state of california department of justice bgc 204 (orig ... · state of california bgc 204 (orig....

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STATE OF CALIFORNIA BGC 204 (Orig 0 120 16)

DEPARTMENT OF JUSTICE

PAGE 1 of 4 MAJOR LEAGUE SPORTS RAFFLE ELIGIBLE ORGANIZATION ANNUAL REPORT

PLEASE SEND COMPLETED REPORT TO Bureau of Gambling Control P 0 Box 168024 Sacramento CA 95816-8024

Phone 916-227-3584 Fax (916) 227-0170

Print Form Save Form Reset Form

Annual Report Period 012014 - 122016

Eligible Organizations Name Giants Community Fund

Eligible Organizations Registration Number 16-000001

Pursuant to Penal Code section 3206 subdivision (o)(12)(A) once registered an eligible organization shall file annually thereafter with the Department of Justice a report that includes all of the following information for each of the eligible organizations last three fiscal years Pursuant to Penal Code section 3206 subdivision (0)(12)(8) failure to submit the annual report shall be grounds for denial of an annual registration

REGULA Tl ONSTATUTE Year1 Year2 Year3

012016 to 122016 0120 15 to 122015 012014 to 122014

(i) The aggregate gross receipts from the operation of raffles $142105500 na na

(ii) The aggregate direct costs incurred by the eligible organization from the operation of raffles

$244267 00 na na

(iii) The charitable or beneficial purposes for which proceeds of the raffles were used

See attachment na na

(iv) The aggregate distributions of proceeds from the operation of raffles made to directly support beneficial or charitable purposes other than beneficial or charitable purposes undertaken by the eligible organization or eligible recipient organizations under Penal Code section 3205 subdivision (c)

$000 na na

(v) The aggregate distributions of proceeds from the operation of raffles made to raffle winners

$64716600 na na

(vi) The aggregate distributions of proceeds from the operation of raffles made to any other organizations or for any other purposes other than those included in items (ii) (iv) and (v) above

$773888 00 na

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 0120 16) PAGE 2 of 4MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Year1 Year2 Year3 REGULA Tl ONSTATUTE

012016 to 122016 012015 to 122015 012014 to 122014 (vii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible

na na na

recipient organizations under Penal Code section 3205 subdivision (c) that are not affiliated with the eligible organization

(viii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible

na na na

recipient organizations under Penal Code section 3205 subdivision (c) that are affiliated with the eligible organization

(ix) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to any other

na na na

organization not included under items (vii) or (viii) above or for beneficial or charitable purposes undertaken by the eligible organization

(x) The aggregate gross receipts from activities other than the operation of raffles

$368385700 $407118900 $331226200

(xi) The aggregate costs incurred by the eligible organization from activities other than the operation of raffles

$353047800 $4169 14800 $397966000

(xii) The aggregate distributions of funds other than proceeds from the operation of raffles made to directly support

$113241700 $207051800 $234674000

beneficial or charitable purposes or eligible recipient organizations under Penal Code section 3205 subdivision (c)

(xiii) The aggregate distributions of funds other than proceeds from the operation of raffles for purposes other

$000 $000 $000

than those listed in items (xi) and (xii) above

STATE OF CALIFORN IA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE 3 of 4 MAJOR LEAGUE SPORTS RAFFLE


Year1 Year2 Year3 REGULATION STATUTE

012016 to 122016 )1201t to 122015 012014 to 122014 (xiv)A schedule of distributions of funds other than proceeds from the operation of raffles made to eligible recipient

See Addendum See Addendum See Addendum

organizations under Penal Code section 320 5 subdivision (c) that are not affiliated with the eligible organization

(xv) A schedule of distributions of funds other than proceeds from the operation of raffles made to any other organization


not included under item (xiv) above or for beneficial or charitable purposes undertaken by the eligible organization

NOTE The department shall make the reports required by this paragraph available to the public via the online search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code

CERTIFICATION

I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete

Fiduciarys Signature

-~~ Fiduciarys Printed Name Date

Sue Petersen 03242017

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE 4 of4 MAJOR LEAGUE SPORTS RAFFLE


Privacy Notice As Required by Civil Code sect 179817

Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagca govprivacy-policy

Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied

Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information)

Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes

The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant

Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov

IBGC 204 MAJOR LEAGUE SPORTS RAFFLE ELIGIBLE ORGANIZATION ANNUAL REPORT

REGULATIONSTATUTE I I

(i) The aggregate gross receipts from the operation of raffles $ 1421055 na na

(ii) The aggregate direct costs incurred by the eligible

organization from the operation of raffles $ 244267 na na

Proceeds from the 5050

Raffle benefit the Giants

Community Funds flagship

program Junior Giants - a

(iii) The charitable or beneficial purposes for which proceeds of free non-competitive baseball

the raffles were used and life skills program for

25000 boy and girls ages 5-18

- as well as grants to non-

profit organizations in the

areas of Education Health and

Bullying Prevention na na

(iv) The aggregate distributions of proceeds from the

operation of raffles made to directly support beneficial or

charitable purposes other than beneficial or charitable

purposes undertaken by the eligible organization or eligible

recipient organizations under Penal Code section 3205

subdivision (c) $ - na na

(v) The aggregate distributions of proceeds from the operation

of raffles made to raffle winners $ 647166 na na

I

(vi) The aggregate distributions of pr 0 ceeds from the

operation of raffles made to any othe r organizations or for any

other purposes other than those incl uded in items (ii) (iv) and

(v) above $ 773888 na na

(vii) A schedule of distributions of pr

of raffles by individual raffle made t

organizations under Penal Code secti

that are not affiliated with the eligibl

0

0

0

e

ceeds from the operation

eligible recipient

n 3205 subdivision (c)

organization na na na

(viii) A schedule of distributions of pr oceeds from the

operation of raffles by individual raff le made to eligible

recipient organizations under Penal C ode section 3205

subdivision (c) that are affiliated wit h the eligible organization na na na

(ix) A schedule of distributions of proceeds from the

operation of raffles by individual raff

organization not included under item

beneficial or charitable purposes und

le made to any other

s (vii) or (viii) above or for

ertaken by the eligible


(x) The aggregate gross receipts from activities other than the

operation of raffles $ 3683857 $ 4071189 $ 3312262

he eligible organization (xi) The aggregate costs incurred by t

from activities other than the operati on of raffles $ 3530478 $ 4169148 $ 3979660

(xii) The aggregate distributions of funds other than proceeds

from the operation of raffles made to directly support

beneficial or charitable purposes or eligible recipient

organizations under Penal Code section 3205 subdivision (c) $ 1132417 $ 2070518 $ 2346740

(xiii) The aggregate distributions of funds other than

proceeds from the operation of raffles for purposes other than

those listed in items (xi) and (xii) above $ - $ - $ -

(xiv) A schedule of distributions of funds other than proceeds

from the operation of raffles made to eligible recipient

organizations under Penal Code section 3205 subdivision (c)

that are not affiliated with the eligible organization See Addendum See Addendum See Addendum

(xv) A schedule of distributions of funds other than proceeds

from the operation of raffles made to any other organization

not included under item (xiv) above or for beneficial or

charitable purposes undertaken by the eligible organization See Addendum See Addendum See Addendum

BGC 204 MAJOR LEAGUE SPORTS RAFFLE ELIGIBLE ORGANIZATION ANNUAL REPORT

ADDENDUMS

2016

Box (xiv

Surfrider Foundation $ 639579

Amnesty International $ 639579

Lacasa de Las Madres $ 1675350

George Mark Childrens House $ 1506717

Homeless Prenatal Program $ 1506717

$ 5967942

Box (xv

Jr Giants leagues $ 18113600

AMACKERHarmon Burns 2016 $ 500000

BRADLEYHarmon Burns 2016 $ 500000

CHOW RHarmon Burns 2016 $ 5000 00

CLARKEHarmon Burns 2016 $ 5000 00

GARCIA ARHarmon Burns 2016 $ 500000

GUERREROHarmon Burns 2016 $ 500000

IRELANDHarmon Burns 2016 $ 5000 00

MIZUNOHarmon Burns 2016 $ 500000

RAMIREZHarmon Burns 2016 Scholar $ 500000

SERAFIOGCFHarmonamp Sue Burns Scholarshi $ 5000 00

$ 23113600

2015 Box xiv)

Friends of San Benito Library $ 1000000

READ PARTNERS $ 1000000

URBAN ED ACADEMY $ 1000000

RAISING A READER $ 1000000

GLIDE MEMORIAL $ 8162 03

ST ANTHONY $ 8162 03

George Mark Childrens House $ 21109 66

SF HOMELESS $ 2110966


GENERATIONAL $ 6098 95

CANCSUPPStrike Out Cancer grant $ 1000000

UNTIL THERES A CURE $ 20000 00

MYOSITIS ASSOCIATION $ 2500 00

DONOR NETWORK $ 1000000

FRIENDLY MANOR $ 1000 00

MILPITAS PAL $ 1000 00

NATIONAL KIDNEY FOUNDATION $ 1000 00

CONRAD $ 1000 00

LAVA MAE $ 2500 00

NATIONAL MULTIPLE SCERLOSIS $ 1000 00

$ 18709633

Box xv)

Local Jr Giants fields $ 2199646

Jr Giants leagues $ 179874 08

TAYLOR SARABurns Scholar $ 5000 00

CAPELLIKIANA2015 Burns Scholar $ 500000

CARRANZADAN2015 Burns Scholar $ 500000

CHINBRITIANY2015 Burns Scholar $ 5000 00

RAMOSMEGAN2015 Burns Scholar $ 5000 00

XU ALEX2015 Burns Scholar $ 500000

EslahBAAST scholar 2015 $ 3000 00

HARLAND2015 Burns Scholar $ 5000 00

GonzalezBurns scholar 2015 $ 500000

Jones DBurns scholar 2015 $ 5000 00

AP accrual 2015 $ 500000

$ 25487054

2014

Box (xiv)

BREAKTHROUGH $ 750000

JAMESTOWN $ 800000


STREETSIDE $ 800000

MISSIONGRAD $ 850000

UNTIL THERES A CURE $ 2000000


CA TRANSPLANT $ 1500000

SFFB2014 Health grant $ 250000

SF CHILDS ADVOCACY CENTR $ 25000 00

COMMUNITYGrant for Prev Educ Svcs $ 800000

FYI NCGrant Viol Prev thru Mentor $ 800000

FOLSOM Pal Around Pgm $ 8000 00

INSTITUTO FOR Peace Dialogues $ 8000 00

SF KIDPOWER $

$

800000

1734377UTILE KIDS

FEED THE HUNGRY $ 1329787

UNICEF2014 typhoon relief $

$

1329786

37669 00 Lacasa de Las Madres

SFGHFGrant in memory of Monroe Baer $ 200000


PARKINSONS $ 100000

UC BERK FOUNDATION $ 100000

FAMILY GIVING $ 2500 00

ARC NEDesignated for Boles Fire $ 250000

$ 244108 50

Box xv)



BROOKS (ORHarmon Burns Scholar $ 2500 00

GUNTHERS2014 HARMON BURNS SCHOLAR $ 5000 00

GUYNADINEAli Azaan Harmon Burns Scholar $ 5000 00

LANGARICALisbeth Araiza 2014 Burns Scho $ 500000

PINED02014 Burns Scholar $ 500000

FINCK2014 Burns Scholar $ 500000

scan 2014 Burns Scholar Marcus Scott $ 500000

VARGAS2014 Burns Scholar $ 500000

GALANG2014 Burns Scholar $ 500000

WILSON JORD2014 BAASST Scholar $ 300000

JOHNSON ALIS2014 Burns Scholar $ 500000

$ 263439 84

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 0120 16) PAGE 2 of 4MAJOR LEAGUE SPORTS RAFFLE


Year1 Year2 Year3 REGULA Tl ONSTATUTE

012016 to 122016 012015 to 122015 012014 to 122014 (vii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible

na na na

recipient organizations under Penal Code section 3205 subdivision (c) that are not affiliated with the eligible organization

(viii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible

na na na

recipient organizations under Penal Code section 3205 subdivision (c) that are affiliated with the eligible organization

(ix) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to any other

na na na

organization not included under items (vii) or (viii) above or for beneficial or charitable purposes undertaken by the eligible organization

(x) The aggregate gross receipts from activities other than the operation of raffles

$368385700 $407118900 $331226200

(xi) The aggregate costs incurred by the eligible organization from activities other than the operation of raffles

$353047800 $4169 14800 $397966000

(xii) The aggregate distributions of funds other than proceeds from the operation of raffles made to directly support

$113241700 $207051800 $234674000

beneficial or charitable purposes or eligible recipient organizations under Penal Code section 3205 subdivision (c)

(xiii) The aggregate distributions of funds other than proceeds from the operation of raffles for purposes other

$000 $000 $000

than those listed in items (xi) and (xii) above











CERTIFICATION






































I









0

0

0

e


eligible recipient



































ADDENDUMS

2016

Box (xiv






$ 5967942

Box (xv












$ 23113600

2015 Box xiv)


















CONRAD $ 1000 00

LAVA MAE $ 2500 00


$ 18709633

Box xv)













AP accrual 2015 $ 500000

$ 25487054

2014

Box (xiv)


JAMESTOWN $ 800000


STREETSIDE $ 800000











SF KIDPOWER $

$

800000

1734377UTILE KIDS



$

1329786




PARKINSONS $ 100000




$ 244108 50

Box xv)














$ 263439 84











CERTIFICATION






































I









0

0

0

e


eligible recipient



































ADDENDUMS

2016

Box (xiv






$ 5967942

Box (xv












$ 23113600

2015 Box xiv)


















CONRAD $ 1000 00

LAVA MAE $ 2500 00


$ 18709633

Box xv)













AP accrual 2015 $ 500000

$ 25487054

2014

Box (xiv)


JAMESTOWN $ 800000


STREETSIDE $ 800000











SF KIDPOWER $

$

800000

1734377UTILE KIDS



$

1329786




PARKINSONS $ 100000




$ 244108 50

Box xv)














$ 263439 84


































I









0

0

0

e


eligible recipient



































ADDENDUMS

2016

Box (xiv






$ 5967942

Box (xv












$ 23113600

2015 Box xiv)


















CONRAD $ 1000 00

LAVA MAE $ 2500 00


$ 18709633

Box xv)













AP accrual 2015 $ 500000

$ 25487054

2014

Box (xiv)


JAMESTOWN $ 800000


STREETSIDE $ 800000











SF KIDPOWER $

$

800000

1734377UTILE KIDS



$

1329786




PARKINSONS $ 100000




$ 244108 50

Box xv)














$ 263439 84

















ADDENDUMS

2016

Box (xiv






$ 5967942

Box (xv












$ 23113600

2015 Box xiv)


















CONRAD $ 1000 00

LAVA MAE $ 2500 00


$ 18709633

Box xv)













AP accrual 2015 $ 500000

$ 25487054

2014

Box (xiv)


JAMESTOWN $ 800000


STREETSIDE $ 800000











SF KIDPOWER $

$

800000

1734377UTILE KIDS



$

1329786




PARKINSONS $ 100000




$ 244108 50

Box xv)














$ 263439 84

2015 Box xiv)


















CONRAD $ 1000 00

LAVA MAE $ 2500 00


$ 18709633

Box xv)













AP accrual 2015 $ 500000

$ 25487054

2014

Box (xiv)


JAMESTOWN $ 800000


STREETSIDE $ 800000











SF KIDPOWER $

$

800000

1734377UTILE KIDS



$

1329786




PARKINSONS $ 100000




$ 244108 50

Box xv)














$ 263439 84

2014

Box (xiv)


JAMESTOWN $ 800000


STREETSIDE $ 800000











SF KIDPOWER $

$

800000

1734377UTILE KIDS



$

1329786




PARKINSONS $ 100000




$ 244108 50

Box xv)














$ 263439 84


$ 263439 84

state of california department of justice bgc 204 (orig ... · state of california bgc 204 (orig....

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