This record contains private information, which has been redacted from public viewing.
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Type:
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Order
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Status:
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Passed
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Title:
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Tag day permit(s) for Blessings in a Backpack, Inc.; Children International; Jihad Bashir Support Foundation, The; and Nature Conservancy, The
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Attachments:
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1. Or2015-752.pdf
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Ordered, that the Committee on Finance is hereby authorized and directed to issue charitable solicitation (tag day) permits to the following organizations: Blessings in a Backpack, Inc. February 6, 2016 Citywide Children International January 1, 2016 - March 31, 2016 Citywide The Jihad Bashir Support Foundation Twice Monthly, January 2016 - December 2016 Citywide The Nature Conservancy January 1, 2016-June 30, 2016 Citywide Edward M. Burke Alderman, 14* Ward Document No. REPORT OF THE COMMITTEE ON FINANCE TO THE CITY COUNCIL CITY OF CHICAGO PERMIT NO. 2015-27 COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET PERMIT NUMBER: 2015-27 GROUP NAME: Blessings in a Backpack ADDRESS: 125 South Wacker Drive, Suite 300, Chicago, IL 60606 TELEPHONE NUMBER: 312-893-5508 CONTACT PERSON: Brooke Wiseman DATE WRITTEN REQUEST WAS RECEIVED: November 30, 2015 SOLICITATION DATE: February 6, 2016 < CITY COUNCIL DATE: December 9, 2015 COMPLETION OF FILE DATE: STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED: DATE PERMIT LETTER WAS SENT TO ORGANIZATION: December 9, 2015 VIOLATION fS) COMMITTEE LETTER SENT: COMPLY RECEIVED: COMMENTS: APPLICATION FOR CITY OF CHICAGO CHARITABLE SOLICITATION PERMIT (Please neatly print or type. In necessary in answering any question, please attach additional sheets.) Nameoforga„faatio»;'5^b5(iaG]5 JIA (A. fMjCpQH )f\t ¦ Address- WmrVrm^M ttoX^tmptt Tefcpho.e Number: ^ ^ Use the space below to list names, current positions, residence addresses and telephone numbers of the officers in the organization: List the date and annroximafr w*
low many persons will be engaged in the solicitation? u
Explain the methods your organization will use to solicit funds: MH Ots/1 for " "
Has your organization ever been allowed to solicit funds in prior years in the City of Chicago? If so, when? NO
Includc4he following with your application: A copy of the registration statement filed with the Attorney General of the State of Illinois; or exemption issued by the Attorney General of the State of Illinois. (j^W I, . B. A copy of the tag, badge, emblem or other token (ifany) wnicfi will be distributed as part of the solicitation, or which will be used by your organization in its solicitation. f\\\ (\ ( Please include any other relevant information which would assist the Committee on Finance in reviewing this application.
APPLICATIONS MUST BE RECEIVED BY THE COMMITTEE ON FINANCE NO LATE THAN 30 DAYS PRIOR TO THE COMMENCEMENT OF THE SOLICITATION.
I/WE, THE OFFICER(S) OF THE ABOVE NAMED ORGANIZATION, CERTIFY THAT THE INFORMATION FURNISHED IN THIS STATEMENT AND ALL ATTACHED SHEETS IS TRUE AND CORRECT TO THE BEST OF MY/OUR KNOWLEDGE. (NOTE: AT LEAST ONE OFFICER OF THE ORGANIZATION MUST SIGN AND VERIFY THIS APPLICATION.)
Signature
Signature Title Date_
Signature Title Date_ HOLD HARMLESS AGREEMENT
1. The undersigned officer on behalf of the subject organization agrees to defend, indemnify, save and hold harmless the City of Chicago for any loss, liability, damage or cost which the City may incur due to the presence of volunteers of the subject organization on City premises for the purpose of charitable solicitations.
2. The subject organization assumes full responsibility for risk of bodily injury, death or property damage due to the negligence of the subject organization or otherwise resulting from conduct or activity related to the participation in charitable solicitation on the public way.
-3-. The officer- of the subjeet-organization-has read-and-voluntar-ily-signs the- hQld harmless agreement and waiver of liability and indemnity agreement.
Signature of organization officer
^UkDr Id. Date Jul 2f 09 08:36p
INTERNAL HfiVENUB SERVICE P. O. BOX 2508 CTTCESTNATI, OH 4 52 01 -Rmnlnveru y.r\ enti a t ion Number : BLESSINGS IN A BACKPACK INC 183 9 BROWNSBORO RD LOUISVILLE, KY 402O6 contact- Ferson •"" ROGER W VANCE Contact Telephone Number: (877) 823-5500 Accounting Period Ending.- December 31 Public Charity Status: 170(b)(1)(A)(vi) ' , Form 99 0 Required: Yes Effective Date of Exemption: October 12, 2 007 Contribution Deductibility: Yes Addendum Applies: No
Dear Applicant: We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501(c)(3) of the Internal Revenue Code. Contributions to you are deductible under,section 170 of the Code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help, resolve any questions regarding your exempt status, you should keep it in your permanent records. Organizations exempt under section 501(c)(3) of the Code are further classified as either public charities or private foundations. We determined that you are a public charity under the Code 9ection(s) listed in the heading of this letter. Please see enclosed Publication 4221-PC, Compliance Guide for 501(c)(3) Public Charities, for some helpful information about your responsibilities as an exempt organization.
Letter 947 (DO/CG) Jul 27 09 08:37p Jennifer Bippus
Sincerely,
RoBert' 'Choi Director, Exempt Organizations Rulings and Agreements
Letter 947 (DO/CG)
PERMIT NO. 2015-28 COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
PERMIT NUMBER: 2015-28 GROUP NAME: Children International ADDRESS: 2000 East Bridge Road, Kansas City, MO 64131 TELEPHONE NUMBER: 816-943-3739 CONTACT PERSON: DATE WRITTEN REQUEST WAS RECEIVED: November 30, 2015 SOLICITATION DATE: January 1, 2016 - March 31, 2016 CITY COUNCIL DATE: December 9, 2015 COMPLETION OF FILE DATE: STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED: DATE PERMIT LETTER WAS SENT TO ORGANIZATION: December 9, 2015 VIOLATION (S) COMMITTEE LETTER SENT: COMPLY RECEIVED: COMMENTS:
APPLICATION FOR CITY OF CHICAGO CHARITABLE SOLICITATION PERMIT
(Please neatly print or type. In necessary in answering any question, please attach additional sheets.) Name of organization: CHILDREN INTERNATIONAL Address: 2000 East Red Bridge Road, Kansas City, MO 64131 Telephone Number: 816-943-3739 Use the space below to list names, current positions, residence addresses and telephone numbers of the officers in the organization:
PLEASE SEE ATTACHMENT #1 List the date and approximate Iocation(s) of solicitation: Upon approval through March 31, 2016 Please see attachment #2 for locations Approximately how many persons will be engaged in the solicitation? 10-12
Explain the methods your organization will use to solicit funds: Face to Face fundraising on the Street. Our agent, DialogueDirect will generate commitments and increase the public awareness of charitable efforts of Children International. Children International strives to help children around the world overcome the burdens of poverty. Has your organization ever been allowed to solicit funds in prior years in the City of Chicago? If so, when? We currently have a license that runs through December 31, 2015 Include the following with your application:
A copy of the registration statement filed with the Attorney General of the State of Illinois; or exemption issued by the Attorney General of the State of Illinois, please see attachment #3 A copy of the tag, badge, emblem or other token (if any) which will be distributed as part of the solicitation, or which will be used by your organization in its solicitation, please see attachment #4 Please include any other relevant information which would assist the Committee on Finance in reviewing this application. Please see attachment #5
mM$tmg> ss %sm tsisesEsa as© ass. ifs^sgEs esss^ an sees
HOLD HARMLESS AGREEMENT
The undersigned officer on behalf ofthe subject organization agrees to defend, indemnify, save and hold harmless the City of Chicago for any loss, liability, damage or cost which the City may incur due to the presence of volunteers of the subject organization on City premises for the purpose of charitable solicitations.
The subject organization assumes full responsibility for risk of bodily injury, death or property damage due to the negligence of the subject organization or otherwise resulting from conduct or activity related to the participation in charitable solicitation on the public way.
The officer ofthe subject organization has read and voluntarily signs the hold harmless agreement and waiver of liability and indemnity agreement.
Name oforganization ' ~\ n ; ¦ / - / / \/ 7 / < 7, ->.c^- / / ^ — Jihihl Date Signature of organization officer
CHILDREN INTERNATIONAL David Cacioppo Emfluence, Inc. President, Digital Marketing Services 106 W. 11* St. #2220 Kansas City, MO 64105 Term: 11/2012-11/2015 BOARD OF DIRECTORS - 2015 Teddi Hernandez SOLVE CEO 14800 Catalina Leawood, KS 66224 Term: 11/2013 -11/2016
Ramin Cherafat McCown Gordon Construction CEO 422 Admiral Blvd. Kansas City, MO 64106 Term 11/2014-11/2017 Mark Grist rap American Century Investments Sr. VP Human Resources 4500 Main St. Kansas City, MO 64105 Term: 11/2013 -11/2016
Susana Eshleman Children International CEO 2000 E Red Bridge Rd Kansas City, MO 64131 Term: 11/2014 -11/2017 Gordon Bailey Retired Community Volunteer 2000 E Red Bridge Rd Kansas City, MO 64131 Term: 11/2014-11/2017
Tamara Oskvig Retired Community Volunteer 2000 E Red Bridge Rd Kansas City, MO 64131 Term: 11/2012 -11/2015 Larry Lee Retired Community Volunteer 2000 E. Red Bridge Rd Kansas City, MO 64131 Term: 11/2014-11/2017 Mike Reilly Teacher, instructional Leader Gwinnett County Public Schools 692 Van Briggle Path Sugar Hill, GA 30518 Term: 08/2015-11/2017
All BOD have voting privileges
- 201S Susana Eshleman CEO 2000 E. Red Bridge Rd. Kansas City, MO 64131 Mr. Jack McCanna Vice President of Program Services 2000 E. Red Bridge Rd. Kansas City, MO 64131 Carol Hall Vice President of IT 2000 E Red Bridge Rd. Kansas City, MO 64131 Ms. Andrea Waters Vice President of Creative/Production Serv. 2000 East Red 3ridge Rd. Kansas City, MO 64131 Mr. Ryan Owen Director of Development 2000 E. Red Bridge Rd. Kansas City, MO 64131 Ms. Sarah Shubert Gift Planning Officer 2000 E. Red Bridge Rd. Kansas City, MO 64131 Ms. Vickie Wiedenmann Assistant Vice President/Secretary 2000 E Red Bridge Rd. Kansas City, MO 64131 Ms. Danielle Mitchell Vice President of Finance 2000 E Red Bridge Rd. Kansas City, MO 64131 Mr. Eric McCullough Vice President of Human Resources 2000 E Red Bridge Rd. Kansas City, MO 64131 Ms. Lisa Thome-Ha Vice President of Sponsorship Services 2000 E Red Bridge Rd. Kansas City, MO 64131 Mr. Alejandro Bonilla Gift Planning Officer 2000 E. Red Bridge Rd. Kansas City, MO 64131 Ms. Maria Franco Gift Planning Officer 2000 E. Red Bridge Rd. Kansas City, MO 64131 ATTACHMENT 2 Iff!
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Illinois Attorney General - Charitable Trust Database Search
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Charitable Database Search
CHILDREN INTERNATIONAL Reg. Number: __01033.3.03_ Reg. Date: Address: County: EIN: ¦ 06/04/1998 2000 E RED BRIDGE RD KANSAS CITY MO 64131 Jackson
Assets 567,815,101.00 366,199,442.00 $6,468,550.00 $60,109,127.00 $62,295,256.00 $46,141,718.00 $44,299,461 00 $45,929,829.00 $42,479,937 00 $38,867,483.00 $33,733,988.00 $33,847,994.00 Income $192,463,115.00 $180,378,425 00 $160,140,689.00 $156,422,279.00 $147,801,897.00 $146,160,976.00 $142,697,717.00 $128,703,029.00 $115,966,885.00 $107,031,241.00 $93,972,289.00 $86,847,832.00 Fiscal Year 09/30/2014 09/30/2013 09/30/2012 09/30/2011 09/30/2010 09/30/2009 09/30/2008 09/30/2007 09/30/2006 09/30/2005 09/30/2004 09/30/2003
DtalogueDirBct, Inc. Code of Precise®
DfaJogueDlract Coda of Practice for the Personal Solicitation of Committed Gifts ("Face to Face Stresf and "Door to Door FundraJBtag") WWe alw/^ carry and display ID ao Inrt wham we ars working for, and on tflhosa bahai? ara Hmdralslrtg, 8. Wnrmnrw that has been pravfoiiBly agraed upon, bcJh with the NPO and wfth foa rstevarrt site owner or local authority, and as dJrectod by ow Taam QuWo or oSfwr reapora&a agency paracrine!. Weatai^^alntoadororrKwtteNPO aa£bacjS>5rtg; If they ans BfcaSy to rBcefva a foSamip phcna oafl, wa Inform than of this. Wa eSorays ansurs thai forms wfth peraonal defcalfo provided by donors ore handled ai oil stages In a seem mermar. & Wo always and a Qtxm&a&on In a pcSte and i^s^uJmarmsiraBioconaswsara aakadto, 7, Wd aiwmya emsuaiB, whanBwar possJbte, thai if a imaartlbair erf the publdo tm a oompksfeti, a MJ and aooifl^ n»r^ cf Crra ccmpM^ so that action can ha taten terompfly sued app5^fa^. Wa wi also cJkj fta oorrtptabiiBnt eorUaci dstate for a person In tniSharHy who cam rGs^artd tothair cortcarna. B. Wa roeRratr aay or do anyJNrtg that ooukJ cflJ&nd o? harass peepte, and ws da not ucs manliulatlwa technJqitsa or prsaatTO-ioctlBa. Wa nsiwiar eonliuaa or nnfetead lha public and rcarear jsajf. tjftfr or d^p^yarq>thln3 related to the NPO fa which wa have not bsan gfoen express parmtestai by tho NPO. Wa Rfisaw bahaw white on duty In any way that might br&tg lha NPO or DteloguaOltecit Into cterapute. Nov—18—15 12:10pm From'
Fax Transmission Charitable Trusts and Solicitations Bureau 100 W. Randolph Street, 11* Floor Chicago, IL 60601-3175 Phone:(312)814-2595 Fax: (312)814-2596
To: Haiiey Render Date: U/18/2015
Fax #: 888-222-6807 Pages: (2) including cover page
From: Takiyah Martin-Barnes Compliance Officer Direct: 312-814-5840 Subject: Utter of Good Standing CO# 01033303 COMMENTS:
*f orms can be downloaded at wwTv.iUinoisattorneygeneral.gov under "Building Better Charities."* This FAX may contain attorney-client, attorney work product or other privileged and/or confidential information. This f aX is intended only for the use of the individual for whom or entity to which it is addressed lfyou have received this FAX in error, please notify the sender at the above telephone number and destroy his FAX. lfyou are not the intended recipient, you are hereby notified that my retention or dissemination of this FaX and/or the information it contains ii strictly prohibited. ORIGINAL (check one) X WILL T-167 P.02/02 F-444
STATE Of ILLINOIS
OFFICE OF THE ATTORNEY GENERAL November 18, 2015 Lisa Madigan CHILDREN INTERNATIONAL 2000 £ RED BRIDGE RD KANSAS CITY, MO 64131 attornf.* of.np^ RE: RE: Status of CHILDREN INTERNATIONAL under the Illinois Charitable Laws CO# 01033303 Dear Registrant: This letter is pursuant to your request that the Attorney General confirm the status of CHILDREN INTERNATIONAL under the Charitable Organization Laws.
This organization is currently registered with the Attorney General's Charitable Trust and Solicitations Bureau as CO# 01033303. It is current in the filing of its financial reports, having filed its report for the period ended September 30, 2014. Please let us know if you require further information.
Takiyah Martin Barnes, Compliance Officer Charitable Trusts Bureau 100 West Randolph Street, 11th Floor Chicago, Illinois 60601 Telephone: (312)814-2595 PERMIT NO. 2015-30 COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
PERMIT NUMBER: 2015-30 GROUP NAME: The Nature Conservancy ADDRESS: 4245 North Fairfax Drive, Suite 100, Arlington, VA 22203 TELEPHONE NUMBER: 703-841-5300 CONTACT PERSON: Mark R. Tercek DATE WRITTEN REQUEST WAS RECEIVED: November 30, 2015 SOLICITATION DATE: January 1, 2016 through June 30, 2016 CITY COUNCIL DATE: December 9, 2015 COMPLETION OF FILE DATE: STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED: DATE PERMIT LETTER WAS SENT TO ORGANIZATION: December 9,2015 VIOLATION fS) COMMITTEE LETTER SENT: COMPLY RECEIVED: COMMENTS:
APPLICATION FOR CITY OF CHICAGO CHARITABLE SOLICITATION PERMIT
(Please neatly print or type. In necessary in answering any question, please attach additional sheets.) Name of organization: The Nature Conservancy Address: 4245 n. Fairfax Dr., Suite 100 Arlington, VA 22203 Telephone Number: ^703^ 841-4848 Use the space below to list names, current positions, residence addresses and telephone numbers of the officers in the organization: Please see attached. List the date and approximate location(s) of solicitation: 1/1/16 through 6/30/16 Please see attached site list. Approximately how many persons will be engaged in the solicitation? Approximately 30 Explain the methods your organization will use to solicit funds: Street canvassing or face-to-face fundraising Has your organization ever been allowed to solicit funds in prior years in the City of Chicago? If so, when? Yes. September 17, 2012 through December 31, 2012, January 15, 2013 through March 31, 2013 and September 30 through December 31, 2015. Include the following with your application:
A copy of the registration statement filed with the Attorney General of the State of Illinois; or exemption issued by the Attorney General of the State of Illinois. see attached A copy of the tag, badge, emblem or other token (if any) which will be distributed as part of the solicitation, or which will be used by your organization in its solicitation. see attached
Please include any other relevant information which would assist the Committee on Finance in reviewing this application.
APPLICATIONS MUST BE RECEIVED BY THE COMMITTEE ON FINANCE NO LATE THAN 30 DAYS PRIOR TO THE COMMENCEMENT OF THE SOLICITATION.
I/WE, THE OFFICER(S) OF THE ABOVE NAMED ORGANIZATION, CERTIFY THAT THE INFORMATION FURNISHED IN THIS STATEMENT AND ALL ATTACHED SHEETS IS TRUE AND CORRECT TO THE BEST OF MY/OUR KNOWLEDGE. (NOTE: AT LEAST ONE OFFICER OF THE ORGANIZATION MUST SIGN AND VERIFY THIS APPLICATION.)
Signature Title Datc_
Signature Title Date_ HOLD HARMLESS AGREEMENT
The undersigned officer on behalf of the subject organization agrees to defend, indemnify, save and hold harmless lhe City of Chicago for any loss, liability, damage or cost which the City may incur due to the presence of volunteers of the subject organization on City premises for the purpose of charitable solicitations.
The subject organization assumes full responsibility for risk of bodily injury, death or property damage due to the negligence of the subject organization or otherwise resulting from conduct or activity related to the participation in charitable solicitation on the public way.
The officer of the subject organization has read and voluntarily signs the hold harmless agreement and waiver of liability and indemnity agreement.
Name of organization
Board of Directors
Fiscal Year 2016
THE NATURE CONSERVANCY 4245 North Fairfax Drive, Suite 100, Arlington, VA 22203
[Some address for all individuals listed below]
POSITION MEMBER NAME TERM DATES President & CEO Mark R. Tercek Jul 17, 2008 coterminous with CEO position Chairman Craig 0. McCaw Sep 24, 2010 - Max Term: Oct 2019 Vice Chair James E. Rogers Feb 2, 2012 - Max Term: Oct 2021 Treasurer Joseph H. Gleberman Dec 18, 2012 - Max Term: Oct 2022 Secretary Shona L. Brown Feb 4, 2011 - Max Term: Oct 2020 David Blood Aug 16, 2010 - Max Term: Oct 2019 Steven Denning Oct 19, 2007 - Max Term: Oct 2017 William Frist Jun 19, 2015 - Max Term Oct 2024 Jane Lubchenco Oct 10, 2014 - Max Term: Oct 2023 Jack Ma Apr 16, 2010 - Max Term: Oct 2019 Claudia Madrazo Oct 11, 2013 - Max Term: Oct 2022 Thomas J. Meredith Jul 16, 2009 - Max Term: Oct 2018 Thomas S. Middleton Oct 19, 2007 - Max Term: Oct 2016 Ana M. Parma Jun 20, 2013 - Max Term: Oct 2022 Stephen Polasky Jan 30, 2009 - Max Term: Oct 2018 Vincent Ryan Jun 19, 2015 - Max Term Oct 2024 Brenda Shapiro Jun 19, 2015 - Max Term Oct 2024 Thomas J. Tierney Oct 19, 2007 - Max Term: Oct 2016 Moses Tsang Jan 28, 2010 - Max Term: Oct 2019 Frances A. Ulmer Mar 17, 2011 - Max Term: Oct 2020 P. Roy Vagelos Dec 18, 2012 - Max Term: Oct 2022 Ying Wu Jun 19, 2015 - Max Term Oct 2024 ATTACHMENT 2 mssr Thompeon Center on south comers mtMn172b Jeckeon/Ctutt Adciii/Doertwn* oh totllh cornBre Ifaeroo/Dearftorn tof MwBectton of fotojeecHon' Ctak/Uke vwflWn 1/2 Mock of tntenttdfon" wHnln 1/2 btock of jntareecfon iroe IBehldanMtctoon wfthln 1/2 btock of MawecBon" BUehlaan/W—Mnflton w^lflpbekoftttoBeoBon' MIchtaen/LeJoT MacUeon/WWa' MonroeJFienktln wWrtiiq btock oUnterMoBon wHWn 1/2 btook of Interaction
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OFFICE OF THE ATTORNEY GENERAL STATt OK ILLINOIS Lisa Madigan Al'FOKNEY CENERiJ- NATURE CONSERVANCY 4245 N. FAIRFAX DR. SUITE 100 ARUNGTON, Va 22203 RE: RE: Status of NATURE CONSERVANCY under the Illinois Charitable Laws CO# 01008582 Dear Registrant: This letter is pursuant to your request that the Attorney General confirm the status of NATURE CONSERVANCY under the Charitable Organisation Laws.
This organization is currently registered with the Attorney General's Charitable Trust and Solicitations Bureau as CO# 01008582. It is current in the filing of its financial reports, having filed its report for the period ended June 30, 2014, Please let us know if you require further information. Takiyah Martin Barnes, Compliance Officer Charitable Trusts Bureau 100 West Randolph Street, 11th Floor Chicago, Illinois 60601 Telephone: (312) 814-2595
PERMIT NO. 2015-29 COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
PERMIT NUMBER: 2015-29 GROUP NAME: The Jihad Bashir Support Foundation ADDRESS: 705 East 89th Street, Chicago, IL 60619 TELEPHONE NUMBER: 202-462-1177 CONTACT PERSON: Shakira Bashir DATE WRITTEN REQUEST WAS RECEIVED: November 30, 2015 SOLICITATION DATE: December 19, 2015; January 9 & 23, 2016; February 6 & 20, 2016 March 5 & 19, 2016; April 2 & 30, 2016; May 7 & 21, 2016 June 4 & 18, 2016; July 2 & 16, 2016; August 6 & 20, 2016 September 3 & 17, 2016; October 1 & 29, 2016; November 5 & 19, 2016 December 3 & 17, 2016 CITY COUNCIL DATE: December 9, 2015 COMPLETION OF FILE DATE: STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED: DATE PERMIT LETTER WAS SENT TO ORGANIZATION: December 9,2015 VIOLATION (S) COMMITTEE LETTER SENT: COMPLY RECEIVED: COMMENTS:
APPLICATION FOR CITY OF CHICAGO CHARITABLE SOLICITATION PERMIT
(Please neatly print or type. In necessary in answering any question, please attach additional sheets.) Name of organization: "Th*. Tikad BcLSrvr- Supper f Fo unison Address: £asf 8^ S W+ -^^o,XL fcOfcl?
Telephone Number: T13-k5/-it/feQ7 Use the space below to list names, current positions, residence addresses and telephone numbers of the officers in the organis Skak. ro. -TSftsW.v- - dec /A
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3. List the date and approximate location(s)"of solicitation: "D^feS- D<*<1. i e\, ZLbi 5 ¦3an.^ ^c-jfe Feb, 4 ' IWn 5^ far. $o±A Xm* ^ " 2& ^ a«s* i«* ¦^Jy aCT<^ Aug. t>* Sep-fc. ^^n* Oc-L i^aq Dec- 3" 4. " 'Approximately how many persons will be engaged in the solicitation? | q* ( t*
f Apr& ^nry-«c*-l-&ly people. e-o^age. in I .-i-^-V-f <^. Explain the methods your organization will use to solicit funds:
OU-I- Ur»fc r\ br-oC.ku.t-e . (XC\X +LOo C2-^ e£ Founded crv Xr\ ^HS,-mSt-r-i C n., Has your organization ever been allowed to solicit funds in prior years in the City of Chicago? If so, when? f|ci -4-V\&. Fou.oJo_A-i-e.r-v Ka^ ne.Ve.r- Sciio Include the following with your application:
A copy of the registration statement filed with the Attorney c>a.»npJe b*d^ General of the State of Illinois; or exemption issued by the ^nAttorney General of the State of Illinois. d;^ri bw.1- A copy of the tag, badge, emblem or other token (if any) which ^-ntlb-vied will be distributed as part of the solicitation, or which will be used by your organization in its solicitation. Please include any other relevant information which would assist the Committee on Finance in reviewing this application. "TVve. Fbu-rN^qA-ico uj.U b(L £ci ao^ears \ n 2LbiU. /v4-^aUfed \t> b^*" /Ait>APPLICATIONS MUST BE RECEIVED BY THE COMMITTEE ON FINANCE NO LATE THAN 30 DAYS PRIOR TO THE COMMENCEMENT OF THE SOLICITATION.
I/WE, THE OFFICER(S) OF THE ABOVE NAMED ORGANIZATION, CERTIFY THAT THE INFORMATION FURNISHED IN THIS STATEMENT AND ALL ATTACHED SHEETS IS TRUE AND CORRECT TO THE BEST OF MY/OUR KNOWLEDGE. (NOTE: AT LEAST ONE OFFICER OF THE ORGANIZATION MUST SIGN AND VERIFY THIS APPLICATION.)
Title (LB d/AJmt n; s-AWa t- Date / if 3 o// s
^.StcL^ Date ujlyflS
Signature_ HOLD HARMLESS AGREEMENT
The undersigned officer on behalf of the subject organization agrees to defend, indemnify, save and hold harmless the City of Chicago for any loss, liability, damage or cost which the City may incur due to the presence of volunteers of the subject organization on City premises for the purpose of charitable solicitations.
2. The subject organization assumes full responsibility for risk of bodily injury, death or property damage due to the negligence of the subject organization or otherwise resulting from conduct or activity related to the participation in charitable solicitation on the public way.
3. The officer ofthe subject organization has read and voluntarily signs the hold harmless agreement and waiver of liability and indemnity agreement.
Name of organization
Signature of organization officer
Date OFFICE OF THE ATTORNEY GENERAL November 30, 2015 STATE OF ILLINOIS Lisa Madigan THE JIHAD BASHIR SUPPORT FOUNDATION 705 E 89TH ST CHICAGO, IL 60619 attorney gener/ RE: RE: Status of THE JIHAD BASHIR SUPPORT FOUNDATION under the Illinois Charitable Laws CO# 01031089 Dear Registrant: This letter is pursuant to your request that the Attorney General confirm the status of THE JIHAD BASHIR SUPPORT FOUNDATION under the Charitable Organization Laws.
This organization is currently registered with the Attorney General's Charitable Trust and Solicitations Bureau as CO# 01031089. It is current in the filing of its financial reports, having filed its report for the period ended December 31, 2014. Please let us know if you require further information.
Takiyah Martin Barnes, Compliance Officer Charitable Trusts Bureau 100 West Randolph Street, 11th Floor Chicago, Illinois 60601 Telephone: (312) 814-2595
These profound words Jihad so confidently told his mother the day before he passed from This life. This foundation is named in his honor and with his kind of spirit. He will never be able to contribute directly to science, but his foundation will. It has been established to help persons who have a desire and the potential to be scientists or artists. However, due to unfortunate circumstances, their dream may never become a reality. One of the major focuses of the foundation will be with those who "fall by the wayside," human beings who have been "written off by society." __
JIHAD BASHIR was a caring, loving, and sharing child who not only wanted to be a scientist, but enjoyed writing, drawing, and singing. This youngster opened his heart to help the young as well as the old. Passing from this life at the tender age of 14, not a day would go by that he wasn't assisting someone. When Jihad was 10 years old, he began traveling for four years, with his mother, to and from Mississippi. They were not going for a vacation nor for relaxation, their journeying was to care for his ailing grandmother. Untiring and affectionately each morning he woke up and asked, "Mama, what do you want me to do?"
It is with this kind of spirit THE JIHAD BASHIR SUPPORT FOUNDATION is established. It will seek out families whose aspiration is to do great things, yet, they have been unable to do so. Whatever kind of aid the foundation can give, it will. It may be financial, it may be tutoring, or a child might need encouragement from someone who cares. Some may need help the foundation can't provide, however, it will refer them to other resources. It will work in the realm of a real family.|1010| The foundation will concentrate on quality, not quantity. It will work within the scope of its capacity to offer the most preeminent service it can. The goal is to help applicants reach their fullest potential. It is not set up for show, but for loving, caring, and sharing with needy persons.
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