form: 990
Page: 6
Part: VI
Question: 80 b
Description
Association of Bay Area Governments
BALANCE FOUNDATION
94-3058005
Related Organizations
Exempt
Yes
Statement 10
Form: Schedule A
Page: 2
Part: III
Question: 3a
BALANCE FOUNDATION
94-3058005
Explanation of Grant Determination
Explanation of grant qualifications
Tranter-Leong Management Intern Program: Promote and advance the field of public administration by awarding internships
to graduate students aspiring to a career in public service. Preference is given to San Francisco Bay Area residents,
without regard to ethnicity, who are interested in a career in public service in the Bay Area. The management intern's
assignments and projects are be developed and overseen by the Executive Director of the Association of Bay Area
Governments.
(--
,,",--
BALANCE FOUNDATION
Name and Address
Alameda County Waste Management Authority
777 Davis St
San Leandro, CA 94550-4899
United States
Assoc of Bay Area Governments
101 8th Street
Oakland, CA 94607
United States
2
3
Pacific Gas Electric
77 Beale Street B29C
San Francisco, CA 94105-9112
United States
County of Alameda
1221 Oak Street
Oakland, CA 94607
United States
City of Pleasanton
City Hall
123 Main Street
Pleasanton, CA 94566-0802
United States
City of Oakland
City Hall
1 Frank Ogawa Plaza
Oakland, CA 94612-1932
United States
4
5
6
Schedule B - Part I
Contributors
Contribution
Type
$18,735.00
$33,334.00
$16,700.00
$12,000.00
$8,000.00
$6,000.00
94-3058005
Individual Yes
Payroll No
Noncash No
Individual Yes
Payroll No
Noncash No
Individual Yes
Payroll No
Noncash No
Individual Yes
Payroll No
Noncash No
Individual Yes
Payroll No
Noncash No
Individual Yes
Payroll No
Noncash No
Attachment D. Letter providing evidence
of Board/Organization (Steering Committee)
approval of application, and date approval was granted.
January 15,2008
GREEN BUSINESS
Roger Bradley
Administrative Analyst
City of Dublin
100 Civic Plaza
Dublin CA 94568
Dear Mr. Bradley,
We, the undersigned, are members of the Alameda County Green Business Program Steering
Committee. We meet at least quarterly to review and make decisions on ACGBP matters,
including:
· Program direction, sustainability and capacity
· Priorities for business certification (industry types/sectors within Alameda County
· Business recognition and promotion
The Alameda County Green Business Program's policy is to seek funding from Program partners,
including cities, utilities and special districts. Normally, the Steering Committee does not approve
specific fund raising activities undertaken by the Program Coordinator. However, the undersigned
approve of the ACGBP requesting funding from the City of Dublin for the purposes stated in the
application.
Sincerely,
Susan Sakaki, EnviroSystems Group, Oakland
Pamela J. Evans, ACGBP Coordinator,
Alameda County Environmental Health Services
Rachel Balsley, StopWaste.Org, Oakland
James Duffy, President, Alonzo Printing./ ..'
Company, Hayward--'
Mary Ortendahl, East Bay Economic
Development Alliance, Oakland
Dennis Waespi, Board Member, Castro
Valley Sanitary District
. . "~~--"'.,
Jennifer Cogley, City ofBerkele~,.......,,,....f"-'
,,/"'" /./
James Barse, City of Alameda, ~a~
County Clean Water Consortium member
Attachment E. Organization's certificate of insurance showing coverage
for liability and workers' compensation. See attachment
Attachment F.
attachment
Application Verification Declaration Signature Page. See
Attachment G. Signed affidavit form from each collaborating agency
named in proposed project/program plan (if applicable). Not applicable unless
required by City.
Attachment H. Copy of IRS Letter of Determination indicating tax exempt
status. See attachment
il tkteJ1YYl e VL"f f:;,
ASSOCIATION OF BAY AREA GOVERNMENTS 0
Representing City and County Governments ofthe San Francisco Bay Area ABAG
MEMO
January 16, 2008
Re: Workers' Compensation Coverage for the Association of Bay Area
Governments, Self-Insured Certificate 4-5809-01-132 (5809-00400)
Coverage Period: July 1,2007 - June 30, 2008.
To Whom It May Concern:
This is to certify that the employer name above is covered for workers' compensation
insurance by the ABAG Comp Shared Risk Pool, a California J.P.A., self-insured
certificate 4-5809-01-132 (State of California, Self-Insured Plans, phone number 916-
483-3392). ABAG Comp Shared Risk Pool provides coverage to $150,000 and excess
coverage provides an employer liability limit of $5,000,000 per occurrence, and workers'
comp per occurrence limit to $100,000,000.
For claims administrative please call Gregory B. Bragg & Associates, Walnut Creek,
925-465-3979.
Sincerely,
?J~~
Dan Eeds
Secretary, ABAG Comp Shared Risk Pool
510-464-7949
Mailing Address: P.O. Box 2050 Oakland, California 94604-2050 (510) 464-7900 Fax: (510) 464-7970 info@abag.ca.gov
Location: Joseph P. Bort MetroCenter 101 Eignth Street Oakland, California 94607-4756
@
/t HClGt.lmevvt r,
City of Dublin
Fiscal Year 2008-2009
Application for Funds
ApPLICATION VERIFICATION
I attest that the information contained in this FY 2008-2009 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
30,2009. Failure to submit a report will result in ineligibility for future funding.
Signatures.:
&./1
,:; WYN..J&f..-,
Executive Direct
~~ 1111/0f{
(Coordinator) l1/YIM.. 7;ju;U(\i{d . ~Date
[l. li/d.#)J(j 1/1 g/o t
on ( date
Board PresidentlChairpe
(Steering Committee Member)
SECTION 2
Page 15 of20.
,7} I[ IA C v I r nCI\I\-X v
CERTIFICATE OF INSURANCE
ISSUE DATE (MM/DDIYY)
1/16/08
PRODUCER
Alliant Insurance Services, Inc.
1301 Dove St., Suite 200
Newport Beach, CA 92660
821-9283 Ext. 190. Fax (949) 756-2713
ASSOCIATION OF BAY AREA GOVERNMENTS (ABAG) SEE ATTACHED
101 EIGHTH STREET
P.O. BOX 2050
OAKLAND, CA 94604-2050
THIS CERTIFICATE IS ISSUED ASA 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.
COMPANIES AFFORDING COVERAGE
LETTER
A EVEREST INDEMNITY INSURANCE CO.
B
C
D
E
COVERAGES
THIS IS TO CERTIFY THAT 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, EXCLUSION AND CONDITIONS OF SUCH POLICIES.
L,INlIT~ SHOIiVNMA 'f.HA\lEBE!:i'J.REDlJCE,D BYPAID CLAIMS..___._..__......~__.__
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
A
7182040000
GENERAL LIABILITY
A AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON.OWNED AUTOS
GARAGE LIABILITY
AUTO OED: $5,000
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYER'S LIABILITY
A PUBLIC OFFICIALS ERRORS
AND OMISSIONS
71S20400OO
7182040000
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLEsrSPECIAL iTEMS
'POLlCY FORM DOES NOT CONTAIN A GENERAL LIABILITY AGGREGATE
EVIDENCE OF COVERAGE ONLY.
CERTIFICATE HOLDER
CITY OF DUBLIN
A TIN: ROGER BRADLEY, ADMINISTRA TNE ANALYST
100 CIVIC PLAZA
DUBLI N, CA 94568
RJ\WORD'D7S1i~Lpri2!<ided
POLICY EFFECTIVE
DATE (MM/DDIYY)
LIMITS
10/29/07
10/29/07
$5,000,000
$5,000,000
$5,000,000
$1,000,000
N/A
$5,000,000
09/29/08
BODILY INJURY
(Per accident)
10/29/07
09/29/08
'$5,000,000
PER OCCURRENCE AND
ANNUAL AGGREGATE
CANCElLA TJON
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
'30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES
*EXCEPT 10 DAYS FOR N N.PAY -NT
AUTHORIZED REPR T A TI
SPECIAL LIABILITY INSURANCE PROGRAM
(SLIP) ,
NAMED INSURED AS OF
November 7, 2007
MEMBER:
Association of Bay Area Governments
NAMED INSURED:
Association of Bay Area Governments Including:
ABAG Finance Corporation, ABAG Pooled Liability Assurance Network Corporation, BALANCE Foundation,
ABAG Comp Shared Risk Pool, ABAG Finance Authority for Nonprofit Corporations, San Francisco Bay Trail
Project, ABAG, Inc., ABAG Power, San Francisco Estuary Project, California Mortgage Assistance Corporation.
Page I of 1
11/7/2007
IWDl07SIip<ert06Namdlnsd.Pri.doc
A -t\{tchmevrt H
INTERNAL REVENUE SERVICE
DISTRICT DIRECTOR
PO BOX 2350 ROOM 5127
LOS ANGELES, CA 90053
DEPARTMENT OF THE TREASURY
Date:
NQ" 1 ~ tlR
Employer Identification 'Number:
94-3058005
Contact Person:
TYRONE THOMAS
Contact Telephone Nuwber:
(213) 894-6641
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BALANCE FOUNDATION
C/O ABAG
PO BOX 2050
OAKLAND, CA 94604-2050
Our Letter Dated:
March 1988
Addendum Applies:
No
Dear Applicant:
This modifies our letter of the above date in which we stated that you
would be treated as an organization that is not a private foundation until the
expiration of your advance ruling period.
Your exempt status under section 501 (a) of the Internal Revenue Code as an
organization described in section 501 (c) (3) is still in effect. Based on the
information you submitted, we have determined that you are not a private
foundation within the meaning of section 509 (a) of the Code because you are an
organization of the type described in section 509(a) (1) and 170 (b) (1) (A) (vi).
Grantors and contributors may rely on this determination unless the
Internal Revenue Service publishes notice to the contrary. However, if you
lose your section 509 (a) (1) status, a grantor or contributor may not rely on
this determination if he or she was in part responsible for, or was aware of,
the act or failure to act, or the substantial or material change on the part of
the organization that resulted in your loss of such status, or if he or she
acquired knowledge that the Internal Revenue Service had given notice that you
would no longer be classified as a section 509 (a) (1) organization.
If we have indicated in the heading of this letter that an addendum
applies, the addendum enclosed is an integral part of this letter.
Because this letter could help resolve any questions about your private
foundation, status, please keep it in your permanent records.
If you have any questions, please contact the person whose name and
telephone number are shown above.
.
Michael J. Quinn
District Director
Letter 1050 (DO/CG)