The URL can be used to link to this page

Home My Public Portal AboutBeach Bums (Cnty of 77/bee IslEnnd Commannnnly Sernces Coanftn•eicc A T f ;. ` I YeET 2013 -14 APPLBC A ©N FOR CASH AWARD This form is to be completed and submitted to Finance with your budget request. J ate: 3/06/2013 Organization requesting City of Tybee Island Community Services Contract Award: Name of Organization: Tybee Island Beach Bums Contact Person: Jack Boylston Address: PO !ox 895 31328 Contact Email: "1ck©livP com Contact Phone #: 912 - 658 -8134 Is this organization an IRS approved 501(C) 3 Non - Profit? Yes (Tax Exempt #' - - If "yes ", please attach your most recent audited financial statement, a copy of your I S determination letter and a copy of your current budget detailing the planned use for the awarded funds. Amount of funds requested: le Describe how these funds will be used and how the City and citizens of Tybee Island will benefit: What percentage of these funds will be matched by your organization N/A Will this event or program bring visitors to Tybee Island in off -peak season or months? Vas »Please attach a daftaHad budget to this request outlining how the money wio0 be used. /6/ m 1 City of Tybee Island Community Services Contract Award F1sc t Year 2©344 APPLICATION FOR WAIVERS Date: 03/06/2013 7ybee Es-land each Bums Provide detail on any waivers (i.e. free or reduced parking, rent or utilities) or City services (i.e. number of hours of security, city worker clean -up, trash and /or recycle bins, building maintenance and upkeep, etc.) that you plan to request for your event(s): Value of the wavers requested: $4000 These u will be used to offset costs of producing the Beach Bum Parad y and the um Beach Bike Race. The 2014 parade will be tentatively scheduled for Maw ns. Me bike race which is scheduled for Nov. 2 in 2013 may be chanaed to an earHer date on 2 014. Both events will and have attracted many visitors to the island providing a healthy fun acthAtty for Meunci and ©A The events have and will naturally enhance the business conrnuntvz on the E2e0°sr2ect Y(B, dates and oreduce a roorro]e effect for the visibility of the 6sflanc on the tfut ure. Parade: In the past we have reauested assistance from TIPD to provide services crr4wd control &, safety. We will need the same as in the past beginning 1.5 hours before, during the 1 hour of. and 1 hour after the parade. Also in the past, we have requested DPW services as to provide crowd set back barriers and post parade street sweep. This will be , reauested aaain alone with any other services the city feels necessary. once Ram Vince tMs events wl]] Tore uoer [!n Nley. 2013 the needs for 2014 may be more. But the plans for 2023 s6rnoN9 Incknde =IS t© rorovkle 2 officers wn br ° ach 4 wheelers prior & durina the race and D[ W/ rorevfidlonc trash cans at event stac]nc area and a barrier to block off Strand at Nbrosa Street. Jk -. ryi• e ": Affidavit Verifying Status 7-- for City Public Benefit Application By executing this affidavit under oath, as an applicant for a City of Tybee Island, Georgia, Business License or Occupation Tax Certificate, Alcohol License, Taxi Permit, Contract, or other public benefit as referenced in O.C.G.A. Section 50 -36 -1, I am stating the following with respect to my application of a City of Tybee Island: • Business License or Occupational Tax Certificate, • Alcohol License, (circle all that apply) • Taxi Permit, • Contract • Community Services Contract Award for Beach Bums (printed name of natural person applying on behalf of individual, business, corporation, partnership, or other private entity). 1) _ X I am a United States citizen. OR 2) I am a legal permanent resident 18 years of age or older or I am an otherwise qualified alien or non - immigrant under the Federal Immigration and Nationality Act, 18 years of age or older and lawfully present in the United States. * In making the above representation under oath, I understand that any person who knowingly and willfully makes a false, fictitious, or fraudulent statement or representation in an affidavit shall be guilty of a violation of Code Section 16 -10 -20 of the Official Code of Georgia. Signature of Applicant 03/06/2013 ...--1 Date Jack Boylston 1 Printed Name * Alien Registration Number for Non- citizens SUBS : r AND SWO :EFORE ►,�E ON THIS THE r ' 0 AY OF fi A . , A . , . , 20 Notary Public r - S�G �. � l ��blac, Chat9�� ar aA my C� ��'ssi ®� �� et My Commission Expires: as . 5, 2015 Note: O.C.G.A. § 50- 36- 1(e)(2) requires that aliens under the federal Immigration and Nationality Act, Title 8 U.S.C., as amended, provide their alien registration number. Because legal permanent residents are included in the federal definition of "alien ", legal permanent residents must also provide their alien registration number. Qualified aliens that do not have an alien registration number may supply another ident(ing number below: I