Team Rubicon. GENERAL INFORMATION Organization Name

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1 GENERAL INFORMATION Organization Name Team Rubicon Organization's Website NYS Registration ID EIN Street Address 1 3 N Continental Blvd Street Address 2 Suite 15 City El Segundo State CA Zip Code 9245 Completed On: 3/13/214 Contact Person Dipali Mehta Title of Contact Person Address mehta@teamrubiconusa.org Phone Number Name of Person Dipali Mehta Completing Survey Title Dir Of Finance Timestamp 3/14/214 2:9:31 AM

2 Please describe the types of assistance that your organization has provided to those affected by Hurricane Sandy. On what date did your organization begin work relating to Hurricane Sandy? Is your organization still conducting Hurricane Sandy related work? On what date did your organization complete work relating to Hurricane Sandy? If not yet completed, please indicate when the work is expected to conclude. Is your organization providing immediate or long-term relief? Phone Number Website Address Special Instructions What geographical areas have been (or will be) served by your organization in response to Hurricane Sandy? What kind of services have been provided by your organization in response to Hurricane Sandy? DESCRIPTION OF EFFORTS Provided disaster relief in the aftermath of Hurricane Sandy. Included post disaster damage assessment, debris management, flood recovery operations, EOC staffing, and assisting point of distribution operations. 1/29/212 No 12/3/212 No Brooklyn, New Jersey Cleanup, Volunteer Coordination/Training, Grants to other organizations

3 Amount Raised (Cash, not Gift-in-Kind) for Hurricane Sandy How much of those funds are/were restricted by donors for Hurricane Sandy related work? Value of goods and services (in-kind) donated to your organization Description of in-kind donations: How in-kind donations were valued: Please indicate the 1 largest GIK contributors to your organization. For each contributor please include the name, address, telephone number, and the GIK value. Please indicate the 1 largest recipients of GIK materials your organization distributed. For each recipient please include the name, address, telephone number, and the GIK value. Is your organization still conducting fundraising for relief efforts? If your organization is still conducting fundraising for relief efforts, please indicate the methods used: FUNDRAISING flights, supplies, communication equipment and meals market value, donor provided $66,5 JetBlue - flights $ 5,6 Various Individual donors - supplies $3, St Bernard Project $ 5, Giants of Generosity $ 1, ITDRC No

4 How much has your organization spent or disbursed on Hurricane Sandy relief to date? Total dollar amount made in grants to organizations Number of organization to which grants were provided Total dollar amount made in grants to individuals/households Number of individuals/households to which grants were provided supplies purchased by your organization for Hurricane Sandy relief Describe these supplies: shipping supplies transportation for staff and volunteers transportation for individuals impacted by Hurricane Sandy shelter/feeding for staff and volunteers shelter/feeding for individuals impacted by Hurricane Sandy storage/warehousing incurred only because of Hurricane Sandy Total amount allocated for pre-existing storage/warehouse costs for which Hurricane Sandy funds were used Total amount paid to third parties for services (e.g. payments to contractors, health professionals, etc.) EXPENDITURES muck out kits, safety equipment, communications equipment

5 State the name of the service provider and describe nature of services provided and the amount paid for these services by your organization personnel that were hired/employed in response to Hurricane Sandy Personnel hired/employed prior to Hurricane Sandy for which Hurricane Sandy funds were allocated other administration/overhead Describe administration/overhead expenses other categories, not defined above Please describe these expenses Various volunteers; emergency management leadership fundraising service fees, printing/copying 425 contributions to affiliates, equipment rentals, communications equipment

6 What is the dollar amount of Hurricane Sandy funds yet to be spent by your organization? What is your organization's plan for using any remaining funds not spent for Hurricane Sandy relief? 3457 UNSPENT FUNDS AND PLANS Towards other domestic relief and mitigation operations. Team Rubicon completed its work related to Hurricane Sandy on 12/3/212. Following that operation, Team Rubicon has responded to 18 other domestic disaster relief operations.

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