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Meraki Wellness2.1 A(i1C� 1 a' ���eSs City of Atlantic Beach Contribution Awards: Cultural Arts and Recreation Programs FY2019-2020 A pplica tion Guidelines Package For ORGA NIZA TIONS APPLICATION GUIDELINES FORFY2019-2020 CONTRIBUTION AWARDS Funding Availability: The City Commission has allocated funding for FY2019-2020 to support artistic, recreational, or cultural programs, events or projects which benefit the residents of Atlantic Beach. Applications for contributions are invited from eligible non-profit, 501(c)(3) community organizations, providing extra-curricular/extramural programs, arts, cultural and recreation programs, activities or events that serve Atlantic Beach residents. Only one (1) Contribution application may be submitted per eligible non-profit, 501(c) (3) community service organization, with award request of $100 - $3,000 per applicant. Final Contribution Award amount may be allocated as determined by the Cultural Arts and Recreation Advisory Committee. In the event that the amount awarded is less than the amount requested, applicants must be prepared to submit a revised program budget and description reflecting changes in scale if applicable. Please note relevant code pertaining to contributions: Sec. 2-2. Charitable contributions prohibited. The City shall not contribute City funds to any charitable, non-profit, or other worthy cause. However, the City may contribute City funds or other support to artistic, recreational, or cultural programs, events or projects which benefit the residents of Atlantic Beach, as follows: (1) Requests for contributions to such programs, events or projects shall be submitted to the Cultural Arts and Recreational Advisory Committee. (2) The Cultural Arts and Recreational Advisory Committee will make recommendations on any such requests to the City Commission, who will then make the final decision on funding the request. (3) Any request for contributions which are not artistic, recreational, or cultural in nature shall be submitted directly to the City Commission for consideration. (Ord. No. 95-91-50, § 1, 10-28-91; Ord, No. 05-02-37, § 1, 7-8-02) Editor's note— Ord. No. 95-91-50,_§I, adopted Oct. 28, 1991, amended the Code by adding (b). For purposes of classification, 5(b) has been codified as �� at the discretion of the editor. REQUIRED APPLICATION DOCUMENTS Documents Required for Submittal: All applicants must complete the attached application form and provide the following documents: Z Completpd Application Form Er"'Summary of organization's current budget 13/ Program budget Er-11Proof of current Non -Profit 501(c)(3) certification form issued by the State of Florida &-'List of Current Organization's Board of Directors 9,"Most current IRS W-9 Form Applications will not be processed for review if complete package is not received together ELIGIBLE NON-PROFIT ORGANIZATIONS ONLY Non-profit organizations which have officially filed as a non-profit with the State of Florida must attach a copy of its current year 501(c) (3) non-profit certification form. For organizations filed with the State, the Cultural Arts and Recreation Advisory Committee, at its discretion, may consider their application. APPLICATION DEADLINE: 4:30 p.m., August 23, 2019 Applications must be RECEIVED by deadline time and date 4.30 P.m. August 23, 2019. No Exceptions. Hand deliver applications to Mail applications to: Must be RECEIVED in The Recreation Office by August 23, 2019 NOT postmarked by this date Adele Grage Community Center 716 Ocean Blvd, Atlantic Beach, FL 32233 City of Atlantic Beach Recreation & Special Events Contribution Application 716 Ocean Boulevard Atlantic Beach, FL 32233 For more information contact: City of Atlantic Beach Recreation Office: Email (preferred method of contact) tjohnson@coab.us or call (904) 247-5828. DISQUALIFICATION CRITERIA AT TIME OF SUBMITTAL Any applications received after the deadline time and date are immediately disqualified from funding consideration. No exceptions. ➢ APPLICATIONS RECEIVED AFTER DEADLINE DATE ARE NOT ACCEPTED. ➢ E-MAILED APPLICATIONS ARE NOT ACCEPTED. QUALIFYING CRITERIA Applications are limited to non-governmental, non-profit organizations serving the Atlantic Beach community. Excluded entities include the following: municipal organizations, state or local government organizations and private individuals. (NOTE: Duval county schools applying for funding for extra -curricular or extramural activities/programs/services, after-school programs, or authorized student activity organizations that serve Atlantic Beach residents should apply using the SCHOOL application package). Organizations already receiving funds or financial support from the City of Atlantic Beach FY 20192020 may not apply for additional funding. PROPOSAL GUIDELINES Applications will be Judged and selected for funding consideration by the Cultural Arts and Recreation Advisory Committee on a number of criteria. 1. Serves Atlantic Beach residents. Proposal describes how many residents of Atlantic Beach are expected to participate and how many hours participants will be engaged in the program or event. The event or program is open to all residents of Atlantic Beach, and is non-discriminatory and free from inherently religious activities. 2. Cultural, Arts and Recreation: Program, event or activities are cultural arts and recreation in nature (or support access to participation in cultural, arts, recreation programs or events). 3. Community need: The proposal addresses an existing need in the community (for example there is currently a need to increase opportunities for cultural, arts and recreation programs or activities for teens and young adults, and there is currently a need for programs and events in Jordan Park and Donner Park areas of Atlantic Beach). 4. Evidence Based: The program or event is supported by evidence of successfully achieving expected outcomes 5. Affordability: The event or program is free or made affordable to residents of Atlantic Beach. Proposal describes planned steps to ensure that participants are not denied the opportunity to participate due to their inability to pay the registration or other related fees. 6. Accessibility: The program or event is made accessible so that residents of Atlantic Beach who do not live near the program/event location and/or who do not have transportation can still participate 7. Program Costs: Fair and justifiable program costs (detailed program/event budget required). 8. Adequately resourced: The proposal includes evidence of supplemental funding, such as leveraging matching funds, collaboration, volunteers or other resources. 9. Originality and creativity. Applications of projects or programs that are new and unique to the community or which provide a new or unique twist on an existing program are strongly encouraged. 3 10. Evaluation: There is in evaluation plan that measures participation/impact and will provide useful/actionable data. 11. Timely: Completion of Special Event/Program Activity between: October 2019 and September 30, 2020. CONTRIBUTION AWARD EXPENDITURES Contributions will be funded upon approval of the City Commission and announcement of recipients. Expenses must be directly related to proposed program or event services, materials or activities occurring within the award period. Awardees will be required to maintain financial records to support claimed expenditures and project accomplishments. Funds for the proposed special event or program activity must not be used to replace or offset funding sources normally available for any portion of the special event or program activity, nor be used by the applicant to fund/supplement its own monetary giving. Funds may not be used for capital expenses, lobbying or other excluded activities. Funding may not be used for inherently religious activities. FINAL REPORT AND RECEIPTS The City Staff will review submitted copies of paid receipts/invoices and a written final report to ensure that funds were spent in compliance with the approval application. Applicant will be required to reimburse the City of Atlantic Beach for all inappropriately spent funds. Final Report is due 30 days following completion of the program or event. PRIOR FINANCIAL ASSISTANCE Information provided on application will be used to review prior performance history. Significant non-compliance issues will be taken into consideration and may affect future funding decisions jointly made by the City Commission. NOTE: Eligibility for FY2019-2020 Contribution Awards may be affected if an organization has previously received a Contribution Award by the Atlantic Beach City Commission, or has not fully disclosed that a Contribution Award was not fully expended, or did not complete required financial or other reporting requirements for a previous Contribution Award. All eligibility criteria is administered and determined by the Recreation Director, and Cultural Arts and Recreation Advisory Committee. All decisions made on eligibility by the Atlantic Beach City Commission, the Recreation Director and the Cultural Arts and Recreation Advisory Committee are deemed final. CONTRIBUTION AWARD MAXIMUM' AWARD AMOUNT Contribution Awards: Most of the award amounts are expected to be between $100 and $3,000 *NOTE: The City Commission and/or the Cultural Arts and Recreation Advisory Committee, at its discretion, may modify the Contribution award to qualified recipients based on merit of proposal, number of other qualified applications received and other criteria. The Contribution award may not exceed the maximum amount of available financial resources for the FY2019- 2020 Annual Atlantic Beach Community Contribution Program as approved under the City's Annual Operating Budget. KEY TIMELINES FOR,FY2019-2020 PROGRAM PERIOD July 15, 2019 Distribute Request for Proposals (RFP) and issue press notification (Notice of RFP will also be included in newsletter distributed September 25, 2019 City Commission approval of total funding amount for FY2019- 2020 Contributions Program August 23, 2019 Deadline for FY2019-2020 Contribution Awards proposals. The Recreation Director will review each application as they are received and forward eligible applications to the Cultural Arts and Recreation Advisory Committee within 3 business days of receipt August 27, 2019 Notify semi-finalists who will be required to present a brief summary of their proposal/answer questions to the Cultural Arts and Recreation Advisory Committee September 3, 2019 MANDATORY presentations to the Cultural Arts and Recreation Advisory Committee are required by all short-list semi- finalists. The Recreation Director will calculate final scores based on both proposal content and presentations. October 14, 2019 City Commission Approval: City Commission awards Contributions and appropriates funds at Regular City Commission Meeting October 17, 2019 Applicants notified regarding application outcome October 24, 2019 Contribution Awards Disbursed: All FY2019-2020 Contribution awards released to award recipients FINANCIAL AND OUTCOME REPORTING FOR AWARD RECIPIENTS FY2019-2020 LETTER NOTIFICATION: Upon completion of the program or event, all FY2019-2020 award recipients will be notified to submit their final reports and copies of receipts. DEADLINE: All FY2019-2020 award recipients must submit copies of paid receipts/invoices and a written report, including number of Atlantic Beach citizens served and program or event outcomes within 30 days of completion of the program or event. If the paid receipts/invoices and written report is not received, the award recipient will be required to immediately reimburse City of Atlantic Beach Contribution funds. General guidelines for reports 1. Report should clearly state how deliverables described in the proposal were met 2. Report should be clear regarding how funding was used to benefit residents of Atlantic Beach. 3. Describe what was accomplished in general and pertaining to AB specifically, 4. Description of the steps taken to reach out to AB residents to participate or attend the program 5. Report how many from AB attended/participated (number and percent of total participants is preferred) 6. Include feedback received from participants, especially highlight any from AB. 7. Include evaluation results 8. Submit the paid receipts showing how the money from COAB was used Note: All Contribution Award recipients' final reports will be submitted before the Recreation Director for approval of expenditures. If determination is made that funds were expended inappropriately, the Recreation Director will direct award recipients to reimburse the City of Atlantic Beach. APPLICATION FORM WITH SCORING AND REVIEW CRITERIA AND GUIDANCE Funding amount requested: $ ' y 0 U Dates of event/program start-end--- Yes/No Conditions A. Fair and justifiable program costs (Program/Event Budget required)0 B. Serves Atlantic Beach residents C. Program/event pertains to cultural, arts, recreation No D. Program/event activities completed by September 30, 2020 0 E. Program/event is non-discriminatory 0 F. Is the event free from inherently religious activities? 0 NOTE: If the Yes/No conditions are not met, the application is not eligible for funding, and will not be processed for review. NOTE: Questions reviewers will consider are listed in italics as a helpful guide for applicants 1. Participants (Maximum 35 points) Location(s) where program/event will take place,�� �- ❑ Total estimated number of participants `�_0 U Number and percent of participants who are Atlantic Beach residents % (�.= ❑ Total number of hours each participant will be directly engaged in program/event [ D '2 ❑ Frequency an duration of program/event (e.g. 1 time event for 2 hours, or 1 x/month for 1 hour 0 0�S - IMAM' ❑ Is the event o en to all residents of Atlantic Beach w may want to participate? "I ` S ❑ Is the event to occur in Atlantic Beach or to serve primarily Atlantic Beach?[ NOTE: An important criteria for funding is to ensure that an adequate number of Atlantic Beach residents will benefit from the program/event relative to the amount of funding requested. To address this criteria, a per -person -per -hour cost will be calculated by the reviewers. 2. Need (Maximum 20 points) Briefly describe any community needs or gaps that the program/event is intended to address. Please state if the program/event targets a population or age group that is currently underserved in Atlantic Beach. NOTE: Reviewers will consider the following questions when assigning points: ❑ Is there a demonstrated need for the program/event? ❑ Is the program/event duplicative of other programs/events in the area? Is the program/event a response to a need articulated from the community? Does the program/event target a population group that is currently underserved? (e.g. teens, children with special needs, low-income residents, etc.) 3. Description of program/event 3.1 Describe the goals and objectives of the program/event, and benefits to the residents of Atlantic Beach, please make sure goals and objectives are specific, measurable, achievable, results -focused and time -bound (Maximum 15 POINTS) NOTE: Reviewers will consider the following questions when assigning points: o Are the goals and objectives described in the application SMART (specific, measurable, achievable, results -focused, and time- bound) o How will the program/event benefit residents of Atlantic Beach (pertaining to cultural arts and recreation? o Are tqe goals and objectives artistic, recreational and/or cultural in nature 3.2 Describe program/event activities (Maximum 40 POINTS) NOTE: Reviewers will consider the following questions when assigning points: o How appropriate are these activities are in terms of achieving the stated goals and objectives o Originality and creativity — is the program or event new and unique to the community or provide a new or unique twist on an existing program or event? o Is this a family oriented and wholesome event that City funding should support? 3.3 Describe how the program/event will be advertised too ensure adequate participation (Maximum 5 POINTS) NOTE: Reviewers will consider the following questions when assigning points: o Is there a plan for promoting/marketing the program/event? o Is this plan likely to be effective and feasible? 4 Describe how you will facilitate access to the program or event so that residents of Atlantic Beach who do not live near the program/event location and/or who do not have transportation can still participate. (Maximum 10 POINTS) NOTE: Reviewers will consider the following questions when assigning points: o Is there a plan to ensure that access is not a barrier? o Is this plan effective and feasible? 5 Describe if the program is evidence based (i.e. has a record of achieving expected outcomes) (Maximum 15 POINTS) NOTE: Reviewers will consider the following questions when assigning points: o Is the program or event based on published evidence? o Does the program or event have a demonstrated history of success (in other contexts or similar cities, or in previous years)? 6 If there is a fee or cost to participate, describe how you will ensure that participants are not denied the opportunity to participate due to their inability to pay any registration or other related fees or costs. If there is no fee or cost please state N/A (Maximum 15 POINTS) NOTE: Reviewers will consider the following questions when assigning points: o Is the program/event free for residents of Atlantic Beach? o If there is a fee or cost, does the proposal describe steps to ensure that participants are not denied the opportunity to participate due to their inability to pav fees oncosts? 7. Evaluating Success (Maximum 30 POINTS) Briefly describe how you will measure success. This should include how you will assess participant satisfaction, number of participants and (if applicable) changes in knowledge, attitudes, skills or behaviors. Describe data collection methods and who will be surveyed. Please also describe how data will be used to inform program improvement. NOTE. Reviewers will consider the following questions when assigning points: o Is there an adequate evaluation plan for measuring participation, participant satisfaction and (if applicable) changes in knowledge, attitudes, skills or behaviors o Will data provide actionable information for future planning? o Will results be useful for dissemination to the community? o Does evaluation include feedback from participants/audience as well as planners/ organizers and volunteers? 8. Resourcing (Maximum 15 POINTS) Please describe any plan to leverage additional resources (e.g. other funding, volunteers, in-kind donations) or collaboration with others to offset expenses NOTE. Reviewers will consider the following questions when assigning points: o Is there a plan to leverage additional resources (other funding, volunteers, and/or in-kind donations)? o Is there collaboration with other organizations that will help to offset resources and expenditures? o Is this a for-profit event? Indemnification Contribution Award applicants and recipients agree to indemnify and hold harmless the City from any and all liability, defense costs, including other fees, loss or damage which the City may suffer as a result of claims, demands, costs or judgment against it, arising from all activities engaged in by Recipient in its use of the public funds. Site Visits Applicants must be available for site visits during the application process and successful applicants must be available for site visits during program activities or events Save the Date It is recommended that all applicants consider holding time on their calendars for a 10 minute presentation on SEPTEMBER 3, 2019 in the event that they should make the short-list of semi- finalists (applicants may send any member of their staff or team to represent the application at the presentation). All decisions are final. Meraki Wellness, Inc. Beaches WeIlFest - March 7, 2020 at Johansen Park Funding amount requested: 3000 Board of Directors: Tracy Marko - President / Director Thomas Marko - Vice President / Director Jena Pugh - Director Elizabeth Brown - Director Dates of event/program start -end: March 7. 2020 Budget: Our non-profit was established to support the start and growth of the WeIlFest events. The organization's budget below shows the cost of starting our non-profit along with some items needed for the first event that we will be able to use for future events as well. Organization Budget / Start- Jr) Cost - Meraki Wellness Inc. InewporAffmajiltNt up: s+rE FNrW _SM shy -$7M s -32M W=q*9WeVW-SW -secs -41,mml Our event buds -et below shows the sponsorships collected and the cost we incurred to run our first event for the day (March 2, 2019). We anticipate the needs for our Beaches 2020 event to be more costly as we hope to purchase a tent for our stage area in case of rain, increase our advertising, add a for -charity run prior to the start of the event, and establish an on-line pre registration for small -group education sessions. Event Budget - Beaches WellFest 2019 Sponsorships Cam $3,1'Jl'1 ! Prirlffi� AdvwfisinB: D mne F.*o Ekmlh 44M FaaebwkAdverfisemert 4100 Day aF Needs: JaNdW& dies 4= PlabmIVAkshSimons -"W Chaos -W-M Haim -SIOD Tent -$213.99 Fbad -3M.00 kra°ance -$150 a3.01sa!ss� eft: 3130,3B Meraki Wellness, Inc, Beaches WeIlFest - March 7, 2020 at Johansen Park Funding amount requested: 3000 Dates of event/program start -end: March 7, 2020 Yes/No Conditions: A. Fair and justifiable costs (Program/Event Budget required) Yes B. Serves Atlantic Beach residents Yes C. Program/event pertains to cultural, arts, recreation Yes D. Program/event activities completed by September 30, 2020 Yes E. Program/event is non-discriminatory Yes F. Is the event free from inherently religious activities? Yes Application Questions: 1. Participants Location: Johansen Park Estimated Participants: 500 people AB Residents: 300 / 60% estimated Participant Engagement: Full 6hours of the event Frequency / Duration: 1 day event for 6hours - 10am to 4pm Open to all AB residents: Yes Event to occur in AB: Yes 2. Need The goal of WeIlFest is to provide education to the beaches communities on the importance of a healthy lifestyle and the various options in which to achieve success in self and family wellness. Currently the only events within the entire county that are listed as `health and wellness' events focus primarily on the sales and promotion of products and services. Other health festivals may include nutritional specific events, however currently there is no event like what was held this past March and what we plan to provide to Atlantic Beach this coming March 2020. The goal of WeIlFest is to provide lifestyle information and screenings to help build awareness of health risks and provide information on how an individual can make behavioral changes to enhance his or her health, as well as the health of their families. In our community the pieces we need to make this happen are right in front of us - and this is how we put them all together. This is our chance to educate our community. Although we continue to be flooded with information for business and services claiming to be about health, obesity percentages continue to grow throughout Duval County and the State of Florida. In Florida, approximately 29% of the population is categorized as obese; and in Duval County the statistics show closer to 30% are obese. Information is available on health and wellness, but it's overwhelming for most and our community is suffering. Focus should be on what is needed, what is effective, and what is available to support a lifestyle change that provides a connection between the resource and the target audience. That is where WeIlFest will bridge the gap; allowing attendees to discover health and connect local. With 93.7% of our City having access to exercise and 26% continuing to be inactive, there is a reason we're missing the connection; and it's time to make changes. 3. Description of Program / Event 3.1 Goals and Objectives WeIlFest was built on the foundation of providing education to communities and empowering individuals to take control of the health of themselves and their families. To do that we need to build a strong network of local businesses that want to work together for the greater good of their community. This network will allow for individuals to be supported on their health journeys. Outside of our big picture goal of building networks and educating the community, we set a goal from our last event in March to have every person who walked through our festival leave with one piece of information they can immediately put into practice to improve their health. After our event we sent out a survey through Facebook and every single response confirmed that we had met our goal and that our beaches community wanted a WeIlFest 2020. We hope that for this next event we can provide attendees with a survey card to return at the end of the event (perhaps with a raffle incentive) to allow us to collect more data on the needs, wants, and success of our event. Our main proposed goals from the beginning of the concept of WeIlFest are listed below, and we believe our first event met these goals and as we grow we will continue to focus on these and create the community impact needed to make a change. • Educating our community on impactful and immediate ways to improve health and well-beir, Every attendee of the event will have their own personal understanding and background into what health and wellness means to them. The overall goal of the event and the selected sponsor representation is to expose the attendees to every facet of a healthy lifestyle, including those that may not have been a previous focus. With the event, we aim to have each attendee walk away having learned at least one new thing they can change immediately to improve their overall health. Specifically, something that doesn't require a product or membership. • Raising community awareness through local small businesses:. By focusing on local businesses as sponsors for the event, attendees will have the opportunity to be face-to-face with companies in our neighborhood. The availability of local resources allows for reinforcement of the convenience and accessibility of health and wellness providers. • Partnering with health professionals and local resources to promote a healthy and mindful lifestyle: Opportunities for sponsorship will include a range of fitness, physical health, mental health, nutritional health, and environmental sustainability organizations. By having representation from various health and wellness resources, attendees will be exposed to the ecosystem of health that includes a holistic approach to a healthier lifestyle. 3.2 Activities We strive to make WeIlFest as hands-on as possible, meaning that not only do we allow our sponsors to set up their space as they see fit, but we encourage demonstrations and interactive activities throughout the day to enhance the educational opportunities at the event. We also had a stage set up last year allowing for presentations and classes throughout the day. Our 2019 event had a small platform stage but we would like to upgrade to a full trailer stage as our event grows to allow for more visual presentations from our gold -level sponsors. This past year, for example, we had a yoga class, bootcamp class, guided mindful meditation, cooking demonstrations, and interactive education on the physical therapy approach to back pain. We also plan to expand into smaller breakout sessions to allow for small -group learning and education to encourage interaction with our sponsors and attendees. We would like to invest in the capability to allow for on-line registration to allow attendees to set up their own schedule for the day as well, which is something we hope to use our grant funds for. 3.3 Advertised We plan to advertise this upcoming event as we did for our 2019 event. We had posters and flyers placed around the beaches, not just at the locations of our sponsors but at other businesses as well. We ran a press release in the Beaches Leader and Parents Magazine. We distributed over 2000 flyers to the local schools to be sent home with students. We also had event listings online and/or print with Void, Jax Moms Blog, and Natural Awakenings Magazine. Lastly, we had a booth set up at the Donna Marathon Expo and distributed another 2000+ flyers throughout the weekend as well as placed seven yard signs and three banners along the race course. A website, facebook page, and instagram page was also established for the event. 4. Facilitated Access At our 2019 event we offered bike valet with The Bike Bus as well as transportation with Beachside Buggies from City Hall to Johansen Park. We believe this gave alternatives to accessing Johansen Park for those either unable to drive and those with difficulty parking close to the event. The City Hall lot provided overflow parking and closer access for those needing city bus transportation as it is closer to the Plaza Road bus stop. We also believe that promoting the bike valet encouraged attendees to be active. We did contact Fleet Landing about using their transportation for their residents that wished to attend but were unable to confirm for last March, but we fully intend on attempting to secure that contact for the 2020 event. 5. Evidence Based Statistics on the increase of preventable health-related chronic illness with behavior risk factors, as pulled from the Department of Health, show the need for this type of event. For example, in Florida, approximately 29% of the population is categorized as obese; and in Duval County the statistics show closer to 30% are obese. In 2016, only 21.7% of adults aged 18 and older in the state of Florida met the physical activity guidelines for both aerobic and muscle strengthening activities. Diabetes, the nation's seventh -leading cause of death, has had a steady increase in death rates in Duval County since 2014. Although we are aware that there are varying factors to chronic illness, consistent lifestyle changes in regards to physical activity and nutrition are documented to have positive effects and improved wellbeing. These statistics only touch the physical and nutritional side of what WeIlFest is all about. We also include mental health and environmental sustainability as two other focus areas at our events and truly believe that research backs the need for education and accessibility to resources for improving individuals, families, and communities. The success of our Beaches 2019 event lead to the partnership with the City of Jacksonville for the growth of WeIlFest into Riverside (scheduled for October 5th, 2019). We also have the majority of our Beaches sponsors signed on to return to Atlantic Beach in 2020. 6. Fee or Cost There is no cost or fee to attend the program or participate in any of the activities provided throughout the day by our sponsors. We also offer free participation to other 501 c3 companies wishing to participate. 7. Evaluating Success As with our previous event we plan to send out surveys through social media following the 2020 event (as well as our upcoming Riverside event). We also hope to do survey cards at the event with potential raffle opportunities for cards submitted the day -of. We also truly believe the success of the event is shown not just in the returning of our sponsors/vendors, but also the increased number of sponsors and vendors and the community attendance and participation. Our inaugural 2019 event had consistent rain throughout the day and we still had 30+ attendees on their mats, in the rain, for our 10am kick-off yoga class. We have mentioned our survey for attendees, but we did also send satisfaction and feedback surveys to our sponsors to ensure that their specific goals and expectations for the event were met and we plan to continue to do so, improving in any areas needed as we grow. Volunteers for our first event included our Board of Directors and family members and friends, however as we grow we plan to extend invitations for community service hours to area schools and community groups. We truly believe in building community connections and networks and will keep that at the core of every event. 8. Resourcing Our volunteer plans include reaching out to local schools and community groups to provide community service hours. In terms of other funding and donations, we currently have not looked into opportunities as our first event, with our sponsorships, allowed us to cover the cost of the event. No payments were made to any of our members of the Board of Directors. In-kind donations allowed us advertising in multiple outlets as well as all of our graphics, and we plan to explore those options for future events as well. Form 11' = 9 (Rev. October 2018) Department of the Treasury Internal Revenue Service M a> tv 0. C 0 w `0 2 c a`� LE d a a0i U) 1 Name (as Request for Taxpayer Identification Number and Certification ► Go to www.irs.gov/FormW9 for instructions and the latest information. on your income tax return). required on this line; do not leave this line blank. MERAKI WELLNESS, INC 2 Business name/disregarded entity name, if different from above Give Form to the requester. Do not send to the IRS. 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to following seven boxes. I certain entities, not individuals; see ❑ ❑✓ C Individual/sole proprietor or Corporation ❑ S Corporation El Partnership ❑ Trust/estate instructions on page 3): single -member LLC Exempt payee code (if any) ❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is code (if any) another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. LJ Other (see instructions) op - 5 5 Address (number, street, and apt. or suite no.) See instructions. 1939 BRISTA DE MAR CIR 6 City, state, and ZIP code ATLANTIC BEACH, FL 32233 7 List account number(s) here (optional) Number (Applies to accounts maintained outside the U.S.) Requester's name and address (optional) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid social security number backup withholding. For ietor, or ds, this is generally your social security number (SSNr. However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. or Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and I Employer identification number Number To Give the Requester for guidelines on whose number to enter. 8 31 — 2 1 6 1 0 1 5 1 9 1 0 5 Gernirication Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), 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 for Part II, later. Sig�gnature of Here U.S. person► General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099 -INT (interest earned or paid) Date ► I `7 11 I I • Form 1099 -DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 10-2018) 0000019 03(09/14 r FLORIDA 85-8017720747C-8 Certificate Number This certifies that Consumer's Certificate of Exemption Issued Pursuant to Chapter 212, Florida Statutes MERAKI WELLNESS INC 1939 BRISTA DE MAR CIR ATLANTIC BEACH FL 32233-4525 03/07/2019 1 03/31/2024 Effective Date Expiration Date DR -14 R. 01/18 501(C)(3) ORGANIZATION Exemption Category is exempt from the payment of Florida sales and use tax on real property rented, transient rental property rented, tangible personal property purchased or rented, or services purchased. HORIDA 2 Important Information for Exempt Organizations DR -14 R. 01/18 You must provide all vendors and suppliers with an exemption certificate before making tax-exempt purchases. See Rule 12A-1.038, Florida Administrative Code (F.A.C.). Your Consumer's Certificate of Exemption is to be used solely by your organization for your organization's customary nonprofit activities. Purchases made by an individual on behalf of the organization are taxable, even if the individual will be reimbursed by the organization. 4. This exemption applies only to purchases your organization makes. The sale or lease to others of tangible personal property, sleeping accommodations, or other real property is taxable. Your organization must register, and collect and remit sales and use tax on such taxable transactions. Note: Churches are exempt from this requirement except when they are the lessor of real property (Rule 12A-1.070, F.A.C.). 5. It is a criminal offense to fraudulently present this certificate to evade the payment of sales tax. Under no circumstances should this certificate be used for the personal benefit of any individual. Violators will be liable for payment of the sales tax plus a penalty of 200% of the tax, and may be subject to conviction of a third-degree felony. Any violation will require the revocation of this certificate. , 6. If you have questions about your exemption certificate, please call Taxpayer Services at 850-488-6800. The mailing address is PO Box 6480, Tallahassee, FL 32314-6480.