HomeMy WebLinkAbout88/11/15y.~ RANCHO CUCAMONGA COMMUNITY FOUNDATION
Lion's Park Community Center
Forum
9161 Be se Line Road
Rancho Cucamonga. California 91730
Regular Meeting - November 15, 1988 - 7:00 p. m.
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ADJOUYI106NT
TNS MHET ING NAS ADJOURNED
FOR LACK OF QUOBUN AT 7:45 P. N.
To a epee ial meeting
on November 28, 1988
at 12:00 noon to be held at the
Lion'e Park Commun iCy Center
Porum
9161 Baee Line Road
Rene ho Cucamanga~ CA 91730
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9lio Brr Lne Bo.e • v, o. Bo. !01 • PucM CmunonV, Cdirpnu onb • r~u19e9.i 851
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y-l RANCHO CUCAMONGA COMMUNITY FOUNDATION
v `,
Lion's Park Community Center
Forum
91fi1 Re as T.i n? R(,ed
Rancho Cucamonga, California 91730
Regu iar Meeting - November i7, IYBB - 7:00 p. m.
A. ceLL xo oaDSR
1. Roll Cs 11: Dutton, McKay, Beyered arf_, Seae enbach _,
Mannerino __, Bar ton_
B. pBBSBNTATIOIP3
No items submitted.
C. PODNDAxIOffi BUSIQ63S
1. ADDroval of Minutes - October 18, 1988.
[. tree eater's Report - Period ending October 31, 1988.
3. Founders Day Follow-uo - Review of [he ac tiviti ee held and sponsored by
Che Foundation.
4. Selection of Board Member - Consideration of appointment to fill une
vacancy on the Board of Dirac tors.
5. Adv isorv Council Renort - Update on the following Adv ieozy Council
se tiv hies: Fund Accepeance Criteria, Grant Agreement and the Scholarship
Program.
6. Friends of the Lib rare - Consider propce al made to the Pounde[ion for
usage of the $10,000 donation made by Sim and Jeanne Bar toe.
7, fdC:. Donation Usave Po iicv - Review of formal request of YMCA's intent on
contt ibutioae made [o and disbursed through the Foundation for the YMCA
capital development program [o construct a YMCA facility in Ranchc
Cucamonga.
8. Directors Liability Insurance - Update on statue of Dirac [pr's Liability
app licationa.
9)30 Rue 4u AnW ~ P. O. ~e 80] ~ aancM (Loemonae, felilamie 91]l0 • pU) 989~IA51
Community Poundation Agenda
November I5, 1988
Page 2
9. Cotteultan['s Reoozt - Upda [e from John Rovett pertaining to Poundation
businee s.
~n~en .o.mnn x1LCTmRSS
'fhie is Che time Lor Foacdatian Board x°^-hers to report on additional business
pertaining to the Poundation, No public testimony and no Board discussion or
action can occur on these items.
H. IffiNTIFIGTION OF ITBtlS POH tlBIT !SHYING
This ie the time for the Foundation members [o identify the items they vieh to
die case at the next meeting. Theca items will not be discussed at [hie meeting,
only identified for the next meeting.
F. COlHOMIGTIONN PHOM TNB POBLIC
This is the time and place for the general public [o address the Hancho
Cucamonga Community Foundation Hembere. S[a to laa prohibits the Foundation
Members Erom addrss Bing any issue not previously included on the Ageade. The
Poundation may receive testimony end set the matter Eor a subsequent meeting.
Coumente are [o be hmr[es [o rive mina ice yc. :..,........,...
C. ADJGDHNISNT
I, Eva Merr itc~ Assistant Secretary of the Rancho Cucamonga Community
Foundation, hereby certify that a true, accurate copy of the Foregoing agenda
xae pos tad on November 10, 1988, seventy-two (72) hours prior to the meeting per
A.H. 2674 at 9320-C Baee Line Roads Rancho Cucamonga, Ce lifarnia.
Octobet 18, 1988
CITY OF RANCdO CUCAMONGA
Rancho Cucamonga Community Poundation Minutes
Regular Meetiaa
A. CAIY TO ORDER
A regular meeting of the Rancho Cuca-onga Community Foundation met on Tuesday,
October 18, 1988, at the Lion's Park Comamunity Center, e'oruW, 9'_61 Base Lino
Road, Ranc ha Cucamonga, Ca lifornie. The meeting was called to order at 7:05
p. m. by Jeanne Dar ton, Chair.
Present were Board member e: Bob Dutton (arrived late Tau p. w. ;, nArrv McKay,
Guy Beyersdor E, John Manneriao, and Jeanne S. Barton, Chair.
Also present were: Staff Representative, Mark R. Lor imer~ Susan Mickey, and
Assistant Secretary, Eva Merri[tp Foundation Consultant, John Rowett.
Absent was Board Member: Steven Sensenbech.
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D. PRBSRHTATI095
al. Presentation of a proclamation to Mark k. Lozimer £or his outstanding
service to the Rancho Cucamonga Com,unity Foundation ae Sta Ef Representative.
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C. POU9DATIOH BUSIRRSS
C1. Approval of Minutes - September 28, 1988.
MOTION: Moved by Beyeredorf, seconded by HeNay to approve the minutes of
Sap tembez 2d, 1988. Motion ear ried unanimously 5-0-1 (Absent: Sensenbech).
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C2. Tres surer'e Report - Period ending September 10, 1988.
MOTION: Moved by Manner ino, seconded by Dutton to approve the Treeaurer'e
Report. Mnriuu tarried unanimously S-0-L (Absent: Sensenbech).
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C3. Founders Day Pestiv idea - Review of the after-parade ac tivitiee planned
and sponsored by the Foundation on November 5, 1988, Staff report Presented by
Susan Mickey, Staff Aeaie Cent.
Community Foundation Agenda
October 18~ 1988
Page 2
Ma. Mickey ate tad that the ac tivit iee are under control. She has contacted
Vincent 8lefente~ as suggea [ed by Board member Mannerino~ in which Hr. Elefante
v ill book the ac [e for the interim and he also offered to act ae program
coordine tor: free of charge. The Barba rahop Quer te[ will run about $100. She
ordered 2000 balloons with Rancho Cucamonga Community Foundation name on them
Eor a coat of $171, and one helium tank for the ba lloona ie lined uy. The T-
ehirta and jackets aze ordered also. Hed Hili Photo (Tom Diet l) hag agreed to
take pit: ;res of the Founders Day Foundation ec [ivities. Janet Nix vill be
coord ineting the mines and face painting through Art Expzese~ in vhich they also
have puppet shows and clowns. Don Hardy's Air Academy volunteered hie people [o
hand out balloons: along with the clowns. R.C. Players are on target.
ACTION: Staff to come back vith report on how the Foundation activities went,
along with a coat sheet.
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C4. Me e[in¢ Attendance Policv - Presentation of revised Poundatien attendance
policy for Board members and Adv ivory Council members. Staff report presented
by Mark Lorimer: Staff Asa is tent.
Mr. Lorimer referenced the memorandum dated September 28, 1988, titled "Meeting
Attendance Policy" in which it is taco®ended a rev iaion be made to paragraph
number two ae follova:
"A Member of [he Rancho Cucamonga Community Pounds lion Board of Dirac tore
who misses three or more regularly scheduled Board meatinva d., .; n., a
ca ienaer year or two coaeec olive meetings is subject to removal by that
Board. A member o£ [he Rancho Cucamonga Co®unity Foundation Adv ivory
Council who misses three or more regularly scheduled Council meetings
during a calendar year or two coneecu live me stings is subject to removal by
that Council. The Board shall meet to disease removal of said member.
Removal shall be made upon a major i[y vote of the Hoard."
MOTTON: Moved by Beyeredor f, seconded by Menne rino~ to approve revised
attendance policy. Motion carried by the following vote:
AYES: McNay~ Beyeredor f, Mennerino~ Bar too
NOES: None
ABSENT: Seneenhach
ABSTAIN: Dutton (because he was not at or iginel die case ion.)
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Community Foundation Agenda
October 18, 1988
Page 3
C5. Selection of Board Member - Consideration of appoiv[ment to fill one
vacancy on the Board of Oirec tors. Staff report presented by Mark Lorime r~
Staff Asa ie tant.
Mr. Lorimer stated [hat staff had established an app lica[ion form which was sent
out to Advisory Council mamba ra and pe reone asaocia tad with the Poundation,
along -: ,`, a cove: lct ter which stated there is a vacancy nn the Poundation
Beard of `Oirecto.-s a.d [baf all iuteree tad persona apply by Oc [abet 28~ 1988.
Mr. Lorimer auggea tad chat Board members form a 2-3 member committee to be set-
up tonight £or the interview boards which in-turn zoo ld sake recommendations to
the Board.
u Dart memos re uutton~ McKay and Mannerino volunteered to make up iaterview
co®i t tee.
Mr. Lorimer auggea tad that the Board make a motion [o approve [he In[e rview
Committee and set a date following the Oc [ober 28, 1988 application deadline to
review applications and ee lect ind ividua le to interview for the vacancy.
Mannerino recommended that all Poundation Board members be present as the
interview board.
Hoard concurred with Mannerino end the Following date, time, and place was
ee lected for the interviews.
BATE: November 15, 1988
TIME: 6100 p. m.
cwm: ~ion~e rack 000aunr[y Center
ACTION: StaFf [o bring beck above item on the next agenda to allow Board
memb ere to dis case selection and pow sib le voting of a new Board member for
Foundation.
Cb. Foundation Name Use Policy - Presents Lion of policy providing criteria for
the use of the "Rancho Cucamonga Community Poundation" name. Staff report
presented by Mazk torimer~ Staff Aaaie tent.
Mx. Lorimer referred to and went over the grant application form, and suggested
that the agreement be reviewed and rev iced if necessary by Board members and
brought back to the next regularly scheduled meet ins fnr app.o..et,
ACTION: Staff to bring beck above item on the next agenda For approval of the
grant eg reemen[.
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Catrmuni[y Foundation Agenda
October 18, 1988
Page 4
Ci. Fund Acceptance Cr iteri - Consideration of criteria with which the
Founds ti oa may accept do¢at ions oc behalf of other organizations. Staff report
presented by Mark Lorimer, Staff Ase ie tent.
Mr. Lorimer referred to memorandum addrea eed Co board memb era dated Oc Caber 17,
1988, tided "Acceptance of Funds for Other Ozgan izations" and auggee tad that
Bnard memb era co¢aidcr some or all of the criteria. Re also suggested Board
wa-.he ca vua ider charging an admin ietzative coat ae pax[ of the cr iterie on
dons [ions accepted on behalf of other organ izationa.
Mannerino suggested Foundation es ta6liah a policy regarding administrative
r ohq
MOTION: Moved 6y Mannerino, seconded 6y Beyeredorf to table Chia item and bring
item beck to the next regularly scheduled Foundation meeting to enable Board
mamba re time to consider criteria. Motion carried 5-6-1 (Absent: Sensenhach).
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C8. Music-In-Education - Presentation of alternative education programs for
Rancho Cucamonga Elementary Schoe la. Staff report presented by Susan Mickey,
S toff Aae ie Cant.
Me. Mickey stn [ed that [hie item is still in frcnL of the Prograw Committee
because [hey felt they needed to research [he size of facility needed, which
would be contingent on the number of students interea to d, in order to
effectively get th ie program together. She eu¢¢es tad that Bnard mambo r, t<. .~._.
r rogram Com~lt tee further review this and make a recommendation to the Board.
ACTION: Board members concurred to give item back to Program Comait tee for
reco~endatian(s).
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C9. Adv ieorv Council Reoor[ - Update on the Advisory Council activities. Staff
report presented by Sue an Hickey, Staff As ai.e tent.
Ma. Mickey gave updates on the following Co®ittees:
Fund Ra icing Comsit Cee - have been working on the Mayor's Charity
Ball, auc [ions, etc., but at this Cime they have not made a formal
recommendation.
Fac iiicies Co®i[tee - are working on a maintenance agreement between
the School Dietz ict and the Foundation regarding the Alta Loma Righ
School auditorium.
Community Relet ions Coamit tee - preparing a Foundation brochure for
recommendations,
Community Foundation Agenda
October 18, 1985
Page 5
Program Committee - looking at proposal for a Pia Zadore Concert.
Policy Committee - made recommendation for meeting at [endance policy.
Aiao looking at gran[ agreement and criteria foz acceptance of Fonda
policy.
Ms. Mickey stated that Mal Overton of the Adv ivory Council has received the
Mission Statements from the verioue Advisory Committee's. Sue mentioned the: a
nub-s ubcommit rte Las bean fo^ed far the Neyoz's Cher ity Ball in which the
following are mamba re: Chairvoman Barton, Grace Jonea~ Betty McNay~ Sharon
Bee r~ and Jim Bailey.
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C10. Coneu ltan['e Reoor[ - Update from John Rowet[ pertaining to Foundation
business.
ACTLON: Mr. Rovett presented his report. Report was re<e ived and filed.
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D. BOARD ffiN862 BtlSINBSS
Beyersdor£ asked if any of the Board members have heard from or gotten a hold of
Steven Beneenhach regard ing his absence at the Foundation Board meet inge.
ACTION: Board reeo®ended that Chairvoman Bar toa send letter. along with copy
of the At tendence Policy. be sent to 8eneenbach requesting he le[ Board know hie
intentions regarding hla aoaru weuu.=. r..a it[.: <- !ti^ wm.ndati nn.
it i
S. IDBNTIFIGTIOB OF ITglS POR ~YT lBSTING
1. Approval of October 18, 1988 mina tee.
2. Approval of October 31~ 1988 Trea eurer'e Repor[.
3. Friends of the Library proposal to Poundation on usage of $10.000 donation
made by James and Jeanne Barton.
4. Pounders Day follow-up.
5, Advisory Council Report.
6. YMCA (Building Dept.) to present written report on fund dispersal through
the Foundation.
~- Dirac tore Liability Ineurence Update.
8. Boars member eelec iioe.
9. Conaulten[a Report.
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Community Foundation Agenda
October 18, 1988
Page 6
F. COMMUNICATIOBS PHOtl T~ POBLIC
James end Jeanne Barton presented a check to [he Haacho Cucamonga Co®unity
Foundation of $10,000 fot "The Friends of the Library" organization. They had
requested that the donation be used a[ the discretion of the Foundation.
Mr. Lorimer requested that The Fzienda of the Library be in attendance at neat
zeeular ly meetin¢ of November 15; 19AA to make their prepossl tc the P~enda ti on
on their intended usage of [he $10,000 funds donated.
8:11 - - ..ay, gene rni sand Ci~a irmen of me mua tlrive, presented a check for
$50,000 yto the Aancho Cucamonga Community Foundation of $50,000 For the building
fund of the YMCA. This donation made by Jamea and Jeanne Bar [on was the first
installment of a $250,000 pledge for the YMCA.
Manner ino requea [ed that YMCA send letter [o the Foundation stating how the
Foundation is to disburse [he $50,000 donated.
-utton suggested that the Community Releti ona Committee be assigned Che
responeib ility of the Public Relations of the Foundation.
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G. ADJOUYIQSHT
The meeting was adjourned to the next regularly scheduled meeting of November
15, 1988 at 7:00 p.m., to be held at the Lion's Park Co®unity Center in [he
. ... v -, -~. u.. u~. ...........u a.., e~~~v..u.u•
MOTION: Raved by Dutton, seconded by Mannerino to adjourn a[ 8:12 p. m. Motion
carried 5-0-1 (Absent: Senaenbach ).
Reepec [Eu lly submit tad,
Hvn Merritt
Ae sin ten[ Secretary
Approved:
\ I
r RANCHO CUCAMONGA COMMUNITY FOUNDATION
TeHA80888'S HHPOBT
ratios revving - vc cooer .1a, afoo
Hegianing Caeh Balance
General Fund $24,782.10
'ark MrN~~ Nemnr+al Fnnd _6_.09.2.77
Total Beginning Cash Balavice
DHPOSITS
$30,874.87
Interest Earned - Checking 55.60
J.S. Barton - Y.N.C.A. 50,000.00
J.E. Barton - Priend• of the Library 10,000.00
H.C. Performing Arta - Beturned 1,700.00
L.A.I.P. (Interest earned/Investment fundl 552.90
Total Deposits $62,308.50
B7PHY888
Price-Eo99ett - Consulting Services 500.00
Inland Tu Group - Audit 700.00
West End YNCA 50,000.00
The Sign Shop -flamer 210.94
Clover Inauranca - 8enevel 350.UU
Detco -Signs end Badges 118.72
Total 8ryemaea $51,879.66
BHDIHG CASH HALAHCH
General
Jack NeNay Neaorial Pumd
Total Hadias Caah Dalanea
Hespec tfu lly anbmitted,
i i `...
, T88ASDB60.-S8C88TA8Y
ckiag Account Balance as of 10-31-88
Loeal Agency Invaa emaat Pund
$35,210.94
6.092.17
$41,303.71
$16.772.43
9zs.ooo.oG
9110 M9Ile. ao.a • P. 0. eon P07 • a9isEO Csrrag9. CJibm4 91 t10 • (t1919t9~1!!I
CITY OF RANCHO CUCAMONGA
MEMORANDUM -
a
F
DATe: noveffier 4~ 19813
T0: Bon rd of Dirac COra of the Bancho Cucamonga Co®uni[y Fou¢detiop
yBOM: Suaan Hickey, Admi¢ie [rative Aide .~
SOBJG CT: tloa rd Member Beeigna Cion
S [afF has received a letter of resignation from Che Board of Dirac tore of the
Eancho Cucamonga Community Poundsti on from Steve¢ Sepseobach. Citing time
conetra inter Mr. Seneenbach felt tfiat he could ant attend meetings on a regular
bas ie ¢oz devo ee [he neceteary n[tention Co the Poundation. Be sake that you
please accept hie reeignatio¢ and etatee that he will to¢ti aue to support the
City of gaucho Cucamonga.
ce. Lauren Wasserman
Dennis Stout
Members of the City Council
°VINEYARD
National ~$ank
(7ctober 31, 1988
Me Susan Mickey 1
Adninistcative Intern
RdI1C}1O CllramDEWd Camunifv Fnnnriar ~.•^
P.O. Box BO7
Rancho Cucamonga, Ca 91730
Gear Susan:
It should b? apparent to you and other menbera of the Rancho Cucamonga Ccamunity
Foundation that it is practically iasxleaible for me to attend not only the
regular Board Meetings but other such events that our scheduled from time to
tinm. With regard to the Meeting Attendance Policy adopted by the Board on
Crtober 18,1988, I believe it is necessary for me to resign from the Foundation
Board and I mould ask that you please Cake whatever action is necessary to
accept the resignation.
1 think that you should be aware of the fact that I brought up this mlh_.>^~ .c,
Mark Lorimer, sane time bent ..a c„~/.:i,-„~„ ;;wc a aiaply could rqt attend [he
nleeungs at the present time and he indicated that tle weld pass the word along
to Mra. Barton and see to it that the resignation was accepted by the Board.
Apparently this was never done and I mould appreciate your following up.
I will continue to support the City of Fancho Cucamonga in ways that I am able
to do so and I wish this Calmittee Che beat-
Very truly yours,
~~.iz~
Steven R. SensenWch
President
SRS/mb
•JM~Ni54F~i:VE OEiGE
9590 FOOTHILL BOULEVARD • P O, Bo% ]27 • RANCHO CUCAMONDA, CALIFORNIA 91700 • I]tq 98]-0I77
Q`ES
October 19, 198g
Mrs. Jeanne Rarton
Resident
Rancho Cucamonga Community Foundation
4 tLi ~ tSa_elinc - 3LL;tE iVJ
Rancho Cucamonga, CA 91701
Dear Leanne:
On behalf of the Rancho Cucamonga Family YMCA. We would like to express our
appreciation and dtanks to you and Jim for your commitment of $250,000 to the
Rancho Cucamonga Community Foundation. It is our understanding that these funds
are restricted in use. They are only to be used to support the YMCA capital
development program to construct a YMCA facility in Rancho Cucamonga. No
funds will be used to cover YMCA operating costs outside the scope of the project.
For the purpose of covering capital development program, costs we have established
a separate bank account. All campaign contributions and capital development project
costs will be deposited to or paid from this account. This is standard accounting
practice for YMCA capital fund campaigns. This account will be audited on a yearly
basis.
We would anticipate that other individuals or entities will wish to contribute moneys
to the YMCA capital development program through the Foundation in the future.
With regard to donations made to the Foundation for the YMCA capital development
program, it is our intent to formally request that the Foundation disburse such
donations to the YMCA bank accoun[ established for this purpose. We will make
such requests on a periodic basis and these requests will specify the amount to be
transferred to this bank account.
/V~e/~~ry~trt~dvQyeoyurs, ,/ -
Willla" m V. Court~~`
Campaign General Chairtn~
,..:
Thomas W, Su'etz
YMCA Executive Director
ec: James E. Barton
Robert D. Dutton
Robert A. Huether
Rancho Cucamonga Family YMCA
(Lpiral l:ampalRn (Mke
Barlnn %au (hu. IOSiS Foothill &vd., tiuire 150, aam~M ['uaumlmRe, ('d 917x0 17W1 W}=Qa1
~ES
October 20, 1988
bits. Jezttne Ba: tun
Yrestdent
Rancho Cucamonga Community Foundation
9320 Baseline - Suice 203
Rancho Cucamonga, CA 91701
Dear Jeanne:
In accordance with the retms outlined in our letter to you of Oct. 19, 1988, we
respectfully request that a check in the amount of $50,000 be made out to the West
End YMCA bank account #003-200086. Phis is the bank account established for the
Rancho Cucamonga Family YMCA capital development program.
This amount represents the first installment of the commitment of Mc & Mrs. lames
E. Barton ($250,000) for the Rancho Cucamonga Family YMCA capital development
program.
Very tmly yours,
/~~ i~~1
`~/~~/fir v t ~v
t ham V. Couttney
C mp ign General Cbai an
i
Thomas W. 3wetz
YMCA Executive Direc[or
ec: James E. Barton
Robett D. Dutton
Robert A. Huedler
Rancho Cucamonga Family YMCA
Capllsl CampiRn Oflke
9arton Plm One, I&SJS Foa~lll &vG., tiuae LS0. Poncho CueamonRa• CA 9[7a0 17N19N300a
~~~ ~~
0
OPiill~3l~P~[n16~ ~~JOffiIC~~J
October 19, 1998
Susan Mickey
City of Rancho Cucamonga
P.O.BOx 807
Rancho Cucamonga, CA 91is0
RE: Directors b Officers Liability coverage for the Coaimunnity
Foundation
Dear Susan:
The following ie en indication only for your Directors b Officers
coverage:
Company: RLI (B+ beat rating)
Limits%deductiblez $1,000,000 Limit
$1,000/52,500/$2,500 Deductible(SIR)
$58 participating
Premium: 52,500.00
250.00 policy Vfee
Total: $2,027.50
Endorsements: Excludes Prior Acte, one insured VS another,
discrimination, Claims brought by or on behalf:
any government entity
Other Conditions: 90 day discovery at 258 additional Premium,
In order to firm up th ie quote, we need you to complete RLI~e
application and return it to our office.
If you have any questions, be sure to give me a call.
Sincerely,
Paula Nickles
encl.
2551 Bouts Euclid Avenue/Onterlo, California 01782.8820 / (714) 888.5894 FA% (714) 391.2887
RU INNIRANCM CO.
MORN. W61110p
If T. (!TAMIL!-!N. 00.
0O111MR, 1xeJ-wAll!
rROroTTTTORAn OOMMNATION
taoueY
ev AMERICAN t,APACm INS. co.
^ MT. rIANA.EV INSURANCE Co.
AOMINIaTRATRR O'FICp:
P.o. Box ets
MASBROUCK Nelolirs, N.J. t»ea
rrlls I5 AN APPLICATION FOR A CluUM3 MADE POLICY
NOTICl: TN! WiJCT MpyTfit! THAT TN! LJMIT OR WlN.ITY AYAKAR! TO SAY JUDOlMMNTt OII
tIMTTL,lMMNTM !BALL !! AMOlaug MV AmOBNiM tNClIRIlM !Olt tJ[tiAL OlFOitii. FURTNMR NOT[ THAT
AMOUNTt INCORtI~ FOR LlOAL Ol~DItN MNAI.L M APPEND AOAINR TN! RMTMNTION AMOUNT.
NYMIr~ ~
-• ~~~ YfliYY•
ulo'eoeioRiTii~RMaalewtmaaNT
1. (a) Corporate Name:
(D) Address:
2. (a) Nature of Business
(b) Annual Safes ^ Check here if
(c) Net Worth organization is
chartered as a
(d) Totai Assets not-!or-pro}it
inathutbn.
3. Corporation has contlnualty been in 6uairroas slots
4. Stock ownership
(a) Total number of common shares outstanding
(b) Total number of common stock sherehok}ers
(c) Total number of common shares owned by its Directors (direct and beneficial)
(d) Total number of common shares owned by its Officers (direct and beneficial) not Directors
(e) In the event any shareholder owns 10 percent or more of the common shares directly or beneficially, designate
name and percentage of holdings.
5. Complete list of all Directors of parent company by name end affiliation with other Corporetlona.
6. CompNte Ifp of aH Offkara d panm company by name and a}INlatbn wftA other CorpoMiom.
~ Yuma WreN .r.
7. (a) List of subsidiary companies
Buemesa w Percentage of Date Domestic
Name Type of Opsrat'wr1 Ownership Acquired w Foreign
(b) Coverage to include all subsrdiaries Yea '~~
If "vas", include complete list of Directors and O(flcen of each subsidiary.
8. (a) Mave arty plans fw merger, acquiaitiart w conadidation bean approved by the board of directore?
fb1 If so have they been submitted to the aharetwlden fw approval?
9. Does the corporation anticipate any new public offering of securkies or any regislrauon of securmes under
the Securities Act of 1933 w qualigcation o} securities under Negulation A within the next year? (ff "yes",
give details and submit prospect(s)
10. Has there been w is there now pending anY "aim(s) against any Parson Proposed fw insurance in their cAOeciry
of either Director or Officer of the above Corporetlon and its subsidiaries?
t 1. Does any Director or Officer have knowledge a information of any act, error, Or omission which might give
rise to a claim under the proposed policy? _
12. The Corporation, its Directors and Officers have not been involved in or have any knowledge of any fact or
circumstance involving the following which may give rise to a claim undrr the proposed policy?
(a) Anti-trust, copyright or patent litigetlon?
(p~ ~cc- _h=.~~n to env civil w criminal action or administrative proceeding with a violation of any federal
or state security law or regulation?
(c) Been charged in any civil or criminal action or administrative proceeding with a violation of any federal
or stave anti-trust or Fair Tratle Lew?
(d) Been involved in any representative actions, class actions or derivative suits?
(If any of the above are answered "yes" attach full details.)
13. It is agreed with respect to questionaMt l and N12 above, that if such knowledge or information exists any
claim or action arising therefrom is excluded from this proposed coverage.
14. It is agreed that the Directors and Officers will give t?re Insurer the right to associals with them in the defense
and settlement of any claim that appears reasonably likely tc involve the Insurer and the Directors and Officers
will cooperate with the Insurer in the defense of such claim.
15. it is agreed that a Director(s) or Officer(s) may elect not to appaz a )udgement.n excess of the retained 6mite;
however, the Insurer may wish to make such appeal at its own coat and expense.
18. It is agreed that ell Directors and OlHcen shall famish the Insurer with copies of inveatigatlona, pleadings, and
all other pepero relating to en occurrence which could give rise to s poseibb claim antler tiro proposed policy.
17. It is agreeA that the Corporation will aro whh the Inauror above designated or il6 deelgrtetsd Agem, a copy
of esch regiatretion statement end annual w irttsdm report which the CerPoratlon mq from rims to time baue.
a
18. Prwbus Dirsctgra and Oiflcere legal Liability Insurance (Answer each item)
Nam. w Inerxer:
(a) lJrrlk SaR hawed Retantbn 1
Pt>fiiy E~kagar
(b) Promkan Qrtdicala annual or three year).
18. Hen arly carrier refused a cancelled coversgs7 (K cencNled, date W cancelladorr)
N~ ~~YV ~YIIN ~~
TM lrolkwAng Irtlormation Must Accomparry Tha AppBcatitxt:
(a) Latest audited annual report
(b) Latest 10K Repot flktd wIM tiro S.E.C.
(H company is publicy traded)
(c) Latent interim {quarterly) statements
(~ Latest stockholder mestirp racks.
UNDERSIGNED AUTHORIZED OFFlCEFt OF THE CORPORATION DECLARES THAT TO THE BEST AF
CNOWLEDGE THE STATEMENTS SET FORTH HEREIN ARE TRUE.
LING OF THIS APPLICATION DOES NOT BINO THE UNDERSIGNED TO COMPLETE THE INSURANCE,
R IS AGREED THAT THIS FORM SHALL BE THE BASIS OF THE CONTRACT 3HOULp A POUCV BE
ED, AND IT WILL BE ATTACHED TO THE POLICY.
THE APPLICATION /3 ATTACHED TD THE POLICY SO /T /S NECESSARY THAT ALL OUEST/ONS BE
ANSWERED /N DETAIL.
111Tt1/T TO t1YMND ANY
'~! CONTANNNY ANY FALE[
N CONCllM11N0 ANY FACT
Signed:
Date: _
Attest
Title:
Must Be SigneO By Chairman W the Bard a Preeid•n!
Agent
Addroae;
s
Trv;mn'
~1~~~.
,.^.-_ .
Tu. ". ^.,r,,oers cf The Rancho Cucamonga Community Fe undat''~Cn
^pm'. 'ne 4ancna ~u~euw uy~ ~_~,__ ^1 ihr ii6rarv
rvu ^,avo c- ... _ '. et ter dated October 21, 1988 req uesiing
that we prov~dc~~'rnformation regarding the ex pentli tune of i'nc
g~„ rnr mhlch was donated to tho foundation for use by the
-• ^~"+- ~n support of the Rancho Cuc amcnga '~_i br ary program.
',1'r °'~cc: w''h thr. ibrarlan on a Wr.ek!y basis and discuss ;nc
Jn~.o'.:s needs wh~i c'i cur 116rary may nzve at any givsn t''. mr., For
'P~~' IC:; •. .1 `~t''~pn VJC haVf. Spi pCt Ctl the tC'i p`Ni n^y [Dm5 ihe.t We
br, ',...e wo~.,;e en Hance the library nrocram.
Pepin I:E computers
3 _ imaocwrltcr II ?r int CrS
... _ .-.omcu ter support equipment such as cab!os, surge
'cc; ora, sw: ten poxes, ri66Cns, pr Hier stands, etc,
.: r, nc GJ t'~en o! sof t'Na re
-. ,,, ., tnr ccr.pu for workstations
nin'icrol ichp reader/printer
. > ni c!Cf',inq atcra9C cabins;
., Cri ", d. ..., "C adinq fllfrtltur F.
.. ,,i„ _ ~.. .., ,ni,.~ind of tCY JUr eca rd'., ..a l'gf~,:i reVi F.W.
.,. ~~a '~~ tom^. out by bolo the county°~~., pu`~„eo..,q
.. ... .ors and cur cwn sources to p~evide the bf;y[ quaff lt'r' 'N '~i„
~. ., ~'.-~~ `+..'.i ::. ,:I pro ;:nt antl fu: nltura ~m '~'~' r.u:.t anaro;a i.na'o!',
. r ~~
.. 'n/. .~.Irh:: rCador and .inter anC stol e.Je ..chino(. 9175u.
.~ r,r arun ~',. fu~nl tore app rcxlmately 5750.
;Nn grpat~y app rep:, ate your support of the Frir.nr,s of the
_~b~.l^v', e; `orts :n suppremcnt the exlstinq library pr cgrams in
'hn C'''v of Hannho Cucamonga.
-~~i ^,ndS of thn Library
~~yf o~.~~.~--____
coo vir. r, p".., ?pn"
9191 Bese Line Road, Rancho Cucamonga, Cnlifurnie 9I7J0 pl~f 9fl'ld107