Bill Pickett Memorial MLK Kidz Corner at the Nat'I Western. Schools/Manual High Support for the Manual High School. Child Advocates-Denver

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1 col/n;;- 1 ~0 ~, 'o 7 -~~ ").., _... >--. :~~~,\ 1 a 5~ \ t,,, ~f.'fse,\l I In compliance with Council Rule ll(e), this form is used to report donations made to entities during the previous calendar year. If no donations were made, please indicate "none" and sign and date the form. This form Is due to the Central Council Office on January 31, of Donation Amount of Donation Donation Made To Additional Information Bill Pickett Memorial MLK Kidz Corner at the Nat'I Western 1/13/2017 $1, Scholarship Fund Stock Show Schools/Manual High Support for the Manual High School 2/1/2017 $300 School Baseball the Las Vegas Valley 4/4/2017 $150 Servicios de la Raza 5th Annual Servicios de la Raza Gala Covered costs for Cesar Chavez Peace and 4/6/2017 $ Liberty Waste Mgmt. Justice Committee/Cesar Chavez Event Colorado Basketball Classic & Rocky Mtn. Joint Effort Community Challenge Basketball Tourney for Boys & 4/10/2017 $500 Sports Girls Child Advocates-Denver 4/12/2017 $500 CASA Light of Hope Breakfast Event I attest that the information represented herein is true, correct, and complete, to the best of my knowledge. JAN \8 Cl1Y & COUNTY OF DENVER

2 CG_tlt:1 f Q w > /..;.-::--:.~ - -~ Q. _,. ('","'!:._. \ ~--~f.9 ' 1. G u.', - /I / '>i,,-..i,t,. ~ ~~-''1-t, 5[AL In compliance with Council Rule ll(e), this form is used to report donations made to entitles during the previous calendar year. If no donations were made, please Indicate "none" and sign and date the form. This form is due to the Central Council Office on January 31, of Donation Amount of Donation Donation Made To Additional Information Helping West High School students build 4/26/2017 $ Colorado Uplift homes Establishing a scholarship fund for the Denver Scholarship graduating seniors of Bruce Randolph 4/26/2017 $200 Foundation High School 2nd Annual Whittier student art/silent 5/4/2017 $500 Whittier PT A auction & multicultural concert 5/4/2017 $ City Park Alliance Annual City Park Ice Cream Social 5/18/2017 $2,500 Denver Arts & Skills Center Program Donation 6/20/2017 $500 Crowley Foundation, Inc. Boys2MEN Leadership Summit I a1 est that the information represented herein is true, correct, and complete, to the best of my knowledge.. V, JAN \8

3 "CQliN/;. ~,,., ~1 -.',;,.,. _ ~ 0 ) ~.,. '' i "' ~: :/~ ~,--:\. 1 0,,..,' < ~ ~~',,'t,~ S!.A\. \ In compliance with Council Rule 11(e), this form Is used to report donations made to entities during the previous calendar year. If no donations were made. please Indicate "none" and sign and date the form. This form is due to the Central Council Office on January of Donation Amount of Donation Donation Made To Additional Information African American literature for the Blair- Blair-Caldwell African Caldwell African American Research 8/28/2017 $2, American Research library Library Coffee at the Point Community 10/26/2017 $1,000 INDIEGOGO Crowdfunding Campaign Club t -shirts for the Black Student Alliance 11/1/2017 $538 Custom Ink at East High School In collaboration w/ other City Council offices - Establish within Colorado Legal Services an Eviction Defense Pilot 12/12/2017 $ Colorado Legal Services Program Colorado Rapids Youth SFS Outreach Program (low-income 12/15/2017 $3,000 Soccer Club player funding for Wyatt Elementary) Denver Public Schools/Manual High Supporting the Manual High School 12/15/2017 $150 School Baseball Team st that the information represented herein is true, correct, and complete, to the best of my knowledge.

4 cov.v,~.,0.,11 ',, "" ~ T.. ~ ~~ t_~ '..(1 ~i'~i :--\. G u,...?i -.,,! i'r!,, :..::., ""'1/f ~-~ I -~ - S[Al.l\ In compliance with Council Rule 11(e), this form is used to report donations made to entitles during the previous calendar year. If no donations were made, please indicate "none" and sign and date the form. This form is due to the Central Council Office on January of Donation Amount of Donation Donation Made To Additional Information Community gathering space that employs/reintegrates adults from prison. Artwork sold in the facility is created by inmates and reintegrating adults. All proceeds go to the families and children 12/15/2017 $1, Open Door Tea Shop left behind due to incarceration. ented herein is true, correct, and complete, to the best of my knowledge.

5 A C9Vf1;,, ~,~., " I/;- ---~: <,,,;,~ ~ o >- Ii, ~~., -, _..., Si~,~,\ - ).? 4:<i-\ J:,t, /.:, '?-:---', -t,!>f~l Donations Received Report In compliance with Council Rule U(e), this form is used to report donations received during the previous calendar year. If no donations were received, please indicate "none," and sign and date the form. This form is due to the Central Council Office on January 31, of Donation Amount of Donation Donor Additional Information Donation for Dist. 9 African American 5/26/2017 $200 Roger Sherman literature for the Blair-Caldwell Library Donation for Dist. 9 African American 5/27/2017 $20 Christopher Conner literature for the Blair-Caldwell library Paul Books/Palisade Donation for Dist. 9 African American 5/30/2017 $200 Partners literature for the Blair-Caldwell Library East West Partners- 6/8/2017 $500 Denver literature for the Blair-Caldwell Library 6/12/2017 $250 Susan Powers literature for the Blair-Caldwell Library 6/13/2017 $100 Alan B. Salazar literature for the Blair-Caldwell Library I attest that the information represented herein is true, correct, and complete, to the best of my knowledge.

6 -. C C)_ll_N /, " v, w. ii, /..,,.<._.,, o :,i,..._ j~'f~ ' J \ A", 5(~!9f \. I~ -~ ~i,,.l~ ~1 --~,\ -b 5Et.L Donations Received Report In compliance with Council Rule ll(e), this form is used to report donations received during the previous calendar year. If no donations were received, please indicate "none," and sign and date the form. This form is due to the Central Council Office on January 31, of Donation Amount of Donation Donor Additional Information 6/15/2017 $50 Brother Jeff Fard literature for the Blair-Caldwell Library 6/16/2017 $50 Kevin J. Flynn literature for the Blair-Caldwell Library 6/18/2017 $100 Wellington E. Webb literature for the Blair-Caldwell Library 7/12/2017 $100 Joyce D. Brooks literature for the Blair-Caldwell Library Donation for Dist. 9 Community Outreach Events, Sponsor of the 35th Annual Hiawatha 11/21/2017 $100 Abbey Tesfazion Davis Jr. Senior Luncheon 12/20/17 I attest that the information represented herein is true, correct, and complete, to the best of my knowledge. CLERK ANO RECORDER CllY & COUNlY OF DENVER