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HomeMy WebLinkAboutItem 8.1 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. 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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 ,-" to-"'.. -., ........, .-_~~. _. r, ....... _.-,_. I i'" \ i .' Ii ~ "';' J,- J . ;---.... t tiiiLi f~I<:'.. ": ,; !' if 1 f'~ ;\ j ~ ~ ~ ~ Hi ~ : ~ . :..~C1~'_::=- 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)