HomeMy WebLinkAbout8.1 Independent Living CRIL Exh 7~®
CITY OF DUBLIN
Fiscal Year 2009-2010
RECEIVED
CITY QF~ CUELIN
JAN 3 0 2009
CcITY MMwutr~'s O~FlCE
C OMMUNITY G ROUP/ORGANIZATION
APPLICATION FOR FUNDS
COVER PAGE
AGENCY NAME: COMMUNITY RESOURCES FOR INDEPENDENT
LIVING ~CRIL~
PROPOSED PROJECT/PROGRAM NAME:
DUBLIN INDEPENDENT LIVING SERVICES FOR PEOPLE WITH
DISABILITIES
FUNDING AMOUNT REQUESTED: 'I Z 2H3
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EXHIBIT
E
APPLICATION FOR FUNDS
1. Please select one expense category: ^ Capital D Operating
2. Applicant Information:
Organizatioi~/Agency Nan1e Community Resources for Independent Livin~~CRIL~
Mailing Address 439 A Street. Hayward, CA 94541 (Main Office)
Street Address 3311 Pacific Avenue (Tri-Valley Office)
City Livermore State CA Zip 94550
Sheri Burns 510-881-5743 SlZCa-i.l3urns(u~cril-online.~~~~-~
Executive Director/Chairperson Work Phone Email
Chris Finn 510-881-5743 Chris.:Fin~~~(ri;c~-il-anline.or~
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.
John Quinn Program Director
Contact Person for Project/Program Job Title
510-881-5743 Johu.C~tzinn~ci-cril-o~~linc.ot•~ 510-881-1593
Work Phone Email Fax
Federal Taa Identification No. (required) 94-2598873
City of Dublin Business License No. (required) 009274
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City of Dublin
Fiscal Year 2009-2010
Application for Funds
3. Proposed Project/Program Information (Do not describe organization.)
Amount of Funds Requested $12,283.00
(Maximum $25,000 per project.)
Proposed Project/Program Name
Dublin Independent Living Services for People with Disabilities
Proposed Project/Program Date(s): Start 07 / Ol / 2009 and End 06 / 30 / 2010
mo. day yr. mo. day yr.
Please note: City Council Grant Funds are distributed on a reimbursement basis. If your Agency
needs a 100% disbursement at the beginning of the Fiscal Year, please indicate this
below and please provide justification for this need.
^ Agency is requesting 100% disbursement at the beginning of the Fiscal Year.
If selecting this option, please provide justification in the blank space below.
~ Agency is not requesting 100% disbursement at the beginning of the Fiscal Year.
Please provide the frequency that reimbursements will be submitted to the City in the
blank space below; e.g., monthly, quarterly, at project completion, etc.
Monthly reimbursements •
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® City of Dublin
Fiscal Year 2009-2010
Application for Funds
a. How would the requested funds be used?
^ Describe, in detail, the PROPOSED PROJECT/PROGRAM (not the Agency).
^ Bulleted text is acceptable.
^ Identify if the proposed project/program is a new service, or extension of an
existing one.
^ An additional page maybe added, if needed.
During the past two years, CRIL's Dublin Independent Living (IL) Services Program for People
with Disabilities has been providing free support services to hundreds of very low-income Dublin
residents with disabilities and seniors with functional limitations. Through this unique, peer-based
service approach, Dublin's most vulnerable residents are able to meet their personal independent living
goals, thereby maintaining or achieving independent living and avoiding institutionalization. Through
CRIL's multi-service support, Dublin's frail seniors and people with disabilities of all ages are better
equipped with the skills needed to live, work and participate fully in their community. Comprehensive IL
Services provided include:
• Healthy Living Workshops (in conjunction with the Alameda County Food Bank);
• Disease Prevention Workshops (in conjunction with Kaiser Permanente nurses and wellness
counselors);
• Disaster Planning & Preparedness Workshops (with CARD support; include free 3-day emergency
supply/food kit);
• Benefits and Pre-Employment Counseling;
• Assistive Technology Information & Referral and Loan Program;
• Peer Support Groups and Individual Peer Counseling;
• Disability Resource Information;
• Self-Advocacy Training and Community Advocacy Groups;
• Tax Assistance (EKS/VITA);
• CRIL also provides Dublin's disabled residents with Housing Assistance through CDBG funding
from the cities of Dublin, Livermore and Pleasanton.
CRIL has an excellent track record in assisting Dublin's residents with disabilities in achieving or
maintaining self-sufficiency. Last fiscal year, twenty (20) Dublin residents with disabilities were given
direct support and assistance through one or more IL service, with over 90°!o indicating in evaluations
that they had met one or more goals and achieved greater independence. In only two quarters of the
current fiscal year, CRIL has already met its direct service goal and is on track for meeting or
exceeding all other goals. Moreover, last year, CRIL provided indirect services to another 88 Dublin
residents with disabilities (43 of whom attended various IL workshops) and provided 28 businesses
with ADA and other disability information and referral.
One of the many Dublin residents who CRIL was able to assist with funding support from the City of
Dublin's Community Grant, is Lori, a single woman who sustained a traumatic brain injury in her youth
and struggles with depression, anxiety, and fibroid tumors. Lori is currently residing with hersister in
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Dublin and was referred by a vocational counselor at the Department of Rehabilitation. Her most
pressing need was to get connected with mental health services, with additional needs including, but
not limited to, housing and vocational services. CRIL's Tri-Valley Coordinator provided Lori with
numerous referrals for services and programs in the Tri-Valley area, including Anthropos Counseling
Center, Los Positas College, Tri-City Homeless Coalition and CRIL's peer support group. At Los
Positas she has maintained a full academic course load. She has also attended regular counseling
sessions, actively participates in Department of Rehabilitation services and checks in with CRIL staff
regularly. She is currently on a waiting list for a housing scholarship with Tri-City Coalition and is
looking forward to moving into her own home. Lori is extremely motivated, has a positive attitude, and
takes on the many challenges that life throws her way despite her difficulties and barriers.
It is through the support of the City of Dublin Community Grant that CRIL is able to impact directly the
lives of people with disabilities, like Lori, who strive to increase or maintain their self-sufficiency.
CRIL is requesting City of Dublin Community Grant funding support to continue and expand our
partnership in providing more than fifteen, non-housing independent living services and advocacy to
seniors with functional limitations and people of all ages with disabilities living in the City of Dublin. With
an allocation of $12,283, CRIL will be able to assist a minimum of 651ow-income Dublin residents with
disabilities (15 directly and 50 indirectly) in meeting their independent living goals and achieving self-
sufficiency. An additional 20 businesses will receive disability information and consultation services.
With an investment of just $189 per person, the City of Dublin Community Grant will greatly
increase the number of low-income residents with disabilities who are more self-sufficient and
able to participate fully in their community.
b. How would the PROPOSED PROJECT/PROGRAM address an unmet community
need and improve the quality of life for Dublin residents. Why is this project/program
needed? (Additional page maybe added, if needed):
There are between 256,000 and 280,000 people with disabilities living in Alameda County with upwards
of 7,000 living in the City of Dublin alone (DATA 2006 Hanson 2004 City of Dublin 20081 Inherently,
services to persons with disabilities are services to the most impoverished members of our community.
Additionally, Alameda County has a higher rate of poverty among adults with disabilities ages 18 to 64
years than most other bay area counties (Kaye, 2005). Compounding the poverty, people with disabilities
are often segregated, isolated in their homes, or in other ways disenfranchised from their communities.
Dublin's mission focuses on supporting a high quality of life and ensuring a safe and secure environment
for its diverse community. In the next few years, when our local cities, state and country are experiencing
a significant recession, the City's mission plays an even greater role in the lives of its residents. There
will surely be an increased need for support and self-sufficiency services to our community's most
vulnerable residents. Independent Living Services, like those provided by CRIL, triumph over the barriers
that confront low-income persons with disabilities and disconnect them from full and meaningful
participation in their communities.
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~ p
CRIL's Independent Living Services for frail seniors and people with disabilities are free to
consumers, and designed to help lower income individuals with disabilities maintain their quality
of life, become fully integrated into society, and live as independently as possible.
Specifically, Independent Living activities have been proven to affect positive outcomes for persons living
in the community and to reduce the risks for persons with disabilities to develop secondaN conditions
(Resnick, 2002; White, 1994). Similarly, peer support is a fundamental principle of the independent living
movement because it helps people recognize possibility and the potential of their own abilities. More
than half of all CRIL staff are persons with disabilities, and are thereby able to provide both
professional social services and peer support to Dublin residents with disabilities.
Additionally, while it is common knowledge that the rate of disability increases with age, the 2000 Census
found that 32.4% of the senior population in Alameda Count,~has a disability and the City of Dublin is no
exception. CRIL has been focusing marketing and outreach efforts to seniors with disabling
conditions over the past few years in an effort to increase the self-sufficiency of Dublin seniors
and positively affect their ability to remain in their own homes. The most utilized CRIL services by
Dublin's seniors are personal assistant / homecare worker referral and matching, benefits counseling and
assistance, and assistive technology information and referral. In the past two years, CRIL has added
three new services in response to the emerging needs of seniors and others with disabilities and
functional limitations: Disaster Planning and Preparedness workshops, Healthy Living and
Disease Prevention workshops, and Tax Preparation Assistance (Earn It, Keep It, Save It /VITA).
We would not have been able to add these new programs without ongoing funding assistance from the
Dublin City Community Grant, the Kaiser Permanente Diablo Valley Grant, and the United Way of the
Bay Area EKS Grant. Moreover, all of these programs are available in Spanish to Dublin's significant
Latino population (13.5%), as CRIL's Tri-Valley Coordinator is a woman with a disability who is bicultural
and bilingual. One-third of CRIL's other service providers are also Latino and bilingual, and one is Asian
and speaks Cantonese.
Lastly, the federal government has recently mandated that all state and local jurisdictions implement
disaster plans that include accessible mass sheltering and evacuation of people with disabilities (DoJ,
2008). National and State surveys continue to show that only a minority of Americans are prepared for a
significant disaster and have the needed three to seven day "shelter in place" supplies (Kailes, Ostrom,
2006). CRIL's Disaster Planning and Preparedness Training Program for People with Disabilities and
Seniors with Functional Limitations was made possible in large part due to the forward thinking and
support of the City of Dublin. Since 2007, CRIL has trained over 150 Tri-Valley residents with
disabilities in Disaster Preparedness and provided each with a free light-weight, easily
transportable, water-resistant Survival Kit which includes first aid information, 3-day supply of water
and food, a mylar blanket, safety light, CRIL emergency communication device, emergency planning
guide and Vial of Life sticker. More than two-thirds of the participants have been seniors with
disabilities and the majority request more information on CRIL and/or wish to become a consumer in
order to obtain additional services. Post-workshop, four out of five participants consistently state
that they feel better prepared and able to respond effectively in the event of a disaster or
emergency. Disaster Preparedness Workshops, along with the other independent Living workshops, will
continue to be offered to Dublin residents with disabilities through funding support from Dublin City
Community Grant.
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c. What documentation/data/records support the need for this PROPOSED
PROJECT/PROGRAM? Please identify your data sources. (Additional page maybe
added, if needed.)
A number of sources are referenced to support the need and efficacy of CRIL's IL Program for Persons
with Disabilities and Seniors with Functional Limitations:
Demographic Profile: The City of Dublin -The Official Website of Dublin, CA.,
2008 Census Figures
<http://www.ci.dublin.ca.us/DepartmentSubLevel2.cfm?PL=econ&SL=demog&dsplylD=862>
Department of Justice. "ADA Guidelines From the U. S. Department of Justice on Sheltering for Mass
Care," National Organization on Disability, January 8, 2008.
Hanson, S., et.al. ``Community Needs Assessment," Center for Applied Local Research, 2004
ICF Publishing. Human Services Needs Assessment for the Tri-Valley --Incorporating the Cities of
Dublin, Livermore, and Pleasanton; Center for Applied Local Research, 2003
Kailes, J. "Including People with Disabilities and Seniors in Disaster Services", CDIHP, June 2006
Kaye, PhD, Stephen." Disability, Health & Employment in California", Disability Statistics Center,
University of California, San Francisco, 2005
National Organization on Disability. "New Poll Highlights Need for More Emergency Planning for and by
People with Disabilities", January 30, 2004.
Ostrom, M. "Quake Worries on the Decline", San Jose Mercury News. April 18, 2006
Resnisk, B. "The impact of self-efficacy and outcome expectations on functional status in older adults",
Topics in Geriatric Rehabilitation, 14(4), 1-10, 2002.
White, et al. "Preventing Secondary Conditions: A Role for Independent Living Centers", National
Institute on Disability and Rehabilitation Research,1994.
U.S. Census Bureau. Statistics: Alameda County- Tri-Valley Cities, 2000
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City of Dublin
Fiscal Year 2009-2010
Application for Funds
d. Specify the PROPOSED PROJECT/PROGRAM population to be served.
CRIL's Independent Living Project will serve low-income Persons with Disabilities and Seniors with
Functional Limitations who reside in the City of Dublin. Specifically, the program will positively impact
the lives of Dublin residents who are among the most impoverished and vulnerable of the community.
1. Fifteen (15) low-income residents with disabilities will receive direct independent living skills
training in one or more non-housing services, such as peer counseling, health information, benefits
counseling, self-advocacy training, and assistive technology referral. CRIL's peer support and
training will result in a significantly increased ability for Dublin residents with disabilities to be self-
sufficient in their home, work, school, families and community. Services and materials will also be
available in Spanish and alternate formats.
2. Fifty (50) low-income seniors and persons with disabilities will receive indirect education,
information & referral, and advocacy services that provide a foundation for improved self-
.: sufficiency and community participation, including Disaster Planning and Preparedness Training,
Healthy Living and Disease Prevention workshops.
3. Twenty (20) businesses andlor agencies will receive disability-related education, sensitivity
awareness and accessibility consultation resulting in increased structural and services access to
consumers with disabilities and disabling conditions.
e. Projects/programs must be evaluated to determine if they are being carried out efficiently
and 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.
CRIL has several solid data sources listed below to provide quantitative and qualitative information for CRIL
staff to evaluate the progress of its programs and services. The CRIL database format and programming
validity are evaluated annually with programming modifications made as needed.
CRIL's Intake Form is used with every person who wishes to become a consumer of CRIL and
participate in creating a plan or set of goals to meet their objective or desired outcome.
Independent Living (IL) Coordinators work with consumers to articulate their personal goals and
action steps to achieve greater independence. Each month IL Coordinators submit a list of goals
set with consumers so that CRIL's database can maintain a cumulative tracking of consumer goals
that are set and met.
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• Sample Outcome Measure:
A consumer whose outcome objective is to obtain a mobility device, such as a wheelchair, in order
to safely and independently move about and exit the home, may create one or more goals with the
AT Coordinator to help him or her reach that objective (e.g., meet with the AT Coordinator to
discuss mobility needs and equipment options, obtain a referral to a doctor and an evaluator,
obtain a list of providers that match the consumer's needs and type of assistance, utilize the
Coordinator as an advocate if necessary, etc.). The goals are set at Intake, tracked a minimum of
monthly with the consumer, then recorded as met when the consumer self-reports to the
Coordinator that he or she .has achieved the desired outcome (e.g., obtained an appropriate
wheelchair).
• CRIL tracks the number of services, their length of time, and the number of contacts per consumer
for all consumers seeking IL Coordination services through reporting monthly on our statistics
tracking system.
• Volunteers who support CRIL operations and provide peer counseling services complete our
volunteer service log.
• For individuals who do not become consumers, CRIL's monthly indirect statistics tracking log
records any Dublin resident, regardless of disability status, who has received information and
referral, community education, publications, disability awareness training, outreach services, and
technical assistance that enhances inclusiveness of services.
• CRIL conducts asemi-annual consumer satisfaction survey to solicit feedback regarding the
quality of its direct service staff. Information is tabulated and presented to CRIL Management and
Board of Directors for review and any necessary program modification.
• Workshop participants are requested to complete aself-evaluation, rating their level of knowledge
and activity before and after the Disease Prevention or Disaster Preparedness training. Staff then
contacts each participant who becomes a consumer 6 months post-workshop to again evaluate
the practical impact of CRIL's training.
Quarterly file reviews ensure quality of documentation and correlate with the direct statistics sheets that
account for daily contacts with all consumers. The IL Coordinators meet with the Program Director
regularly for Independent Living Plan sessions to explore solutions related to consumer goal development.
This provides both supervision for difficult consumer situations, and an opportunity to note consumer trends
that may not be obvious elsewhere. Additionally, all CRIL staff members meet bi-weekly to discuss
community involvement, program activities, and consumer trends.
f.
Specify numbers of clients served by agency, then by PROPOSED
PROJECT/PROGRAM:
- --- --------
A ency Participants
~
Total Number of Partici ants Served b A enc (if a licable) 1,000 + 3,000*
Total Number of Dublin Residents Served by Agency (if applicable) 20 + 85 + 20**
Pro'ect/Pro ram Partici ants
Total Proposed Partici ants Served b this Pro'ect/Program 165 + 120 + 75
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Total Number of Dublin Residents Served by this Pro'ect 15 + 50 + 20***
* 1,000 unduplicated, directly served county-wide consumers + 3,000 people with
disabilities and seniors indirectly served through I & R, advocacy and workshops.
** 301ow-income Dublin residents directly served in either housing or IL services + 85
provided housing I & R or any other indirect service + 20 Dublin businesses
provided I & R or disability cansultation.
*** 15 low-income Dublin residents directly served in non-housing IL services + 50
residents provided any non-housing, indirect services + 20 Dublin businesses
provided I & R or disability consultation.
City of Dublin
Fiscal Year 2009-2010
Application for Funds
5. Financial Information -Operating Budget
a. Expense Budget
FY 2009-2010
EXPEnSF, BIJI)GET
ORG:~.NII,a"1'IO~I Tlus PROJECT
PROGRAM
~;RA;~'T RI.QUFST
Personnel Costs
EMPLOYEE SALARIES & BENEFITS 599,222 52,531 10,999
Non-Personnel Costs
AUDIT AND ACCOUNTING 4,900 470 99
CONSULTANT SERVICES 38,141 970 220
DUES, PUBS, AND BOOKS 4,002 204 46
INSURANCE 8,500 701 158
OCCUPANCY -RENT, UTILITIES &
OTHER
13,851 100 21
POSTAGE, PRINTING & COPYING 7,729 570 128
SUPPLIES-OFFICE & PROGRAM 4,353 657 104
TELEPHONE 14,002 2,210 508
ACCESS -PROGRAM/STAFF 646 0 0
BUILDING REPAIRS &MAINT. 9,602 0 0
EMPLOYEE RECRUITMENT 250 0 0
EQUIPMENT AND FURNITURE
ACQUISITIONS
1,500 0 0
EQUIPMENT MAINT./REPAIRS 2,300 0 0
FUNDRAISING COSTS 2,000 0 0
INTEREST 500 0 0
OUTREACH 500 0 0
MEETING COSTS/ ENTERTAINMENT/
STAFF, BOARD, VOLUNTEER
RECOGNITION
2,900
0
0
STAFF DEVELOPMENT 4,399 0 0
TRAVEL 6,428 0 0
TOTAL 725,725 58,413 12,283
Further Comments/Explanations (if necessary):
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City of Dublin
Fiscal Year 2009-2010
Application for Funds
b. Revenue Budget
FY 2009-2010
RFVFVUE BUDGET
Olt(..A11L.a'hlO~i
PRO.IECT/PROGKA~I
Committed/Restricted Funds
(s ecif ~ source)
Department of Rehabilitation-Community Or .* 17,046
Department of Rehabilitation-AT** 70,000
Department of Rehabilitation-AB204** 339,866
De artment of Education** 80,727 $3,780
Cit of Fremont** 9,800
Cit of San Leandro** 10,000
CIL - WIPA** 3,000
Non-Committed/Restricted Funds
(s ~ecify source)
Cit of Livermore 6,930 6,900
Cit of Pleasanton CDBG 14,939 14,939
Cit of Pleasanton 6,600 6,600
Kaiser Foundation 9,900 9,900
Cit of Dublin Communit Or anization Grant 12,283 12,283
Cit of Dublin CDBG 4,011 3,488***
Alameda Count Tobacco Control Coalition 30,000
Cit of Ha ward 40,000
Public Authorit 50,253
General Funds-Fee for Service,
Donations, Interest, Fundraisin 20,400 523
TOTAL 725,725 58,413
Further Comments/Explanations (if necessary):
Note*-End of Grant cycle.
Note**-Multi-year contract, actual awarded amount may vary, estimated same amount as current fiscal year.
Note***-Have been informed that the City Staff is recommending this awarded amount to CRIL, Organization budget is a
proposed budget. Adjustments will be made after notification of all awards. At this time, difference will be covered
through one of the following activities: General Funds, Fee-for-Service, Donations, andlor Fundraising.
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1
1
City of Dublin
Fiscal Year 2009-2010
Application for Funds
6. General Agency Information
^D 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).
b. Describe the population(s) served by the Organzation.
c. Describe all the services the Organization currently provides to Dublin residents.
^ An additional page maybe added, if needed.
d. Has your agency ever previously received fiords from the City of Dublin? If yes,
please specify in what Fiscal Years and the amount received each year..
i
City of Dublin
Fiscal Year 2009-2010
Application for Funds
7. Required Attachments:
o Only one (1) copy per A~enc~ of each of the following is required, even with multiple
projects/programs submitted.
o Applications without the following documents will not be reviewed for funding.
o Please label attachments: A, B, C, etc.
A. Names of Governing Board; identify current Board officers.
B. Current total Organization operating budget, including revenue.
• Clearly label/identify the program that includes the PROPOSED
PROJECT/PROGRAM.
~' C. Most recent audit report or tax return (if applicable).
D. Resolution, letter or other document providing evidence of
Board/Organization approval of application, and date approval was granted.
^ Board/Organization approval maybe pending.
E. Organization's certificate of insurance showing coverage for liability and
workers' compensation.
F. Application Verification Declaration Signature Page.
~~ G. Signed affidavit form from each collaborating agency named in proposed
project/program plan (if applicable).
p' H. Copy of IRS Letter of Determination indicating tax exempt status.
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Page 1 of 1
Attachment
A
Is ii a~pr
less a rose?
Board of Directors:
Chris Finn
President
Marsha Burch
Vice President
Randy Dana
Secretary/Treasurer
Jeffrey Rosen
Member-at-Large
Marty Stenrud
Dorene M. Giacopini
H. Stephen Kaye, PhD
Bruce Blanco
Attachment
B
Community Resources for Independent Living
Proposed Agency Budget FY 2009-2010
(REVENUE
CITY
'ROPOSED PROPOSE(
AGENCY PROJECT
BUDGET BUDGET
FY 2010 FY 2010
HAYWARD SS $ 40,000
DUBLIN-COMMUNITY $ 12,283 $ 12,283
SAN LEANDRO-SS $ 10,000
FREMONT SS $ 9,800
LIVERMORE-CDBG $ 6,900 $ 6,900
PLEASANTON SS $ 6,600 $ 6,600
DUBLIN CDBG** $ 4,011 $ 3,488
COUNTY
ALAMEDA COUNTY TOBACCO CONTROL COALITI $ 30,000
FEE FOR SERVICE-CONTRACTS
PUBLIC AUTHORITY (FEE FOR SERVICE) $ 50,253
PLEASANTON CDBG (FEE FOR SERVICE) $ 14,939 $ 14,939
CIL WIPA* $ 3,000
FOUNDATION
KAISER FOUNDATION $ 9,900 $ 9,900
GOVERNMENT
DEPT OF REHAB - 204 $ 339,866
DEPT OF ED-VIIC $ 80,727 $ 3,780
DEPT OF REHAB - ASSISTIVE TECH $ 70,000
DEPT OF REHAB- COMMUNITY ORGANIZING $ 17,046
OTHER SOURCES
FEE FOR SERVICE-GENERAL $ 8,600 $ 523
DONATIONS $ 5,000
FUNDRAISING -EVENTS $ 6,000
INTEREST $ 800
TOTAL REVENUE
OPERATING EXPENSES
WAGES $ 486,496 $ 42,708
BENEFITS $ 112,726 $ 9,823
AUDIT AND ACCOUNTING $ 4,900 $ 470
CONSULTANT SERVICES $ 38,141 $ 970
DUES, PUBS, AND BOOKS $ 4,002 $ 204
INSURANCE $ 8,500 $ 701
OCCUPANCY -RENT, UTILITIES & OTHER $ 13,651 $ 100
POSTAGE, PRINTING & COPYING $ 7,729 $ 570
SUPPLIES-OFFICE & PROGRAM $ 4,353 $ 657
TELEPHONE $ 14,002 $ 2,210
ACCESS -PROGRAM/STAFF $ 646
BUILDING REPAIRS & MAINT. $ 9,602
EMPLOYEE RECRUITMENT $ 250
EQUIPMENT AND FURNITUREACOUISITIONS $ 1,500
EQUIPMENT MAINT.IREPAIRS $ 2,300
FUNDRAISING COSTS $ 2,000
INTEREST $ 500
OUTREACH $ 500
MEETING COSTS( ENTERTAINMENT( STAFF,
BOARD, VOLUNTEER RECOGNITION $ 2,900
STAFF DEVELOPMENT $ 4,399
TRAVEL $ 6,428
TOTAL OPERATING
EXCESS (DEFICIT)
*Grant expires in September 2009.
** City Staff Recommendation is $3488
Attachment
C
AUDIT REPORT
ON
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
FINANCIAL STATEMENTS
AND
SUPPLEMENTARY INFORMATION
JUNE 30, 2008 AND 2007
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
TABLE OF CONTENTS
Page
INDEPENDENT AUDITOR'S REPORT 1-2
FINANCIAL STATEMENTS:
Statements of Financial Position 3
Statements of Activities 4
Statements of Cash Flows 5
Statements of Functional Expenses 6
Notes to Financial Statements 7-13
SUPPLEMENTARY INFORMATION:
INDEPENDENT AUDITOR'S REPORT ON 14
SUPPLEMENTARY INFORMATION
INDEPENDENT AUDITOR'S REPORT ON SCHEDULE OF 15
EXPENDITURES OF FEDERAL AWARDS
SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS 16
INDEPENDENT AUDITOR'S REPORT ON INTERNAL CONTROL 17-18
OVER FINANCIAL REPORTING AND ON COMPLIANCE
AND OTHER MATTERS BASED ON AN AUDIT OF FINANCIAL
STATEMENTS PERFORMED IN ACCORDANCE WITH
GOVERNMENT AUDITING STANDARDS
INDEPENDENT AUDITOR'S REPORT ON COMPLIANCE WITH 19-20
REQUIREMENTS APPLICABLE TO EACH MAJOR PROGRAM
AND ON INTERNAL CONTROL OVER COMPLIANCE IN
ACCORDANCE WITH OMB CIRCULAR A-133
BOARD OF DIRECTORS AND MANAGEMENT 21
SUMMARY SCHEDULE OF PRIOR YEAR AUDIT FINDINGS 22
SCHEDULE OF FINDINGS AND QUESTIONED COSTS 23
CORRECTIVE ACTION PLAN 24
CHART INFORMATION 25-28
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
INDEPENDENT AUDITOR'S REPORT
To: The Board of Directors
Community Resources for Independent Living, Inc.
Hayward, California
We have audited the accompanying statements of financial position
of Community Resources for Independent Living (CRIL), Inc., a not-
for-profit Corporation, as of June 30, 2008 and 2007 and the
related statements of activities, cash flows, and functional
expenses for the years then ended. These financial statements are
the responsibility of Community Resources for Independent Living
Inc.'s management. Our responsibility is to express an opinion on
these financial statements based on our audits. Prior year
summarized comparative information has been derived from 2007
financial statements and our report dated September 10, 2007 in
which we expressed an unqualified opinion on those financial
statements.
We conducted our audits in accordance with auditing standards
generally accepted in the United States of America and the
standards applicable to financial audits contained in Governmental
Auditing Standards issued by the Comptroller General of the United
States. Those standards require that we plan and perform the audit
to obtain reasonable assurance about whether the financial
statements are free of material misstatement. An audit includes
examining, on a test basis, evidence supporting the amounts and
disclosures in the financial statements. An audit also includes
assessing the accounting principles used and the significant
estimates made by management, as well as evaluating the overall
financial statement presentation. We believe that our audits
provide a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present
fairly, in all material respects, the financial position of
Community Resources for Independent Living, Inc. as of June 30,
2008 and 2007, and changes in its net assets and its cash flows
for the years then ended in conformity with accounting principles
generally accepted in the United States of America.
In accordance with Government Auditing Standards, we have also
issued our report dated November 11, 2008 on our consideration of
Community Resources for Independent Living, Int.'s internal
control over financial reporting and on our tests of its
compliance with certain provisions of laws, regulations, contracts
1
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
INDEPENDENT AUDITOR'S REPORT (CONT'D)
and grant agreements and other matters. The purpose of that report
is to describe the scope of our testing of internal control over
financial reporting .and compliance and the results of that
testing, and not to provide an opinion on the internal control
over financial reporting or on compliance. That report is an
integral part of an audit performed in accordance with Government
Auditing Standards and should be considered in assessing the
results of our audits.
Our audits were conducted for the purpose of forming an opinion on
the basic financial statements of Community Resources for
Independent Living, Inc. taken as a whole. The accompanying
schedule of expenditures of federal awards is presented for
purposes of additional analysis as required by U.S. Office of
Management and Budget Circular A-133, Audits of States, Local
Governments, and Non-Profit Organizations, and is not a required
part of the basic financial statements. Such information has been
subjected to the auditing procedures applied in the audit of the
basic financial statements, and, in our opinion, is fairly stated,
in all material respects, in relation to the basic financial
statements taken as a whole.
DENNIS L. LORETTE
ACCOUNTANCY CORPORATION
Pinole, California
November 11, 2008
2
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
STATEMENTS OF FINANCIAL POSITION
JUNE 30, 2008 AND 2007
ASSETS
2008 2007
Current Assets:
Cash on hand and in bank $ 99,638 $ 60,006
Grants and contracts
receivable (Note 3) 115,979 132,167
Unconditional promise to
give: (Note 4)
Capital improvements - 301,767
Other 64,243 58,773
Prepaid expenses 15,218 7,265
Total Current Assets 295,078 559,978
Property and equipment, net (Note 5) 515,765 244,088
Other Assets:
Deposit (Note 6) 940 1,079
TOTAL ASSETS $.811,783 $.805,145
LIABILITIES AND NET ASSETS
Current Liabilities:
Accrued vacations $ 22,197 $ 18,213
Accrued expenses-other (Note 9) 5,308 1,652
Total Current Liabilities 27,505 19,865
Net Assets:
Unrestricted 699,696 404,402
Temporarily restricted (Note 7) 84,582 380,878
Permanently restricted - -
Total Net Assets 784,278 785,280
TOTAL LIABILITIES
AND NET ASSETS $ 811,783 $ 805,145
* For comparative purposes only
The accompanying notes and supplemental information are an
integral part of these financial statements.
3
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COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
STATEMENTS OF CASH FLOWS
JUNE 30, 2008 AND 2007
CASH FLOWS FROM OPERATING ACTIVITIES:
Changes in net assets $
Adjustments to reconcile changes in
Net assets to net cash provided
(used) by operating activities:
Depreciation
(Increase) decrease in:
Grants and contracts receivable
Promises to give
Prepaid expenses
Deposits
Increase (decrease) in:
Accrued expenses
NET CASH PROVIDED BY
OPERATING ACTIVITIES
("~T CU LET /'1T.T C~ L~T]nTrt TTl'c rT.+n mnrtr~r.Tm T rmTC~T mTr+n _
2008 2007
(1,002) $ 54,303
33,499
16,188
296,297
(7, 953)
139
24,288
(30, 536)
(31, 072)
(l, 205)
280
7, 640
344,808
7,110
23,168
Purchase of equipment and furniture (305,176)
NET CASH USED BY
INVESTMENT ACTIVITIES (305,176)
NET INCREASE (DECREASE) IN CASH AND
CASH EQUIVALENTS 39,632
CASH AND CASH EQUIVALENTS, BEGINNING
OF YEAR 60,006
CASH AND CASH EQUIVALENTS, END OF YEAR $ 99,638
* For comparative purposes only
The accompanying notes and supplemental
integral part of these financial statements.
(46, 291)
(46, 291)
(23, 123)
83,129
$ 60,006
information are an
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COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
NOTES TO FINANCIAL STATEMENTS
Page 1 of 7
NOTE 1 - THE ORGANIZATION
Community Resources for Independent Living, Inc. (CRIL), is a not-
for-profit California Corporation established in March 1979 for
the purpose of serving physically disabled adults with programs
and activities designed to enhance life styles and increase
opportunities for full participation in the life of the community.
CRIL is a cross-disability, community-based organization. Anyone
with a disability is eligible for services regardless of race,
color, national origin, gender, sexual orientation, age, marital
status, familial status, religion, or human immunodeficiency virus
(HIV) status.
CRIL supports, empowers, and teaches skills to persons with
disabilities so that they may more fully participate in community
and life activities. CRIL teaches and advocates for change to
remove barriers to access for persons with disabilities.
CRIL derives a substantial portion of its support and revenue from
reimbursement type grants with the State of California, Department
of Rehabilitation and the U.S. Department of Housing and Urban
Development under Community Development Block Grants.
The Corporation's Mission Statement is:
"CRIL ADVOCATES AND PROVIDES RESOURCES FOR PEOPLE WITH
DISABILITIES TO IMPROVE THE QUALIFTY OF LIFE AND MAKE
COMMUNITIES FULLY ACCESSIBLE."
NOTE 2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
o Basis of Accounting
The financial statements of CRIL are prepared on the
accrual basis of accounting and, accordingly, reflect all
significant receivables, payables, and other liabilities.
7
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
NOTES TO FINANCIAL STATEMENTS
Page 2 of 7
NOTE 2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONT'D
o Basis of Presentation
Financial statement presentation follows recommendations
of the Financial Accounting Standards Board in its
Statement of Financial Accounting Standards (SFAS) No.
117, Financial Statements of Not-for-Profit
Organizations. Under SFAS No. 117, CRIL is required to
report information regarding its financial position and
activities according to three classes of net assets:
unrestricted net assets; temporarily restricted net
assets; and permanently restricted net assets.
o Grants and Contracts
Support received under grants and contracts is recorded
as public support in the appropriate account when related
costs are incurred. Grants receivable represent amounts
due for expenditures incurred prior to year-end.
o Contributions/Donations
The Corporation accounts for contributions in accordance
with recommendations of SFAS No. 116, "Accounting for
Contributions Received and Contributions Made." In
accordance with SFAS No. 116, contributions received are
recorded as unrestricted, temporarily restricted, or
permanently restricted support depending on the existence
and/or nature of any donor restrictions.
All other donor-restricted support is reported as an
increase in temporarily or permanently restricted net
assets depending on the nature of the restriction. When
a restriction expires (that is, when a stipulated time
restriction ends or purpose restriction is accomplished),
temporarily restricted net assets are reclassified to
unrestricted net assets and reported in the Statement of
Activities as net assets released from restrictions.
o Functional Expenses
CRIL allocates expenses on a functional basis among its
programs, support services and fundraising. Expenses that
can be identified with program and support service are
allocated directly according to expenditure
classifications.
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
Promises to Give
NOTES TO FINANCIAL STATEMENTS
Page. 3 of 7
NOTE 2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONT'D.)
0
0
Promises to give (an agreement to contribute cash or
other assets) are recorded as revenue in the period
received. Assets received with donor stipulations that
limit the use of the asset are reported as restricted
support. When the donor restriction expires, that is,
when a stipulated time restriction ends or purpose
restriction is substantially met, temporarily restricted
net assets are reclassified to unrestricted net assets
and reported in the statement of activities as .net assets
released from restrictions.
Property and Equipment
Donated property and equipment are recorded as support at
estimated fair values. Donated assets are reported as
unrestricted support unless the donor has restricted the
donated asset to a specific purpose. Assets donated with
explicit restrictions .regarding their use and
contributions of cash that must be used to acquire
property and equipment are reported as restricted
support. Absent donor stipulations regarding how long
those donated assets must be maintained, CRIL reports
expirations of donor restrictions when the donated assets
are placed in service.
Major categories of property and equipment, including
their depreciable lives are as follows;
Buildings
Equipment
Furniture
0
Estimates
HAYWARD, CALIFORNIA
and improvements
and furnishings
15-30 years
5- 7 years
3- 5 years
The preparation of financial statements in conformity
with generally accepted accounting principles requires
management to make estimates and assumptions that affect
certain reported amounts and disclosures. Accordingly,
actual results could differ from those estimates.
9
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
NOTES TO FINANCIAL STATEMENTS
Page 4 of 7
NOTE 2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONT'D.
o Cash and Cash Equivalents
For purposes of the Statements of Cash Flows, CRIL
considers all demand deposits with banks and money market
accounts with securities firms to be cash. CRIL had no
cash equivalents during the period.
o Income Tax Status
CRIL has been granted tax-exempt status by the Internal
Revenue Service under Code 501(c)(3) and the California
Franchise Tax Board under Section 23701 (d) of the
Revenue and Taxation Code.
o Bad Debts
Bad debts are provided for by the direct write-off method
of accounting which approximates the same result that
would be achieved under a generally accepted accounting
method.
o Comparative Information
The financial statements include certain prior year
summarized comparative information in total but not by
net asset class. Such information does not include
sufficient detail to constitute a presentation in
conformity with generally accepted accounting principals.
Accordingly, such information should be read in
conjunction with CRIL's financial statements for the year
ended June 30, 2007, from which the summarized
information was derived.
10
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT. CORPORATION)
HAYWARD, CALIFORNIA
NOTES TO FINANCIAL STATEMENTS
Page 5 of 7
NOTE 3 - GRANTS AND CONTRACTS RECEIVABLE
Grants and contracts receivable at June 30, 2008 and 2007 are:
2008 2007
Center for Independent Living $ 3,356 $ 2,524
Department of Education 13,798 21,425
State of California Department
of Rehabilitation 6,192 17,030
Public Authority for IHSS-fee for
services 15,735 -
City of Livermore 1,216 2,030
City of Fremont 4,613 2,972
City of Pleasanton-fee for services - 3,955
City of Dublin 1,128 3,938
City of Pleasanton 2,637 1,970
Department of Rehabilitation 67,304 .76,323
$ 115,979 $ 132,167
NOTE 4 - UNCONDTTTONAT~ PRnMT~F.fi TC) l;'T~TF.
2008 2007
Capital Improvements
City of Hayward-CDBG $ - $ 183,972
City of Fremont-CDBG - 65,192
City of Pleasanton-CDBG - 5,000.
County of Alameda - 47,603
$ - $ 301,767
Others
Center for Independent Living $ 6,617 $ 9,342
CA Dept. of Education Title VII 35,328 20,593
CA Dept of Rehabilitation 22,298 26,368
City of Livermore - 2,470
$ 64,243 $ 58,773
11
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
NOTES TO FINANCIAL STATEMENTS
NOTE 5 - PROPERTY AND EQUIPMENT
Page 6 of 7
Property and equipment at June 30, 2008 and 2007 consist of:
2008 2007
Lands $ 54,271 $ 54,271
Buildings and improvements 667,810 367,312
Equipment 78,532 75,326
Furniture 72,989 71,.516
873,602 568,425
Less: Accumulated depreciation (357,837) (324,337)
$ 515,765 $ 244,088
Depreciation expense for years ended June 30, 2008 and 2007 was
$33,500 and $24,288, respectively.
Capitalized fixed assets acquired for years ended June 30, 2008
and 2007 totaled $ 305,176 and $ 46,291, respectively. For .fiscal
year 2008, CRIL recorded $ 300,493 in building improvements cost
which were paid by various cities and Alameda County (see page 11)
through the City of Hayward acting as fiscal agent.
NOTE 6 - DEPOSIT
This account represents a deposit with Workman's Compensation.
NOTE 7 - TEMPORARILY RESTRICTED NET ASSETS
At June 30, 2008 and 2007 temporarily restricted net assets
consisted of:
2008 2007
Center for Independent Living $ 6,617 $ 9,341
CA Dept. of Education Title VII 35,328 20,593
CA Dept. of Rehabilitation 22,298 26,368
City of Livermore - 2,470
IBM Grant 1,000 1,000
BART Legal Settlement 19,339 19,339
Capital Improvement:
City of Hayward, CDBG - 183,972
City of Fremont, CDBG - 65,192
City of Pleasanton, CDBG - 5,000
County of Alameda - 47,603
Total $ 84,582 $ 380,878
12
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
NOTES TO FINANCIAL STATEMENTS
Page 7 of 7
NOTE 8 - CONCENTRATION OF CREDIT RISK
Grants receivable consists of fees and reimbursements due from
federal, state, county, and city governments or their agents
including pass-throughs from other not-for-profit organizations.
At June 30, 2008, receivables from federal agencies or their
agents accounted for about 83 percent of the total, while state,
county and city governments or their agents account for about 17
percent.
NOTE 9 - ACCRUED EXPENSES - OTHER
Accrued expenses-other as of June 30, 2008 and 2007 consists of:
2008
Audit fee
Unemployment insurance
Worker's Compensation insurance
$ 4,099
755
45~,
2007
$ -
761
R9l
$ 5,309 $ 1,652
NOTE 10 - LEASES
The Center primarily operates from
Hayward which are owned by the Coy
Fremont ($ 280) and Livermore ($
leases. The two operating leases are
payments are $ 3,360 and $ 1,200
respectively.
its headquarter offices in
~poration. Branch offices in
100) are on month-to-month
renewed annually. The annual
for Fremont and Livermore,
13
SUPPLEMENTARY INFORMATION
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
INDEPENDENT AUDITOR'S REPORT
SUPPLEMENTARY INFORMATION
To: The Board of Directors
Community Resources for Independent Living, Inc.
Hayward, California
Our report on the audit of the basic financial statements of
Community Resources for Independent Living, Inc. as of June 30,
2008 appears on pages 1 and 2 of this report. The audit was made
for the purpose of forming an opinion on the basic financial
statements taken as a whole. The supplemental information is
presented for purposes of additional analysis and is not a
required part of the basic financial statements. Such information
for the period has been subjected to the auditing procedures
applied in the audit of the basic financial statements and, in our
opinion, is fairly stated in all material respects in relation to
the basic financial statements taken as a whole.
DENNIS L LORETTE
ACCOUNTANCY CORPORATION
Pinole, California
November 11, 2008
14
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
INDEPENDENT AUDITOR'S REPORT
ON SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS
To: The Board of Directors
Community Resources for Independent Living, Inc.
Hayward, California
We have audited the basic financial statements of Community
Resources for Independent Living, Inc. (a not-for-profit
Corporation) as of and for the year ended June 30, 2008, and have
issued our report thereon dated November 11, 2008. Our audit was
performed for the purpose of forming an opinion on the basic
financial statements taken as a whole. The accompanying schedule
of expenditures of federal awards is presented for purposes of
additional analysis as required by U.S. Office of Management and
Budget Circular A-133, Audits of States, Local Governments, and
Non-Profit Organizations, and is not a required part of the basic
financial statements. Such information has been subjected to
auditing procedures applied in the audit of the basic financial
statements and, in our opinion, is fairly stated, in all material
respects, in relation of the basic financial statements taken as
a whole.
This report is intended solely for the information and use of
management, Board of Directors, and federal awarding agencies and
pass-through entities and is not intended to be and should not be
used by anyone other than these specified parties.
DENNIS L. LORETTE
ACCOUNTANCY CORPORATION
Pinole, California
November 11, 2008
15
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
SCHEDULE OF EXPENITURES OF FEDERAL AWARDS
FOR YEAR ENDED JUNE 30, 2008
PASS-THROUGH
FEDERAL ENTITY
PASS-THROUGH GRANTOR/ CFDA IDENTIFYING FEDERAL
GRANTOR/PROGRAM NUMBER NUMBER AWARDS
Major Program
N/A 12,468
N/A 183,972
N/A 65,192
N/A 5,000
N/A 47,603
Passed through State of 84.169A 26065 $ 340,921 $ 340,921
California, Department 84.169A 26055 70,000 70,000
of Rehabilitation 26522 19,881 15,006
26522 68,181 45,883
Other Programs
U.S. Department of Education
Centers for Independent
Living Programs
Programs
Passed through State of
California, Department
of Rehabilitation
84.132A H132A010032-07 20,702
84.132A H132A010032-08 82,822
84.169A 26889 6,.487
U.S. Department of Housing and
Urban Development
Community Development
Block Grant
Passed through the
City of Livermore 14.218
City of Hayward CDBG
City of Fremont CDBG
City of Pleasanton CDBG
County of Alameda
Center for Independent Living
Passed through Social
Security Administration
Total Awards
N/A 9,341
N/A 10,000
REVENUE
RFCnCNT 7R1~
20,703
47,495
6,487
12,468
182,699
65,192
5,000
47,603
9,341
3,383
$ 942,569 $ 872,181
The above Schedule of Expenditures of Federal Awards includes the federal grant
activity of CRIL and is presented on the accrual .basis of accounting. The
information in the Schedule is presented in accordance with the requirements of
OMB Circular A-133, Audits of States, Local Governments, and Non-Profit
Organizations. Therefore, some amounts presented in the Schedule may differ
from amounts presented in, or used in the preparation of the basic financial
statements.
16
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
INDEPENDENT AUDITOR'S REPORT ON INTERNAL CONTROL OVER
FINANCIAL REPORTING AND ON COMPLIANCE AND OTHER
MATTERS BASED ON AN AUDIT OF FINANCIAL STATEMENTS
PERFORMED IN ACCORDANCE WITH GOVERNMENT AUDITING STANDARDS
Page 1 of 2
To: The Board of Directors
Community Resources for Independent Living, Inc.
Hayward, California
We have audited the financial statements of Community Resources
for Independent Living, Inc. (a not-for-profit Corporation) (CRIL)
as of and f or the year ended June 3 0 , 2 0 0 8 , and have i s sued our
report thereon dated November 11, 2008. We conducted our audit in
accordance with auditing standards generally accepted in the
United States of America and the standards applicable to financial
audits contained in Government Auditing Standards, issued by the
Comptroller General of the United States.
Internal Control Over Financial Reporting
In planning and performing our audit, we considered CRIL's
internal control over financial reporting as a basis for designing
our auditing procedures for the purpose of expressing our opinion
on the financial statements, but not for the purpose of expressing
an opinion on the effectiveness of CRIL's internal control over
financial reporting. Accordingly, we do not express an opinion on
the effectiveness of CRIL's internal control over financial
reporting.
A control deficiency exists when the design or operation of a
control does not allow management or employee, in the normal
course of performing their assigned functions, to prevent or
detect misstatements on a timely basis. A significant deficiency
is a control deficiency, or combination of control deficiencies,
that adversely affects CRIL's ability to initiate, authorize,
record, process, or report financial data reliably in accordance
with generally accepted accounting principles, such that there is
more than a remote likelihood that a misstatement of CRIL's
financial statements that is more than inconsequential will not be
prevented or detected by CRIL's internal control
17
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
INDEPENDENT AUDITOR'S REPORT ON INTERNAL CONTROL OVER
FINANCIAL REPORTING AND ON COMPLIANCE AND OTHER
MATTERS BASED ON AN AUDIT OF FINANCIAL STATEMENTS
PERFORMED IN ACCORDANCE WITH GOVERNMENT AUDITING STANDARDS
Page 2 of 2
A material weakness is a significant deficiency, or combination of
significant deficiencies, that results in more than a remote
likelihood that a material misstatement of the financial
statements will be prevented or detected by CRIL's internal
control.
Our consideration of internal control over financial reporting was
for the limited purpose described in the first paragraph of this
section and would not necessarily identify all deficiencies in
internal control that might be significant deficiencies or
material weaknesses. We did not identify any deficiencies in
internal control over financial reporting that we consider to be
material weaknesses, as defined above.
Compliance and Other Matters
As part of obtaining reasonable assurance about whether Community
Resources for Independent Living's financial statements are free
of material misstatements, we performed tests of its compliance
with certain provisions of laws, regulations, contracts and grant
agreements, noncompliance with which could have a direct and
material effect on the determination of financial statement
amounts. However, providing an opinion on compliance with those
provisions was not an objective of our audit and, accordingly, we
do not express such an opinion. The results of our tests disclosed
no instances of noncompliance or other matters that are required
to be reported under Government Auditing Standards.
This report is intended solely for the information and use of
management, Board of Directors, and federal awarding agencies and
pass-through entities and is not intended to be and should not be
used by anyone other than these specified parties.
DENNIS L. LORETTE
ACCOUNTANCY CORPORATION
Pinole, California
November 11, 2008
18
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
INDEPENDENT AUDITOR'S REPORT ON COMPLIANCE WITH REQUIREMENTS
APPLICABLE TO EACH MAJOR PROGRAM AND ON INTERNAL CONTROL
OVER COMPLIANCE IN ACCORDANCE WITH OMB CIRCULAR A-133
Page 1 of 2
To: The Board of Directors
Community Resources for Independent Living, Inc.
Hayward, California
Compliance
We have audited the compliance of Community Resources for
Independent Living, Inc. (a not-for-profit Corporation) with the
types of compliance requirements described in the U.S. Office of
Management and Budget (OMB) Circular A-133 Compliance Supplement
that are applicable to each of its major federal programs for the
year ended June 30, 2008. Community Resources for Independent
Living, Int.'s major federal programs are identified in the
summary of auditor's results section of the accompanying schedule
of findings and questioned costs. Compliance with the requirements
of laws, regulations, contracts, and grants applicable to each of
its major federal programs is the responsibility of Community
Resources for Independent Living, Int.'s management. Our
responsibility is to express an opinion on Community Resources for
Independent Living, Inc.'s compliance based on our audit.
We conducted our audit of compliance in accordance with auditing
standards generally accepted in the United States of America; the
standards applicable to financial audits contained in Government
Auditing Standards, issued by the Comptroller General of the
United States; and OMB Circular A-133, Audits of States, Local
Governments, and Non-Profit Organizations. Those standards and OMB
Circular A-33 require that we plan and perform the audit to obtain
reasonable assurance about whether noncompliance with the types of
compliance requirements referred to above that could have a direct
and material effect on a major federal program occurred. An audit
includes examining, on a test basis, evidence about Community
Resources for Independent Living, Inc.'s compliance with those
requirements and performing such other procedures as we considered
necessary in the circumstances. We believe that our audit provides
a reasonable basis for our opinion. Our audit does not provide a
legal determination of Community Resources for Independent Living,
Inc.'s compliance with those requirements.
19
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT ORGANIZATION)
HAYWARD, CALIFORNIA
INDEPENDENT AUDITOR'S REPORT ON COMPLIANCE WITH REQUIREMENTS
APPLICABLE TO EACH MAJOR PROGRAM AND ON INTERNAL CONTROL
OVER COMPLIANCE IN ACCORDANCE WITH OMB CIRCULAR A-133
Page 2 of 2
In our opinion, Community Resources
complied, in all material respects,
to above that are applicable to each
for the year ended June 30, 2008.
for Independent Living, Inc.
with the requirements referred
of its major federal programs
Internal Control Over Compliance
The management of Community Resources for Independent Living, Inc.
is responsible for establishing and maintaining effective internal
control over compliance with the requirements of laws,
regulations, contracts, and grants applicable to federal programs.
In planning and performing our audit, we considered Community
Resources for Independent Living, Inc.'s internal control over
compliance with requirements that could have a direct and material
effect on a major federal program in order to determine our
auditing procedures for the purpose of expressing our opinion on
compliance and to test and report on the internal control over
compliance in accordance with OMB Circular A-133.
Our consideration of the internal control over compliance would
not necessarily disclose all matters in the internal control that
might be material weaknesses. A material weakness is a reportable
condition in which the design or operation of one or more of the
internal control components does not reduce to a relatively low
level the risk that noncompliance with applicable requirements of
laws, regulations, contracts, and grants caused by error or .fraud
that would be material in relation to a major federal program
being audited may occur and not be detected within a timely period
by employees in the normal course of performing their assigned
functions. We noted not matters involving the internal control
over compliance and its operation that we consider to be material
weaknesses.
This report is intended solely for the information and use of
management, Board of Directors, and federal awarding agencies and
pass-through entities and is not intended to be and should not be
used by anyone other than these specified parties.
DENNIS L. LORETTE
ACCOUNTANCY CORPORATION
Pinole, California
November 11, 2008
20
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
BOARD OF DIRECTORS AND MANAGEMENT
AT
JUNE 30, 2008
Mark Baur, Secretary/Treasurer
Bruce Blanco, Member
Marsha Burch, Vice-President
Randy Dana, Member
Chris Finn, President
H. Stephen Kaye, Member
Jeffrey A. Rosen, Member-at-large
Marty Stenrud, Member
Waseem Sufi, Member
Executive Director
Sheri Burns
21
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
SUMMARY SCHEDULE OF PRIOR YEAR AUDIT FINDINGS
YEAR ENDED JUNE 30, 2007
There were no prior year findings.
22
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
SCHEDULE OF FINDINGS AND QUESTIONED COSTS
JUNE 30, 2008
A. SUMMARY OF AUDITOR'S RESULTS
1. The auditor's report expresses an unqualified opinion
on the financial statements of CRIL.
2. There were no reportable conditions disclosed during
the audit of the financial statements.
3. No instances of noncompliance material to the financial
statements of CRIL were disclosed during the audit in
accordance with Government Auditing Standards.
4. There were reportable conditions in internal control
over major federal award programs disclosed during the
audit.
5. The auditor's report on compliance for the major
federal award programs for CRIL expresses an
unqualified opinion on all major federal programs.
6. Audit findings that are required to be reported in
accordance with Section 510 (a) of OMB Circular A-133
are reported in this Schedule.
7. The programs tested as major programs included
Department of Education, CFDA No. 84.169A.
8. The threshold for distinguishing Type A and B programs
was $ 300,000.
9. CRIL was determined to be a low-risk auditee.
B. FINDINGS - FINANCIAL STATEMENTS AUDIT
No matters were reported.
C. FEDERAL AWARD FINDINGS AND QUESTIONED COSTS
No matters were reported.
23
COMMUNITY RESOURCES FOR INDEPENDENT LIVING, INC.
(A NOT-FOR-PROFIT CORPORATION)
HAYWARD, CALIFORNIA
CORRECTIVE ACTION PLAN
YEAR ENDED JUNE 30, 2008
There were no reportable conditions.
24
COMMUNITY RESOURCES FOR
INDEPENDENT LIVING, INC.
439 "A" ST.
HAYWARD, CA 94541
October 30, 2008
Dennis L. Lorette
Accountancy Corporation
2131 San Pablo Ave.
Pinole, CA 94564
We are providing this letter in connection with your audit of the statement of the
financial position of Community Resources for Independent Living, Inc. as of June
30, 2008 and the related statements of activities, cash flows, and functional expenses
for the year then ended for the purpose of expressing an opinion as to whether the
financial statements present fairly, in all material respects, the financial position,
changes in net assets, and cash flows of Community Resources for Independent
Living, Inc. in conformity with U.S. generally accepted accounting principles. We
confirm that we are responsible for the fair presentation in the financial statements
of financial position, changes in net assets, and cash flows in conformity with
generally accepted accounting principles. We are also responsible for adopting
sound accounting policies, establishing and maintaining effective internal control,
and preventing and detecting fraud.
We confirm, to the best of our knowledge and belief, as of October 30, 2008, the
following representations made to you during your audit.
1. The financial statements referred to above are fairly presented in conformity
with U.S. generally accepted accounting principles and include all assets and
liabilities under the Organization's control.
2. We have made available to you all-
a. Financial records and related data.
October 30, 2008
Community Resources for
Independent Living, Inc.
Representation Letter
Page 2
b. Minutes of the meetings of the Board of Directors or summaries of
actions of recent meetings for which minutes have not yet been
prepared.
3. There have been no communications from regulatory agencies concerning
noncompliance with, or deficiencies in, financial reporting practices.
4. There are no material transactions that have not been properly recorded in the
accounting records underlying the financial statements.
5. We acknowledge our responsibility for the design and implementation of
programs and controls to prevent and detect fraud.
6. We have no knowledge of any fraud or suspected fraud affecting the
Organization involving-
a. Management,
b. Employees who have significant roles in internal control, or
c. Others where the fraud could have a material effect on the financial
statements.
7. We have no knowledge of any allegations of fraud or suspected fraud
affecting the Organization received in communications from employees,
former employees, grantors, regulators, or others.
8. The Organization has no plans or intentions that may materially affect the
carrying value or classification of assets, liabilities, or net asset balances.
9. The following, if any, have been properly recorded or disclosed in the
financial statements:
a. Related party transactions, including revenues, expenses, loans,
transfers, leasing arrangements, and guarantees, and amounts
receivable from or payable to related parties.
October 30, 2008
Community Resources for
Independent Living, Inc.
Representation Letter
Page 3
b. Guarantees, whether written or oral, under which the Organization is
contingently liable.
c. All accounting estimates that could be material to the financial
statements, including the key factors and significant assumptions
underlying those estimates, and we believe the estimates are reasonable.
in the circumstances.
10. There are no estimates that may be subject to a material change in the near
term that have not been properly disclosed in the financial statements. We
understand that near term means the period within one year of the date of the
financial statements. In addition, we have no knowledge of concentrations
existing at the date of the financial statements that make the organization
vulnerable to the risk of severe impact that have not been properly disclosed
in the financial statements.
11. We are responsible for compliance with the laws, regulations, and provisions
of contracts and grant agreements applicable to us; and we have identified
and disclosed to you all laws, regulations and provisions of contracts and
grant agreements that we believe have a direct and material effect on the
determination of financial statement amounts or other financial data
significant to the audit objectives.
12. Community Resources for Independent Living, Inc. is an exempt organization
under Section 501(c)(3) of the Internal Revenue Code. Any activities of
which we are aware that would jeopardize the Organization's tax-exempt
status, and all activities subject to tax on unrelated business income or excise
or other tax, have been disclosed to you. All required filings with tax
authorities are up-to-date.
13. There are no-
a. Violations or possible violations of laws and regulations and provisions
of contracts and grant agreements whose effects should be considered
for disclosure in the financial statements, as a basis for recording a loss
contingency, or for reporting on noncompliance.
October 30, 2008
Community Resources for
Independent Living, Inc.
Representation Letter
Page 4
b. We are not aware of any pending or threatened litigation, claims, or
assessments or unasserted claims or assessments that are required to be
accrued or disclosed in the financial statements in accordance with
Statement of Financial Accounting Standards No. 5 (or which would
affect federal award programs), and we have not consulted a lawyer
concerning litigation, claims, or assessments.
c. Other liabilities or gain or loss contingencies that are required to be
accrued or disclosed by Statement of Financial Accounting Standards
No. 5.
d. Designations of net assets disclosed to you that were not properly
authorized and approved, or reclassifications of net assets that have not
been properly reflected in the financial statements.
14. The Organization has satisfactory title to all owned assets, and there are no
liens or encumbrances on such assets nor has any asset been pledged.
15. We have complied with all restrictions on resources (including donor
restrictions) and all aspects of contractual and grant agreements that would
have a material effect on the financial statements in the event of
noncompliance. This includes complying with donor requirements to
maintain a specific asset composition necessary to satisfy their restrictions.
16. With respect to federal award programs:
a. We are responsible for complying and have complied with the
requirements of OMB Circular A-133, Audits of States, Local
Governments, and Non-Profit Organizations.
October 30, 2008
Community Resources for
Independent Living, Inc.
Representation Letter
Page 5
b. We have, in accordance with OMB Circular A-133, identified in the
schedule of expenditures of federal awards, expenditures made during
the audit period for all awards provided by federal agencies in the form
of grants, federal cost-reimbursement contracts, loans, loan guarantees,
property (including donated surplus property), cooperative agreements,
interest subsidies, insurance, food commodities, direct appropriations,
and other assistance.
c. We are responsible for complying with the requirements of laws,
regulations, and the provisions of contracts and grant agreements
related to each of our federal programs and have identified and
disclosed to you the requirements of laws, regulations and the
provisions of contracts and grant agreements that are considered to
have a direct and material effect on each major federal program.
d. We are responsible for establishing and maintaining, and have
established and maintained, effective internal control over compliance
requirements applicable to federal programs that provides reasonable
assurance that we are managing our federal awards in compliance with
laws, regulations, and the provisions of contracts and grant agreements
that could have a material effect on our federal programs. We believe
the internal control system is adequate and is functioning as intended.
Also, no changes have been made in internal control over compliance
and other factors to the date of this letter that might significantly affect
internal control, including any corrective action taken with regard to
reportable conditions (including material weaknesses) reported in the
schedule of findings and questioned costs.
e. We have made available to you all contracts and grant agreements
(including amendments, if any) and any other correspondence with
federal agencies orpass-through entities relating to federal programs.
f. We have received no requests from a federal agency to audit one or
more specific programs as a major program.
October 30, 2008
Community Resources for
Independent Living, Inc.
Representation Letter
Page 6
g. We have complied, in all material respects, with the compliance
requirements, including when applicable, those set forth in the OMB
Circular A-133 Compliance Supplement, relating to federal awards and
have identified and disclosed to you all amounts questioned and any
known noncompliance with the requirements of federal awards
resulting from other audits or program reviews.
h. Amounts claimed or used for matching were determined in accordance
with relevant guidelines in OMB Circular A-122, Cost Principles for
Nonprofit Organizations, and Subpart C, Cost Sharing and Matching,
of OMB Circular A-110, Grants and Agreements with Institutions of
Higher Education, Hospitals, and Other Nonprofit Organizations.
i. We have disclosed to you our interpretation of compliance
requirements that may have varying interpretations.
j. We have charged costs to federal awards in accordance with applicable
cost principles.
k. We have made available to you all documentation related to the
compliance requirements, including information related to federal
program financial reports and claims for advances and reimbursements.
1. Federal program financial reports and claims for advances and
reimbursements are supported by the books and records from which the
basic financial statements have been prepared.
m. The copies of federal program financial reports provided you are true
copies of the reports submitted, or .electronically transmitted, to the
respective federal agency orpass-through entity, as applicable.
October 30, 2008
Community Resources for
Independent Living, Inc.
Representation Letter
Page 7
n. We are responsible for and have accurately prepared the summary
schedule of prior audit findings to include all findings required to be
included by OMB Circular A-133, and we have provided you with all
information on the status of the follow-up on prior audit findings by
federal awarding agencies and pass-through entities, including all
management decisions.
o. We are responsible for and have accurately prepared the auditee section
of the Data Collection Form as required by OMB Circular A-133, and
we are responsible for preparing and implementing a corrective action
plan of each audit finding.
17. We have identified to you any previous financial audits, attestation
engagements, performance audits, or other studies related to the objectives of
the audit being undertaken and the corrective actions taken to address
significant finds and recommendations.
No events have occurred subsequent to the statement of financial position date and
through the date of this letter that would require adjustment to, or disclosure in, the
financial statements or in the schedule of findings and questioned costs.
Signed:
Signed:
Date:
Date:
Title: Executive Director Title: Board President
November 5, 2008
Sheri Burns
Executive Director
Community Resources for Independent Living, Inc.
439 "A" St.
Hayward, CA 94541
Re: Draft Audit Report
Dear Sheri:
Enclosed is a copy of our draft report of Community Resources for Independent
Living, Inc. for the year ended June 30, 2008. Please review ASAP and let me know
if you have any comments or questions.
Both Cora and Leonora found CRIL to be fiscally sound and with excellent internal
controls that are being adhered to. Our adjusting journal entries will accompany the
final report.
Also enclosed is a required Representation Letter. Please sign along with the Board
Treasurer and return to me in the self-addressed envelope.
The audit was completed on October 30, 2008. However, Auditing Standards now
require the Audit Report be dated upon receipt of the signed Representation Letter.
Sincerely,
Dennis L. Lorette
DLL/11
enc.
P.S. If you want me to present the report at your next Board meeting, I will
be happy to do so.
November 12, 2008
Sheri Burns
Executive Director
Community Resources for Independent Living, Inc.
439 "A" St.
Hayward, CA 94541
Dear Sheri:
Enclosed are (5) five copies of the final Audit Report of Community Resources for
Independent Living, Inc. for the year ended June 30, 2008.
April Monroe picked up the Incentive Funding Form earlier today.
The tax returns will follow next week.
Sincerely,
Dennis L. Lorette
DLL/11
enc.
November 6, 2008
Sheri Burns
Executive Director
Community Resources for
Independent Living, Inc.
439 A Street
Hayward, CA 94541
Re: Form RRF-1, Fiscal Year Ended June 30, 2008
Dear Sheri:
Enclosed is Community Resources for Independent Living, Inc.'s required Form
RRF-1 for the subject year. A check for $ 75.00 payable to "Attorney General's
Registry of Charitable Trusts" must be included with the Form.
No extensions are granted with this form so please sign and date where indicated
and mail on or before November 15, 2008 to:
Registry of Charitable Trusts
P.O. Box 903447
Sacramento, CA 94203-4470
Also, enclosed is a copy of Form 8868, Application for Extension, for Community
Resources for Independent Living, Inc.'s Federal tax return Form 990. We have
already filed this form with the Internal Revenue Service on your behalf. No
extension is required with the State for Form 199.
If you have any questions please give me a call.
Sincerely,
Dennis L. Lorette
DLL/11
enc.
Attachment
D
State of California
BOARD RESOLUTION
Original
Amendment #
Community Resources for Independent Living
WHEREAS, the Board of Directors of Community Resources for
Independent Living (CRIL) has read the proposed 2009-10 Dublin City
Grant application between the City of Dublin and CRIL and said Board
of Directors acknowledges the benefits and responsibilities to be shared
by both parties to said agreement,
NOW, THEREFORE, BE IT RESOLVED that said Board of Directors
does hereby authorize the following person or persons:
Name of Person Authorized to Sign Agreement Title of Person Authorized to Sign A reement
Chris Finn Board President
Sheri Burns
Executive Director
of Community Resources for Independent Living on behalf of the
organization to sign and execute said application and all amendments
there to, except to increase the financial liability of said organization.
CERTIFICATION
I, the Recording Secretary named below, hereby certify that the
foregoing resolution was duly and regularly adopted by the Board of
Directors of Community Resources for Independent Living at a
meeting of said Board regularly called and convened at which a quorum of
said Board of Directors was present and voting, and that said resolution
was adopted by a vote of the majority of all Directors present at said
meeting.
IN WITNESS WHEREOF, I have hereunto set my hand as Recording
Secretary of Community Resources for Independent Living.
Address Where Board Meeting was Held: 439 A Street, Hayward, CA 94541
Date of Board Meeting Signature of Recording S etary Date Signed
December 18, 2008 ~ January 27, 2009
.~2-z. ~:
Attachment
E
OP ID JF
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MNI/DD/YYYY)
cor~ro2 O1 28 09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO
Nonprofit Services Ins . Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Dennis Costa HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2843 Hopyard Rd. #169 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Pleasanton CA 94588
Phone: 877-669-5101 Fax:877-669-5109 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: NIAC
INSURER B:
COmm. Resources for Ind Living INSURER C:
439 A Street
H
d CA 94541 INSURER D:
aywar
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE
DATE MM/DD/YY POLICY EXPIRATION
DATE MM/DD/YY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ l O O O O O O
A X COMMERCIAL GENERAL LIABILITY 2008-16173-NPO 07/01/08 07/01/09 PREMISES (Eaoccurence) $ 100000
CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5 0 0 O
PERSONAL&ADVINJURY $ lOOOOOO
X Prof. Liab. 1nClu GENERAL AGGREGATE $ 3000000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 3 O O O O O O
POLICY PRO-
JECT LOC
Em Ben.
1000000
AUT OMOBILE LIABILITY
COMBINED SINGLE LIMIT
i
t
E $ 1000000
A ANY AUTO 2008-16173-NPO 07/01/08 07/01/09 den
)
(
a acc
ALL OWNEDAUTOS BODILY INJURY
SCHEDULED AUTOS
(Per person) $
X HIRED AUTOS
BODILY INJURY
X
NON-OWNED AUTOS
(Per accident) $
PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR ~ CLAIMS MADE AGGREGATE
--' $
$
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND
' -
TORY LIMITS ER
EMPLOYERS
LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
E. L. EACH ACCIDENT
$
OFFICER/MEMBER EXCLUDED?
If E.L. DISEASE - EA EMPLOYE $
yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
* 10 days notice of cancellation for nonpayment of premium. Certificate
Holder is included as an Additional Insured - Funding Source.
GtK11tIGAft FiVLDER CANCELLATION
City of Dublin
100 Civic Plaza
Dublin CA 94568
L+Irr~~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIC
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 O * DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LUIBILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
25 (2001/08)
POLICYHOLDER COPY
STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807
COMPENSATION
I N S U R A N C E
FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 01-28-2009 GROUP:
POLICY NUMBER: 0537734-2008
CERTIFICATE ID: 49
CERTIFICATE EXPIRES: 08-07-2008
08-07-2008/08-07-2009
CITY OF DUBLIN
100 CIVIC PL2
DUBLIN CA 94568-2658
NB
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer.
We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded
by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document
with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance
afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy.
THORIZED REPRESENTATI
PRESIDENT
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE.
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 08-07-2000 IS
ATTACHED TO AND FORMS A PART OF THIS POLICY.
EMPLOYER
COMMUNITY RESOURCES FOR INDEPENDENT LIVING,
INC. (A NON-PROFIT CORP.)
439 A ST
HAYWARD CA 84541
[NJD,CN]
NB
(REV.2-05) PRINTED 01-28-2009
Attachment
F
City of Dublin
Fiscal Year 2009-2010
Application for Funds
APPLICATION VERIFICATION
I attest that the information contained inthis FY 2009-2010 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
31, 2010. Failure to submit a report will result in ineligibility for future funding.
Signatures:
ate
~-~' ~
Date
SECTION 2
Page 11 of 16
~~ /i
.~ ~
Board President/Chairperson
Attachment
H
~FF~TIFICrtk~"~, ~F-~'il"ll~
IQ~DI6A~~TIC !~~?~~?~1'F~~'TI~~I~I"
I, 1~~11fr+J $HELLEY, Secretary cri State of tho St~t~,oF Calif~tinni~,, hecet~y rki~}~!
Ttra.t an the ~~ d~~r n~ M~~ct~::~9~9, ~P~~-+1'UMtT~Y 'RE~~~~~~~ ~;
I11V~EPI`i'a~ENT kM~, 1~1~: be~arr~egnvor~ted ~ud~c:k[i+~ k~w~+s ~f ~k~e State
of Cal'rfomia by filing i~ Articles ~f tn~or~ratioru~ in tE~i~.of~ae~, ~a5d ,
That n~o r+e~rorxi exits in this offrce of -a `.c~~#ificak~ of dissoGutian . of saad
corporation nor of a oburt er~ler declaring ~fi~ofution~ki'teif; no[:~of:~.rrt~r~er gar
cQrrs~li~d~tio~rt ~t~ich terminated its ex~s#i~nt~; end' -
Thta:t said corpora~tio~'s coriaarate . p~avve;. rigF~ts grad:` privileges are . not
saas~p~ertderi ora the records vf'this-o~(iae; end`
Tf~at according tc~ #Yae :t~cords of.ths: ef~'r~e;: the mid corratiQn is auth~~iz~cf k~
~xencis~e .all- fits corporate , pawe~s, ri~tets .arrd' pri~nil+~ 'end is in good i!ogel
st~arading in the State of Ga:liforrrnra; ~md
That no inforrnativn i~ ~~tallable in this affic~ Ora: the finaaacial condition, btasia~~ess
ackivity or practuces ~of ttais ~GVrpvr~tinrt_ _
Ei?1~1~J{T`'h3;ESS ~J4lHEF~t=r~F,1. ~xute this.
cer#t~ ~rkd ati~ix the ~reat'S~eal
~f floe St~t~ of Califomiai this day
~i7f January. ~G, 2fDb4.: .
r
KE4IN` SH11Ltr~l~
~ecreta.r~ aE S~t~7ke.
r~
~~~E'~'~~k~~ ~J~k' `~''~':F
Int$rar~$1 F~~ev~ra.t~~ Seg~reca .L~x~Fttne.€~t ~f t~:~e ~'asur~
~Ir-~~~u~~ti, ~1H . ~i}1
f~a1~: h~rwarrmber ~, ~0~1~ R~s€~ry.ta Cao~tac~E:
J'~ie ~6gP~n~~n ~1-~}~~
~aa~,~r~~r het ~p~ei~ist
~~~~Ura~t~ G~~SbufGaS ~~r RI1~~~d~k1'~ L1~'II'~Q; If~~, Tit ~r~ea T~ela,'~E~ra~rre ~~mlaa:
4~~ A ~r~raek a.va ~m ~t~a ~:s~o- ~,.m~ E~ti
_ F~~ 1~~rmr~f.~~~-:
~~~~~'
F~d~r~l I~~r7til~ti~ln:~ur~rt
C~4?r fir or hy+l~~a:
~h'i~ I~~kk~r i~ i~r: c~ra~a t~:yourr~~e~t fog ~ ~ ~:f• yr~~ur vc~ni~ki~'s rlat~ermin~fa~n lath ~~ later>uv~l
tal~a tYa ~~~ cif .tl' ~ _
~ ~~I y~e~ u~qu~s.
Oar r~o+br~ti~ ir~di~ke th~;t ~ ~d~terrrilr~~#Ir~m Ret~~ i~d ira 4~b~r 'I~ f ~ ~~rar~~~~ your ~r~~r~i~~ti~n ~x~~~tic~i'
~r~ara~'~~ar~1 income tax ~un~dar ~ticn ~5i~"3~~~{~~ +alFt~re anf~rr~1 I~eva~r~t~ Cr~d~: TI7~t letteris Mill in akFe~:'
~d .c3ra in~~~mr~ ~ctxs~gUerr~yr ~+u6~rti!sd„ cle~~il~aed_+~a~r ar~~a7z~tian ~~ one fh~t i~`m~at ~ priu~al~
f~undatevn vwith~ kl~e;'me~r~ir~g ~f ri.,~~3 cFtl~ d~~~~ it i~ ~n ~r~ar~l~~tf~ro ~i~~cmtd A~
~~ 5(?~~~.~~~~ .and 1 ~~?~kr~~~ )f?~?~w~:
"This ~l~,s~f're~tlt~~'~1~~ ~~ era ~?~~ ~~~ptf~:rt ~~tt ~to~.,rar~arhi~~ti~on'~ apa;r~tiau~ u,~QUI~1 c~~tinua.~~ strt~ti
~e ~p~f~~on_ !f ycur~or~ar~za~iaa~`~'~~autfi.~~'rif ~e.~~rt. gar its c1`~~c~+~~r, m~t~~ ~t t~pcr~tir~r~; ;cH`
~~ ~~v~ ~'ig'~d,' fuse I~t Icy ~= era ~on~~r ~ ~~ cf ~~ ~ an' ~~carr~pt
sit~~us ~d ~d~tic~ ~ttrs of ~,!xaur ro~~r~~~kidr-_ _ _ ,
'~(vur ~r~ruizaticir~ is: tequir kt~':~[~ F+d~'t`~~.(?, l~eta~rn ~t ~?r~~rii~ttit~r~ ~xrapt Pam 'I~~oma Tom, ~a~ly ~F its _
>.
~n~s r~c~ip escE~ ~~~r ~~~ rr~rt~ll~r crrvra ~ ~~5,[~~. If ~ r~~urn ~s r~c~ia~~d it rn~st ~ f f~cl by' ~--~ ~15#~ _
~~rr}r ~,r`'Gh~ f~f#~i ra~anth offer tl~a en~f +o# t>~~ cr~~t~~or's ~-~r5~tt~a1 ~~~~~ p~rt~od. ~~ i~ti+t irr~p~s~~ ~
~~rt~ky of ~ ~ d~:y, +ap t~ :~: ~'am!~Elrp'~F ~~(l!~~~, ~rMe~ a ~~~rrt 'i~ fled ~~te, unlass tf~~er~ is re~~oa~able;,
_ _
c~~se fca~ #ha ~~~~,
All e~~rn~t ~r~I€~~~.tion~ sunless s~a~i~®y axctudeti~ ire c~[~ fat t~;es octet the F~ed'~r~l trrsn~e
trb+~rtrFon~-Act ~~~i~l ~~curity t.~s~ on r~rn~r~~vr~ of ~10~] car m~re'p~~l to e~c#~ ~rrr~l~y~~ dt-rirdg .a
I~r~~~r~~~t. Yo~E ~~aniza~kic!n is tx~t ]iabl~ for tba.~x im~~~e~f Urad~r tha l~adl Unaa~ra~fc~ym~t~t~`€~ ~,~:k
~FU~'A}.
Or~~rri¢~n~ Ihat are not ~~,u~.#e f"~~d~t,~r~~ ~o1t ~i~~aj~ct rt~ ~a~ e~~i~~ tax~~ ~arrr Ch~~a~~r ~:~ +~f i~ie
~oda_ I--I~a~nrever, ~~s~ c~~niz~~ar~s :hit ~U~~n'1~1iy ~~emp~ from otf~$r fader~l ~~cci~ tax
t~n~rs may deduct conttiliul~o~s to ~+~ar c~z~~an ~~ provi€t~~ in s~cttnn '17~ of th$ fade. e~qu~~s,,.
C~~adias, d~v~s~i transfer, c~ chi t€~ ~~ur ~an¢atcon ar toy its d~ ~~ dedu~ti~~~ t feel e~~t~* ~a~
_ _
~~ft t~.x ~urpvsas il• they rrtt fl~~ a~~i~ibl~'~r~vis~n~'~f s~$ ~16~5~, 2'IiDG, and ~5 of tFre ~ob~.
~CQrram~nty Ft.~souil~~~ For ]nd~?~de~t~ Liuiirc~; 8rpc,
~~1-25°887"3
Your oa~~niz~ti~on 'ss n~~t r~pr~d ty~ ~e`f~~~r~l i~~m~ tax ral~rr~s unless at i~ sub~~k t~ the #~~:`~ ur~~~l~al'
baseness sncvm~ _~arr ~'k~i ~f:t~~'t~~de_ Ff ~o~r ~a~~r~hz~fi~n, is ~r~bte~k to tl1i~ t~~c, 'st rreu~E:~f~ ~ri~
income t~xr~kum Sri the ~dr'trt ~.~T,-F.a€~r~1j~k ~r~~o~i~~tic~a~ 13u~ia~e~~ li+ T~c.R~fu~~ lay t1hi~ ~letkl~lr,;;'
are a~t~t det~>~alnln~ ~n+hi~r ~n~ 4f ~r~r e}I':g~n¢~tion's pa~serat ter propcasr~d a~tiv~ities arc enn~etak~f it di yr
busane. ~~ ~t~fin~e~ ~n suc~rti.~~13 ~f::titl~:~~ad~.
-E'Ji~ I ~~uai~s ~~ k~o irh~ke ~t~t~r c~l<~~in~n'~ ~ra~vu~l ~tun~ ~v~l~'~b~? f~r;p~a~ii~c i~sp~ti~r~ ~vth~aulk ~hg
'For thr~~ ~~~~ ~it~~r :thy d>.a~ ti~t~° ~ the ~tu~. If ~or~r or~~niz~fnom hid ~ cap~r,of its ~~rpliti~ar~ ~~~
rasr~v~nikic~ra o~ ~x~rn~~an era ,.I~I~ ~ ~., ~'~~~~ ak iii ~Isn r~g~i~e~ tc~ ra7~ke ~il~;'bf~`tor i~9i~ irr~pecli~r~ ~ c~p~c ~P
th8 exe,~~tl~n ~p~l~r~tlar~ ~~ :s~pP~arhn~ d=oec>~n~nt~ ~d the ~x~~ption 9~tt~r;to ~r~~'an~lie~6 ~Ma re~gu
sx~c9~ dacument~ in p~s~ err an.v-mttn~ .°Yn~u n ~t°~~r~e n~~r a ~~r~af~e f~~`f~r r~;procluon a~ a~e~~l-
I~e ~sts:f~ar tie ~(~l r1~#~r~~l~ ~T~ti~ f ~~~ nc~k require ~+~ ~ `pr~uid~ c~+pts, of p,t~loc in~p~t;ticarr
do~aiments,IJta~t a~:~rad~el~t a~~u~rl~ti~~ ~'~s b~ g tfi~~rr~ [sn tn~ I~t~rr't~t ('~1l~~td '!a~'i 4.~'4`~~b~~. `:'Y"~u ~:;
~~ If~ble fpr' ~. ~~na e~f:~~ ~ f~f ~~~ ~9~~ der u~~st m~k~:kt~~s~ tia~~um~ts a.~~l~b~e fQ,r pv6kic _
inspection {U~ ter ~ mmi~rn crf ~i'~~7;4+ an .kh~- c ~f ~n ~r-ntnak ret~m~~ ..
B~a~se this fet~~r ~1~1 I~Ip ~~u~ ~~y~ ~~r~~tas ab€~u~ ~~ur ar~arliz~ki~r~'.~ ~x~errr~~ ~~~~ a~ f~~ut~~~d~n
st~rt-~s, y~t~ Q~lai k,~a~p l: u~~-a-fie ndz~ho~`s~~eranancrat rnds_
'~`$,. -.
II''~a~! lad any'. ~4:1~~`t14~[l~ pC~~~: ~R U~ ~~ t6~~ t~,1~ptt~an~ numh~:r ~hhrr~w~a in fE~e 9~ea~im~ oF#!~s ,
~'(~~ I~tl;er ~~~s year" c~g~r~iz~xla~'~ c~rn~'k'it~~.