HomeMy WebLinkAbout2016-443-E Arts - Chapel Hill Public School Foundation - Spring 2016 Arts Grant Agreement DocuSign Envelope ID:D5941DC8-4A54-4A7E-A6CC-6D885C3C8F1B
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(ro, ORANGE COUNTY ARTS COMMISSION
SPRING, 2016 GRANT AGREEMENT
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THIS AGREEMENT, entered into this 5th day of August, 2016, by and between Orange County
("County"), by and through the Orange County Arts Commission ("Arts Commission") and
Chapel Hill Public School Foundation ("Grant Recipient").
WHEREAS, the Arts Commission is a countywide arts agency that ensures the growth of
local arts experiences by providing funding and support for diverse high quality programs and
projects.
WHEREAS, the Arts Commission administers the Spring and Fall Arts Grants Program
to provide economic opportunities to Orange County artists and non-profit organizations
coordinating arts projects benefiting the citizens of Orange County.
WHEREAS, the Spring Arts Grants Program is supported by Arts Commission with
funds from the Grassroots Program of the North Carolina Arts Council, an agency of the
Department of Cultural Resources and the National Endowment for the Arts.
WHEREAS, the Grant Recipient was selected by the Arts Commission to receive the
Spring Arts Grant through the procedures duly adopted by the Arts Commission; and
WHEREAS, both parties wish to promote and maintain the integrity and clarity of the
Grant Recipient's ideas and statements and delineate the Grant Recipient's obligations to the
County;
NOW, THEREFORE, the County and the Grant Recipient, for the consideration and
under the conditions hereinafter set forth, agree as follows:
1. Approved Grant Project. Grant funds are provided under this Agreement for the project
("Project") described in the Grant Recipient's Grant Application, attached hereto and
incorporated herein as Exhibit A.
2. Grant Award. Grant funds in an amount not to exceed One Thousand Five Hundred
Dollars ($1,500) have been awarded by the Arts Commission to the Grant Recipient for
the approved Project. These funds must be matched at least dollar-for-dollar with cash
from the Grant Recipient's funds not derived from either Orange County appropriations
or the North Carolina Arts Council.
3. Contingency. This grant is contingent on North Carolina Arts Council Grassroots
Program funding to the Arts Commission. Final decisions on Grassroots Program funds
to the North Carolina Arts Council are subject to approval by the North Carolina General
Assembly.
4. Responsibilities of the Grant Recipient
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A. Implementation. The Project implementation shall take place between July 1,
2016 and June 30, 20 17. The Project shall be implemented in the manner
described in Exhibit A. T ime is of the essence in the implementation of the
Project.
B. Modifications to project. Grant Recipient shall present major changes to the
original proposal, including but not limited to changes in design, implementation
schedule and increase in Project budget by more than 10%, in writing to the Arts
Commission for approval. Arts Commission shall approve or disapprove Grant
Recipient's request for modifications within seven (7) days of receipt thereof
Consent to project modifications shall not be unreasonably withheld. A its
Commission's decisions shall be in writing. In the event the Arts Commission
fails to approve or disapprove the requested modifications within the time stated
herein, the modifications shall be deemed approved.
C. Non—assignment. The grant cannot be assigned or transferred to a different project
or artist without prior written approval of the Arts Commission.
D. Records. Grant Recipient must maintain records and other evidence pertaining
to costs incurred and revenues acquired during the Project implementation. Grant
Recipient shall maintain financial records pertaining to the Project for three (3)
years from the date of this Agreement, in case of audit.
E. Use of Funds. Grant Recipient shall not use the grant funds to repay outstanding
taxes or other debts of any nature. The grants shall be utilized solely for the
purpose of implementing the Project and Project related expenses.
F. Final Report. Grant Recipient shall submit to the Arts Commission a Final Report
on July 7, 2017 . The Final Report shall be in the format required by the
North Carolina Arts Council. F ailure to submit the Final Report or late
submission of the Final Report, for any reason, shall be grounds for denial and/or
cancellation of grant funds for the Project and future grant proposals.
5. Responsibilities of the Arts Commission
A. Payment. The Arts Commission shall release the grant funds in the amount of
$1,500 to the Grant Recipient.
6. Publicity
A. Acknowledgement. Credit must be given to the Orange County Arts
Commission using the Arts Commission logo and if State funds are received
to the North Carolina Grassroots Program in brochures, news releases,
programs, and all other printed and online publications. Copies of such printed
materials must accompany the evaluation report. When no printed information is
used, verbal credit shall be given. In addition, all print and promotional material
must include the following credit line (check all that apply):
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i. County Funds Only. "This program is supported by the Orange
County Arts Commission. "
ii. X North Carolina Arts Council Funding. "This program is supported by the
Orange County Arts Commission with funds from the Grassroots Program of
the North Carolina Arts Council, a state agency. "
B. The Grant Recipient must enter all events, exhibits and performances open to the
public and related to this grant award on t he ExploreChapelHillARTS.com
website and display ExploreChapelHillARTS.com publicity materials
(postcards, brochures, etc.) prominently and consistently at their venue or
performance space. In addition, the Grant Recipient must add a link to the
ExploreChapelHillARTS.com (ExploreChapelHillARTS.com logo preferred)
to their main webpage. The Grant Recipient shall contact the Orange County Arts
Commission for replacement ExploreChapelHillARTS.com publicity materials.
7. Indemnity. The Grant Recipient agrees to indemnify and hold harmless the County, the
Arts Commission and the North Carolina Arts Council and their officers and employees
from any and all claims or actual injury, damage or loss to a person, or real or personal
property that results from or is in any way connected to the use of the grant funds.
8. Independent Contractor. The Grant Recipient is an independent contractor and not an
employee, agent or other representative of the County and/or the Arts Commission.
Nothing contained in this Agreement shall be construed to create the relationship of
principal and agent, or employer and employee, between Grant Recipient and Arts
Commission or Orange County Government. Grant Recipient understands and agrees
that he/she is not authorized to incur any expenses or any liability whatsoever on behalf
of the County or the Arts Commission and has no authority, expressed or implied, to
obligate or make representations on be half of the County or the Arts Commission. In
addition, Grant Recipient agrees to maintain his or her own worker's compensation
insurance for himself/herself and his or her employees for the duration of the art work's
installation.
9. Termination
A. In the event of any of the circumstances set forth below (hereinafter referred to as
"default"), the Arts Commission may immediately terminate this Agreement:
(i) Any fraudulent representation in any verification required to obtain
payment under this Agreement or other dishonesty on a material matter
relating to the performance of services under this Agreement.
(ii) Nonperformance, incomplete service or performance, or failure to
satisfactorily perform any part of the Project or to comply with any
provision of this Agreement, as determined by the Arts Commission in its
sole discretion.
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(iii) Failure to adhere to the terms of applicable county, state or federal laws,
regulations, or stated public policy.
B. In the event of default by the Grant Recipient, the Arts Commission has the
discretion to elect to terminate this Agreement, in whole or in part and/or require
the Grant Recipient to repay the grant funds within seven (7) from written notice
of default or allow the grant recipient the opportunity to cure the default. T his
clause shall not be interpreted to limit the County's or the Arts Commission's
remedies in law or in equity.
10. Miscellaneous.
A. Entire Agreement. This Agreement and the attachments contain the final and
entire understanding of the parties with respect to the subject matter of this
Agreement. All modifications and amendments to this Agreement shall be in
writing. This Agreement shall be binding upon the parties, their heirs, successors
and assigns.
B. Governing Law. This Agreement shall be interpreted in accordance with the laws
of the State of North Carolina and the Orange County.
C. Entire Agreement and Signatures. The parties have read this Agreement and agree
to be bound by all of its terms, and further agree that it constitutes the complete
and exclusive statement of the Agreement between the parties unless and until
modified in writing and signed by the parties. This Agreement together with any
amendments or modifications may be executed electronically. A 11 electronic
signatures affixed hereto evidence the intent of the Parties to comply with Article
11A and Article 40 of North Carolina General Statute Chapter 66.
IN WITNESS WHEREOF, the Orange County and the Grant Recipient have signed this Grant
Agreement, effective on the last date this Agreement is signed by both parties as indicated by the
dates set forth under signatures below.
F ri p gnpehalf of the Grant Recipient
d` 8/11/2016
Chapel Hill-Carrboro Public School Foundation Date
Fordiagegibpehalf of Orange County Government
3 NotikitAtil 8/15/2016
.g
Bonnie ammersleys, County Manager Date
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onouaign Envelope ID:00041oCe-4An4-4A7E+\ oC-6o885c3n8r1e
Arts t^~ . . .~g. .~. . . Grant Spring
1 // Form
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Orange County Arts t~~ ~~~~^ ^ ^^ ^ ^^^~~~~~~^ ^
ORANGE COUNTY ARTS Promoting the artistic and cultura development of Orange County, North Carolina
COMMISSION
Evaluation Criteria
• Artistic merit of program.
• Populations served– impact for geographic &traditionally under-served populations.
• Feasibility of proposed activity&effectiveness in fulfilling applicant's mission.
• Cooperation between organizations and artists.
• Evidence of feasibility of program, community support, and responsiveness to community needs.
• Emerging organizations are encouraged to apply.
1 Applicant Information
Applicant Name Nancy Zeman /Chapel Hill-Carrboro Public School Foundation
Mailing Address P. 0. Box 877, Carrborn, NC 27510
Daytime Phone 919-967-8211 x28376 Fax Number 818-908-7884
Email Address nzemanchccs.k12.no.us Web Site pub|ionohoo|foundation.mnl
Project Director Nancy Zeman Title Proqrams Services Director, CHC Public School Foundation
DUNS Number 182048145
2 Project Director Information
Project Director Home Address 106 {]uai|viewOhva. Chope| HiU. NC 27516
Daytime Phone (919)967-8211 x 28376 Evening Phone (919)225-0075
Email Address nzemanchccs.k12.nc.us
3 Grant Request Summary
Arts Program Grant Request $1500
Total Cash Match $2200
Total Organizational Budget 2014-2015 $326.443 Past Year
2015-2016 $325.030 Current Year
2016-2017 $318.700 Projected for Next Year
Summary Statement for Proposed Uses of Arts Program Grant: The Academic Troubadour Proqram is designed to brinq
academically enriching arts experiences to hospitalized students cxperiences that they would typically be exposed to in
a traditional school setting (ex. field trips; visual and performing arts shows: and cultural awareness workshops)—but
which they would otherwise be missing out on because they are in a hospital setting.
919/968-2011 – 131 West Margaret Lane, Room 216, Hilsborough, NC27278– wxmw.mrtsnnynQe.o[Q
onouaign Envelope ID:00041oCe-4An4-4A7E+\ oC-6o885c3n8r1e
Arts Program Application Narrative
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Academic Troubadour Program at UNC Hospital ����&*����U
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Organizational Profile —a brief overview your organization's mission and history:
The Chapel HiII-Carrboro Public School Foundation (PSF) is an independent non-profit organization that is
dedicated to mobilizing support for the Chapel Hill-Carrboro City School District. Our vision is to "spark a love
of learning in all students." Our mission is "to create opportunities for students and teachers in every school
in the district." Since its inception in 1884, PSF has distributed more than $5.5 million dollars for innovative
programs and pr jects that otherwise would not have existed in our schools. It is our continuing mission to
play the role of champion for public education by advocating for positive change to make our schools the very
best they can be. Our ultimate goal is to prepare all of the district's students for life as successful adults in the
21st century, which will benefit not only our children, but our entire community.
This is what we believe:
• Every child deserves the best possible education
• Excellent teachers ignite learning
• High quality public education is fundamental to a vibrant community
This is what we do:
• Fund promising, innovative educational practices
• Partner with the community to raise funds that support teachers and students
• Foster opportunities for feedback with teachers and parents
• Manage funds responsibly with the highest degree of ethical standards
Current Programs and Services—a brief list
Grants--PSF is both a fundraiser and a grant-maker. Five categories of grants are available to Chapel Hi||-
[arrboro [itySchou|s ([H[CS) staffinc|udingtheAchieversFund, [|assroornmndEnrichrnnntGrants, Strovvd-
Roses fund grants, International Teacher Travel grants, and Professional Development Impact grants. Over
$150,000 was distributed to teachers, principals, and staff in our school district last year through the grant
program.
Fundraising Events—The Walk for Education mobilizes community support and enables schools to generate
funds for their needed programs. Over$100,000 was raised by schools in 2014-15 for their own use.The 5K
for Education targets teachers and staff, in addition to parents, students, and community members, and
generates funds for schools and PSF grants. The "Teachers First Breakfast and Roses" kicks off Teacher
Appreciation Week every year with a wonderful breakfast for teachers and staff. Proceeds of over$90,000
are used for teacher programs and grants.
Endowed Teaching Chairs, Teaching Awards,and National Board Certification Scholarships are additional
means of support to recognize outstanding teachers. Over 80 awards were made in the past year alone. PSF
also partners with the East Chapel Hill Rotary Club to provide free school supplies valued at over$30,000 at
the beginning of each school year to teachers throughout our district. Several times each year PSF hosts Grant
Writing Workshops to provide guidance on grants and funding resources to teachers and community
members.
College scholarships, summer enrichment and tutoring funds support 150+ students every school year.
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Proposed Uses of Grant Funds—description including location, date, artists involved
Include information concerning whether you have undertaken similar activities in the past. Include
approximate number of audience per program; geography of audience; mix of race, ethnicity, age, and
gender. Discuss how arts program will be integrated into the curriculum.
The UNC Hospital School is a part of the Chapel Hill-Carrboro City Schools system and is located within the
(iNC Hospitals complex in Chapel Hill. The UNC Hospital School's mission is to provide educational services
that meet the unique needs of the hospitalized children and adolescents enrolled there. The goal of the
Academic Troubadour Program is to bring into the hospital a variety of academically enriching experiences to
pediatric patients who would otherwise not be exposed to the similar learning experiences of their school-
aged peers. This program will include sessions involving visual and performing arts, cultural exposure, and
artistic workshops. Through visual and performing arts workshops, students will have a chance to express
themselves artistically, learn about different musical instruments, and work with different art media. One of
the UNC Hospital School's goals is to increase students' understandings of different cultures. Through
workshops, such as African Drumming Circles, Native American storytellers, East Indian art, and the Spanish
culture experience, we can address this goal.
The Academic Troubadour programs will be open to all students, Pre-K through high school, that the UNC
Hospital School serves and will be hosted in varying locations with the hospital to increase access for all.
Approximately 25-40 students will participate in each scheduled activity. The children who are hospitalized
are all ages, of mixed races, and have various backgrounds in regards to ethnicity, language(s) spoken in the
home, time living in the United States, etc. A proposed monthly schedule of arts, activities, and hosting
locations is attached and includes the fee budgeted for each artist/activity.
The effectiveness of each program will be measured at the end of the visit when a developmentally
appropriate survey will be conducted with each student participant. Results will determine if a given activity
was beneficial, educational, and/or e joyable to the pediatric patients who were involved. Questions on the
survey will include a rating scale of how much the student e joyed the workshop, what they learned from the
workshop, and if they would recommend that other students experience the activity.
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Financial Information
Please provide a projected budget for your proposed projec utilizing the format below.
Project Expenses Cauh ~ Grant Amount + Applicant
Expenses Requested Cash Match
A Personnel (Employees)
Administrative staff( %)*
Artistic staff(---_%)°
Technical/Production staff( %)*
tShow%of wages devoted to this project
B Outside Fees and Services
Artistic contracts _$3700 _$1500 _$2200___
Other contracts:
C Space Rental
D Travel
E Marketing
F Remaining Project Expenses
(Itemize on separat sheet)
GTotaI Cash Expenses _$3700 L = __s1500 + __$2200
Project Income Cooh |noome
A Admissions
B Contracted Services Revenue
C Other Revenue(specify):
D Private Support
Corporate support(specify):
Foundation support(specify): _$2200
CHC Public School Foiundation_
Other private support(specify):
E Government Support
Federal
State/regional (not including this request)
Local (not including this request)
F Applicant Cash
G Grant Amount Requested __$1500____
in this application
H Total Cash Income _s3700
(must at least equal Total Cash Expenses,
Item G in Project Expenses)
**See attached sheet for a proposed monthly schedule with artists/events
//
ORANGE COUNTY ARTS
DocuSign Envelope ID:D5941DC8-4A54-4A7E-A6CC-6D885C3C8F1B
ACADEMIC TROUBADOUR SCHEDULE
Monthly Event
Total Cost Event& Hospital School Hosting Location
Month 1 $200 $100 Performing art-ukulele (inpatient)
$100 Equity-Indian Dance (inpatient neuroscience)
Month 2 $300 $100 Performing art-ukulele (cancer clinic)
$200 Visual art-magic(inpatient)
Month 3 $300 $100 Performing art- ukulele (inpatient)
$200 Visual art- magic (cancer clinic)
Month 4 $350 $100 Performing art- ukulele (cancer clinic)
$100 Equity-Jackson Center(inpatient neuroscience)
$150 Visual art-drawing(inpatient)
Month 5 $450 $100 Performing art- ukulele (inpatient)
$200 Visual art- magic(cancer clinic)
$150 Equity-African Drumming Circle (inpatient)
Month 6 $400 $100 Performing art- ukulele (cancer clinic)
$150 Equity- Indian Art(inpatient)
$150 Equity-Spanish Culture (inpatient)
Month 7 $250 $100 Performing art-ukulele (inpatient)
$150 Visual art-drawing(inpatient)
Month 8 $250 $100 Performing art-ukulele (cancer clinic)
$150 Visual art-drawing(inpatient)
Month 9 $400 $100 Performing art-ukulele (inpatient)
$150 Visual art-drawing (cancer clinic)
$150 Equity-African Storyteller(inpatient)
Month 10 $300 $100 Performing art- ukulele (cancer clinic)
$200 Visual art- magic (inpatient)
Month 11 $250 $100 Performing art- ukulele (inpatient)
$150 Equity-Jackson Center(inpatient neuroscience)
Month 12 $250 $100 Performing art- ukulele (cancer clinic)
$150 Equity-Native American Storyteller(inpatient)
Total = $3,700
DocuSign Envelope ID:D5941DC8-4A54-4A7E-A6CC-6D885C3C8F1B
2016-17 Arts Program Application —
Page Four
Signatures
- 0 1 5-�5' G
, Gtc�.u. �,
Signattce of Pi @ject Dire r Date
Nancy W. Zeman
Typed or Printed Name— Project Director
- c - bl �o
Si ature of Authorizing Official Date
Lynn Lehmann
Typed or Printed Name—Authorizing Official
INCOMPLETE APPLICATIONS WILL NOT BE FUNDED
Glossary of Budget Terms
Project Expenses
A Personnel
Payments for salaries,wages,fees and benefits specifically identified with the project for administrative, artistic and
technical/production staff
B Outside Fees and Services
Payments to firms or persons for the services of individuals who are not normally considered employees of the grantee but consultants
or the employees of other organizations,whose services are specifically identified with the project. Artistic personnel who are serving in
non-employee/non-staff capacities should be described here.
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Michael la Levandoski, JD, MLS, MA
10018 Hammock Bend— Chapel Hill,NC—J7517
(973)216.5705—shellylevandoski@an.net
Education:
North Carolina Central University School of Law,Durham,NC
Jurio Doctor, May 2Ol5
North Carolina Central University School of Library and Information Science, Durham,NC
Master of Library Science, May 2Vl5
Seton Hall University,South Orange,NJ
Supervisor's Certificate, May 2008
Fairleigh Dickinson University,Teaneck,NJ
Master of Arts, May 2006
College of Saint Elizabeth,Morristown,NJ
Bachelor of Arts, May 2002
Majors: Elementary Education and History
Experience:
Hospital School,Chapel Hill Carrboro City Schools,Chapel Hill,NC
Pediatric Teacher, September 2009—Present
• Developed & maintains a 14 person multi-user program to help track student data
• Represents the Hospital School in multi-disciplinary staff meetings about patients
• Represents the Hospital School as part of team of Hospital Educators in North Carolina
• Instructs over 100 students/patients per year and documents compliance with H1PAA
• Evaluates and presents reports on student learning to school and hospital staff
• Member of the Chapel Hill Carrboro City Schools Curriculum Management Team since 2012
o Reviewed and approved changes to district wide curriculum
• Contributes to task-force committee on policy changes
o Chaired the School Improvement Team (2011-2012)
o Chaired the Accountability Team from 2012 Present
• Volunteers and takes on leadership roles with respect to special assignments
• Procured and manages grants bringing community programs into the Hospital
o Achieved a $3,000 initial grant & increased funding over three consecutive years to
$7,000
o Expanded program to include students in the Hematology/Oncology Clinic and
incorporated five additional programs
• Primary liaisons with schools in the region regarding patients at UNC Children's Hospital Burn
Center
• Coordinates student transitions back to school after long and short term hospital stays
• Monitors compliance with local, federal and state guidelines for Individuals with Disabilities
Education Act(IDEA)and Americans with Disabilities Act(ADA)
North Carolina Central University School of Law Library. Durham, NC
Library Reference Desk Assistant. Summer 2012—May 2015
• Created four subject specific LibGuides using SpringShare and embedding YouTube videos
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o Online Tutorials and Webinars; LGBT Law;Veterans Law; Mobile Apps
• Edited and assisted transition over 40 LibGuides to upgraded software
• Created two video tutorials using Camtasia
• Created and maintained content on LibAnswers
• Assisted with marketing for special events
• Assisted patrons with their informational and research needs
• Analyzed and summarized approximately 100 survey results for Prepare to Practice 2015
• Various other responsibilities
LexisNexis,Durham,NC
Student Representative, Fall 2014-April 2015
• Promoted LexisNexis for Law Schools to classmates and faculty
• Trained approximately 20 fellow law students per month on the new Lexis Advanced platform
• Coordinated with five NCCU Law Librarians to address various needs
• Provided students with informational needs
• Various other responsibilities
Special Education,
Learning Disabilities Teacher Consultant, Springfield Public Schools, September 2007 —April 2009 &
Bound Brook School District September 2006—June 2007
• Participated in Curriculum Committee, and multi-disciplinary staff meetings
• Monitored caseload to ensure compliance with local, state, and federal regulations
• Distributed appropriate documentation to adults involved with students
• Coordinated & conducted initial, annual, and re-evaluation Individualized Educational Plan
meetings
• Evaluated students, wrote reports, &explained results to parents, school staff,and students
• Case managed over 60 students,both in and out of district(several of whom were autistic)
• Evaluated students to determine eligibility for Exceptional Children Services
Elementary Education
Special Education Teacher for various schools in New Jersey July 2002—June 2006
• Arranged for various adaptations&modifications or regular education assignments
• Implemented Touch Math strategies for several In-Class Support 3rd grade students
• Organized class schedules& coordinated with multiple teachers to arrange schedules
• Routinely rearranged multiple student schedules to best fit the needs of students
• Monitored and Ensured compliance with state and federal laws
Awards:
• 2015 Seps Bona Award for Evening Program from North Carolina Central University
Professional Memberships:
• North Carolina State Bar Member,August 2015—Present
o Education Law Section Member
• United States District Court, Western District of North Carolina, October 2015 —Present
• Fourth Circuit Court of Appeals Bar Member, November 2015—Present
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Nancy Word Zeman
106 Quailview Drive
Chapel Hill, NC 27516
(h) 919-967-2571, (c) 919-225-0075
EDUCATION:
M.S., Microbiology, B.S. Biology--Virginia Tech
PROFESSIONAL EXPERIENCE:
Chapel Hill-Carrboro Public School Foundation September 2015-present
Project Services Manager
• Deal with all things grant-related at PSF including the Foundations granting process, writing grants
on behalf of the Foundation, conducting grant-writing workshops, securing partners for grant
funding, etc.
Benjamin Vineyards & Winery, Graham,NC 2001-Present
Co-owner and co-manager
• Involved with all operations of a family-owned and-operated vineyard and winery
Triangle Biotechnology Consulting, Chapel Hill,NC 1991-2006
Consultant
• Provided expertise in the fields of food and nonfood biotechnology regulatory issues
CPC International Inc. 1981-1991
(various divisions including Corn Products,Enzyme Bio-Systems Ltd.)
Development Specialist
• Involved with New Product Development and Regulatory Affairs
RELEVANT VOLUNTEER AND EDUCATION EXPERIENCE:
Chapel Hill-Carrboro Public School Foundation 1997-2015
This foundation, associated with the CHCC Schools, creates opportunities for teachers and students in the
district
• As Co-Chair of the Allocations Committee, have a broad awareness of the programs and needs of
the district. Have overseen the disbursement of hundreds of thousands of dollars to the CHCCS
district.
• Started several new flagship programs, including Teachers First Breakfast and the Race for
Education that both continue to be successful fundraisers for the Foundation
• Have personally secured hundreds of thousands of dollars in grant money for teachers and district
programs
• Served previously as Board President, Vice President and Walk for Education Chair
School Reading Partners 1998-Present
A program that involves reading one-on-one with identified students K through second grade.
• Currently Assistant Site Manager at McDougle Elementary and served as a consultant to the District
for the 2014-15 school year
• Participated at three different elementary schools through the years (McDougle Elementary, Frank
Porter Graham Elementary, and Northside Elementary)
DocuSign Envelope ID:D5941DC8-4A54-4A7E-A6CC-6D885C3C8F1B
• My session with a student is included in the instructional video that is used to train new SRP
volunteers
Coach Write! 2001-2006
A support program that helps students with their writing skills. Typically, the volunteer works with a
student in a one-on-one setting on a written piece that he/she is editing.
• Helped develop and launch this as a pilot program at Frank Porter Graham Elementary
• My session with a student was filmed and is included in the instructional video used to train new
Coach Write! volunteers
Blue Ribbon Mentor Advocate (BRMA) 2008-Present
The BRMA program pairs mentors with minority students who show promise, generally starting when the
student is in fourth grade.
• Trained as a BRMA volunteer in 2008
• Paired with an African-American mentee in the Fall of her fifth grade year and continue as a
mentee for that student who is now a Senior at Carrboro High School
READ2ME:Tailgate Stories 2008-Present
An outreach program aimed to keep low income students,the majority of whom are minorities, reading
through the summer
• With Mary Andrews, initiated this program in one Scroggs neighborhood the first year
• This program has now expanded into a district-wide summer program involving all CHCCS district
elementary schools at 25 different sites
• Successfully written numerous grants annually to fund books for this initiative
Family Reading Partners 2010-Present
A program that brings families together around books and encourages reading to at-risk children. We
model for parents how to read with their children and have good conversations around quality books. The
books are then given to the families to take home for their personal libraries.
• Developed with M. Andrews and have conducted numerous sessions at multiple district elementary
schools
• Program expanded to adolescent parents in all Orange County's high schools
• Help select quality literature and write conversation cards for the program
• Successfully written multiple grants to obtain funding for the books as well as the meals for this
program
• This program is now expanding into CHCCS Pre-k programs,the Orange County Literacy Council,
and Orange County Social Services
• Received Motheread/Fatheread training in 2012
Guided Reading Bookrooms (GRBs) 1997-Present
Guided Reading Bookrooms in elementary schools are a cost effective way to offer large numbers of sets of
books in a range of reading levels and topics to be used for guided reading in all grades/classes within a
school
• Instrumental in starting three GRBs (McDougle Elementary, Frank Porter Graham Elementary, and
Northside Elementary)
• Responsible for ordering, processing, and cataloguing new books
• Obtained numerous grants for new books that have been added to the schools' collections
DocuSign Envelope ID:D5941DC8-4A54-4A7E-A6CC-6D885C3C8F1B
MICHAEL GRISICA
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Michael Griska performs and teaches North Indian Classical Music wn
slic better known ne
Hindustani on the sitar and surbahar. He is a disciple of world arods
player, K. Sridhar. His studies with Sridharji are always on-going
sheikneg Javari keeps as he he
daily
riyaz. Michael also offers sitar and surbahar maintenance in
maintains his own instruments.
Michael's approach to develop the raga and tala is a balanced mixture of Dhrupad nd
uhpaad and
Khyal. He makes use of Dhrupad's raga development with tahalesned n hu
lengthy j throughout J
a focus of raga grammar. Even though Khyal techniques* are u
Khyal is more utilized with the tala, allowing the freedom to compose on the se music,
without the use of compositions other than a gat.
Michael performs, teaches, and fixes instruments from Pittsburgh rghn taoreNine
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Washington D.C. and all throughout the Carolinas of the USA. you interested r York re kd to
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scheduling Michael for: concert performance, lectureo/rdienmsrornusintreanttiomaintenance n,
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performance, yoga music accompaniment, music lessons, w e d d i n wedding
(including Javari) call or email: 412-414-8617, michaelgriska@gmail.com.
DocuSign Envelope ID:D5941DC8-4A54-4A7E-A6CC-6D885C3C8F1B
RANA OWA
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Braima Moiwai,West African drummer, storyteller and textile artist, has spent the last
three decades entertaining and informing hundreds of communities and school children
about the history and culture o f his Sierra Leone. His unique multidisciplinary
approach to African Art forms and his native
passion for sharing personal stories about
growing up on a rice farm has earned him a well-deserved following of all ages.
Braima has been awarded the "Key to Brunswick Georgia,"the "2008 Star Studded
Citizen Award" and"Tar Heel of the Week"for his work with youths in Durham NC,f
where he's based since 1986. Braima was featured as Gullah Musician in Mel Gibson's
"The Patriot".
http://wvvw.braima.corn.
PERORMANCE
The Magic of Stories and Music
In this high-energy interactive performance, Braima Moiwai brings to life the Mende
oral traditions of storytelling in Sierra ai
rra Leoonne% West Africa. Using Djembe drum and
other instruments to accompany sing- alongs and sound effects in his stories, the
audience are captivated and engaged from his learn drum talk and West
African culture. Braima shares stories romhischaille.dhood growing up in the rice fields.
A Questions and Answers period serves as the finale.
DocuSign Envelope ID:D5941DC8-4A54-4A7E-A6CC-6D885C3C8F1B
William Dawson, Performing Artist In Residence, B.Ed
William Dawson is a professional multi-instrumentalist, recording engineer, and
educator. He has worked on over 150 records, including the 2-time Grammy nominated
Elvis Costello album "The Delivery Man". Dawson spent two years touring
internationally with the platinum-selling Squirrel Nut Zippers, performing on saxophone,
guitar, accordion, and piano. A graduate of NCCU (Summa Cum Laude) and a licensed
North Carolina teacher, William spent 5 years working as an elementary school music
teacher and middle school band director. He is currently a music teacher at the Duke
Children's Hospital through the Arts For Life program. Along with regular visits to the
Ronald McDonald House in Durham and the SECU House in Chapel Hill, he has been
performing music for patients, families, and staff at UNC and Duke Hospitals since
2009.
DocuSign Envelope ID:D5941DC8-4A54-4A7E-A6CC-6D885C3C8F1B
VICKIE JEFFERIES-Native American Storyteller
Vickie Jeffereies is a member of the Occaneechi Band of the
Saponi Nation—OBSN for short—is a small Indian community
located primarily in the old settlement of Little Texas, Pleasant
Grove Township, Alamance County, North Carolina.
She works at UNC Hospitals and has agreed to share stories and history of the
Ocaneechi community with the hospitalized children there.
History--Until the middle part of the 20th century, the community was largely occupied in
agricultural pursuits, sometimes supplemented by day wage labor jobs or jobs in nearby
factories. In recent decades the numbers of people engaged full or part time in
agriculture has declined significantly, and most working adults in the community now
work in offices, or as skilled workers and craftsmen, or in the few remaining factories in
the area.
The OBSN community is a lineal descendant of the Saponi and related Indians who
occupied the Piedmont of North Carolina and Virginia in pre-contact times, and
specifically of those Saponi and related Indians who formally became tributary to
Virginia under the Treaties of Middle Plantation in 1677 and 1680, and, who under the
subsequent treaty of 1713 with the Colony of Virginia agreed to join together as a single
community. This confederation formed a settlement at Fort Christianna along the
Virginia/North Carolina border in what is now Brunswick County, Virginia. The
confederation included the Saponi proper, the Occaneechi, the Eno, the Tutelo, and
elements of other related communities such as the Cheraw. All of these communities
were remnants of much larger Siouan communities that had lived in North Carolina and
Virginia in prehistoric times.
DocuSign Envelope ID.D5941DC8-4A54-4A7E-A6CC-6D885C3C8F1B
Marian Cheek Jackson
Mrs. Marian Jackson has served as the historian at St. Joseph C.M.E. since the early 1950s. She
succeeded her father, Mr. Kennon Cheek, who established the Janitorial Association at the University
i
of North Carolina at Chapel Hill in 1939. Mrs. Jackson still lives in her family home of over 100
years. It housed one of the first African-American schools in the area and was built by her
grandfather, a former slave from Warren County who came to Chapel Hill at the turn of the century
to work for the university. He was one of the masons to whom we owe the stone walls that surround
the UNC campus. After Mrs. Jackson graduated from St. Augustine's College in Raleigh in 1946, she
worked at NC Mutual Insurance Company in Durham, the cornerstone of what had come to be called
"Black Wall Street," Interviews with Mrs. Jackson led us to establish a Center where university and
community members could come together to continue to build a history of which we can all be
proud.
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DocuSign Envelope ID:D5941DC8-4A54-4A7E-A6CC-6D885C3C8F1B
Kim Murdock
Artist/ Owner - Afterschool Art and More!
Durham, North Carolina
Education Management
Current Afterschool Art and More!
Previous Bright Horse Farm& Art Studio,
Explore!
Education State University of New York College at Buffalo, BFA Fine Arts, Design
Experience
• Artist/Owner
Afterschool Art and More!
April 2007—Present
My business offers high quality,personal and professional enrichment programming in the form of after school classes, camps,
workshops,art parties for kids,painting parties for adults and special events. We are a locally owned and operated family oriented
organization that does not cut corners. My business partner,Angie Marino, is a highly skilled dual language educator and published
children's book author. Together we offer ART, WRITING and SPANISH to ages 5-15,year round.
Afterschool Art: From September to May each year,we offer convenient after school art classes to hundreds of children in Chapel Hill
and Durham. Camps: We offer week long,full or half day, summer camps from June to August.Our camps are located at Christ
Church,the Duke Lemur Center and at the Carolina Tiger Rescue.Each week focuses on a different theme and all weeks are designed
for children ages 5-11. Mentorship opportunities are available for ages 12-15. Teacher Work Day/Holiday/Spring Break Camps and
Workshops: We also offer one-day-at-a-time camps and workshops for ages 5-1I during the school year at Christ Church,the Duke
Lemur Center and the Carolina Tiger Rescue. Art Parties For Kids: Parties can be at school, at home,at a clubhouse,at a park...they
can be for birthdays or,just because! Art parties can happen anywhere that has enough tables and chairs to accommodate all guests. I
will provide all art materials. Painting Parties For Adults: Painting parties can happen at your home,your clubhouse,your
church...again,anywhere that has enough tables and chairs to accommodate your guests. I will provide all art materials. BYOB! :-)
• Co-Founder
Bright Horse Farm&Art Studio,April 2007—May 2013
Year round enrichment programming for all ages involving horses and art.
On-Site: We offer summer camps,teacher work day camps,holiday camps,track out camps,riding lessons,birthday parties,clay
classes,family team building workshops,corporate team building workshops and just about any enriching, creative activity with
horses and art you can imagine.
Off-Site: We offer convenient afterschool art enrichment to hundreds of children from September-May at several elementary schools
in the Chapel Hill-Carrboro City School District. We also offer afterschool art classes at the Chapel Hill-Carrboro YMCA.
In The Community: We donate our time, energy and services to community minded fund-raisers that contribute annually to the CHC-
YMCA's We Build People scholarship fund as well as our own grass roots scholarship effort,Stay Sharp With Art,a program
designed to enrich the lives of senior citizens through art instruction. Additionally,we custom create art lessons for school teachers
and donate our time to in-school field trips,providing curriculum based art enrichment.
• Art Director
Explore!,June 2001—January 2007
onouaign Envelope ID:00041oCe-4An4-4A7E+\ oC-6o885c3n8r1e
SHIJA LOZOFF-Mmal,g//ician
. - ~ a ���'��
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Joshua Lozoff has been studying and sharing magic around the world for over fifteen years. He regularly
performs at public events and corporate and private functions throughout the U.S., and even Japan,
Europe, and across Latin America.
Josua's motto is "Life Is Magic" and he walks his talk by performing everywhere from penthouse suites
to the slums of Guatemala;sharing magic with Fortune 500 CEOs,folks on the street, and everyone in
between.
Joshua says, "the most beautiful thing about magic is how it appeals to everyone. I can go from a black-
tie gala to a backyard barbeque, and everyone has a few moments in time which transcend our ordinary
reality; moments of awe, of astonishment, and just a flat-out fun time."
DocuSign Envelope ID:D5941DC8-4A54-4A7E-A6CC-6D885C3C8F1B
PSF Budget for 2016 Fiscal year ending June 30 2017
Prepared by Madeline Blobe
May 2016
Accounting year 2014 2015 2016
Projected Proposed
YE June 203546
2015 Budget YE June 16-17
2016 Budget
Income
Contributions
Teachers First-Breakfast 16,673.60 17,000.00 19,200.00 18,000.00
Annual Appeal 36,733.57 30,000.00 26,698.00 30,000.00
School Raised Funds 128,265.84 125,000.00 119,980.00 125,000.00
Board Contributions 6,769.29 7,000.00 9,531.00 5,700.00
Individual contributions 6,652.15 10,000.00 7,876.00 7,000.00
Corporate&Foundation Support 120,645.88 95,000.00 90,000.00 90,000.00
Total Contributions 315,740.33 284,000.00 273,285.00 275,700.00
Programs/Events
Merchandise Sales 1,550.00 1,500.00 981.00 1,000.00
Raffle Tickets 1,009.00 1,200.00 350.00 1,000.00
Inflatables 8,386.00 12,000.00 694.00 8,000.00
5K for Fitness 8,390.00 10,000.00 17,782.78 21,000.00
30th Anniversary 6,355.00 0.00
Total Programs/Events 25,690.00 24,700.00 19,807.78 31,000.00
Other Revenue
Fees 12,447.53 7,000.00 13,787.00 10,000.00
Interest Income 2,286.97 8,780.00 0.00
Total Other Revenue 14,734.50 15,780.00 13,787.00 10,000.00
356,164.83 324,480.00 306,879.78 316,700.00
Expense
Payroll-Related Expenses
Salaries&wages 105,774.24 135,000.00 120,293.00 117,900.00
Payroll taxes 7,786.32 10,500.00 11,040.00 8,900.00
Total Payroll-Related Expenses 113,560.56 145,500.00 131,333.00 126,800.00
Contracted Services Expenses
Weblinternet support 668.53 900.00 590.17 1,100.00
Bookkeeping 5,017.32 0.00 0.00 0.00
Accounting and Audit fees 6,500.00 6,500.00 6,800.00 8,800.00
DocuSign Envelope ID:D5941DC8-4A54-4A7E-A6CC-6D885C3C8F1B
Other contracted services 13,743.00 4,000.00 0.00 2,000.00
Total Contracted Services Expenses 25,928.85 11,400.00 7,390.17 11,900.00
Office Expenses
Office Supplies 1,401.13 1,100.00 1,352.98 3,200.00
Postage and shipping 1,628.31 1,500.00 1,302.34 1,500.00
Printing and reproduction 633.02 600.00 520.92 2,100.00
Telephone 838.15 850.00 874.24 900.00
Total Office Expenses 4,500.61 4,050.00 4,050.48 7,700.00
Program Expense
School Disbursements(walk and run) 105,267.14 106,250.00 102,016.94 110,000.00
30th Anniversary 3,248.00 0.00
Total Program Expense 108,515.14 106,250.00 102,016.94 110,000.00
Fundraising
5K for Fitness/other 9,527.41 6,000.00 14,975.52 14,000.00
Walk For Education 56,064,44 45,000.00 38,004.76 40,000.00
Total Fundraising 65,591.85 51,000.00 52,980.28 54,000.00
Other Operating expenses
Merchant Fees 4,633.93 3,000.00 1,300.00 1,500.00
Advertising&Promotions 110.00 50.00 25.00 0.00
Board/Meals Expenses 501.81 200.00 340.80 350.00
Depreciation Expense 214.60 380.00 380.00 0.00
Dues,subscriptions and books 785.66 500.00 732.43 750.00
PO Box&postage Equip Rental 146.00 150.00 164.00 160.00
Insurance 340.00 350.00 340.00 340.00
Travel 1,200.00 1,200.00 300.00 1,200.00
Bank Service Charges/other/ 413.53 1,000.00 1,700.00 2,000.00
Total Other Operating expenses 8,345.53 6,830.00 5,282.23 6,300.00
Non-Operating Expenses 0.00 0.00 0.00 0.00
Total Expense 326,442.54 325,030.00 303,053.10 316,700.00
29,722.29 -550.00 3,826.68 0.00
0
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ARTIST CONTACT LIST FOR ACADEMIC TROUBADOUR 0
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ARTIST SPECIALTY PHONE EMAIL/ADDRESS
Michael Griska Indian Classical Music 412-414-8617 michaelgriska @gmail.com
Vickie Jefferies Native American Storyteller 336-421-1317 PO Box 356, Mebane, NC 27302
Marion Cheek Jackson Local Historian 919-960-1670 contact @jacksoncenter.info
Kim Murdock Artist/Teacher 919-401-6001 afterschoolartandmore @gmail.com
Joshua Lozoff Magician 919-816-2884 Joshua@ larryweaver.com
Go
Cn
Braima Moiwai African Drummer 919-560-2718 W
co
co
William Dawson Ukulele player; Musician 919-304-5385 Wdawson79 @hotmail.com
W
DocuSign Envelope ID:D5941DC8-4A54-4A7E-A6CC-6D885C3C8F1B
CHAPEL HILL-CARRBORO PUBLIC SCHOOL FOUNDATION STAFF
Lynn Lehmann, Executive Director
Home: 919 968-3925
Office: 919 968-8819
Fax: 919 968-7884
Cell: 919 604-8439
Email: llehmann@chccs.k12.n.c.us
Nancy Zeman, Program Services Manager
Home: 919 967-2571
Office: 919 968-8819
Cell: 919 225-0075
Email: nzeman@chccs.k12.nc.us
Nancy Lees, Foundation Assistant
Email: nlees@chccs.k12.nc.us
Office: 919 968-8819
Cell: 919 360-4196
Shannon Grabowski, Bookkeeper
Office: 919 968-8819
Email: sgrabowski@ehccs.k12.nc.us
DocuSign Envelope ID:D5941DC8-4A54-4A7E-A6CC-6D885C3C8F1B
2015-16 CHC PUBLIC SCHOOL Georges Casimir(2/1)
FOUNDATION BOARD OF 36 Oakwood Dr. David Huntoon (5/2)
DIRECTORS Chapel Hill,NC 27517 100 Europa Dr., Ste.445
(REVISED NOVEMBER 2015) Cell: 919 225-8781 Chapel Hill,NC 27517
(TERM/YEAR) geocasimir@email.com Office: 919 968-4911
Georges is Executive Director,TiE Fax: 919 967-2813
Carolinas and Program Director at Email: David@chbcpas.com
Apex Technologies/Lenovo David is a CPA and partner at
James Barrett(1/1) International Coleman Huntoon& Brown PLLC
Board of Education Liaison CPAs.
James is chair of the Chapel Hill- Christine Cotton (2/3),
Carrboro Board of Education. Communications Chair
100 Arbor Creek Court Jim Kitchen (2/3)
Laura Baxley(2/1), President Chapel Hill,NC 27516 109 New Castle Drive
411 Longleaf Dr. Home: 919 929-3753 Chapel Hill,NC 27517
Chapel Hill, NC 27517 Cell: 919 812-3949 Home: 919 801-5230
Home: 919 967-8396 Email: cmcottonll@yahoo.com jim@jimkitchen.org
Cell: 919 274-2037 Christine has worked as project Jim teaches at UNC and is president
laura@thebaxleys.org manager/director in the of Real Property Development.
Laura is a community and school pharmaceutical and nonprofit sector
volunteer, and is an active community Victoria(Vicky) Kline(2/1)
volunteer. 3812 Sweeten Creek Road
Lyn Billings(1/2),Vice President Chapel Hill,NC 27514
608 Concordia Court Pat Flores(1/2) Home: 919-493-7546
Chapel Hill, NC 27514 Morgan Stanley Wealth Cell: 919 428-1807
919-423-6627 Management vckline@ncsr.com
(919)260-5351 (cell) 3511 Shannon Rd., Suite 300 Vicky volunteers extensively with
lbil I ings018@gmail.com Durham,NC 27707 the schools.
Lyn is a community and school 919-490-7194 (direct)
volunteer. 919-451-9741 (cell) Matt Marvin
Patrick.O.Flores@rnorganstanley.com 642 Cedarbrook Way
Madeline Blobe(1/3),Treasurer Patrick is Associate Vice President Chapel Hill, NC 27516
Chair, Finance Committee of Morgan Stanley in Durham, Email: mmarvin@email.unc.edu
200 Manor Ridge Drive Matt is Associate Director of
Carrboro, NC 27510 Nik Gandhi(1/1) Reunion Giving and Engagement,
919-932-4411 nik_gandhi@hotmail.com UNC Kenan-Flagler Business
Email: madyblobeggmail.com School
Mady is active in schools and Nik is Director of Marketing, Email mm4kk@yahoo.com
community organizations. Grifols
Suki Newton,Support Committee
Lyria Boast(4/2),Co-Allocations Linda Gilchrist(1/2) (5/3)
403 Westwood Drive 1004 Pinehurst Dr. 405 Tramore Drive
Chapel Hill,NC 27516 Chapel Hill,NC 27517 Chapel Hill,NC 27516
Home: 919-933-5675 Home phone: 919-240-7790 Home: 919 967-4148
Email: lyria@cribmail.com Cell phone: 919-312-2478 Cell: 919 247-4148
lyriaboast@gmail.com lagilchrist@yahoo.com Email: SNewton405@aol.com
Lyria is a senior consultant at Public Linda is a community and school Suki is an active community
Impact, research assistant in volunteer, volunteer.
epidemiology and a school
volunteer. Melissa Herzog(3/1),Chair, Laurie Norman (3/3)
Development Committee 205 W. Poplar Avenue
May Martin Bryan (1/1) 1220 Environ Way Carrboro,NC 27510
813 Emory Drive Chapel Hill,NC 27514 Office: 919 843-6979
Chapel Hill,NC 27517 Cell: 919 452-2782 Home: 919 942-2746
Home: 919-933-0337 Office: 919 918-4835 Cell: 919 302-4902
Cell: 919-656-4346 Vice president, Senior Relationship Laurie Norman@unc.edu
Email: Manager at Wells Fargo in Wealth Laurie is Director of Alumni
inaymartinbryil.com Management. Relations, UNC Sch. of Education.
May is active in school and Email:
community organizations. melissa.herzog@wellsfargo.com Sandy Padden,Treas.(3/2) 1
DocuSign Envelope ID:D5941DC8-4A54-4A7E-A6CC-6D885C3C8F1B
103 Oak Park Drive Stephanie Yost(6/2) Home: 919 968-3925
Chapel Hill,NC 27517 7700 Amesbury Drive Cell: 919 604-8439
Home: 919 942-7185 Chapel Hill,NC 27514
Cell: 919 923-3861 Home: 919 408-0531 Nancy Zeman
paddensandraagmail.com Fax: 919 490-6827 Program Services Manager
Sandy is an active school and Email: ..v).$1.gemail.unc.edu 106 Quailview Drive
community volunteer. Stephanie is a Nurse Consultant Chapel Hill,NC 27516
with UNC Health Links. Home: 919 967-2571
Dan Rockaway(2/1) Office: 919 968-8819
202 Hogan Woods Circle Email: nzeman@chccs.k12.nc.us
Chapel Hill,NC 27516
Cell: 919 621-0182 Office:
dan.rockaway@soundsandcolors.net Nancy Lees
Dan is co-founder and owner of Foundation Asst.
Sounds and Colors. Email: nlees@chccs.kl2.nc.us
107 Cobblestone Drive
Dena Thomason (1/3) Chapel Hill,NC 27516
6721 Turkey Farm Road Ex. Officio Members Office: 919 968-8819
Chapel Hill,NC 27514 (non-voting) Cell: 919 360-4196
Phone: 919 930-5430
Email: dthomason1@ncsr.com Sarita Allen-Medlin (1/1) Shannon Grabowski
Dena is an active school and 3024 Courtney Creek Blvd. Bookkeeper
community volunteer. Durham,NC 27713 Office: 919 968-8819
Cell: 919-949-5561* Email:
Ashley Wilson, Past President Home: 919-806-8040 sgrabowski@chccs.k12.nc.us
(4/1) Office: 919-969-2482 x 27318
305 Madera Lane saritabpodl@hotmail.com
Chapel Hill 27517 Sarita is the district's elementary
Phone: 919 968-3654 PAR teacher.
Cell: 919 619-3453
ashleyleflerwilson@gmail.com Tom Forcella
Ashley is a school and community 750 S. Merritt Mill Road
volunteer and part-time producer of Chapel Hill,NC 27516
documentaries. 826 Perkins Dr.
Chapel Hill,NC 27514
Ken Witt(3/3) Cell: 860 391-3448
104 Crane Meadow Place Office: 919 967-8211
Chapel Hill,NC 27514 Fax: 919 933-4560
Home: 919 402-0349 Email: tforcelle&chccs.k12.nc.us
Office: 919 402-4816 Tom is Superintendent of CHCCS.
Cell: 917-913-1326
Email: kwitt51401@aol.com Jeff Nash
Ken is Technical Manager of the Lincoln Center
Business, Industry&Government Chapel Hill 27516
team of the American Institute of Office: 919 967-8211 ext.227
Certified Public Accountants. Fax: 919 933-4560
Email:jnash@chccs.kl2.nc.us
Executive Director for Community
Relations.
Allison Worthy (5/2) PSF Staff
517 Hooper Lane
Chapel Hill,NC 27514
Lynn Lehmann
Home: 919 969-7584
Executive Director
Fax: 919 969-7475
8700 Drew Lane
Email: allisonworthyazmail.com
Chapel Hill, NC 27516
Allison is volunteer coordinator,
Home: 919 968-3925
SECU Family House at UNC
Email: llehmann@chccs.kl2.nc.us
Hospitals.
Office: 919 968-8819
Fax: 919 968-7884
DocuSign Envelope ID:D5941DC8-4A54-4A7E-A6CC-6D885C3C8F1B
internal Revenue Sereice
R.C. Box 250$ $ 'Treasury
Cincinnati, OH 45201
Date: J U N 4 5 2Cs15 Employer Identification Number:
Chapel Hiii-Car:bora Public: Person to Contact.10 Number:
School Foundation Tyrone Thomas- 1D1000281724
P.C. Box 877 Contact Telephone Number:
Carrboro, NC 27510 877-829-5500 Toll-Free
Form 990 Required:
Yes
Dear Sir or Madam:
In your letter dated December 15, 2014 you requested classification as a public charity
described In section SO9(a)(1)and 17O(b)(1)(A)(vi) of the internal Revenue Code.
In our letter dated January 1985, we determined that you were exempt under section
501(c)(3) of the Code. We further determined that you weren't a private foundation and
you were classified as a public charity described in section 509(x)(8) of the Code.
Based on the Information you provided,we determined you meet the requirements for
classification as a public charity described in section 509(0(1) and 170(b)(I)(A)(vi)of the
Code.
Accordingly, we have updated your public charity status In our records as you requested.
Since your exempt status wasn't under consideration, you continue to be classified as an
organization exempt from federal income tax under section 501(c)(8) of the Code.
Grantors and contributors may generally rely on this determination of your foundation
status unless the Interral Revenue Service publishes notice that you are no longer
recognized as tax exempt or classified as a public charity In the internal Revenue
Bulletin. However, It a grantor or contributor takes any action, or fails to take any action,
which causes you to lose your exempt status or causes you to be reclassified as a
private foundation,that party cannot rely on this determination. Furthermore, a
contributor or grantor who knows that the Internal Revenue Service has notified you of
. any change in your exempt status or foundation status cannot rely on this determination.
For important information about your responsibilities as a taxeexempt organization, go to
www.irs.govlcharitjes. Enter"4221-PC"In the search bar to view Publications 4221-PC,
compliance add*for 01 cci ]Public Charities, which describes your recorcikeeping,
reporting, and disclosure requirements.
Because cruse tills letter could help resolve any questions about your exempt status and/or
foundation status,you should keep it with your permanent records.
Letter.442
Pap 2
2015-06-05 15343 RS
DocuSign Envelope ID:D5941DC8-4A54-4A7E-A6CC-6D885C3C8F1B
Page 2
It you have any questiOns, please doilitkct the person whose name and telephone
number are rA-Kivvii hi the headinci ot trios reltpr.
Sjnereiy,
Dirct&r Exernpt Organizations
•
Letter 4425
iç. !Esc
r.t.,
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