Council Self-Assessment Form for Fiscal Year

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1 Agenda Item HCNC Self-Assessment Council Self-Assessment Form for Fiscal Year Neighborhood Council Name: Historic Cultural Neighborhood Council (HCNC) What was the BIG Vision(s) for your Council? Preserve the historical cultural neighborhood character and empower the local stakeholders within the HCNC What were the BIG Goals for fulfilling your Vision? 1. Support neighborhood programs and activities 2. Encourage responsible land use planning and land use decisions 3. Increase use of social media 4. Examine Public Safety Issues (emergency preparedness, security etc.) Did your Council meet this goal? xyes No Why? 1. We supported local neighborhood programs and activities primarily through the efforts of our Action Committee that reviewed and recommended support to local projects. These projects where then discussed and voted in at the Board level. Did your Council meet this goal? x Yes No Why? 2. In order to encourage responsible land use planning and land use decisions, our Land Use Committee met monthly and heard presentations, asked questions, took action, and made recommendations to the Board, which took action and issued appropriate correspondence. Did your Council meet this goal? x Yes No Why? 3. We continued to reach out using of social media and increased our numbers in our electronic data base almost three times from 119 to 393 members. Did your Council meet this goal? x Yes No Why? 4. In order to become more aware of public safety response we met and toured a local headquarters fire station to learn more what they are doing and what we could do.

2 Agenda Item HCNC Self-Assessment Page 2 of 3 How did your BIG Budget match up to your goals? Outreach: Budgeted: $5,800 Spent: $3,435 Operations: Budgeted: $7,100 Spent: $14,193 Neighborhood Purpose Budgeted: $27,000 Spent: $24,170 Grants: Neighborhood Budgeted: $0 Spent: $0 Improvements: Elections/Selections: Budgeted: $2,100 Spent: $0 Total: Budgeted: $42,000 Actual Amount Spent: $41,798 When did your Council do the majority of the spending? First quarter (July Sept): $3,160 Second quarter (October December): $11,104 Third quarter (January March): $9,666 x Fourth quarter (April June): $17,868 How did you measure your BIG Score and what were the results? Please be specific with numbers if the measurement was to increase a number, e.g. increase web traffic (from how many hits to how many?) or more people at meetings (from how many people to how many?) Measure: Support neighborhood programs and activities measure was amount of dollars spent Result: $26,608 Measure: Encourage responsible land use planning and land use decisions measure was the number of meetings, presentations, and letters sent Result: 11 Land Use Committee Meetings, 27 letters sent (38 approved), 2 CISs (Dodgers, CEQA). Measure: Increase use of social media measure was the numbers at beginning of year and at end of year in database Result: 119 to 393 Measure: Examine Public Safety Issues (emergency preparedness, security etc.) measure was our contacts and meetings with fire department Result: We had local Battalian Chief introduce himself and some staff members.

3 Agenda Item HCNC Self-Assessment Page 3 of 3 Citywide Neighborhood Council Metrics How many Community Impact Statements did your Council file? 2 filed (6 approved). Why? Problems setting up board members as official CIS filers. How many Requests for Action* (not including Community Impact Statements) from your electeds or City Departments did your Council make? 32 None. Why? 27 Letters sent related to Land Use items 2 Requests to Bureau of Streets Services Small Asphalt Repairs 1 Request for action regarding an ordinance affecting the Arts District 1 Letter regarding a Councilmember s website 1 Letter requesting change to NC funding notification s *A Request for Action is when the board makes a recommendation on an issue that must be conveyed to your electeds or City Departments to take further action, e.g. Neighborhood Council position on a land use issue or other City matter. How many general and special meetings did your Council conduct? Committee meetings? 10 Regular Board Meetings 0 Special Board Meetings 11 Land Use Committee Meetings 5 Action Committee Meetings 1 Executive Committee Meeting How many events did your Council collaborate with electeds and/or City Departments to conduct?1 Please list the event and the elected and/or City Departments involved. AD 51 Town Hall/Debate & Voter Registration Event, with Glassell Park Neighborhood Council and Glassell Park Improvement Association. How many events did your Council collaborate with a community group or non-profit? Schools? 1 Please list the event and the community group, non-profit or school. (See above) How many stakeholders did your Council have in its database (if not already listed in the Big Score above): on July 1, and on June 30, do not have a stakeholder database How many times did your Council communicate with its stakeholder database? 4 times every x month year (4 times a month)

4 議程項目 HCNC 自我評估 財年理事會自我評估表鄰里委員會名稱 : 歷史文化鄰里理事會 (HCNC) 你們理事會的重大願望是什麼? 保留歷史文化社區特色, 並賦予 HCNC 當地利益相關者權力 實現願望的重要目標是什麼? 1. 支持鄰里計劃和活動 2. 鼓勵負責任的土地使用規劃和土地使用決策 3. 增加社交媒體的使用 4. 檢查公共安全問題 ( 應急準備, 安全等 ) 你的委員會是否達到了這個目標? x 是 否 為什麼? 1. 我們主要通過行動委員會的努力支持當地社區計劃和活動, 該委員會審並建議對當地項目提供支持 這些項目隨後在董事會層面進行討論和表決 你的委員會是否達到了這個目標? x 是 否 為什麼? 2. 為了鼓勵負責任的土地使用規劃和土地使用決策, 我們的土地使用委員會每月召開會議, 聽取介紹, 提出問題, 採取行動, 並向董事會提出建議, 董事會採取了行動並發布了適當的信函 你的委員會是否達到了這個目標? x 是 否 為什麼? 3. 我們繼續使用社交媒體, 並將電子數據庫中的會員數量增加了近三倍, 從 119 個增加到 393 個 你的委員會是否達到了這個目標? x 是 否 為什麼? 4. 為了更加了解公共安全響應, 我們遇到並參觀了當地的總部消防局, 以了解他們正在做什麼以及我們能做些什麼

5 議程項目 HCNC 自我評估 第 2 頁, 共 3 頁 您的預算如何與您的目標相符? 外联活动 : 預算 : $5,800 花費 : $3,435 一般業務費用 : 預算 : $7,100 花費 : $14,193 鄰里目的補助金 : 預算 : $27,000 花費 : $24,170 社區改善項目 : 預算 : $0 花費 : $0 選舉 : 預算 : $2,100 花費 : $0 總和 : 預算 : $42,000 實際支出金額 : $41,798 你的委員會什麼時候做了大部分支出? 第一季度 ( 七月 - 九月 ): $3,160 第二季度 ( 十月 - 十二月 ): $11,104 第三季度 ( 一月 三月 ): $9,666 x 第四季度 ( 四月 - 六月 ): $17,868 你是如何衡量你的大目標的得分, 結果是什麼? 如果測量值是增加一個數字, 請具體說明數字, 例如 : 增加網絡流量 ( 從多少次點擊到多少?) 或更多人在會議上 ( 從多少人到多少人?) 測量 : 支持鄰里計劃和活動措施是花費的金額結果 : $26,608 測量 : 鼓励负责任的土地使用规划和土地使用决策, 衡量的是会议, 演示和发送的信件的数量結果 : 11 土地使用委员会会议, 27 已發出信件 (38 個已批准 ), 2 CISs (Dodgers, CEQA). 測量 : 增加社交媒體測量的使用是數據庫中年初和年末的數字 393 結果 : 119 至 測量 : 檢查公共安全問題 ( 應急準備, 安全等 ), 測量是我們與消防部門的聯繫和會議結果 : 當地營長介紹他自己和一些工作人員

6 議程項目 HCNC 自我評估 第 3 頁, 共 3 頁全市鄰里委員會指標 您的理事會提交了多少次社區影響聲明? 會成員設置為官方 CIS 申報者存在問題 2 提交 (6 批准 ). 為什麼? 將董事 您的理事會向您的當選者或市政部門提出了多少行動請求 *( 不包括社區影響陳述 )? 32 零. 為什麼? 27 發送的信件與土地使用項目有關 2 向街道局小型瀝青維修局提出要求 1 要求就影響藝術區的法令採取行動 1 關於屬於市議員的網站的信件 1 關於鄰里委員會資助通知電子郵件的信 * 行動請求 是指董事會就一個問題提出建議, 該問題必須傳達給您當選的或市政部門採取進一步行動, 例如 : 鄰里委員會對土地使用問題或其他城市問題的立場 你的理事會舉行了多少次一般會議和特別會議? 委員會會議? 10 次定期董事會會議 0 特別董事會會議 11 土地使用委員會會議 5 個行動委員會會議 1 執行委員會會議 您的理事會與當选和 / 或市政部門合作舉辦了多少次活動?1 請列出活動以及所涉及的當选和 / 或市政部門 AD 51 市政廳 / 辯論和選民登記活動,Glassell Park 鄰里委員會和 Glassell 公園改善協會 您的理事會與社區團體或非營利組織合作了多少次活動? 學校? 1 請列出活動和社區團體, 非營利組織或學校 ( 見前面的清單 ) 您的理事會在其數據庫中有多少利益相關者 ( 如果尚未在上面的總分中列出的話 ): 在 2017 年 7 月 1 日 119 和在 2016 年 6 月 30 日 279 沒有利益相關者數據庫 您的理事會與其利益相關方數據庫溝通了多少次? 每次 4 次 x 月 年 ( 每月 4 次 )

7 Agenda Item Notes for HCNC Self-Assessment HCNC - BOARD ACTIONS RELATED TO LAND USE AND CISs (July 2017-June 2018) Date Agenda Item # Board Action Project/Description Status 1 3/13/ Letter -Action Letter to CD14 & Mayor's Office Homeless Shelter Trailers in El Pueblo 2 4/10/ Letter for study of Heavy Rail Metro - WSAB 3 5/8/ Letter of Non-Support 676 Mateo Street 4 4/10/ Letter of Opposition SB /13/ Letter of Opposition Lincoln Property Company Solano & Broadway Mixed-Use Development (Elysian Park Lofts) 6 3/13/ Letter of Opposition 7-Eleven 7 7/11/ Letter of Support Rockhill Holdings 8 7/11/ Letter of Support Firehouse Hotel 9 7/11/ Letter of Support Pali Wine 10 7/11/ Letter of Support Inko Nito 11 9/12/ Letter of Support Pali Wine with Enterprize Zone Parking eliminated 12 9/12/ Letter of Support Angel City Brewery 13 9/12/ Letter of Support St. Francis signage 14 9/12/ Letter of Support Chiguacle Group Liquor License 15 9/12/ Letter of Support Saffronita, LLC 16 9/12/ Letter of Support Heidi Duckler Dance Company 17 10/10/ Letter of Support 420 Food Hall LLC 18 10/10/ Letter of Support Prime Pizza 19 10/10/ Letter of Support Hankook BBQ House 20 10/10/ Letter of Support LA City Bureau of Engineering - Community Garden for 6th St Viaduct Park 21 11/14/ Letter of Support Father's Office 22 11/14/ Letter of Support Songbird 23 11/14/ Letter of Support Two-bit Circus 24 11/14/ Letter of Support Kaiser Foundation Health Plan 25 2/13/ Letter of Support South Park BID - East West Transit Line Connecting South Park, Fashion District, AD 26 2/13/ Letter of Support Pizzanista 27 2/13/ Letter of Support Little Bear 28 2/13/ Letter of Support Death & Company 29 2/13/ Letter of Support Okidoki Little Tokyo Dining Corporation 30 2/13/ Letter of Support 520 Mateo 31 2/13/ Letter of Support 4th and Hewitt Project/401 S. Hewitt St 32 3/13/ Letter of Support With Loving Care Inc. 33 4/10/ Letter of Support High Tide 34 4/10/ Letter of Support Tony's Saloon 35 5/8/ Letter of Support Wolf & Crane 36 6/12/ Letter of Support Arts District Patients Collective 37 1/9/ Letter of Support Safe Access to LASHP 38 4/10/ Letter to Metro to Oppose Demolition Pickle Works Building 39 9/12/ Policy Change Enterprise Zone Parking Req in AD N/A 40 9/12/ CIS Dodger Stadium, Traffic Study File Number filed 41 4/10/ CIS Subdivision Opposition? 42 4/10/ CIS Translation Funding, Council File S41 not filed 43 6/12/ CIS Neighborhood Council Reforms filed 44 6/12/ CIS Oppose Reauthorization of Online Voting Funding, S122? 45 6/12/ CIS Oppose CEQA Appeals Code Amendment? Page 1 of 1

8 Agenda Item Inventory Summary NeighborhooCurrent StatuWas a Police Product TypeBrand Model Serial Numbe Historic CultuCurrent Other Unknown 0 0 Historic CultuCurrent Computer HaWindows Surface 128G E+10 Historic CultuCurrent Computer HaBrother MFC-9340CDU63481C5J68 Historic CultuCurrent Computer HaCanon Lide 210 KEKC02458 Historic CultuCurrent Computer HaBrother TN-221c Historic CultuCurrent Computer HaBrother TN-221bk Historic CultuCurrent Computer HaBrother TN-221m 0

9 Agenda Item Inventory Summary Purchase PricReceipt of pudate of ApproDate of PurchItem DescriptSalvage Date 0 Unknown 0 Unknown 0 Unknown 0 Scanner 0 Color Cyan 0 Color Cyan 0 Color Cyan

10 Agenda Item Admin Packet/Budget Fiscal Year Office of the City Clerk Neighborhood Council Funding Program Fiscal Year Administrative Packet Neighborhood Council: Historic Cultural Neighborhood Council OFFICE OF THE CITY CLERK clerk.ncfunding@lacity.org

11 Agenda Item Admin Packet/Budget Administrative Summary Packet Page 1 of 10 Summary As the Neighborhood Councils (NCs) transition from Fiscal Year to Fiscal Year , the Office of the City Clerk has identified the need for a more comprehensive approach to ensure a complete record of all items that support the NCs fiscal and administrative operations, to include an annual budget, office space requirements, etc. In an effort to make the submission and processing of these items simpler and more streamlined, this Office has created the Fiscal Year Administrative Packet. Goal(s) The goal(s) of the Administrative Packet is to make it easier for NCs to identify, plan, and confirm, via a board vote, all fiscal and administrative requirements upfront each year so that our Office can prepare for and process funding requests and resulting contracts judiciously and expeditiously. Procedure On a yearly basis, we will be requiring each NC to discuss, prepare and approve the Administrative Packet. Once the packet has been voted on by the board, the packet and the BAC is to be submitted to the NC Funding Program by the due date below. Please complete the full packet and take board action to confirm the information. Each packet contains the following items listed below: Letter of Acknowledgement Signed by all Financial Officers Completed Budget Request for Office Space, Meeting Space, Storage Facility, Post Office Box (P.O. Box), and Website Services Please have a completed packet and the corresponding Board Action Certification (BAC) ed to clerk.ncfunding@lacity.org by July 30, As we await your packet submission, per NC Funding Policy 1.1 section 1.b, access to your funds will be limited to $333.00, until the budget and all other requested documents (administrative packet) have been received. If you have questions or require any assistance regarding the packet, please feel free to us at clerk.ncfunding@lacity.org or call us at OFFICE OF THE CITY CLERK clerk.ncfunding@lacity.org

12 Agenda Item Admin Packet/Budget Administrative Summary Packet Page 2 of 10 NEIGHBORHOOD COUNCIL FUNDING PROGRAM \ LETTER OF ACKNOWLEDGEMENT We, the undersigned, do hereby declare that as a result of an official action of the Governing Body of the Neighborhood Council (NC) named below: (1) we are authorized to request City funding to support NC general operations, (2) all items or services described or included in any related funding requests are exclusively intended to further the goals and objectives of the Neighborhood Council, and (3) all reasonable precautions shall be exercised by the undersigned to fully safeguard, control and account for all use of funds. Proper accountability of all City funds is critical to the success of the NC Funding Program. Therefore, by the signature(s) below, and on behalf of the Neighborhood Council named below, WE HEREBY AGREE to the terms and conditions as set forth in this Letter of Acknowledgement and all related documents as provided by the City, agree to expend funds in accordance with any applicable City rules, policies or procedures, and specifically agree to expend monies received by the Office of the City Clerk solely for public purposes relating to the goals and purposes of the Neighborhood Council named below, consistent with the scope and authority under the City Charter, the Plan for a Citywide System of Neighborhood Councils and any implementing ordinances. We have attended and participated in the City-provided training relating to the NC Funding Program. WE FURTHER ACKNOWLEDGE and WE AGREE to comply with any requirements regarding use of the NC funds. WE AGREE to provide NC financial reports and/or supporting documentation to the Office of the City Clerk, Neighborhood Council Funding Program as requested and at monthly meetings to the Governing Body and stakeholders of the NC named below. WE AGREE that the Office of the City Clerk and other City representatives may make on-site visits to inspect and review all NC financial records, upon providing reasonable advance notice to the NC Treasurer or designated representatives. WE ACKNOWLEDGE THAT A NEW LETTER OF ACKNOWLEDGEMENT MUST BE FILED IF THERE IS ANY CHANGE OF PERSONS WHO ARE AUTHORIZED TO APPROVE EXPENSES OR TO REQUEST FUNDING. BANK CARD AGREEMENT OF RESPONSIBILITIES This document outlines the responsibilities that I, as the Neighborhood Council Bank Card Holder, have as the primary custodial holder of a City Los Angeles Neighborhood Council (NC) Bank Card, referred herein as "the card" for the Neighborhood Council named below. My signature indicates that I have read and understand these responsibilities and further, that I agree to adhere to the guidelines established by the Office of the City Clerk and approved by the City Controller for the use of City funding as it relates to the Neighborhood Council Funding Program. 1. I understand that the City of Los Angeles Neighborhood Council Card is intended to facilitate the purchase and payment of materials required for the conduct of official Neighborhood Council business only. 2. I understand that under no circumstances will I use the Card to make personal purchases either for myself or for others. The Card is issued in the name of the Neighborhood Council and I serve as the Card custodian. I agree that should I willfully violate the terms of this Agreement and use of the Card for personal use or gain that I will reimburse the City of Los Angeles for all incurred charges and any fees related to the collection of those charges. 3. Uses of the Card not authorized by the Office of the City Clerk can be considered misappropriation of City funds. This could result in (a) immediate and irrevocable forfeiture of the Card, and /or (b) potential de- OFFICE OF THE CITY CLERK clerk.ncfunding@lacity.org

13 Agenda Item Admin Packet/Budget Administrative Summary Packet Page 3 of 10 certification action. I understand that the Card must be surrendered upon termination of any official position with the Neighborhood Council to which the card is issued. I agree to maintain the Card with appropriate security whenever and wherever I or any other authorized person may use the Card. If the Card is stolen or lost, I agree to immediately notify the Office of the City Clerk. 4. I understand that since the Card is the property of the Bank and authorized for issue by the City of Los Angeles, I am required to comply with internal control procedures designed to protect City assets. This may include being asked to produce the Card, receipts, and/or statements to validate its existence and to audit its use. 5. I understand that I will have access to the Funding Program System portal via the Internet where all card transactions will be posted by the Bank when the card is used. I understand that I am required to obtain itemized receipts for all card transactions and upload the itemized receipts to the Funding Program System portal to verify the posted card transaction. Uploading the required itemized receipt is necessary for my NC Monthly Expenditure Report (MER) to be generated by the Funding Program System portal. The MER must be reviewed and approved by the NC Governing Board before being submitted to the Office of the City Clerk as a complete Report. 6. I understand that all transactions on the Card will reduce the funds available to the NC. I understand that the Bank will not accept any limit increases from me. 7. I agree to make only those purchases consistent with the type of purchases authorized by the Office of the City Clerk and approved by the NC Governing Board. 8. I understand that the Card is solely provided to the designated NC cardholder and that assignment of the Card is based on the understanding that I need to purchase materials required for the conduct of Neighborhood Council business. I understand that custodial possession of the Card is not an entitlement nor reflective of title or position. 9. I have signed and received a copy of the Letter of Acknowledgement regarding the Neighborhood Council Funding Program, have attended and completed the training regarding the Funding Program and the Card, and understand the requirements and limitations regarding the Card's use. Neighborhood Council Financial Officers - Names and Signatures: Treasurer SIGNATURE OF THE TREASURER Lydia Moreno DATE lydia.hcnc@gmail.com PRINT NAME OF THE TREASURER Solano Canyon Non-Profit Representative BOARD POSITION PHONE NUMBER OFFICE OF THE CITY CLERK clerk.ncfunding@lacity.org

14 Agenda Item Admin Packet/Budget Administrative Summary Packet Page 4 of 10 Second Signer SIGNATURE OF THE 2 nd SIGNER Alan Kumamoto DATE akumamoto@aol.com PRINT NAME OF THE 2 ND SIGNER Arts District Non-Profit Representative x 18 BOARD POSITION PHONE NUMBER Bank Cardholder SIGNATURE OF THE BANK CARD HOLDER Alan Kumamoto DATE akumamoto@aol.com PRINT NAME OF THE BANK CARD HOLDER Arts District Non-Profit Representative x 18 BOARD POSITION PHONE NUMBER Alternate Signer (If not applicable, please indicate N/A ) SIGNATURE OF THE ALTERNATE SIGNER N/A DATE PRINT NAME OF THE ALTERNATE SIGNER BOARD POSITION PHONE NUMBER OFFICE OF THE CITY CLERK clerk.ncfunding@lacity.org

15 Agenda Item Admin Packet/Budget Administrative Summary Packet Page 5 of 10 Neighborhood Council Budget Template Budget for Fiscal Year This budget template is an optional tool, and your Neighborhood Council may submit a budget different from this template. Please note per the Neighborhood Council Funding Program Policies and Guidelines, Outreach, Elections, Community Improvement Projects, and Neighborhood Purposes Grants must be voted individually. A line item on the budget is not sufficient for Outreach, Elections, Community Improvement Projects, and Neighborhood Purposes Grants. For your convenience please find below the NC Funding Policy 1.1: NC Funding Program Policy 1.1 Annual Budget and Fiscal Year The fiscal year of the City shall begin on July 1 or each year and shall end on June 30 of the following year. City of Los Angeles, Charter Sec As an entity of the City of Los Angeles, the NCs adhere to the same fiscal calendar as the City of Los Angeles. Each fiscal year, the NCs will be given access to their annual allocation through the Office of the City Clerk s prescribed method. 1. Annual Budget Pursuant to Los Angeles Administrative Code Section (g), NCs are to spend the funds on the functions, operations, outreach, and projects of a NC. The budget is a plan for the utilization of resources and expenditures. a. The budget is comprised of three expenditure categories: i. General and Operational Expenditures (comprised of three subcategories) 1. Office/Operational 2. Outreach 3. Elections ii. Neighborhood Purposes Grants iii. Community Improvement Projects b. NCs must submit a budget to Department of Neighborhood Empowerment, with an electronic copy to the Office of the City Clerk, NC Funding Program. i. NCs that have not submitted a Budget will be limited to $333.00/month for General and Operational expenditures for 3 months. If a budget is not submitted by the 4th month of the fiscal year, the NC s funds will remain frozen. 2. Annual Budget Specific Line Items a. The Office of the City Clerk will not accept specific line items in the annual budget as authorization for payments except for monthly recurring Office/Operations-related expenditures. These may include: i. Office rent and office equipment lease payments ii. Storage facility rent payments iii. Telephone and Internet services iv. Meeting refreshments and snacks v. Website hosting and maintenance vi. Professional services, i.e. translators and minute-takers for monthly meetings b. Outreach, Election, Neighborhood Purposes Grants, and Community Improvement Project expenditures require individual approval by the NC and cannot be authorized for payment in annual budgets as specific line items. 3. Fiscal Year The Fiscal Year begins on July 1 and ends on June 30 of the following year. OFFICE OF THE CITY CLERK clerk.ncfunding@lacity.org

16 Agenda Item Admin Packet/Budget Administrative Summary Packet Page 6 of 10 Neighborhood Council Budget Template Budget for Fiscal Year Total Allocations $42,000 Office Expenditures Facilities 3, Office/Copies 1, Postage Administrative 3, Translation 2, Total of Office Expenditures $ 10, OFFICE OF THE CITY CLERK clerk.ncfunding@lacity.org

17 Agenda Item Admin Packet/Budget Administrative Summary Packet Page 7 of 10 Outreach Expenditures Board meeting food and water Advertising 3, Website 1, Total of Outreach Expenditures $ 5, Election Expenditures Election Site 1, Election Expenses 1, Total Election Expenditures $ 2, OFFICE OF THE CITY CLERK clerk.ncfunding@lacity.org

18 Agenda Item Admin Packet/Budget Administrative Summary Packet Page 8 of 10 Community Improvement Projects Total Community Improvement Projects $ 0.00 Neighborhood Purposes Grants Community NPGs 23, Total Neighborhood Purposes Grants $ 23, Total Budget Allocations Subtotal Office Expenditure Subtotal Outreach Expenditures Subtotal Elections Expenditures Total Office, Outreach, and Election Expenditures Total Community Improvement Project Expenditures Total Neighborhood Purposes Grants Expenditures Total Expenditure for FY $ 10, $ 5, $ 2, $ 18, $ 0.00 $ 23, $ 42, OFFICE OF THE CITY CLERK clerk.ncfunding@lacity.org

19 Agenda Item Admin Packet/Budget Administrative Summary Packet Page 9 of 10 Request for Administrative Agreements To start or renew a lease agreement for your Office Space, Meeting Space, Storage facilities, P.O. Boxes, and/or Website services please complete this form. If sections of the form do not apply to your Neighborhood Council please select NA on the sections that do not apply. After a lease agreement has been drafted from the information provided, the board must agendize and approve the agreement at a future meeting date. The information provided on this form is to request an agreement; the vote taken to request an agreement does not replace the final vote a board takes to approve all particular information related to an agreement. Office Lease Agreement Request: Renewal New Donated NA Address: Phone Number: Property Owner (if known): Property Owner Address (if known): Property Owner (if known): Projected Monthly Cost: Donation Value (if applicable): 307 East First Street, East First Street Board Meeting Location: Renewal New Donated NA Address: Property Owner (if known): Property Owner Address (if known): Property Owner (if known): Saint Francis Xavier Center S. Hewitt St, Do you pay for the meeting location? Yes No Donation Value (if applicable): Storage Facility Agreement Request: Renewal New NA Name on Account: Storage Facility Address: Property Owner (if known): Property Owner (if known): Projected Monthly Cost: OFFICE OF THE CITY CLERK clerk.ncfunding@lacity.org

20 Agenda Item Admin Packet/Budget Administrative Summary Packet Page 10 of 10 PO Box Agreement Request: Renewal New NA Name on Account: PO Box Address: Property Owner (if known): Property Owner Address (if known): Property Owner (if known): Projected Monthly Cost: Website Services Request: Renewal New NA Name of Website Services Provider: Service Provider Address: Service Provider Service Provider Phone Number (if known): Type of Services Provided: Tom Minkler 2725 Fair Oaks Ave Altadena, CA tomminkler@gmail.com monthly maintenance and updates Projected Monthly Cost: OFFICE OF THE CITY CLERK clerk.ncfunding@lacity.org

21 Agenda Item Election Stipulation Sheet

22 Agenda Item Election Stipulation Sheet

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