*9City of Milpitas Donation or Fee Waiver/Reduction Request Application Form

for Non-Profit Organizations

Complete this form and return it to Milpitas City Clerk

Please provide a copy of the IRS tax-exempt letter with the application .

Name of Organization: INTERGROUP CENTRAL OFFICE OF SANTA CLARA COUNTY, INC.

Is there a Milpitas branch or affiliation? Yes: 12 meetings each week of Alcoholics Anonymous in Milpitas

Mailing Address: 274 E. Hamilton Ave., Suite D, Campbell , CA 95008

Contact Person :_--=B..:..;ru::.:c"""e,-,K'-'.!.!..:i rs'''''c"-'-h.:..o:e:.!...n'-'-!m..:..::a::..:.n.:..:..n'---__ _ Telephone No. _--'-4.=..08=...-.;.3..:....74....:...--=8:....:.4=20=---______ _

Email Address: ___ a=.;a=.:s~a:..:.n.:J.:io""'s~e~@=co~m'_'_=c.:::.a~st"_'. n..:..::e:::..:t _____________________ _

What is your request? Donation Amount Requested _____ ~N.:....;A'__ _____ _ OR

Fee Requested to be waived (type and $ amount) _....!R....:.;e:::..:n..:..::t.:::.a:....:1 f..::::e.:::.e~s.c......!....:A:.:..:.m.:.;:o~u'_'_'n"_t _-"",$...!..;1'L..!..7:....:.4....:...1 ""'.50.:::0 _______ _

Event date(s) : ___ ----'-A..:..::u::..;:g=u=st::....1..:..;8"'-1.,-=2:..::;0....:...1 =...3 ______________________ _

What is the purpose of the event? To inform our members of the service opportunities in Alcoholics Anonymous, to encourage thei r participation, and to focus attention on reaching and serving the still-suffering alcoholic.

How will the Milpitas community benefit from this event? We serve those who have recovered as well as those still suffering from alcoholism in Milpitas, as well as the whole of Santa Clara County.

What % of the fund raising proceeds will benefit Milpitas community? This is not a fund raising event. To the contrary, it is designed to give back to the A.A. community and donations are not solicited .

How will the City's contribution (if granted) be recognized in any publicity? Those attending this function are advised of the City's rental fee waiver. For anonymity reasons, this event is not publicized to other than members of Alcoholics Anonymous.

Within 60 days after completion of the event for which a donation was received or a fee waiver/ reduction was granted by the City of Milpitas, your organization will provide a written report to the City Clerk to include at minimum: number of participants, copies of all publicity of the event, any benefit to the community, amount of fun raised and an accounting of how the proceeds of the event will be dispersed.

Signature of Office -..' ~.t&4<~r.o.;.<:::1.:::,.1-----""-::::::""'--- Date: May 3, 2013

Print Name & Title: Bruce Kirschenmann, Executive Director

Milpitas City Council City of Milpitas

INTERGROUP CENTRAL OFFICE OF SANTA CLARA COUNTY, INC.

August 21,2012

455 East Calaveras Boulevard Milpitas, California 95035

Greetings:

Please consider this as our appl ication for a waiver of rental fees pursuant to section 3.5 of the "City of Milpitas Facility Manual , Indoor and Outdoor Facilities", for our Unity Day event scheduled for Sunday, August 18, 2013. You've granted our petition to waive these rental fees the past three years and we 're very grateful; thank you . We have held this event in th is terrific facility for several years and hope to continue this relationship for many more.

Incorporated in 1975, Intergroup Central Office of Santa Clara County, Inc. is a California non-profit corporation, fully tax exempt under Section 501(c)(3) of the Internal Revenue Code and Section 23701d of the California Revenue and Taxation Code. We are the Central Office of Alcoholics Anonymous in Santa Clara County, serving about 540 meetings and thousands of members each week. Among many others, our services include our 24 hour hotline, the publication and distribution of our Meeting Directory for those 540 meetings, the sale and distribution of A.A. literature, and the coordination of educational and unifying events such as

.' this one, our annual "Unity Day". This event, open to all , is designed to inform our members of the service opportunities in Alcoholics Anonymous, to encourage their partiCipation, and to focus attention on reaching and serving the still-suffering alcoholic.

A little bit about us: One of our guiding principles (we call them "Traditions") is that we are fully supported financially by contributions from our members only. This means we receive no public funds or funds from other foundations, organizations, and individuals, even if offered. Likewise, we do not "politic" , nor do we espouse positions on issues or events outside our Fellowsh ip. Our efforts and attention are focused intently on our primary purpose of maintaining our sobriety and helping others find sobriety.

Please let me know if you require more information. I would be happy to answer any questions, by attending your Council meeting or in any other manner.

Many thanks to you for your consideration of this request.

uce Kirschenmann Executive Director

274 E. Hamilton Ave., Suite D Campbell , CA 95008 Phone: 408374-85 11\ Fax: 408374-8557

Emai l: office@aasanjose.org http:.//www.aasanjose.org

~~'1%l IRS O"ps rtm ent of th e Treas ury ~~'<]J} IntHn a l Rl'vr nu c Sc.rv lcc

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!22 6 3

OGDEN UT 84201-0038

INTERGROUP CENTRAL OFFICE OF SANTA CLARA COUNTY INC

ALCOHOLICS ANON 274 E HAMILTON AVE STE D CAMPBELL CA 95008-0240

In reply refer to: 0441958642 Dec. 02, 2010 LTR 4168C EO 94-2288924 000000 00

00032504 BODC: TE

Employer Identification Number: 94-2288924 Person to Contact: L Reed

Toll Free Telephone Number: 1-877-829-5500

Dear Taxpayer:

This is in response to your Nov. 22, 2010, request for information regarding your tax-exempt status.

Our records indicate that you were recognized as exempt under section 501Cc)C3) of the Internal Revenue Code in a determination l etter issued in June 1977.

.' .' Our records also indicate that you are not a private foundation within the meaning of section 509Ca) of the Code because you are described in sectionCs) 509Ca)Cl) and 170Cb)Cl)CA)Cvi).

Donors may deduct contributions to you as provided in section 170 of t he Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for Federal estate and gift tax purposes i f they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code.

Please refer to our website www.irs.gov/eo for information regarding filing requirements. Specifically, section 6033Cj) of the Code provides that failure to file an annual information return for three consecutive years results in revocation of tax-exempt status as of the filing due date of the third return for organizations required to file. We will publish a list of organizations whose tax-exempt status was revoked under section 6033Cj) of the Code on our website beginning in early 2011.

0441958642 Dec. 02, 2010 LTR 4168C EO 94-2288924 000000 00

00032505

INTERGROUP CENTRAL OFFICE OF SANTA CLARA COUNTY INC

ALCOHOLICS ANON 274 E HAMILTON AVE STE D CAMPBELL CA 95008-0240

If you have any questions, please call us at the telephone number shown in the heading of this letter.

Sincerely yours,

Rita A. Leete Accounts Management II

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