Okaloosa County BOCC — April 27, 2013 — LETF Disbursement Request — reading text

will be divided equally between the two programs amongst the Fort Walton Beach Youth Club, Fort Walton Beach Teen Club, and Destin Club. Each Club will receive $833.33 for each of the two programs. BGCEC is only as successful as we are with the partnership of Okaloosa County Sheriff's Department and we align our goals for the same outcomes and improvement for our community, its members, and youth. CORPORATE OFFICE 923 Denton Boulevard NW Fort Walton Beach, FL 32547 Phone: (850) 262-2646 Fax: (850) 862-7753 veww.bgces.com BOARD OF DIRECTORS Bertram Little, Chalr Todd Witkinson, Chalr-Elect Kevin Henderson, Treasurer Paula Andrews, Secretary Kristin Taylor, Vice-Chair Marketing Cory Godwin, Immediate Past Chair David Bonnell Sruce Craul* Brian Hooper Dennis Wenrick Rob Williamson Dyan Wottord Jessica Jarosz, President & CEO “Denotes Honorary Lifetime Member CHARITY Bom, WINE AUCTION BOYS & GIRLS CLUBS OF THE EMERALD COAS' Valued Supporter, The Boys & Girls Clubs of the Emerald Coast is proud to present our 1* Annual Rodeo! The rodeo will be held on April 5" and 6" at Hammock Bay in Freeport, Florida. This will be an exciting weekend filled with riding, roping, and racing from local traveling cowboys and cowgirls. This is a sanctioned event produced by Mr. Bo Campbell, Executive Director of the Professional Cowboy Association. This exclusive event will help the Boys & Girls Clubs of the Emerald Coast raise needed funds to provide targeted programming that focuses on youth development in our three priority outcome areas of Academic Success, Healthy Lifestyles, and Good Character & Citizenship. Boys & Girls Clubs of the Emerald Coast make a distinctive difference in the community with successes such as: : : 100% graduation rate of our Club’s high school seniors for the last five years. Specialized tutoring has increased grades with 100% on-time grade. progression. Athletic programs have allowed our Club youth to attain college scholarships. Art programs have produced national award winning artists. ® Mentorship from caring. adults has saved young people’s ives. There are multiple sponsorship levels available which are customizable to meet the needs of our sponsors. Please help Boys & Girls Clubs of the Emerald Coast open doors to Great. Futures for our Emerald Coast youth. We appreciate your generosity and support. If you have questions or would like additional information about this event, please-contact Yvonne Freeman, Rodeo Event Coordinator, by phone (850.217.4007) or email (yvonnefreeman@cox.net). Thank You, yD. Jessica Jarosz, President & CEO GREAT FUTURES START HERE. BOYS & GIRLS CLUBS OF THE EMERALD COAST 2018 INAUGURAL RODEO FOR KIDS APRIL 57 & 6TH at the Freeport Regional Sports Complex at Hammock Bay Rodeo Sponsorship Levels TITLE SPONSOR~ $5,000 e@ Speaking Opportunity at pre-event activities and opening ceremonies each night Adult VIP admission for 10 to pre-rodeo functions Company name prominently displayed at center arena. Company will receive a minimum of 50 Emcee mentions throughout the two-day event. Expo booth area for company booth to display goods, hand out information, provide services, etc. 40 tickets to both nights of rodeo with VIP seating for 20 20 Youth admission tickets, Company name & logo on Rodeo billboard Media Benefits: Radio PSAs Print Advertising Website Facebook Twitter mentions Logo & name on daily event sheets oo 6 8 6 @ @ COUNTY YOUTH SPONSOR -- $5,000 ® Walton and Okaloosa Counties are available for sponsorship @ Company name prominently displayed in arena on chute gate @ Company will receive a minimum of 50 Emcee mentions throughout 2-day event. ® Expo booth area for company booth to display goods, hand out information, provide services, etc. ° Adult VIP admission for 10 to pre-rodeo functions ® 30 tickets to both nights of rodeo with VIP seating for 15 e Name & Logo on School Flyers and Youth Admission tickets @ Company name on Rodeo Billboard. ® Media Benefits: Radio PSAs Print Advertising Website Facebook Twitter mentions Logo & name on daily event sheets 923 Denton Blvd NW | Fort Walton Beach, FL 32547 850.862.1616 office | 850,862-7753 fax | www.bgcec.com om W=Q (Rev. December 2011) Department of the Tre: intemal Revenue Savice Request for Taxpayer Identification Number and Certification Give Form to the requester. De not send to the IRS. Name (as shown on your Income tax return) Boys and Girls Club of the Emerald Coast Business name/dieregarded entity name, if different from above Check appropriate box for federal tax classification: 1 inaWviduaveota proprietor — [Z] G Corporation [] $ Corporation [21 other (ese instructions) > ima Limited Habliity company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) > C1 Partnership [[] trustrestate Cl Exempt payee Address (number, street, and apt, or sulte no.) 923 Denton Blvd NW Requester's name and address (optional City, state, and ZIP code: Ft Walton Beach FL 32547 Print or type Seo Specific Instructions on page 2. List account number(s} here {optional} Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box, The TIN provided must match the name given on the “Name” line | Social security number to avold backup withholding, For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part | Instructions on page 3. For other ~ - entities, it is your employer Identification number (EIN). If you do not have a number, see How fo get a TIN on page 3. Note. If the account fs In more than one name, see the chart on page 4 for guidelines on whose number to enter. Certification Under penalties of perjury, | certlfy that: 1. The number shown on this form is my correct taxpayer Identification number (or | am walting for a number to be issued to me), and 2, Lam not subject to backup withholding because: (a) | am exempt from backup withholding, or (b) | have not been notified by the Internal Revenue Service (IRS) that | am subject to backup withholding as a result of a failure to report ail interest or dividends, or (0) the IRS has notified me that | am no longer subject to backup withholding, and Employer identification number 5/9) -) 1) 2)6) 710/510 8. fama U.S, citizen or other U.S, person (defined below). Certification instructions. You must cross out Item 2 above If you have been notified by the IAS that you are currently subject to backup withholding because you have falled to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage Interest pald, acquisition or abandonment of secured property, cancellation of debt, contributions to an Individual retirement arrangement (RA), and generally, payments other than Interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the Instructions on page 4, Sign Signature of ~ U.S. person > DAA. Date > Here ih General Instructiona( / Section references are to the interfial Revenue Code unless otherwise noted. Purpose of Form Aperson whe Is required to file an information return with the IRS must obtain your correct taxpayer Identification number (TIN) to report, for example, Income paid to you, real estate transactlons, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. Use Form W-9 only if you are a U.S. person (including a resident allen), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: 4. Certify that the TIN you are giving Is correct (or you are waiting for a number to be Issued), 2, Certify that you are not subject to backup withholding, or 8, Claim exemption from backup withholding If you are a U.S. exempt payee. if appilcable, you are also certifying that as a U.S. person, your allocabfe share of any partnership Income from a U.S, trade or business Is not subject to the withholding tax on foreign partners’ share of effectively connected income, Note. if a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form If it is substantially similar to this Form W-8. Definition of a U.S. person. For federal tax purposes, you are considered a U.S, person if you are: © An individual who Is a U.S, cltizen or U.S, resident alien, * A partnership, corporation, company, or association created or organized In the United States or under the laws of the United States, * An estate (other than a foreign estate), or * A domestic trust (as defined In Regulations section 301.7701-7}, Special rules for partnerships. Partnerships that conduct a trade or business In the United States are generally required to pay a withholding tax on any foreign partners’ share of Income from such business. Further, in certain cases where a Form W-9 has not been received, a partnership Is required to presume that a partner Is a foreign person, and pay the withholding tax. Therefore, if you are a U.S. person that is a partner In 4 partnership conduoting a trade or business In the United States, provide Form W-9 to the partnership to establish your U.S. status and avold withholding on your share of partnership Income. Cat, No, 10237X Form W+9 (Rev, 12-2011} OFFICIAL YyYouTrH SPONSOR OF THE 2013 INAUGURAL BOYS & GIRLS Cl OF THE EMERALD COAST APRILS™ & 6” 9018 U AT THE FREEPORT REGIONAL SPORTS COMPLEX AT HAMMOCK BAY U Family Event ~ Fun for All Ages - Rodeo Games for Kids Face Painting — Kids Rodeo Expo—Clowns ~ and MORE! PCA SANCTIONED RODEO EVENT FEATURES; SADDLE BRONC * CALY ROPING * TEAM ROPDIG * BAREBACK « a ERO Us SLY OFFERS: FREE Child’s Admission* ry for all Okaloosa County Schoo! District Elementary School students * te the Inaugural Hammock Bay Redeo PCA Sanctioned Event by Bo Campbell Productions at the Freeport Regional Sports Complex at Hammock Bay April 5" & 6" . Gates Open 5:30 ~ Show Begins 7:00 \ snust bring this eaupen te redeeni, valid for children under 12; QV 4 Sne per ehild only and valid only with a paid adult admission, | cexpies after Apri ot, 2043 BOYE & GIRLS CLAIR Sa am Sm Be Re ae a ES ae a far essa TO GS A Bt YOR MORE NO VST BCE CO O cal sua 400i BOYS & GIRLS CLUBS OF THE EMERALD COAST Lc «CH A TG» A RACING + TRAM ROPING + BREARAWAY + BOLL RU PLUS RODEO GAMES FOR KIDS AND KIDS AT HHAR'T e FOOD AND DRINK © FACH PAINTING RODEO EXPO «¢ RODHO CLOWNS ¢ AND MUCH MORE FUN FOR THE WHOLE FAMILY! GS Gat SHO SHES 10