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1. FY16 Creative Communities San Diego (CCSD) Eligibility and Intent to Apply

This survey must be completed in one session. If you close the survey, you will not be able to return to it at a later time. Please review the questions and make sure that you have all the requested information before beginning.

The City of San Diego Commission for Arts and Culture provides funding on a reimbursement basis to nonprofit organizations through two programs. Please refer to the Funding Page of the Commission’s website to make sure that you are submitting the correct Intent to Apply Form. This form is for the Creative Communities San Diego Program (CCSD). Please complete this form by November 28, 2014.

You must be able to answer "Yes" to all three parts of Question 3 in order to be eligible to apply to the CCSD.

Use of a Fiscal Sponsor

The Commission allows groups that want to apply to the CCSD program but have not yet achieved a 501(c)3 status from the IRS to apply through a Fiscal Sponsor. In these cases, the Fiscal Sponsor becomes the applicant, and the Commission will enter into a contract with the Fiscal Sponsor if the application is successful. The use of a Fiscal Sponsor is limited to a maximum of three years.

This Eligibility Form and all other paperwork must be completed by the Fiscal Sponsor on behalf of the implementing organization.

The Application Deadline is January 31, 2015.

FY16 begins on July 1, 2015 and ends on June 30, 2016.

If you have any questions, please email Gary Margolis, Funding Program Manager

* Indicates a required response..

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* 1. Contact Information:
(If a Fiscal Sponsor is being used, the following information applies to the Fiscal Sponsor. See Question 5 for contact information regarding the implementing organization.)

"PC" stands for Primary Contact.
"ED" stands for Executive Director. We ask for an ED "title" because some groups don't use the term Executive Director.

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* 2. Budget Size: (Please enter numbers only - no dollar signs and no commas.)

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* 3. Eligibility Criteria.
You must check "yes" for every one of the items below to be eligible to apply:

  Yes No
1) Nonprofit Status: We are able to demonstrate proof of tax exempt nonprofit status under section 501(c)(3) or 501(c)(6) of the Internal Revenue Code at the time of application.
2) Location: Our project will take place within San Diego City limits.
3) Track Record: Our organization has a three (3) year history of ongoing programming within the City of San Diego prior to the deadline. (The proposed project, however, may be a new one.)

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* 4. Are you the implementing organization or the fiscal sponsor?

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* 5. Please provide the following information for the Implementing Organization. Provide this information ONLY IF the applicant is a Fiscal Sponsor and the information, therefore, is DIFFERENT from Question #1.

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* 6. Please answer the following regarding your project:

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* 7. Where will the project take place (complete address or addresses)? If the project takes place in more than 4 locations, please explain in Question 9.

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* 8. For each of the locations identified above, please indicate the City of San Diego City Council District and the name of the City Councilmemer who represents that district, for example:1-Sherri LightnerPlease refer to the City of San Diego City Councilmembers webpage if you need help. If you do not need to use all of the spaces, just write "na."

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* 9. If your project occurs in more than 4 locations, please provide the addresses and the city council districts for the additional locations below.

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* 10. Please provide a brief description of your project (50 -100 words) that answers who, what, when, where, why and how much. The following is an example: "The 12th annual Main Street Arts Festival will be held on Main Street between Avenues A and J in the Parkview section of San Diego on February 12 and 13, 2016 from 9 am to 9 pm both days. This free festival, designed to provide an opportunity for the diverse cultural groups that live in Parkview to share their cultures, will feature music, dances and food. There will also be a children's play area and booths featuring community social services providers."

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* 11. Which application Form does your organization plan to submit?Applicants planning to use the Short Form must be able to answer "yes" to ALL of the criteria in the next question.

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* 12. You must check "yes" to all of the following if you indicated above that you plan to apply using the Short Form.All organizations, however, should complete this question so that in addition to knowing which organizations plan to submit short forms, staff may also understand why an organization is not planning to apply using the short form.

  Yes No
1) Our organization has satisfactorily completed CCSD contracts for the three (3) most recent completed fiscal years (FY12, FY13, FY14).
2) Our organization holds a FY15 rank of 3+ or higher.
3) Our organization has presented the same project in FY13, FY14, and FY15 (the FY15 project may not have occurred yet), at the same site(s) and with the same key staff.
4) For at least one of the past three applications (FY13, FY14, FY15) our organization submitted a Long Form Application.Note: There is a 3-year limit to Short Form applications following which a Long Form must be submitted.
5) Our organization submitted its FY14 CCSD Final Report by September 30, 2014.

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* 13. Short Form Applicants Only:

If you answered "Yes" to all of the questions above and are, therefore, planning to submit a Short Form Application - understanding that your organization will retain its FY15 rank - please answer the following:

Questions 14-20 are for fiscal sponsors only.

If you are not a fiscal sponsor, i.e., if you are the eligible nonporfit organization that is implementing the project, then skip to the last two questions and submit. If you are a fiscal sponsor, please complete all the remaining questions.

If the group implemting the project does not have nonprofit status, but meets all other requirements, a nonprofit in good standing may apply as the fiscal sponsor. The guidelines below provide Commission eligibility requirements as well as general information regarding the relationship, liabilities and legal and tax reporting requirements of a fiscal sponsor/sponsored applicant agreement. For more specific instruction, fiscal sponsors and their sponsored applicant should seek legal counsel and accounting advice to determine how best to structure their business relationship.

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* 14. Are the administrative offices of the fiscal sponsor located within the City of San Diego?

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* 15. Will the project’s personnel become employees or volunteers of the fiscal sponsor for the duration of the project?

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* 16. Will all project expenses be paid directly by the fiscal sponsor?
(In other words, the fiscal sponsor may not reimburse a third party for the sum of expenses paid to multiple vendors.)

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* 17. Will all project activities, including writing grant proposals and requesting donations be done on behalf of the fiscal sponsor?

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* 18. Does the fiscal sponsor agree to the following? Because the project is being conducted on behalf of the fiscal sponsor, the project activities create the same liabilities for the fiscal sponsor as would any other program. The fiscal sponsor is liable for the actions and omissions of the project personnel – whether employees or volunteers - within the scope of their project work. If the project has unpaid bills, borrows money, injures someone, damages property, infringes someone’s copyright, or undertakes the obligation to supply goods or services to others – all these are the fiscal sponsor’s liabilities.

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* 19. Does the fiscal sponsor agree to the following?Depending on the commitments made to grantors and donors, the fiscal sponsor may be required to treat money designated for the project as a restricted fund on its financial records and on its Form 990 return. Payroll tax returns must also be filed for employee compensation.

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* 20. How many CCSD applications has the fiscal sponsor previously submitted on behalf of the same group or project? (Do not count this application.)If the answer to this question is 3 (or more), the implementing group and/or project is/are ineligible.

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* 21. Certification:

With the submittal of this Intent to Apply Form to the Commission, the organization acknowledges that the deadline for the FY16 CCSD Application is Saturday, January 31, 2015. The organization also acknowledges that Commision staff will verify elements of this Form, for example, compliance with Final Report deadline and that the Commission reserves the right to require any organization not in compliance with all of the requirements for Short Form eligibility to apply using the Long Form.

  I accept these terms. I do not accept these terms.
By checking "I accept these terms," the organization certifies that the content of this Form is true and accurate, that the content has been reviewed and approved by the organization's chief executive staff member, and that the organization understands and agrees to the above terms.

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* 22. Name and title of chief executive who reviewed and approved the submittal of this form:

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