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2021-350-Minutes for Meeting August 11,2021 Recorded 8/30/2021AEs co L -ABOARD OF COMMISSIONERS 1 300 NW Wall Street, Bend, Oregon (a f 1 ) :388.,6570 9 < 0 A Recorded in Deschutes County CJ2021-350 Steve Dennison, County Clerk Commissioners' Journal 08/30/2021 9:04:06 AM a,\yL1�fSpl{ II�IIII�II'IIIII(�I�II�I�III�II 2021-350 FOR RECORDING STAMP ONLY �� ( �.�� C.C?i�`(�'SC.c'�� ,?� :)< , s I %i}f, I:3ARN1I. .(:8, .`yAWYi._i. ��'t_1ONf.: Present were Commissioners Patti Adair, Anthony DeBone, and Phil Chang. Also present were Tom Anderson, County Administrator; David Doyle, County Counsel; and Sharon Keith, Board Executive Assistant (via Zoom conference call). This meeting was audio and video recorded and can be accessed at the Deschutes County Meeting Portal website http://deschutescountyor.igm2.com/Citizens/Default.aspx CALL TO ORDER: Chair DeBone called the meeting to order at 9:00 a.m. PLEDGE OF ALLEGIANCE: CITIZEN INPUT: • Richard Clough provided comment on the mask mandate and stated the face masks do not work and the vaccines are not effective. • Lance Avery explained he has had COVID and did not want to have the vaccine because it wasn't proven effective. Commissioner DeBone acknowledged there is a Governor's press conference scheduled for today regarding a statewide mandate for face masks to be worn B0 C C 1Vrl rli\G AUGUST 11, 2021 17ftGF 1 C)F 7 indoors. Commissioner Chang noted there was a chance for the full Board to support wearing of face masks indoors and now the Governor has stepped in since many local public health authorities had not. Commissioner Adair spoke on the lack of nursing help at health care facilities. CONSENT AGENDA: Before the Board was Consideration of Approval of the Consent Agenda. ADAIR: Move approval of Consent Agenda CHANG: Second VOTE: ADAI R: Yes CHANG: Yes DEBONE: Chair votes yes. Motion Carried 1. Consideration of Board Signature to Appoint Toni Williams to the Deschutes County Planning Commission 2. Approval of Minutes of the August 2, 2021 BOCC Meeting 3. Approval of Minutes of the August 4, 2021 BOCC Meeting ACTION ITEMS: 4. Consideration of Board Signature of Document No. 2021-498, PPC Solutions, Inc. Holly Harris, Health Services, presented the item via Zoom conference call. The contract provides security services at the stabilization center. CHANG: Move approval of Document No. 2021-498 ADAIR: Second VOTE: CHANG: Yes ADAI R: Yes DEBONE: Chair votes yes. Motion Carried 5. Discussion of CDD Building Safety and Environmental Soils Staffing Request Community Development Director Nick Lelack and Senior Management Analyst Sherri Pinner presented the request for additional staffing in building safety and environmental soils due to increased case volume. Discussion held on department capacity. ADAIR: Move approval of staff request CHANG: Second VOTE: ADAIR: Yes CHANG: Yes DEBONE: Chair votes yes. Motion Carried 6. Planning Division Work Plan Update / Long Range Planning / FY 2021-22 Planning Manager Peter Gutowsky presented projects that relate to long range planning. Discussion held on land use issues and the marijuana and hemp grow industry. The cannabis advisory panel discussion will be held at a BOCC meeting next week and the Board considered assigning oversight for that advisory panel to another department (possibly Administration) instead of the Community Development Department in order to free up time for CDD to focus on pressing and long range projects. Commissioner Chang commented on the possibility of a natural resources stewardship position and doesn't see that as a part of the project list. Commissioner DeBone doesn't support hiring a specific position holding that responsibility but notes that those issues should be included in the managed capacity in long range planning. Discussion held on a potential expansion of long range planning division in order to manage the on -going and planned projects of the division's work plan. Community Development Department Director Nick Lelack stated the department will come back with a staffing proposal. Commissioner DeBone also requested further information regarding opportunities for RV spaces for housing options. Commissioner DeBone also requested information preparing for TGM grants for the City of La Pine. The Board supported removing the natural resource stewardship position concept from the on -going long range planning. 7. American Rescue Plan Funding Update - Public Health Request Chief Financial Officer/Treasurer Greg Munn presented the update and request from Health Services. Public Health Director Nahad Sadr-Azodi and Business Officer Cheryl Smallman presented a request for $2 million of ARPA funding for temporary staffing associated with theCOVID19 Response and Recovery Efforts. Present via Zoom were Dr. George Conway and Environmental Health Specialist Emily Freeland. Commissioner DeBone proposed support of the minimum request of $700,000 to fund six months of temporary staffing and offered further review of this program with the department. DEBONE: Move approval of ARPA funds in the amount $700,000 for the Public Health request for COVID19 Response and Recovery Effo its ADAIR: Second Discussion: Commissioner Chang commented on the department's request of $2 million and would support approval of the full request. Commissioner Adair commented on the expenses of contact tracing. Commissioner Chang suggests quarterly status reports. Ms. Smallman offered monthly reports. Dr. Conway commented on the staff morale and burden which are sometimes associated with limited duration positions. Commissioner DeBone noted the pending motion and supports regular updates and identifying a possible pool of $2M for this project. Commissioner Adair supported the motion and review process. Commissioner Chang asked Mr. Munn to block out the remainder of the $2 million to prevent allocation to another purpose. DEBONE: Amended the motion to move approval of a $2 million reserve bucket with a $700,000 allocation at this time ADAIR: Second 3C7C C. [VIiE 1 I`Cm: ALJ G, 1 JS F 1 . 2.0,2 PAGIF 4 OF 7 Discussion: Dr. Conway requested a review sooner than November to ensure ongoing employment. County Administrator Anderson noted there is no guarantee of employment with any type of temporary employee placed through an temp agency. Commissioner Chang suggested a monthly status report on the pace of spending. Commissioner DeBone suggested an update once a month during one of the biweekly COVID updates. Commissioner Adair mentioned vaccination issues with volunteer firefighters and suggested the option of retaining Dr. Young to provide weekly COVID testing. VOTE: ADAI R: Yes CHANG: Yes, but commented he would prefer to be voting for something else DEBONE: Chair votes yes. Motion Carried Mr. Munn provided a further update on the ARPA funding requests through eligible projects as well as all requests submitted. Mr. Munn reported a meeting has been scheduled with the Chambers of Commerce and COIC. Further discussions on requests will be held during several BOCC meetings during August. Commissioner DeBone requested a graph showing the funding of requests vs. those proposed. Commissioner Chang commented on the proposed request for a community water system in Terrebonne and the challenges for maintenance and would want to see a robust proposal on the system. Commissioners Adair and DeBone commented on the history of the studies of the system. County Administrator Anderson offered a staff review for Commissioner Chang on the scoping work. Commissioner Chang commented on the affordable housing requests and suggested further review in September. 8. 2021 Spay & Neuter Grant Awards County Administrator Anderson presented the item. Six proposals were received. The Dog Control Board of Supervisors reviewed the applications and provided recommended allocations. ADAIR: Move approval of the recommended spay and neuter grant awards in the amount of $13,000 CHANG: Second VOTE: ADAIR: Yes CHANG: Yes DEBONE: Chair votes yes. Motion Carried The Board thanked the Dog Board for their review and recommendations. OTHER ITEMS: • Commissioner DeBone acknowledged the community input on the need for wearing face masks while indoors. • Commissioner Chang noted the community appreciation of the investment of farm efficiency. • Commissioner Adair thanked the Fair and Expo Director for the attendance of this year's fair and the community support of our youth for the livestock auction. • Commissioner DeBone attended the Sunriver La Pine Economic Development meeting yesterday. He also toured the Levi's Sawmill Services on Russell Road. • Commissioner Chang reported on SB762 large landscape fuels reduction and meetings with County Forester and Forest Service for possible eligible properties for the project. Commissioner DeBone commented on the opportunity of biomass projects. EXECUTIVE SESSION: None scheduled B01 C 10111-a INcl AUI USi 11, 2021 (/ Cry: Ei (ih Al- l O U R N Being no further items to come before the Board, the meeting was adjourned at 11:42 a.m. DATED this Day of 2021 for the Deschutes County Board of Commissioners. A N'T H 0 N Y D E R 0 N C A,, If ATli" L S T lot E C 0 R D S -1 /" 1, r P [,lH lH'L, C H A N G, kfl Cr, E FH� A 1� R - - - ------------- - - -- PATT[, ADAIR, COMM ISMON FIR E 7 OF BOCC MEF"ING A U G U S T I I, 2 0 2 1 1 AGE- �wI ES coCOMMISSIONERS n� �<BOARD OF BOARD OF COUNTY COMMISSIONERS MEETING 9:00 AM, WEDNESDAY, AUGUST 11, 2021 Barnes Sawyer Rooms - Deschutes Services Bldg - 1300 NW Wall St - Bend (541) 388-6570 1 www.deschutes.or A rx, i z 3G s z sz✓ r�w2 C; r �.0 7 'c fi z' , _ s,. _�,s,.;.., .,� �..�:.Y✓..zMn.,,TN.y M Fw'. a,. :.yd.a Zi, wz�,k..`._�%._.., :5&n „✓.Caw sa. MEETING FORMAT In response to the COVID-19 public health emergency, Oregon Governor Kate Brown issued Executive Order 20-16 (later enacted as part of HB 4212) directing government entities to utilize virtual meetings whenever possible and to take necessary measures to facilitate public participation in these virtual meetings. Since May 4, 2020, meetings and hearings of the Deschutes County Board of Commissioners have been conducted primarily in a virtual format. Effective June 30, 2021, COVID-based restrictions have been discontinued. Attendance/Participation options include: A) In Person Attendance and B) Live Stream Video: Members of the public may still view the BOCC meetings/hearings in real time via the Public Meeting Portal at www.deschutes.org/meetings. Citizen Input: Citizen Input is invited in order to provide the public with an opportunity to comment on any meeting topic that is not on the current agenda. Citizen Input is provided by submitting an email to: citizeninput@deschutes.org or by leaving a voice message at 541-385- 1734. Citizen input received by 8:00 a.m. before the start of the meeting will be included in the meeting record. Zoom Meeting Information: Staff and citizens that are presenting agenda items to the Board for consideration or who are planning to testify in a scheduled public hearing may participate via Zoom meeting. The Zoom meeting id and password will be included in either the public hearing materials or through a meeting invite once your agenda item has been included on the agenda. Upon entering the Zoom meeting, you will automatically be placed on hold and in the waiting room. Once you are ready to present your agenda item, you will be unmuted and placed in the spotlight for your presentation. If you are providing testimony during a hearing, you will be placed in the waiting room until the time of testimony, staff will announce your name and unmute your connection to be invited for testimony. Detailed instructions will be included in the public hearing materials and will be announced at the outset of the public hearing. For Public Hearings, the link to the Zoom meeting will be posted in the Public Hearing Notice as well as posted on the Deschutes County website at https•//www.deschutes.org/bcc/page/public- hearing-notices. CALL TO ORDER PLEDGE OF ALLEGIANCE CITIZEN INPUT: For items not on this Agenda Note: In addition to the option of providing in -person comments at the meeting, citizen input comments may be emailed to citizeninput@deschutes.org or you may leave a brief voicemail at 541.385.1734. To be timely, citizen input must be received by 8:00am on the day of the meeting. CONSENT AGENDA 1. Consideration of Board Signature to Appoint Toni Williams to the Deschutes County Planning Commission 2. Approval of Minutes of the August 2, 2021 BOCC Meeting 3. Approval of Minutes of the August 4, 2021 BOCC Meeting ACTION ITEMS 4. 9:05 AM Consideration of Board Signature of Document No. 2021-498, PPC Solutions, Inc. 5. 9:15 AM Discussion of CDD Building Safety and Environmental Soils Staffing Request 6. 9:45 AM Planning Division Work Plan Update / Long Range Planning / FY 2021-22 7, 10:15 AM American Rescue Plan Funding Update- Public Health Request 8. 10:45 AM 2021 Spay & Neuter Grant Awards LUNCH RECESS OTHER ITEMS These can be any items not included on the agenda that the Commissioners wish to discuss as part of the meeting, pursuant to ORS 192.640. EXECUTIVE SESSION At any time during the meeting, an executive session could be called to address issues relating to ORS 192.660(2)(e), real property negotiations, ORS 192.660(2)(h), litigation; ORS 192.660(2)(d), labor negotiations; ORS 192.660(2)(b), personnel issues, or other executive session categories. Executive sessions are closed to the public, however, with few exceptions and under specific guidelines, are open to the media. August 11, 2021 BOARD OF COUNTY COMMISSIONERS MEETING Page 2 of 3 ADJOURN Deschutes County encourages persons with disabilities to participate in all programs and activities. This event/location is accessible to people with disabilities. If you need accommodations to make participation possible, please call (541) 617-4747. August 11, 2021 BOARD OF COUNTY COMMISSIONERS MEETING Page 3 of 3 down with symptomatic disease had no contact with nv in d or unknown vaccine status individual, where did they get the disease` i tizeninput 1 � Jkl - 11111 1 1 tizeninput citize ut 1 \)T ES C� Z QBOARD OF COMMISSIONERSwow MEETING DATE: 8/11 /21 SUBJECT: Community Development Staffing Request for Building Safety and Environmental Soils Divisions RECOMMENDED MOTION: Move approval of one (1) new building safety inspector FTE with lead pay for plans examination and support to management, one (1) new lead pay designation for an existing building safety field inspector for inspection and support to management and one (1) new environmental health specialist FTE. BACKGROUND AND POLICY IMPLICATIONS: The purpose of this memorandum is to request the addition of two (2) FTEs and two (2) lead pay designations to meet significantly growing business demands. In the Building Safety & Electrical Division, one (1) FTE with lead pay to perform and manage plan reviews, one (1) lead pay designation for a current field inspector to perform and manage inspection requests and in Environmental Soils one (1) FTE to perform inspection and regulate on -site wastewater treatment systems (septic). CDD continues to experience an increase in building permit issuance and applications received and environmental soils applications received. Since January 2021, CDD has issued 36.5% more single family dwelling (SFD) permits, received 54% more SFD applications and has experienced a 38.5% increase in septic site evaluation applications, when compared to the same period in 2020. BUDGET IMPACTS: The total cost of the new building safety plans examiner position plus lead pay designation(s) is estimated at $121,000 to cover the fully loaded annual rate, lead pay(s) and equipment. Building fees will fully fund these positions. The total cost of the new environmental health specialist is estimated at $88,500 to cover the fully loaded annual rate and equipment. Environmental Soils fees will fully fund this position. Costs for the new requests have not been budgeted. ATTENDANCE: Nick Lelack Sherri Pinner MEMORANDUM TO: Deschutes County Board of Commissioners Tom Anderson, County Administrator FROM: Nick Lelack, AICP, Director Sherri Pinner, Sr. Management Analyst DATE: August 11, 2021 SUBJECT: Community Development Building Safety and Environmental Soils Staffing Request I. SUMMARY The purpose of this memorandum is to request the addition of two (2) FfEs and two (2) lead pay designations to meet significantly growing business demands. Community Development Department (CDD) acknowledges the increase of two new FTE's approved last March for the Building Safety & Electrical Division to meet business needs. However, continued growth (discussed below) and the adoption of SB 391 (rural ADU legislation) into law causes the need to further add to staff to meet business demands. During the FY 22 budget process, there was a brief discussion regarding the need for additional FTE in Environmental Soils with a final determination and request forthcoming. Specifically, the Department proposes to: • Building Safety Division. Add one (1) full time regular building safety inspector with lead pay (5%) to perform construction plan reviews to ensure compliance with state statutes, state building codes and national standards. The new FTE is critical to reducing the plan review turnaround time with both increasing volumes and increasingly complex plan reviews. Additionally, this position would assist management with staffing assignments, coordination and distribution of plan review assignment, code interpretations, respond to customers for plan review related issues, and attend pre -application meetings, as needed. o Add lead pay (5%) to an existing building safety field inspector to assist management with staffing assignments and coordination and distribution of daily inspections. Additional responsibilities include code interpretations, respond to customers for inspection related issues, perform special inspections, and attend pre -application meetings, as needed. • Environmental Soils Division. Add one (1) full time regular environmental health specialist to perform inspection and regulate on -site septic systems to assure compliance with state rules and monitor environmental factors for public health and resource protection. One environmental health specialist 2 staff member reduced her work schedule to 80% time to meet personal needs. This additional staff will both cover that 20% and address the anticipated large number of site evaluation applications forthcoming prior to and during the implementation of SB 391. I1. BUILDING SAFETY PERMIT VOLUMES AND CUSTOMER INTERACTIONS CDD continues to experience an increase in building permit issuance and applications. Since January 2021, CDD has issued 36.5% more single family dwelling (SFD) permits and received 54% more SFD applications when compared to the same period in 2020. Within the next 3 to 5 years, development in Newberry Neighborhood and Sisters Forest Service property will generate an estimated 500+ new structures, including commercial/industrial, rural ADU legislation will be implemented in 2022, Caldera II will develop an estimated 500+ new structures and Thornburg Resort continues to make progress with development approval(s). The graph below highlights SFD permits issued between January and July for the past seven (7) calendar years. Single Family Dwelling Port -nits Issued Si'. IVA The graph below represents SFD applications received between January and July for the past five (5) calendar years. 2 (iJ 'tY! .;N.i I,l Challenges: Single Farrrily Dwelling Applications Deceived -3 2 k;I i; 1uf L`i i uI 't Iii a'r_ ?')1 :1 • Division is operating beyond capacity with staff unable to meet plan review performance measures. There are approximately 190 submitted plans pending review. Turnaround times are not close to meeting performance measures, causing widespread challenges for scheduling construction projects. • No seasonal fluctuations over the past few years and increased business volume in the cities of Sisters and La Pine. • Building Safety involvement and participation in a record number of code enforcement cases and highly complex violations. CDD Building Safety & Electrical Division requests: A) The addition of one (1) full time regular building safety inspector with lead pay to achieve the following results: • Perform construction plan reviews to ensure compliance with state statutes, state building codes and national standards. • Provide additional lead support to the Building Official and Assistant Building Official. • Reduce plan review turnaround times. B) The addition of lead pay to one (1) existing full time regular building safety field inspector to achieve the following results: • Perform consultation and inspections to ensure compliance with state statutes, state building codes and national standards. • Provide additional lead support to the Building Official and Assistant Building Official. -3- 111. ENVIRONMENTAL SOILS PERMIT VOLUMES AND CUSTOMER INTERACTIONS CDD continues to experience an increase in environmental soils applications. Since January 2021, Environmental Soils has experienced an overall increase of 22% in applications received with site evaluations increasing 38.5% when compared to the same period in 2020. Site evaluations are a leading indicator of future development and it's worth noting several site evaluation applications pertain to siting future accessory dwelling units have been received. Another factor to consider is the criteria for meeting state certification requirements for environmental health specialist certification. These positions require specialized educational requirements. It has been CDD's experience that it is difficult to find applicants that meet all certification requirements, therefore, it is likely the next candidate will be hired as a "trainee" while certification requirements can be met. Challenges • Division is operating at capacity with staff unable to regularly take time away from the office. • Sites are more technical in nature requiring multiple site visits with more denials presented to the Department of Environmental Quality (DEQ) for variance. • No seasonal fluctuations over the past few years and increased business volume in the rural county and City of La Pine. • Environmental soils involvement and participation in a record number of code enforcement cases and highly complex violations. • Projects such as the Terrebonne Feasibility Study and Groundwater Protection require a significant amount of time and focus. • Staff is anticipating a large number of site evaluations prior to and during the implementation of SB 391. The graph below highlights site evaluation applications received between January and July for the past seven (7) calendar years. Sit€- Ni.-luation Ail hCations Rec.(--�ived c� t:C� Tim C 1,, A, 19 1 _.. -4- CDD Environmental Soils Division requests: A) The addition of one (1) full time regular environmental health specialist to achieve the following results: Perform septic evaluation and inspection(s) and regulate on -site septic systems to assure compliance with state rules and monitor environmental factors for public health and resource protection. IV. FINANCIAL IMPACT The total cost of the new building safety plans examiner position plus lead pay designation(s) is estimated at $121,000 to cover the fully loaded annual rate, lead pay(s) and equipment. Building fees will fully fund the position and lead pay. The total cost of the new environmental health specialist is estimated at $88,500 to cover the fully loaded annual rate and equipment. Environmental Soils fees will fully fund this position. V. BOARD DIRECTION 1. Approve/deny the addition of one (1) building safety inspector plus lead pay for plan review. 2. Approve/deny the addition of lead pay designation for one (1) building safety field inspector for consultation and inspection. 3. Approve/deny the addition of one (1) environmental health specialist to perform inspections and regulate septic systems. -5- ES c() o,BOARD OF COMMISSIONERS MEETING DATE: August 11, 2021 SUBJECT: Planning Division Work Plan Update / Long Range Planning / FY 2021-22 BACKGROUND AND POLICY IMPLICATIONS: Staff is proposing to execute certain long range planning projects starting in the fall in the Community Development Department (CDD) FY 2021-22 Work Plan. Certain projects are identified, based on prior Board direction that are the highest priority. BUDGET IMPACTS: None ATTENDANCE: Peter Gutowsky, Planning Manager; Nick Lelack, Community Development Director MEMORANDUM DATE: August 5, 2021 TO: Deschutes County Board of Commissioners FROM: Nick Lelack, AICP, Director Peter Gutowsky, AICP, Planning Manager RE: Planning Division Work Plan Update / Long Range Planning / FY 2021-22 WORK PLAN DIRECTION This memorandum presents a draft approach to implementing the Community Development Department's (CDD) Long Range Planning FY 2021-22 Work Plan. Staff seeks Board of County Commissioners (Board) comments and revisions. The purpose is to ensure that long-range staff implements the Board's priorities within its available capacity and resources.' The following tables summarize projects that are highest priority, ongoing, and to be initiated for Board consideration. Starting in September, staff will initiate long range planning projects identified in the work plan.' Table 1 lists projects, based on prior Board direction, that staff recognizes as the highest priorities. As discussed in the development and adoption of the work plan during the 2021 Legislative Session, the potential impact of Senate Bill (SB) 391 (rural ADU legislation) becoming law would impact the implementation schedule. The adoption of SB 391, House Bill (HB) 3295 (requiring the County establish a Cannabis Advisory Panel) and SB 762 (comprehensive wildfire legislation requiring staff to monitor and engage in the rulemaking processes) further impact the implementation schedule as shown in the subsequent tables. The most significant is delaying initiation of the Comprehensive Plan Update until spring 2022. Table 1— Highest Priority Long Range Planning Projects Project Summary Comments Starting in September, staff will begin regularly coordinating with the Board to clarify several The Oregon Legislature adopted Senate Bill (SB) 391 elements of SB 391, including but not limited into law on June 23, 2021. It authorizes a county to to: minimum lot sizes, distance requirements, SB 391 allow an owner of a lot or parcel within a rural setbacks, and adequate access. The goal is to residential zone to construct one ADU subject to receive Board direction so amendments can be certain restrictions and limitations. drafted and ready to initiate in Summer 2022 once statewide wildfire risk maps are approved by the Department of Forestry. On June 26, 2021, the Oregon Legislature passed SB Staff, in coordination with the County Forester, is monitoring SB 762 and will provide regular SB 762 762, which has significant impacts on wildfire updates relating to statewide wildfire risk mitigation efforts across all jurisdictions in Oregon mapping, defensible space standards, and including Deschutes County. building code guidelines, among others. 1 The Long Range Planning Section consists of a Senior Planner, Senior Transportation Planner (FTE allocated across transportation, current and long range planning duties), and two Associate Planners. z https://www.deschutes.org/sites/default/files/fileattachments/community_development/page/110/2021- 22_deschutes_county_community_development_work_plan_annual_report.pdf. Pages 34-36. Project I Summary I Comments Cannabis Advisory Panel (CAP) Housekeeping and Legislative Amendments Transportation Growth Management (TGM) Grant House Bill (HB) 3295 ensures that counties that participate in Oregon marijuana economy receive a share of marijuana revenue. On July 14, 2021, the Board agreed to convene a CAP starting in October. CDD regularly amends Deschutes County Code and the Comprehensive Plan to correct minor errors identified by staff. This process also incorporates updates from rulemaking at the state level through amendments to Oregon Revised Statutes (ORS) and Oregon Administrative Rules (OAR). CDD received a $75,000 TGM grant in 2020 to: o Update the Tumalo Community Plan; and o Implement the rural trails portion of the Sisters Country Vision Action Plan. CDD recently completed an 18-month Technical Wildlife Assistant (TA) Grant from the Department of Land Inventory Conservation and Development (DLCD) to identify Update three new/updated wildlife inventories relating to mule deer winter range, sensitive bird habitat (bald and golden eagles) and elk winter range. To receive marijuana tax revenue, the Board must appoint a CAP that meets at least quarterly. Coordinating the CAP is not recognized in CDD's FY 2021-22 work plan and therefore is an unfunded project. Completing housekeeping and legislative amendments ensures County Code complies with state law. Two recent changes to state law, HB 2809 and OAR 660, Divisions 4, 6, 11, 14, 22 and 23 pertain to temporary housing associated with dwellings destroyed by natural hazards. Staff recently finalized a scope of work and grant contract with the Oregon Department of Transportation (ODOT). ODOT is currently finalizing a consultant contract. Project kick-off is expected this fall. The grant expires in June 2023. Staff will debrief the Board in late August or early September with a Goal 5 Wildlife Inventory Update Report and a request to return at a subsequent meeting with a list of options for updating the three inventories into the Comprehensive Plan. Deschutes County last updated its Comprehensive Plan in 2011. Since then, Deschutes County's growth Staff is in the process of developing a scope, has outpaced the state of Oregon, growing more schedule and budget for a consultant team to Comprehensive than twice the rate at 21.7 percent this decade. initiate a multi -year process to update the Plan Update Recent projections from the Portland State Comprehensive Plan. Given the projects listed University, Oregon Population Forecast Project, above and in Table 2, staff intends to initiate estimate Deschutes County's population will be the Comp Plan Update in spring 2022. 301,999 by 2043. II. ONGOING PROJECTS Staff is currently processing or coordinating a number of land use projects. Table 2 — Ongoing Long Range Planning Projects Project I Summary I Status Staff is processing two applicant -initiated Plan Amendment and Zone Change applications to change Applicant- the designation from Exclusive Farm Use (EFU) to initiated Multiple Use Agricultural 10 (MUA-10). Nonresource 247-21-000400-PA and 401-ZC is scheduled for a Land public hearing before a hearings officer on August 31. Amendments 247-21-000616-PA and 617-ZC is scheduled with a hearings officer on September 21. Public hearings with the Board will be scheduled later in the fall. Campgrounds, The Board requested information regarding the land RVs, use entitlement process for siting campgrounds, RV Manufactured parks, and manufactured home parks in rural Home Parks Deschutes County on non-federal land. Ongoing. Deschutes County has a long-standing policy (for decades) to timely process applicant -initiated plan amendment, zone changes, and/or text amendments. These plan amendments and zone changes require significant resources and are becoming increasingly common. Ongoing. Staff debriefed the Board on July 7. Staff will meet individually with commissioners to discuss options for next steps, if any, in early September. -2- Project Summary Status Coordinate with the City of Bend to: Ongoing. The City of Bend is convening monthly coordination meetings. The Board will City of Bend o Amend the City of Bend UGB to implement HB receive an update at their joint meeting with 4079. Bend City Council on September 2. Ongoing. City submitted a TGM grant application in July to pay for consultant services Participate with Property Management and the City of to complete these tasks. The state will notify City of La Pine La Pine process to update and amend the County- the County in September of this grant owned New Neighborhood comprehensive plan application decision. The Property Manager Coordination designations, master plan and implementing and CDD will meet with the Board in late regulation, if initiated by the city. September or early October to discuss next steps based on the TGM grant application outcome. City of Coordinate with the City of Redmond to: Redmond o Continue participating in the implementation of Ogg Coordination their Comprehensive Plan Update. Continue participating in the implementation of: City of Sisters o Sisters Country Vision Plan; Ongoing. Coordination o City of Sisters Comprehensive Plan update. Coordinate and/or participate on Deschutes County Bicycle and Pedestrian Committee (BPAC), Project Growth Wildfire, and Deschutes County Mitigation and Ongoing. These meetings occur monthly with Management Enhancement Committee. Involve BPAC in the the exception of the Mitigation and Committees County's Transportation System (TSP) Plan Update, Enhancement Committee which is annually. and Sisters Country Vision Plan implementation of trails strategies. Last spring, the Board directed the Planning Ongoing. The Planning Commission convened a Hemp/Land Commission to gain a better understanding of growing panel on June 24, 2021. A follow-up work Use Issues and processing hemp to determine if regulations session is scheduled for August 12. A Board should be considered. work session is anticipated in early September. Every 24 months, the State Historic Preservation Office (SHPO) offers matching grants to counties that have Historic been "certified" as historic preservation partners with Preservation both the state and federal governments. Deschutes Ongoing. Administering CLG Grant through (Certified Local County is a Certified Local Government (CLG). Staff is August 2022. Government administering a $12,000 CLG grant, which includes Grant) coordinating with the Historic Landmarks Commission and City of Sisters. The grant was awarded in May 2021. Ongoing. The Planning Commission conducted Marijuana The Board directed staff to initiate legislative a public hearing on July 22, deliberated, and Retail Hours & amendments to 1) extend the permitted hours for recommended approval subject to certain Annual marijuana retail businesses and 2) modify marijuana revisions. The Board is conducting a work Inspection annual reporting requirements. session on August 16 and a public hearing on Amendments August 25. Natural Consider scoping for further consideration, a natural Ongoing. Staff debriefed the Board on June 23. Resource resource stewardship position on services to inventory Staff will meet individually with commissioners Stewardship assets and uses/trails, wildlife, rare Oregon plants on to discuss options for next steps, if any, in early Position County owned lands, oversee conservation easements, September. etc. -3- Project Summary Status Ongoing. Staff is coordinating with PSU this month to complete its annual population estimate, which is released preliminarily in • Portland State University (PSU) Annual November and certified in December. Ongoing Population Estimate Annual reporting and inspections for marijuana Coordination • Marijuana Annual Reporting and Inspections related land uses will be completed by late Projects 0 Destination Resort Overnight Lodging Unit September. Staff will provide a summary of the Annual Reporting inspections to the Board in early October. Monitoring destination overnight lodging units will be initiated in January 2022. Ongoing. Staff debriefed the Board on June 28. The Board asked staff to prepare a white paper on The Planning Commission will be convening a Rural Economic rural economic development opportunities in panel of experts on October 14. A follow-up Development Deschutes County. meeting with the Board will occur later in October or in November. Ongoing. Senior Transportation Planner is assisting the Road Department which is leading Transportation System Plan Coordinate the County TSP update with the Road the TSP update. The Planning Commission is serving as the citizen advisory committee (CAC) (TSP) Update Department and ODOT. for this project. CDD/Road Department staff will jointly engage the Planning Commission in serving as the CAC for this Update. III. PROJECTS NOT YET INITIATED Table 3 lists long range planning projects that have not been initiated. Projects are organized by theme. Table 3 — Non -initiated Long Range Planning Projects Project Summary Update and adopt the Bend Airport Master Plan and amend the Comprehensive Plan and Development Bend Airport Code to incorporate implementation measures to allow new airport -related businesses. Community Engage Tumalo, Terrebonne, and Newberry Country residents to determine if community plans should be Plans updated. (Note: The Tumalo Community Plan is referenced above in Table 1.) The FY 2021-22 County Budget appropriated $150,000 for consultant services to assist with the Comprehensive Comprehensive Plan Update. Staff intends to initiate a Request for Proposal (RFP) in fall 2021 to hire a Plan Update consultant and initiate the Update in spring 2022. Legislative Participate in legislative or rulemaking work groups to shape state laws to benefit Deschutes County. Session (Note: CDD and the County Forester will be engaged in the SB 762 rulemaking work groups.) Amend DCC to allow or address: o Limiting hemp production in Rural Residential Zones (Note: Addressed above in Table 2). o Minor variance 10% lot area rule for farm and forest zoned properties o Nonfarm dwelling code to be consistent with State law o Outdoor and Greenhouse Lighting Control Ordinance to comply with new technologies and Dark Zoning Text Skies best practices Amendments o Outdoor Mass Gatherings to be addressed more thoroughly o Replatting o Sign code to become consistent with federal law o DCC 17.48, Design and Construction Specifications o In conduit hydroelectric generation -4- coOA ES C�& 0 < MEETING DATE: August 11, 2021 SUBJECT: American Rescue Plan Funding Update RECOMMENDED MOTION: A to -be -determined motion will be required if they Board chores to fund additional projects from ARPA funds. BACKGROUND AND POLICY IMPLICATIONS: This is a recurring agenda item to provide the Board of County Commissioners updates on the status of ARPA funds and the opportunity to review eligible project requests for funding consideration. Discussion items for today's update: 1. Presentation from Health Services to provide further details on $2 million temporary staffing of COVID-19 Response and Recovery Efforts request. 2. Review ARPA funding requests. BUDGET IMPACTS: None. Budget appropriations for the entire $38 million ARPA funding award are included in the FY 2021-22 Adopted Budget. 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O Y u Q L o (6 h +� w ?� W° Y c W c° E a 0� .E a° CL E� � -O N„ ° W t�7 i W N C in O W '> _W W O m O •(p ° O W -O C K E Q a+ O O W uD W W Z '� F- � _W 0 � � U U U LL -3i � o' > E 'a a �, O [D U � �� 00 Qa i a` �a z°z �°- W to d Health Services Temporary Staffing of COVID-19 Response and Recovery Efforts Request for American Rescue Plan Funds Health Services is requesting $2 million from American Rescue Plan Act (ARPA) Funds be earmarked to support temporary staffing of key COVID response and recovery efforts. There is currently no identified funding source in Health Services, and as such, it is diverting funds originally approved by the Board and Oregon Health Authority (OHA) that are intended to support foundational positions within the department. Health Services hopes to have a response from the Board regarding additional funds for temporary staff and contractors by September 1, 2021, which is prior to the first OHA financial report. This will avoid a potential misalignment to the pre -approved expenditure plan and a reduction to the COVID response and recovery efforts. These funds will ensure continued department capacity in order to ensure high standards around containment, school vaccine rollout, Call Center and community outreach, and an ability to scale -up response in the likely event of increased cases, especially due to the Delta variant. Allocating $2 million of ARPA funds will allow for a staggered phased -down approach through June 30, 2023 as follows: • Operate at current capacity through September 30, 2021 (3 months); • Reduce to 75% from October to December 2021 (3 months); • Reduce to 50% from January to June 2022 (6 months); and • Reduce to 25% from June 2022 to June 2023 (1 year). At minimum, Health Services requests six months (approximately $700,000) of funds for temporary staffing. Temporary staffing for COVID response and recovery include: • Wraparound Service: Case Managers provide wraparound services (e.g., food, housing, etc.) for isolated and quarantined individuals, which is a required function; • Containment: Highly trained staff support community testing, process test results, investigate and trace, and manage outbreaks; • Community Outreach / Education: staff provide vaccine access support for vulnerable and marginalized populations (funding is already identified through December 2021); • Call Center: staff act as the resource hub that connects the public to contact tracers, wraparound services, vaccine information, responsible COVID-19 care, testing, and other vital information. School Vaccine Rollout and Booster Doses: staff required to support vaccine roll out the likely event of an emergency use authorization for vaccine for children under 12 as well as and booster doses. BOARD OF COMMISSIONERS MEETING DATE: August 11, 2021 SUBJECT: 2021 Spay & Neuter Grant Awards BACKGROUND AND POLICY IMPLICATIONS: Deschutes County's Dog License and Pet Identification Application forms provide an opportunity for residents to make a voluntary donation to support spay and neuter services. These donations, supplemented by the general fund, are offered to local non-profit organizations which provide spay and neuter services in Deschutes County for both feral animals and pets whose owners are unable or unlikely to access or afford the procedure. Grant funds may also be used for educational or promotional programs focused on encouraging or expanding spay and neuter procedures in Deschutes County. To be eligible for the program, applicants must be designated by the Internal Revenue Service as a 501(c)3 tax-exempt organization, located in Deschutes County and able to certify that grant proceeds will be used to support services benefiting Deschutes County residents. On June 9, 2021, the Board of Commissioners approved a total of $13,000 for multiple awards. Staff then issued a news release, posted a solicitation, and notified past applicants of the available funding. Six applications were received in response to the solicitation, two more than in 2020. Those applications were then reviewed and evaluated by the Dog Control Board of Supervisors, whose scores were averaged to provide the recommendation included in the Board's meeting materials today. During the Board's August 11 meeting, staff will seek Board direction on grant awards for the 2021 Spay & Neuter Grant program. BUDGET IMPACTS: Grant funds were included in the FY22 budget. ATTENDANCE: Laura Skundrick, Administrative Analyst C) Deschutes County is soliciting, grant fit app I ic'-4tions hom local non p tol it oi,ranizations that provide or promote spay and neuter services. A total of$ 13,000 1, available for multiple , r -I fit au,,afds, Applications must be received by Wednesday, June 30, at 5 p.m. The COLInty's Dog lit ease ..and Pet ID applications provide an opportunity for residents to make a voluntary donation to support Spay and neuter services. These clot, at jons, vr..,hich are per todica I I,,, supplemented by additional funds authorized by the B,--)at-cl of COL1111V COR-in-irssionei s, cite offeied to local non-profit or gariZzations which provide spay and neuter ser-vices In Deschwes C-clunty for pets vwhose nwnet-,, cue unable, to access or afford the procedure. e. Grant funds may also be used for educattonal nr promotional pr ol-t ams focused on et)CCILP a.tTle or expandino spay and neuief procedures el, it- Deschutesl County, In be eh - phle for the 1wogr am, applitlants, WILIS1 be deSign.-ited by the Inter nal Revenue Service as a 501 (c)( t I k-exempt otganiZatton, located it Deschutes County, and ib! e to cet [&v that I;rant woreeds vvi I I be used in support of Deschutes COLVIVY r esidents. Applic at to ris vJdll be evaluated ba.sed on sever al 011efli. I r-'tC I U(i:!)'_, 011,af-H _ at �)_na> srabilI1�"' (0 o fleCti Oil to grant iUnding objectfvc's, and ability to leverage the _,.rant to acces� of.JE.- finanol-11 support. A, pp If( X for-- for III,, arc available to dovvi I I oa (If I or I) the O-Junty"S h S' It e at ap-phcation for r-n and attachn-lems Tn' if-, en -tad addressed to z : , : 0 ( I - - - , I 1 I 11 . . A ; 101, ACITI Ill An", 1, 1� I I I I I I vs ,, I -Q To request this mfotmabon in an alternate format please call (541) -3,30-4640 o,, send an email to actcessibilit o,'d�de _sehufes oig \)'( E S C Qj BOARD 011 F Organization: Brigbhtside Anirnal Center Project: Spay/neuter every animal that comes to the shelter, prior to its adoption. Estimated impact/cost: In 2020, 666 anirnals were spayed or neutered prior to adoption. Average cost for spay/neuter services is at least $500 per month,, Dog Board 2021 funding recommendation: $2,373 2020 $2,317 S&N Grant 2020 $3,000 Discretionary Grant: Q5 COVID Relief C HTSI . E (! Nil R June 26, 2021 2021 Deschutes County Spay Neuter Grant Application BrightSide Animal Center 1. Describe the history of your organization. The Humane Society of Redmond, now BrightSide Animal Center, was founded in 1987 and became a 501(c)3 nonprofit in 1989. It has operated continuously in Redmond for more than 30 years. The organization changed its name to BrightSide Animal Center in 2013 as a result of a study done by the Advertising Federation of Central Oregon, which found that Deschutes County residents sampled believed three things about the organization that all were untrue: a) That it was a branch of the Humane Society of Central Oregon in Bend and received funding from them; b) That it received funding from the Humane Society of the United States; and c) That it served only the Redmond area, while in fact BrightSide serves the entire county and about half of adopters are from Bend. All three of these factors were hurting our fundraising efforts, the study found. So a new name was chosen that did not include any specific city or the term "Humane Society." BrightSide Animal Center became the organization's legal name in 2017, so we no longer have to use the Doing Business As. That name change, rebranding, developing innovative programs, relocating our thrift store, introducing an active communications and marketing strategy, launching a new web site, forming a partnership with the COCC Veterinary Technician program, and making changes in the board's stewardship all have made the organization more successful since 2013. 2. State the mission of your organization. BrightSide's mission is to reduce pet homelessness and euthanasia in Deschutes County by providing placement and sheltering for homeless companion animals, returning lost pets to their owners, and by providing spay -neuter services to shelter animals. We are proud of the success of our high -save mission. Our live -release rate of more than 97% in 2020 is one of the highest in Oregon and the nation and far exceeds both the statewide and nationwide averages. In addition, BrightSide's 2020 adoption rate was 75.9%, compared to statewide 66.3% and nationwide 53.6%*. Also, BrightSide was able to return 18.2% of strays to their owners, a rate much higher than the statewide average of 10.8% and nationwide average of 8.4%.* We believe this is a direct result of our focus on educating our supporters about the importance of microchipping and dog licensing. These statistics show that BrightSide is very successful at executing its mission, despite our limited resources. BrightSide's innovative Fospice, or foster -hospice, program is one reason for this success. BrightSide takes in animals that are too old or chronically ill to be viable candidates for adoption, but they do not languish in the shelter. Volunteers in our hospice program take these animals into their homes for the rest of their lives, while BrightSide provides the medical support necessary. Adopters' fear of not having the financial resources for a needy animal is one of the key reasons why old animals and those with chronic conditions don't get adopted. 3. Describe the leadership and structure of your organization. Our organization is governed by a Board of Directors, all of whom are unpaid volunteers. Please see the Board List attachment for the roster of board members. We have three key leaders among the paid staff: Shelter Manager Patricia Bowling; Thrift Store Manager Abigail Clark; and our staff veterinarian, Stephanie Meyer, DVM. 4. Describe the primary activities conducted by your organization. Our primary activities are: • Adoption and adoption preparation; • Foster care (of infant kittens and puppies as well as aged and chronically ill pets, and others that need home -based care for a short time to recover from injury or illness); • Providing enrichment for shelter animals, such as walking, grooming, off -leash play, doggie day-care visits and needed training for dogs, and socialization, grooming and time at liberty with toys and human companionship out of cages and on our "catio" for cats. • Returning lost pets to their owners. • Serving as a "pound" for the City of Redmond Police and the Deschutes County Sheriff. • Selling dog licenses on behalf of Deschutes County. • Supervising court -mandated volunteers as well as general -population volunteers, including youths. • Retail operations at our thrift store, our largest source of revenue. • Running a bottles & cans recycling program, another major source of revenue. • Fundraising activities. No fundraising events have been held in 2020 or 2021 to date because of COVID restrictions. In addition, several times a year we participate in rescues, transferring in animals from other shelters that otherwise would be euthanized. Sometimes these are individual arrangements, where an employee from BrightSide drives to the other shelter to pick up specific animals (or vice versa and they are delivered to BrightSide). More often they are larger -scale operations where BrightSide takes in 10 or more animals at a time, usually dogs. Often these are airlifts of "death -row" dogs from overcrowded shelters in southern California, aided by Wings of Rescue or Dog Is My CoPilot, organizations of volunteer pilots. S. Describe the specific program, project, or activity that a Spay and Neuter grant would support, if awarded. Every animal at BrightSide is spayed or neutered prior to adoption. BrightSide adopted out 1,019 animals in 2020 and of those, BrightSide's medical staff spayed or neutered a total of 666 animals. The remainder were already neutered when BrightSide received them. All the surgeries performed by BrightSide's staff were for animals in BrightSide's custody, as the shelter no longer performs outpatient spay -neuter surgery for animals owned by people in the community. Instead we now refer pet owners to Bend Spay and Neuter. That organization's sole mission is spay and neuter surgery and they are able to do it at much higher volumes, and with greater cost efficiency, than we can do with our small surgical suite in our Redmond shelter. However, we still need to spay or neuter every animal that comes into the shelter that isn't already fixed. The vast majority of these animals eventually are adopted by residents of Deschutes County. It is vital that we are able to maintain our spay - neuter program for all shelter animals, as most of them will live here in Deschutes County. But, it's expensive to do. Our average cost for spay -neuter surgery supplies is about $500 per month. And that's not counting the payroll expense for the staff veterinarian, certified veterinary technician, and veterinary assistant; or purchase and maintenance of medical equipment. 6. Describe how this program, project, or activity would positively impact the goal of promoting or expanding spay and neuter procedures. It would assure that every animal adopted from BrightSide (1,019 animals in 2020) is spayed or neutered. It also would improve awareness of the importance of spay and neuter not only to reduce the unwanted pet population, but also to improve pets' health and longevity. 7. Explain the anticipated outcomes of this program, project, or activity and describe how success will be measured. Our goal is to be able to continue to spay or neuter every animal that comes to us prior to its adoption. Surgery has traditionally been part of our normal adoption -preparation expense. However, our adoption fees (which range from $40 to $250) do not cover all our adoption -preparation expense, so we lose money on adoptions. Spay -neuter surgery and medical exams are the biggest components of adoption -preparation expense. Grant support from the county would help offset the losses we incur on adoptions. We will be successful if we are able to continue to assure that every pet adopted from BrightSide gets spay -neuter surgery before adoption. For every animal, we track its S-N date and its adoption date. Up to now, 100% of adoption dates have been after the S-N date. We need to be able to continue that. More than three-quarters of the animals adopted at BrightSide last year went to homes in Deschutes County, so even though we now focus our resources on shelter animals rather than those belonging to the public, we still are increasing the percentage of Deschutes County animals that are neutered. *Statistics per PetPoint, animal -welfare tracking software used by more than 1,500 animal shelters in the U.S., including BrightSide and the Humane Society of Central Oregon. Petpoint aggregates data from all its customers to provide statewide and nationwide benchmarking. A complete application will consist of the following: 1. This cover sheet, signed and dated. 2. Narrative responses to the questions which appear at the end of this document submitted on no more than three separate, single -sided, single-spaced pages. 3. Attachments as follows: a. Proof of the organization's 501(c)(3) tax-exempt status in the form of a letter from the Internal Revenue Service (IRS). b. An operating budget specific to the proposed program, project, or activity. c. A financial statement that shows actual total revenue and expenditures for the most recently completed 12-month period. d. A roster of the organization's current Board of Directors. Submit the completed application electronically to laui a >k�n�di J<_Stic�sct�ut�s.or no later than 5:00 p.m. on June 30, 2021. Late or incomplete applications will not be considered. Information or materials submitted instead of or in addition to those specifically requested in this application form will not be reviewed. Contact Information, -_.. , Organization dame 1,-1 --1t I <5 1 nt _ liN,�/VIA) Address r. city � ''1:14i U dip Code Phone Number Alternate Phone Number Email Address t,1. ebs[te C By signing below, I certify the following: 1. All information provided to Deschutes County in this application is correct. 2. 1 am authorized by the governing board of the stated organization to submit this grant application. 3. This organization is in good standing with the IRS and retains its official 501(c)(3) tax-exempt status. 4. This organization is located in Deschutes County. 5. Any proceeds from a grant award will be used in support of Deschutes County residents. Print Name -JA_/11 ( bI6= J Signature Title %;>Lc__m):25 Date On a separate sheet(s), please briefly answer the following questions: 1. Describe the history of your organization. 2. State the mission of your organization. 3. Describe the leadership and structure of your organization. 4. Describe the primary activities conducted by your organization. 5. Describe the specific program, project, or activity that a Spay and Neuter grant would support, if awarded. 6. Describe how this program, project, or activity would positively impact the goal of promoting or expanding spay and neuter procedures. 7. Explain the anticipated outcomes of this program, project, or activity and describe how success will be measured. Attach: 1. Proof of the organization's 501(c)(3) tax-exempt status in the form of a letter from the Internal Revenue Service (IRS). 2. An operating budget specific to the proposed program, project, or activity. 3. A financial statement that shows actual total revenue and expenditures for the most recently completed 12-month period. 4. A roster of the organization's current Board of Directors. �., 2020 Deschutes County Spay Neuter Grant Project Budget Amount J u I-21 500 Aug-21 500 Sep-21 500 Oct-21 500 Nov-21 500 Dec-21 500 Jan-22 500 Feb-22 500 Mar-22 500 Apr-22 500 May-22 500 Jun-22 500 TOTAL $6,000.00 Jan 20 Feb 20 Mar 20 Apr 20 May 20 Ordinary Income/Expense Income ADOPTIONS Cat Adoptions 2980 1570 1305 390 1000 Dog Adoptions 5205 9460 5837 1000 740 Other Adoptions 0 0 0 0 0 ADOPTIONS - Ot 0 0 0 0 0 Total ADOPTION 8185 11030 7142 1390 1740 CITY INCOME City Boarding 0 7500 3750 0 7500 Total CITY INCOI 0 7500 3750 0 7500 COUNTY INCOME County Boarding 0 0 0 2434.22 4452 County wide licen 1847.24 1745.28 1366.34 2511.85 2738.15 License sales by ! 711.4 523.3 254 78 16.65 COUNTY INCOM 0 0 0 0 0 Total COUNTY IN 2558.64 2268.58 1620.34 5024.07 7206.8 DONATIONS & MEMBERSHIPS Bottles and Cans 6753.95 5944.75 7221.7 4254.2 8776 Donation Jars 126.18 130.79 80.14 0 0 General Donation 15180.62 4182.1 17991.93 29260.53 9691.9 DONATIONS & Iv 0 5 0 0 0 Total DONATION 22060.75 10262.64 25293.77 33514.73 18467.9 FUNDRAISING Ask letter 2050 50 0 0 0 Bingo 1196 1638 625 0 0 Dog Gone Run 0 60 416.94 35.5 0 Facebook 320 0 0 5435.22 1530 SpayGhetti Dinne 500 4040 2200 0 0 FUNDRAISING - 39.95 167.05 0 0 0 Total FUNDRAISI 4105.95 5955.05 3241.94 5470.72 1530 GRANTS 0 0 0 5000 0 Interest Income 12.61 11.56 2.5 0.62 1.77 Merchandise 0 5 0 0 0 Misc Income 415 265 45 0 0 Restrictions released Accomplished pui 2500 0 0 0 0 Total Restrictions 2500 0 0 0 0 SHELTER OPERATIONS OS/Intake 125 215 100 65 0 Refundable depot 0 0 0 0 0 Return to Owner 460 780 1195 20 784.34 SHELTER OPER, 0 0 0 0 375 Total SHELTER C 585 995 1295 85 1159.34 T-shirt sales 0 0 0 25 0 THRIFT STORE INCOME E-Bay Income 324.63 1156.7 0 42.8 73.38 Store Sales 42108.03 45893.95 25050.79 0 28878.23 Total THRIFT ST, 42432.66 47050.65 25050.79 42.8 28951.61 VETERINARY SERVICES Cremation 30 170 320 0 130 Microchipping 0 0 0 0 40 Total VETERINAF 30 170 320 0 170 Total Income 82885.61 85513.48 67761.34 50552.94 66727.42 Gross Profit 82885.61 85513.48 67761.34 50552.94 66727.42 Expense Advertising 0 0 480 0 50 AUTO Auto Expense 0 0 0 0 0 Fuel 602.69 652.29 415.2 134.97 277.83 Lease 1351.3 2594.65 1303.24 1303.14 1665.39 Repairs / Mainten 0 0 0 0 0 Total AUTO 1953.99 3246.94 1718.44 1438.11 1943.22 BANKING Bank Fees 102.12 27.84 294.23 7.1 0 Merchant Accoun 1444.55 1674.76 1672.79 1483.54 356.65 Reconciliation Dis 0 -407.32 132.83 -3945.07 0 Total BANKING 1546.67 1295.28 2099.85 -2454.43 356.65 Employee/Volunte 22 0 0 0 47.25 FUNDRAISING EXPENSES Bingo Supplies 0 0 0 0 54.31 Dog Gone Run 0 325 0 0 400 FUNDRAISING E 0 1150 259 0 20 Total FUNDRAISI 0 1475 259 0 474.31 INSURANCE EXPENSE Board Insurance 0 0 333.6 0 0 Umbrella Insuran( 0 0 0 6121.34 1532.59 Workers Comp In 2647.16 0 0 2175.25 0 TotalINSURANC 2647.16 0 333.6 8296.59 1532.59 Licenses 0 0 0 0 0 MAINTENANCE) 2742.15 2218.34 617.36 0 429.54 Misc Expense 27.05 234.98 28.17 0 7.5 OFFICE & NON MEDICAL EXPENSES Business License 0 20 0 0 0 Cleaning Supplies 170.66 655.72 56.31 0 0 Dog Licenses 565.6 0 0 885.6 108 Mtgs, Seminars, : 0 0 0 0 0 Office Expense 358.79 98 98 124 160.99 Postage & Shippii 110 95.15 146.06 55 114.05 Printing & Reprod 217.27 477.46 456.84 164.73 221.93 Recycling Bags 0 0 0 0 0 Tee Shirt for Emp 170 0 0 0 0 OFFICE & NON h 388.11 1104.09 579.41 7876.96 533.67 Total OFFICE & � 1980.43 2450.42 1336.62 9106.29 1138.64 Payroll & Payroll Taxes Bottles & cans tra 2291.52 16227.72 1259.42 33 0 Payroll & Payroll 1 61323.45 42655.2 32581.16 12875.15 17466.53 Total Payroll & Pe 63614.97 58882.92 33840.58 12908.15 17466.53 PET SUPPLIES & FOOD Kitty Litter 503.52 1007.04 868.32 503.52 0 PET SUPPLIES 8 1308.44 576.6 455.79 2380.99 1443.22 Total PET SUPPI. 1811.96 1583.64 1324.11 2884.51 1443.22 PROFESSIONAL FEES Accounting 0 0 0 0 0 Bookkeeping 0 0 1960 0 0 PROFESSIONAL 0 0 0 488 0 Total PROFESSI( 0 0 1960 488 0 REFUNDS Refund Adoption 0 0 0 0 0 REFUNDS - Othe 335.53 0 0 0 0 Total REFUNDS 335.53 0 0 0 0 Rent 5199.84 5459.84 5459.84 4000 6919.68 TAXES Property Taxes 0 0 0 0 0 State Tax 0 0 0 0 0 TAXES - Other 0 32.58 55.71 0 0 Total TAXES 0 32.58 55.71 0 0 Thrift Over/Under 14.74 50.26 73.25 0 14.59 UTILITIES Electricity 3491.15 3631.54 5275.61 0 3027.64 Garbage 0 0 4070.41 0 438.47 Natural Gas 0 3147.22 2551.81 1832.44 1580.05 Telephone 362.84 730.37 618.09 588.02 583.79 Water/Sewer 0 1306.27 1586.58 0 3030.05 UTILITIES - Othe 0 0 0 0 0 Total UTILITIES 3853.99 8815.4 14102.5 2420.46 8660 VETERINARY MEDICAL EXPENSES Cremations 0 0 596.25 0 0 Medicine- Vaccine 897.73 1573.78 1071.53 1182.97 877.26 MICROCHIPS 0 0 0 0 0 Surgical Room E> 940.41 191.11 295.98 0 20.65 Veterinary Equipn 7.78 0 0 0 0 Veterinary Lab Fe 150 0 0 0 576.6 VETERINARY ME 3582.19 3112.98 548.94 291.79 145.36 Total VETERINAE 5578.11 4877.87 2512.7 1474.76 1619.87 Website expense: 454.13 296.23 296.23 204.98 232.98 Total Expense 91782.72 90919.7 66497.96 40767.42 42336.57 Net Ordinary Inco -8897.11 -5406.22 1263.38 9785.52 24390.85 Other Income/Expense Other Income Prior restricted in( -2500 0 0 0 0 Restricted for Futt 0 100 747 0 0 Total Other Incorr -2500 100 747 0 0 Other Expense Ask My Accounta 0 0 0 0 0 Total Other Exper 0 0 0 0 0 Net Other Income -2500 100 747 0 0 Net Income -11397.11 -5306.22 2010.38 9785.52 24390.85 Jun 20 Jul 20 Aug 20 Sep 20 Oct 20 Nov 20 2470 4625 8005 7840 6540 6730 4623.3 7855 9200 4070 8530 4205 0 0 20 0 0 0 0 20 0 0 0 0 7093.3 12500 17225 11910 15070 10935 3750 0 3750 3750 0 0 3750 0 3750 3750 0 0 0 2078.85 0 0 5088 0 0 2254.8 2317 3658.05 0 0 189.6 333.95 491 422.95 254.3 206.8 0 0 0 0 0 3957.5 189.6 4667.6 2808 4081 5342.3 4164.3 13998.3 8456.95 11332.65 26040.7 9229.21 3875.15 0 22.38 0 0 237.1 0 9323.63 6275.93 15899.12 46244.41 126465.9 8287.57 0 274 12.6 0 0 0 23321.93 15029.26 27244.37 72285.11 135932.21 12162.72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 295 535 390 1203 441.4 390 0 0 0 100 0 0 0 0 0 73.27 0 0 295 535 390 1376.27 441.4 390 7100 0 0 0 0 0 2.17 2.35 2.58 3.65 3.7 3.89 30 25 185 130 114 130 81 781.4 5.05 0 0 0 0 5389 0 16121.83 0 0 0 5389 0 16121.83 0 0 465 90 520 1130 1590 955 57.71 0 0 0 0 0 890 690 705 716 720 400.23 0 100 0 0 0 0 1412.71 880 1225 1846 2310 1355.23 0 0 0 0 0 0 661.91 1911.31 459.59 0 0 342.48 48277.21 47822.14 47951.93 44132.52 44285.46 40125.51 48939.12 49733.45 48411.52 44132.52 44285.46 40467.99 0 0 445 45 245 0 0 0 0 0 0 0 0 0 445 45 245 0 92214.83 89543.06 101691.52 155681.38 203744.07 69609.13 92214.83 89543.06 101691.52 155681.38 203744.07 69609.13 0 0 0 191.32 0 0 0 0 0 0 0 0 282.32 197.49 0 0 0 2864.33 1303.14 1303.24 1303.14 1303.24 1303.24 1303.14 0 0 44.97 0 0 39.99 1585.46 1500.73 1348.11 1303.24 1303.24 4207.46 50.66 237.91 17.99 0 9 0 1059.1 2898.02 1767.65 2204.3 1658.07 1611.32 0 0 0 0 0 0 1109.76 3135.93 1785.64 2204.3 1667.07 1611.32 0 0 0 0 91.18 251.49 0 0 0 0 0 0 0 -75 0 0 0 0 A7.4.1 n 0 0 120 290 97.43 -75 0 0 120 290 0 0 0 0 0 0 1532.59 1532.58 1532.58 1532.58 1532.58 1532.58 569.8 924.73 924.73 0 0 520.46 2102.39 2457.31 2457.31 1532.58 1532.58 2053.04 0 0 0 0 0 0 735 0 1518.65 494.9 1053.92 392.34 15.48 0 0 0 0 0 0 0 0 365 0 0 214.53 889.56 789.96 316.68 292.91 118.34 22.65 357.9 0 739.65 0 0 82.74 0 0 275 0 69 326.8 1420.65 227.5 300.22 123 98 33.04 128.2 218.26 0 0 0 218.11 468.47 316.68 273.11 257.51 216.4 0 0 0 47.91 0 0 0 0 0 0 0 0 658.54 43.44 1137.17 2636.37 1388.17 1763.3 1556.41 3308.22 2689.57 4953.94 2061.59 2265.04 540.12 3025.8 2211.12 0 0 0 25628.37 31496.17 43411.68 62083.74 68394.05 63463.13 26168.49 34521.97 45622.8 62083.74 68394.05 63463.13 478.34 1718.82 0 956.68 498.79 503.52 254.79 981.88 886.51 2649.81 1014.85 2059.4 733.13 2700.7 886.51 3606.49 1513.64 2562.92 0 0 950 650.5 0 0 2525 0 0 0 0 0 0 0 0 1500 0 0 2525 0 950 2150.5 0 0 0 0 500 0 250 0 47.89 59.38 0 0 0 0 47.89 59.38 500 0 250 0 5459.84 5459.84 5459.84 0 5459.84 10919.68 0 0 0 0 0 0 0 0 0 0 0 822 7.31 57.9 19.47 0 0 0 7.31 57.9 19.47 0 0 822 16.13 10.4 23.04 88.54 -1.74 -18.55 1326.48 0 0 5807.78 0 4937.77 0 1584.17 1584.17 0 1592.72 3030.4 567.22 378.43 286.54 73.07 108.84 108.84 609.61 381.24 845.47 367.26 875.18 601.33 0 2317.25 0 0 0 0 0 0 0 0 0 0 2503.31 4661.09 2716.18 6248.11 2576.74 8678.34 0 0 0 0 0 0 1584.92 2361.94 2937.41 2583.91 2045.91 2578.54 0 1270 0 0 5080 187 243.64 177.88 10.85 1529.95 10.5 243.64 0 0 0 0 0 0 0 0 0 0 0 114.94 4550.01 7079.77 1145.83 925.75 1023.82 1272.48 6378.57 10889.59 4094.09 5039.61 8160.23 4396.6 232.98 232.98 232.98 227.98 227.98 866.37 51274.58 68921.04 70304.19 90125.25 94410.32 102761.18 40940.25 20622.02 31387.33 65556.13 109333.75 -33152.05 0 -5389 0 -16121.83 0 0 0 16179 1395 4188 11800 11890 0 10790 1395 -11933.83 11800 11890 0 0 0 0 0 4000 0 0 0 0 0 4000 0 10790 1395 -11933.83 11800 7890 40940.25 31412.02 32782.33 53622.3 121133.75 -25262.05 Dec 20 TOTAL 5110 48565 5125 65850.3 0 20 0 20 10235 114455.3 11250 41250 11250 41250 3700.75 17753.82 2668.74 21107.45 184.95 3666.9 0 3957.5 6554.44 46485.67 23206.7 129090.26 503.21 1099.8 70406.48 359210.12 0 291.6 94116.39 489691.78 0 2100 0 3459 0 512.44 2538 13077.62 0 6840 0 280.27 2538 26269.33 0 12100 3.88 51.28 115 734 38.35 1630.8 0 24010.83 0 24010.83 710 5965 0 57.71 345 7705.57 0 475 1055 14203.28 0 25 0 4972.8 44183.94 458709.71 44183.94 463682.51 205 1590 40 80 245 1670 170335 1236259.78 170335 1236259.78 3565 4286.32 135.02 135.02 384.73 5811.85 1303.24 17340.1 0 84.96 1822.99 23371.93 82.25 829.1 1963.4 19794.15 0-4219.56 2045.65 16403.69 0 411.92 0 54.31 0 650 0 1936.43 0 2640.74 0 333.6 1818.58 18668 1985.88 9748.01 3804.46 28749.61 1346 1346 3540.11 13742.31 10 323.18 0 385 1030.84 4535.51 0 2679.4 0 426.74 98 3433.95 155.27 1055.03 159.69 3448.2 0 47.91 250 420 2119.95 20229.18 3813.75 36660.92 660 26248.7 67185.94 528564.57 67845.94 554813.27 1007.04 8045.59 1937.11 15949.39 2944.15 23994.98 2910 4510.5 0 4485 0 1988 2910 10983.5 250 1000 0 442.8 250 1442.8 5459.84 65258.08 5300.05 5300.05 0 822 78.52 251.49 5378.57 6373.54 -8.92 261.74 4049.74 31547.71 0 12300.34 983.63 11618.09 1933.17 8496.37 0 8240.15 0 0 6966.54 72202.66 1051.1 1647.35 2396.02 22091.92 0 6537 4.2 3668.81 0 7.78 0 841.54 4578.18 28257.1 8029.5 63051.5 120.98 3626.8 119844.56 929945.49 50490.44 306314.29 0-24010.83 5775 52074 5775 28063.17 0 4000 0 4000 5775 24063.17 56265.44 330377.46 BrightSide Animal Center 2021 Board of Directors June 26, 2021 1. Beth Palmer, president. Ms. Palmer is the head of the Central Oregon Community College Veterinary Technician training program. She lives in Terrebonne. 2. Christopher Pearson, vice president. Mr. Pearson is a retired attorney and lives in Bend. 3. Megan Fries, treasurer. Ms. Fries is the principal of Frenzy to Freedom, a business consultancy. She lives in Bend. 4. Jan Even, secretary. Ms. Even is a retired journalist and internet executive who lives in rural Redmond. 5. Patricia Wallin, director. Ms. Wallin is a retired nurse and lives at Eagle Crest. 6. Mark Crose, director. Mr. Crose, the former board president, is manager of Central Oregon Golf Tour and a volunteer basketball coach. He lives in Redmond. Date: June 9, 2006 HUMANE SOCIETY OF REDMOND PO BOX 1404 REDMOND OR 97756-0400 Dear Sir or Madam: Department of the Treasury P. O. Box 2508 Cincinnati, OH 45201 Person to Contact: Janet M. Duncan 31-07676 Correspondence Special ist/Scree ner Toll Free Telephone Number: 877-829-5500 Federal Identification Number: 93-0976110 This is in response to your request of June 9, 2006, regarding Your organization's tax- exempt status. In November 1989 we issued a determination letter that recognized your organization as exempt horn federal income 'Lax. Our records indicateL i Lion is currently exempt under section 501 (c)(3) of the that Your organization In Revenue Code, Our records indicate that your organization is also classified as a public charity uriu-jer section 509(2)(2) of the Internal Revenue Code. Our records indicate that contributions to your organization are deductible Under section 170 of the Code, and that you are qualified to receive tax deductible bequests, devises. tr,l - . ansfers eg, iff's u, Ind er section 2055. 2 106 or 2b/'--'2 of the i interna 1 Reven ue C' ode. K you have any questions, please -all LIS at the telephone number shown in the headina of this letter. Sincerely, Janna K. Skufca, Director, TE/GE Customer Account Services 0AES C 0 BOARD OF Organization: Con-ipanion Animal Medical Project (CAMP) Project: Coordinate spay/neuter services for companion animals of people experiencing hoii,ielessness or significant financial distress Estimated impact/cost: In 2020, 40 companion animals �/\/ere spayed/neutered throLjgh the Spay & Neuter Grant partnership with Cenitral Oregon Veteran's Outreach (COVO), with more on ffie waiting list. Dog Board 2021 funding recommendation: $2,359 Grants awarded in past five years: 2020 $2,683 S&N Grant (with COVO) Deschutes County Spay and Neuter Grant Application 2021 A complete application will consist of the following: 1. This cover sheet, signed and dated. 2. Narrative responses to the questions which appear at the end of this document submitted on no more than three separate, single -sided, single-spaced pages. 3. Attachments as follows: a. Proof of the organization's 501(c)(3) tax-exempt status in the form of a letter from the Internal Revenue Service (IRS). b. An operating budget specific to the proposed program, project, or activity. c. A financial statement that shows actual total revenue and expenditures for the most recently completed 12-month period. d. A roster of the organization's current Board of Directors. Submit the completed application electronically to laura.skundrick@deschutes.org no later than 5:00 p.m. on June 30, 2021. Late or incomplete applications will not be considered. Information or materials submitted instead of or in addition to those specifically requested in this application form will not be reviewed. Contact Information organization Name Companion Animal Medical Project Address 64682 Cook Ave #70 City Bend Phone Number 360-951-0404 Fax Number Website www.campciinics.org Zip Code 97703 Alternate Phone Number (541) 728-3439 Email Address cam pveteri naryservices @D gmail.com By signing below, I certify the following: 1. All information provided to Deschutes County in this application is correct. 2. 1 am authorized by the governing board of the stated organization to submit this grant application. 3. This organization is in good standing with the IRS and retains its official 501(c)(3) tax-exempt status. 4. This organization is located in Deschutes County. 5. Any proceeds from a grant award will be used in support of Deschutes County residents. Print Name Johannah Johnson -Weinberg Signature Title Founder/President Date 6/29/2021 On a separate sheet(s), please briefly answer the following questions: 1. Describe the history of your organization. 2. State the mission of your organization. 3. Describe the leadership and structure of your organization. 4. Describe the primary activities conducted by your organization. 5. Describe the specific program, project, or activity that a Spay and Neuter grant would support, if awarded. 6. Describe how this program, project, or activity would positively impact the goal of promoting or expanding spay and neuter procedures. 7. Explain the anticipated outcomes of this program, project, or activity and describe how success will be measured. Attach: 1. Proof of the organization's 501(c)(3) tax-exempt status in the form of a letter from the Internal Revenue Service (IRS). 2. An operating budget specific to the proposed program, project, or activity. 3. A financial statement that shows actual total revenue and expenditures for the most recently completed 12-month period. 4. A roster of the organization's current Board of Directors. 00 N`%N Vv,j0 `,i cE>, HI, IIId. goal 1. Describe the history of your organization. The Companion Animal Medical Project was founded by Johannah Johnson -Weinberg and Dr. Patti Mayfield, DVM, in November 2019 and officially received 501c3 status, November 2020. Ms. Johnson -Weinberg and Dr. Mayfield saw a dire need for access to veterinary care for the companion animals of unhoused individuals in the community. To fulfill this need they decided to create a program to help mitigate barriers to care by setting up clinics outside established houseless communities. Currently CAMP has helped nearly 200 companion animals and their humans by providing wellness exams, urgent medical needs, vaccinations, spay and neuter services, and dog and cat food. There is currently an unprecedented need in Central Oregon to provide care for the animals of individuals experiencing homelessness. According to data obtained by the Homeless Leadership Coalition (HLC), nearly 1000 individuals were experiencing homelessness within Central Oregon in the year 2020. Additional data obtained by Pets of the Homeless (POH) revealed approximately 10% of individuals experiencing homelessness own and care for pets. Leaders in animal welfare organizations advocate for allocating resources to those families who are already caring for companion animals, rather than continuing to overwhelm and overburden a shelter system that is already dealing with expensive operational costs. By providing individuals with basic medical needs for their pets, there is a reduced financial strain, and physical and psychological stress on individuals 2. State the mission of your organization. CAMP aims to ease the burden on individuals experiencing homelessness or other financial hardships by providing veterinary care and supplies to their companion animals. We remove barriers to essential veterinary services and support and advocate for the human -animal bond. The founders and volunteer members of CAMP understand the importance of the human -animal bond, and the complexity of the physical and psychological benefits the companionship of a pet provides for an individual's overall wellbeing, CAMP's core values recognize that the deep emotional connection with pets transcends socioeconomic, racial and geographic boundaries. We believe no one should be denied the opportunity to experience the benefits and joy of pet ownership. 3. Describe the leadership and structure of your organization. Founder/President Johannah Johnson -Weinberg Johannah Johnson -Weinberg has dedicated years of work in animal welfare. She holds certifications in both Applied Animal Behavior and Low Stress Handling of companion animals. Johannah is dedicated to being a liaison between existing organizations to meet the common and mutual goals of helping both people and pets. Co-Founder/Medical Director: Dr. Patti Mayfield, DVM Dr. Patti Mayfield, DVM has over 15 years of practice as a veterinarian, with a specialty in emergency medicine. Dr. Mayfield holds a Human Animal Bond Certification within the field of animal welfare and has been involved with many volunteer -based non-profit organizations such as Pro-Bone-O, the Feral Cat Coalition, and most recently held a self -supported canine rabies vaccine clinic in the impoverished nation of Malawi, in southeast Africa. CAMP's board consists of six total volunteers all with diverse backgrounds. As a volunteer organization, in order to provide our services, we rely on a network of skilled and compassionate individuals trained in areas of veterinary medicine, animal and human welfare. The pool of volunteers is growing, with multiple veterinarians, veterinary nurses and independent veterinary hospitals showing interest in supporting CAMP through donations, and volunteering their time and services. 4. Describe the primary activities conducted by your organization. CAMP hosts monthly clinics providing wellness exams, core immunizations, preventive medical care as well as urgent care to companion animals of people experiencing homelessness or significant financial distress. To date, CAMP has altered (spayed and neutered) 40 companion animals through the DC Spay&Neuter grant and vaccinated nearly 200. Additionally, through the support of Bend Pet Express, CAMP has provided over 500lbs of dog and cat food at no cost to the individual pet parent. 5. Describe the specific program, project, or activity that a Spay and Neuter grant would support, if awarded. Approximately three quarters of the pets evaluated at CAMP clinics are unaltered and would benefit from spay or neuter services. During the April 2020 CAMP clinic, four large breed dogs were found to be pregnant. This could potentially result in 35 to 40 puppies in the homeless community at Juniper Ridge in the next few months. CAMP's Spay/Neuter Program (SNP), established through collaborative efforts with Plateau Veterinary Clinic and Bend Spay and Neuter Program, has been a successful and much needed service for the individuals we serve. During the clinics, pet owners sign up for spay/neuter at their request. CAMP arranges the day/time of surgery and helps to set up transportation if none is available. Funding will also ensure CAMP clinics will be able to continue to provide this necessary service to all who are in need, thereby minimizing pet overpopulation within the homeless and underserved communities. 6. Describe how this program, project, or activity would positively impact the goal of promoting or expanding spay and neuter procedures. Individuals seeking CAMP's services have made it very clear-- they overwhelmingly support and are interested in having their dogs and cats spayed or neutered! The largest barrier for the people we serve is monetary. By providing access to no cost spay and neuter services, we have been able to overcome the financial burden that has prevented these individuals from seeking surgical alteration for their pets. Currently, with all funds used from the 2020 DC spay and neuter grant, we have multiple animals on the waiting list. We have found that once the barriers of cost and transportation are removed, many individuals we serve actively seek out spay and neutering for their companion animals.As CAMP grows, we hope to organize free high -quality, high -volume spay/neuter events. This will provide far reaching and more immediate impact within the homeless communities and Deschutes County. Funding will also allow CAMP to organize and support additional clinics, so that a greater population of persons and pets in need can receive access to spay and neuter services. 7. Explain the anticipated outcomes of this program, project, or activity and describe how success will be measured. In collaboration with COVO and with the 2020 DC spay and neuter funds, we were able to spay 21 female dogs, 18 male dogs and one male cat. We anticipate an even greater need in 2021. Most of the 21 females had already had one or more litters and two were currently pregnant. Through medical records and tracking sheets, CAMP can accurately determine the number of spay/neuter services performed. This data will determine success by evaluating the volume of animals altered within the year. If CAMP is the beneficiary of funds (through grants and/or fundraising), we hope to organize high -volume, high -quality spay/neuter events so that a greater impact can be made within homeless camps in a shorter period of time. CAMP will also measure success in a more broad and subjective manner, that is by observing the gratitude expressed from the individuals receiving support, and an improvement in the quality of the lives of the pets and the people we serve. CAMP is as successful as it is because we do not force individuals to spay and neuter their pet or have requirements to receive our services. We have found that by showing up, being consistent and simply asking how we can help, we have developed trust within the unhoused community members. 2021-2022 OPERATING BUDGET FOR AWARDED FUNDS Surgery (type) Spay & Neuter Amount (Per year) Price (Per surgery) Price (Per year) Female dogs 25 $88.00 $2,200.00 Male dogs 20 $88.00 $1,760.00 Female cats 3 $50.00 $150.00 Male cats 2 $50.00 $100.00 Total 50 $4,210.00 Expenses 2020 Date:? Who Description Amount Allocation 11/03/2020 BVC Aries emergency care -$400 Emergency Vet services 11/10/2020 Immersion Business dinner -$60 Business meeting 12/9/2020 Natural Grocers Honey (MS) -$24.95 Medical Supplies 12/13/2020 The UPS Store Stamps -$13 Direct Mail/Office Supplies 12/22/2020 HSCU RTO Fees -$111 Shelter Fees/RTO 12/31/2020 Highland Veterinary Vet Care -$200.00 Vet Care January 2021 Date: Cost To whom/where For Allocation 1/22/21 $27.82 Rite Aid Supplies Medical Supplies 1/25/2021 $116.69 Vista Print Brochures Marketing 1/29/2021 $39.00 Plateau Veterinary Patient exam/vaccines Medical February Date: Cost To whom/where For Allocation 2/2/21 $20.00 Squarespace Domain Website/marketing 2/8/2021 $10.00 Facebook FB add marketing 2/8/2021 $164.68 Plateau Veterinar7 Veterinary Medical 2/11/2021 $74.95 Vista Print Brochuses Marketing 2/12/2021 $124.00 Squarespace Website Marketing 2/16/2021 $949.72 Bend Vet Veterinary Medical 2/24121 $433.89 Plateau Veterinary Veterinary Medical March Date: Cost To whom/where For Allocation 3/8/21 $5.00 Facebook FB add Marketing 3/19/2021 $25.00 Plateau Veterinary Veterinary Medical 3/29/21 $34.00 Mini Pet Mart Puppy formula/kibble Pet food April Date: Cost To whom/where For Allocation 4/4/21 $36.66 Mini Pet Mart Puppy formula/kibble Pet food 4/6/2021 $323.85 Bend Veterinary Veterinary Medical 4/1212021 $83.00 Sparrow Bakery Cookies Advertising/Marketing 4/13/2021 $132.39 Plateau Veterinary Veterinary Medical 4/22/2021 $52.54 Highland Veterinary Veterinary Medical 4/26/2021 $28.00 Bend Pet Express Leash/Collar General Supplies 4/26/2021 $44.98 Target Supplies General Supplies May Date: Cost To whom/where For Allocation 5/1/21 $67.00 Plateau Veterinary Veterinary Medical 5/5/2021 $65.00 HSCO RTO Shelter Fees 6/6/2021 $1,98 Facebook FB add Marketing 5/6/2021 $2.90 Cully Insurance Fee Liability Insurance 5/6/2021 $2,063.05 Cully Insurance Insurance Liability Insurance 5/7/2021 $28.00 Bend Spay & Neuter Veterinary Medical 5/31/2021 $198A0 Plateau Veterinart Veterinary Medical 5131/21 $15.47 Target Supplies General Supplies 5/31/2021 $159.38 Walmart Gift Card Pay to Spay Program June Date: Cost To whom/where For Allocation 6/7/2021 $5.25 Facebook FB ad Marketing 6/7/2021 $220 Bend Spay and Neuter Veterinary Medical 6/10/2021 $317.03 Plateau Veterinary Veterinary - Medical 6/16/2021 $1,256 Artisan & Truck Insurance Van Insurance Insurance 6/18/2021 $34.00 Outpost Mailbox fee Mailing 6/21/2021 $145.00 HSCO RTO Shelter Fees 6/21/2021 $125.00 Plateau Veterinary Medical 6/23/2021 $15.00 Chevon Gas Card Gas card (restricted funds) 6/28/2021 $70.15 Target Water/gatorade/tarps Emergency supplies (restricted) 6/28/2021 $7.20 Bend Pet Express Treats General Supplies 6/28/2021 $76.90 Plateau Veterinary Veterinary Medical 6/28/2021 $24.34 Shell Water/ice Emergency supplies (restricted) 6/29/21 Companion Animal Medical Project 64682 Cook Ave #70 Bend, OR 97703 To whom it may concern, Please find the attached excel documents transcribing Companion Animal Medical Projects income and expenditures for months of operation. In lou of names and in order to be discrete, I have changed the names of individual donors to "donor." I have also attached a year to date profit and loss report. Please reach out if we can provide additional information for the grant. Thank you for your time and consideration. All my best, Johannah Johnson -Weinberg Founder/President Companion Animal Medical Project Income 2020 Pay In Date Name Donation $$ PayPal fee Cause Allocations Paypal 10/28 Donor $100.00 $96.80 Individual Donations 10/28 Donor $50.00 $48.25 Individual Donations 10/28 Donor $50.00 $48.25 Individual Donations 12/01/2020 Donor $50.00 $48.25 Individual Donations 12/6/2020 Donor $100.00 $96.80 Rosie Individual Donations 12/7/2020 Donor $25.00 $23. 97 Individual Donations 12/8/2020 Donor $100.00 $96.80 Individual Donations 12/8/2020 Donor $100.00 $96.80 Individual Donations 12/14/2020 Donor $500 S485.20 Individual Donations 12/31/2020 Donor $20 $19,26 Individual Donations 12/31/2020 Donor $75 $73.05 Individual Donations $1,109.46 (PayPay) Fundraiser Total Cost PayPal fee Invoice #/Check # 12/7/2020 Donor $17 $16.21 Invoice #0001 Special Events/Holiday FD Donor $40 $40.00 Check # 247 Special Events/Holiday FD Donor $34 $32.71 #0003 Special Events/Holiday FD Donor $34 $32.95 #0004 Special Events/Holiday FD Donor $51 $49.58 #0002 Special Events/Holiday FD Facebook FB Fee ($401.21) total 10/23 Donor $25 Restricted- Medical for Aries Individual Donations 10/23 Donor $50 Restricted- Medical for Aries Individual Donations 10/23 Donor $50 Restricted- Medical for Aries Individual Donations 10/24 Donor $50 Restricted- Medical for Aries Individual Donations 10/23 Donor $20 Restricted- Medical for Aries Individual Donations 10/23 Donor $100 Restricted- Medical for Aries Individual Donations 10/23 Donor $10 Restricted- Medical for Aries Individual Donations 10/23 Donor $25 Restricted- Medical for Aries individual Donations 10/24 Donor $50 Restricted- Medical for Aries individual Donations 10/23 Donor $35 Restricted- Medical for Aries individual Donations Venmo Venmo 10/23 Donor $50 Restricted- Medical for Aries Individual Donations 12/1/2020 Donor $10 Individual Donations Cash/Check 11/2 Donor 12/12/2020 Donor 12/23/2020 Donor 12/29/2020 Donor In -Kind 11/04/2020 Donor 11/9/2020 Donor 11/12/2020 Donor Check # $401.17 1041 $200 1334 $2,500 2037 $300 14825 Est of Goods $100 $200 $300 Individual Donations Individual Donations Business Donation Business Donation Dog coats In -Kind Dog coats In -Kind Cold -Weather suppies In -Kind Income 2021 PayPal Date Name Donation $$ PayPal fee Cause Allocations 01/01/2020 Donor $50 $48.60 Individual Donation 4/2/21 Donor $500 $488.70 Individual donation 5/20/21 Donor $2,000 $1,955.70 Individual donation 5/20/2021 Donor $50 $48.60 Individual donation 5/20/2021 Donor $50 $48.60 Individual donation 5/20/21 Donor $50 $48.60 Individual donation 5/21/21 Donor $100 $97.50 Business Donation 5/21/21 Donor $20 $19.26 Individual donation 5/21/21 Donor $50 $48.60 Individual donation 5/21/21 Donor $10 $9,48 Individual donation 5/22/21 Donor $20 $19.26 Individual donation 5/22/21 Donor $30 $29.04 Individual donation 5/22/21 Donor $100 $97.50 Individual donation 5/22/21 Donor $20 $19.26 Individual donation 5/22/21 Donor $2,000 $1,955.70 Individual donation 5/22121 Donor $50 $48.60 Individual donation 5/22/21 Donor $50 $48.69 individual donation 5/23/21 Donor $20 $19.26 individual donation 5/24/21 Donor $20 $19.26 individual donation 5/24/21 Donor $50.00 $48.60 Business donation 5/27/21 Donor $50.00 $48.60 individual donation 5/29121 Donor $20.00 $19.26 individual donation 6/1/21 Donor $20.00 $19.26 individual donation 6/3/21 Donor $50.00 $48.60 individual donation 6/4/21 Donor $50.00 $48.60 individual donation 6/4/21 Donor $25.00 $24.15 individual donation 6/4/21 Donor $25.00 $24.15 individual donation 6/6/21 Donor $50 $48.60 individual donation 6/7/21 Donor $100 $97.50 individual donation 6/25/2021 Donor $50 $48.60 Reimbursement 6/28/21 Donor $20 $19.26 Individual donation Cash/Check Check # 1/14/2021 Donor $425 Check#915 Individual Donations 2/1/2021 Donor $600 #0105 Indivival Donation 2/1/2021 Donor $25 #1536 Individual Donation 3/3/2021 Donor $1,000 #2488 Business Donation 5/25 Donor $4,625 #102 Individual Donation 6/7/21 Donor $200 #5023 Individual Donation 613/21 Donor $250 #8587 In memory of Brett & 06/09/21 Donor $2,000 #0035 Individual Donation 6/17/21 Donor $1,000 Individual Donation Special Event/Business Check # 2/11/21 Bonfire Campain $674.98 #7469 Fundraiser 3/25 Bonfire Compaign $161 #0616 Fundraiser 3/25/21 Bonfire Compaign $23 #0511 Fundraiser 4/19 Vanilla Urban Threads $1,600 #6180 Fundraiser Venmo Donation $ (-) Fee = $ 4/13/21 Donor $15 $14.62 Gas cards Individual Donation 4/13/21 Donor $45.00 $44.05 Gas cards Individual Donation 4113/21 Donor $15 $14.62 Gas cards Individual Donation 4/13/21 Donor $55 $53.86 Gas cards Individual Donation 4/14/21 Donor $45.00 $44.05 Gas cards Individual Donation 4/23/21 Donor $50 $48.95 Vet supplies Individual Donation 6/3/21 Donor $50 $48.95 Vet supplies Individual Donation 6/26/21 Donor $100 $98.00 Heat/Aid Relief Individual Donation 6/27/21 Donor $50 $48.95 Heat/Aid Relief Individual Donation 6/28/21 Donor $40 $39.14 Heat/Aid Relief Individual Donation 6/28/21 Donor $50 $48.95 Heat/Aid Relief Individual Donation 6/28/21 Donor $100 $98.00 Heat/Aid Relief 6/28/2021 Donor $10 $9.71 Heat/Aid Relief 6/29/2021 Donor $70.00 $68.57 Heat/Aid Relief In Kind Donations HSCO $22,000 Van BPE $500.00 water bowls Red Dingo $200.00 tag ID's Individual Donation Individual Donation Individual Donation 2 r co M co O O O (N co It r O It d' O� c0 O) O O O of V CO V M V 'd' 00 M O d' M O I O� d' COIn N CO (O V cocO N �— O r N V' d' U') L O M— cO to O O 00 W N N m M V L X Cf C W L U! R W m d v d 4) d (n C ® � (D Co S L QX . Uf6 ' LN T m LU E p 0 nay > roca TO uCR L L h Q W I— O V ® � L z - v z d m a Companion Animal Medical Project Board of Directors Johannah Johnson -Weinberg Founder/President Dr. Patti Mayfield, DVM Co -Founder/ Medical Director Peter Nye Treasurer Kailyn O'Neil Secretary Jaimie Jensen Board Member Dr. Lisa Goldstein, DVM Advisory Board Member Department of the Treasury Date: Internal Revenue Service r 11/13/2020 Tax Exempt and Government Entities 1'.t). Box 208 Employer 10 number: 3,3 Cincinnati. Oil 4201 F-287F�037 Person to contact: Name: Cusionier Service ID number: 31954 Telephone: (877) 829-5500 COMPANION ANII>LM- MEDICAL PROJECT Accounting period ending: 64682 COOK AVF- NO 70 December 31 BEND. OR 97 703-( 000 Form 990-PF required: Yes Effective date of exemption: August 10, 2020 Addendum applies: No DLN: 26053654 001350 Dear Applicant: kk'e're pleased to tCII vOu vv-e deternlinetl vou'rc exempt f-rorn federal income tat under lniz:rnal Revenue Cade (IRC) Secilon 501(c)(3). Donors can deduct contributions the} make it? you tinder- lltC Secuon 1710. You're also qualified tc, €-cceive 13N tieduc:tible bequest,. devises. imnst.ers of "ifis under Scetiun 2055- 2106. or 25212. This letter could help resolve e;uestians tan v0Ur CXCnlht st;ltus. Pleasc I:ecp it for your recor(is. Oroanizattions exemi)i under IRC Scction 50 Bel(_ ) are Iiarthcr classified as either public charities or private foundaliiMns. We determined vuu'rr a private inundation vv ithin the nleanin of Seclion 509(al)_ You're required to file Dorm 990-Pl-. Return of Private- Foundation or Section 4947(a)( 1) Trust 'l reated as Private Foundation. annually. whether or not VOU have: income or activity during llle year. I f VOU don't file a required return or notice for th€°ee c0nscvutiVC ycal•S, vnur ese.ntpt status will he automatically rcv« lccd. If -we indicated at the tip ofthis letter that an acldendunl applies. the enclosctl addendum is ;an iniegral part of this letter. For important inliwmation about vour responsibilities as a taax-exenlpt i r�,ani�ttic�n. �-o to utrte.irs.��d?�'charitics. Emcr "422I-Pi=" in lliz sca roll hairto view PuNicalior 42..,.I-PF. Compliance C-bide fi>r 501(c)t. 3) Private , uunuaitivasa, �t$aicn uC`cator;y eira�s ae�c>ra.ts.s::ct�aaa�, tC�aurtias`�. a3uil diss;lusua'e ri=yuiacrncui�. Sincerely, Steplicn A. Manin Director. I_xenlpi Organizations Rulin-s aincl At, cents Letter 1076 (Rev. 2-2020) C:aming 1Jumbca 35181A r tronn 8940 Request for Miscellaneous W1 (Rev. June 2011) Determination OMB No. 1545-2211 Department o1 the Tteasu y Under Section he l ntom509(a , 4940, 4942, 4W5, and rotor" Revenue service 8033 of the a� Revenue Code Use the Instructions to complete this form. A User Fee must be attached to this form, if required. For user fee information or additional help, visit our website at tnvw.1rs.gov/eo or call IRS Exempt Organizations Customer Account Services toll -free at 1.877.829-5500, If the required Information and documents are not submitted with payment of the appropriate user fee, the form may be returned to you. Identification of Organization to Full Name of Organization Corripprilon Animal Medical Pro ect b Address (number, street and roomisulte) it a P.C. Box, see Instructions. c City d State e Zip Code + 4 464a2 GMK avenue - rvv. r� 2 Employer Identification Number 3 Month Tax Year 4 Person to Contact If More Information is Needed Ends(MM) 85-2876037 12 Johanna Johnson-Weinber 5 Contact Telephone Number 6 Fax Number (optional) 17 User Fee Submitted Type of Request 8 Please select the item(s) below that best describe your request. Using an attachment, provide a detailed explanation of your request. Be sure to include the organization's name and EIN on each additional sheet. a ❑ Advance approval of certain set -asides described in section 4942(g)(2) b ❑ Advance approval of voter registration activities described in section 4945(f) c ❑ Advance approval of scholarship procedures described in section 4945(g) POSTMARK RECi_.WD d ❑ Exemption from Form 990 filing requirements MAY (1 q '2f I'It MAY (I r, 9,l`71 e ❑ Advance approval that a potential grant or contribution constitutes an "unusual grans'' I rn t v v LVL I If ❑ Change in Type (or initial determination of Type) of a section 509(a)(3) organization SERVICE CENTER g ❑ Reclassification of foundation status, including a voluntary request from a public charity for private foundation status h ❑ Termination of private foundation status under section 507(b)(1)(B)—advance ruling request i ❑ Termination of private foundation status under section 507(b)(1)(B)-60-month period ended Under penattias of perjury, I deciare that I have exarr fined ttm applimoon, lncluding acoompanying statements and sch oduies, and to tite best of my kt� end belief, it Is true. correct, end ;(S19L. Please `� 2-6 ( 2,Q LA Sign D1rW1w., Trustee or other authorized official.) (Date) Here Johanna Johnson -Weinberg President (type or print name of signer) (type or print title or authority of signer) For Paperwork Redoction Act notice, see Separate instructions. Cat. No. 37756H Form BW (Rev. 6.2011) 0 IWNI�IIIINIIIIIIIIIVIIhInIIIIIIIIIIIIIIINNNIaIIIIINNIYIIIIIIIIIII � AES C BOARD OF ! q 11 ! Niii Organization: Council on Aging of Central Oregon Project: Add spay and neuter services to the Pet Pals Program. The program currently provides complimentary pet food and supply deliveries, as well as access to veterinary services. Estimated impact/cost: $2,000 would provide an estimated 5-11 0 procedures Dog Board 2021 funding recommendation: $1,735 Grants awarded in past five years: Replace damaged canopies Purchase canopies Safety Improvements Privacy panels and plexiglass barriers Shelf Stable Meal Support program Great Hall room divider purchase Washer and dryer purchase Volunteer Appreciation —Event Chair purchase FY2022 $40,000 FY2021 $40,000 FY2020 $40,000 FY2019 $50,000 FY2018 $30,000 Deschutes County Spay and Neuter Grant Application 2021 A complete application will consist of the following: This cover sheet, signed and dated. 2. Narrative responses to the questions which appear at the end of this document submitted on no more than three separate, single -sided, single-spaced pages. 3. Attachments as follows: a. Proof of the organization's 501(c)(3) tax-exempt status in the form of a letter from the Internal Revenue Service (IRS). b. An operating budget specific to the proposed program, project, or activity. c. A financial statement that shows actual total revenue and expenditures for the most recently completed 12-month period. d. A roster of the organization's current Board of Directors. Submit the completed application electronically to laura.skundrick@deschutes.org no later than 5:00 p.m. on june 30, 2021. Late or incomplete applications will not be considered. Information or materials submitted instead of or in addition to those specifically requested in this application form will not be reviewed. Contact Information Organization Name Council on Aging of Central Oregon Address 373 NE Greenwood Ave City Bend Phone Number 541-678-5483 Fax Number 541-647-2689 Website www.councilonaging.org Zip Code 97701 Alternate Phone Number Email Address sremington@councilonaging.org; aivie@councilonaging.org By signing below, I certify the following: 1. All information provided to Deschutes County in this application is correct. 2. 1 am authorized by the governing board of the stated organization to submit this grant application. 3. This organization is in good standing with the IRS and retains its official 501(c)(3) tax-exempt status. 4. This organization is located in Deschutes County. 5. Any proceeds from a grant award will be used in support of Deschutes County residents. Print Name Steven Remington Signature _ Title Director of Development Date June 24, 2021 On a separate sheet(s), please briefly answer the following questions: 1. Describe the history of your organization. 2. State the mission of your organization. 3. Describe the leadership and structure of your organization. 4. Describe the primary activities conducted by your organization. 5. Describe the specific program, project, or activity that a Spay and Neuter grant would support, if awarded. 6. Describe how this program, project, or activity would positively impact the goal of promoting or expanding spay and neuter procedures. 7. Explain the anticipated outcomes of this program, project, or activity and describe how success will be measured. Attach: 1. Proof of the organization's 501(c)(3) tax-exempt status in the form of a letter from the Internal Revenue Service (IRS). 2. An operating budget specific to the proposed program, project, or activity. 3. A financial statement that shows actual total revenue and expenditures for the most recently completed 12-month period. 4. A roster of the organization's current Board of Directors. 2 o 1 1r t. COUNCIL ON AGING Council on Aging of Central Oregon - Pet Pals Expansion Deschutes County Spay and Neuter Grant Program 2021 1. Describe the history of your organization. For over 45 years, the Council on Aging of Central Oregon has been the only provider in Central Oregon focused solely on the well-being of older adults. Our purpose is to prevent hunger, improve health, and promote well-being, security, and independence among Central Oregon's most vulnerable older adults and their family members. 2. State the mission of your organization. The mission of the Council on Aging is to advocate for, empower and guide older adults and their loved ones to live with independence and well-being, to help collectively create a community that grows older better, together. 3. Describe the leadership and structure of your organization. Our Executive Director, with direction from our Board of Directors and Advisory Council, leads the organization of 24 employees and 400+ volunteers in implementing activities, and in realizing goals and objectives, in alignment with our mission, vision, and values. 4. Describe the primary activities conducted by your organization. We are here to support and provide resources to our older adult community members with services including Meals on Wheels and Congregate Dining, Caregiver Support, Financial and Legal Assistance, Housing Options, In -Home Health and Activities of Daily Living Support, Medical/Dental/Vision/Hearing Assistance, Medicare Counseling (SHIBA), Pet Pals Assistance Programs and Isolation and Loneliness Initiatives (Caring Connections), and Case Management services. 5. Describe the specific program, project, or activity that a Spay and Neuter grant would support, if awarded. The Council on Aging of Central Oregon recognizes that pets provide critical support and companionship for older adults. This has been increasingly true throughout the pandemic, when older people have been forced to isolate at home due to the impacts of COVID-19. Our agency's Pet Pals program offers our Meals on Wheels or Congregate clients pet food and supplies to assist in caring for their pets. This program provides complimentary pet food deliveries and supplies for up to three household pets per senior. We currently have 66 pets enrolled in this program, and continue to receive requests for food, supplies, and veterinary care. Our program does not currently offer veterinary services and we deliver as much food and supplies as we are able to (approximately 1,600 lbs. each month). We have received many veterinary care requests from our clients and are preparing to begin work with a local non- profit that focuses on veterinary care for those that cannot afford it on their own. These / „: \\: COUNCIL ON AGING funds would help us add spay & neuter options to our expanded veterinary services program. 6. Describe how this program, project, or activity would positively impact the goal of promoting or expanding spay and neuter procedures. Our Pet Pals goals are to reduce the financial burden of owning and caring for a pet and to help our clients care for and feed their pets with less worry. We are building a network of support for our MOW clients and their pets. When delivering meals and pet food to our clients, our volunteer drivers act as a point of contact for any pet care concerns. The volunteer will return a service request form to the main office to be screened and prioritized by a specific volunteer to then filter- to the veterinarians. Through collaboration with the Hope Foundation, the Vets will dispatch and respond to each need on a priority basis. This is a new, additional aspect of our existing Pet Pals program designed to expand access to veterinary care for the elderly. We are requesting funds to specifically support spay and neuter procedures for our Pet Pals program so that these procedures can be included in the emergency care, vaccination and routine health screenings we are implementing. 7. Explain the anticipated outcomes of this program, project, or activity and describe how success will be measured. We evaluate the success of our Pet Pals program by continually tracking the number of clients and number- of pets served, along with the nature of the services and outcomes of the pet care. With these funds we expect to provide a minimum of 5-10 pets with the necessary procedure over the course of the next year. Success will be measured by our ability to provide the procedure and improve the lives of these pets and their older adult companions. Please see Attached Documents: 1. Proof of the organization's 501(c) (3) tax-exempt status in the form of a letter from the Internal Revenue Service (IRS). 2. An operating budget specific to the proposed program, project, or activity. 3. A financial statement that shows actual total revenue and expenditures for the most recently completed 12-month period. 4. A roster of the organization's current Board of Directors. A�� COUNCILON AGING Pet Pals Program - Expansion Expenses Items Intake 1 Assessment Coordinator (2 hours 1 week) Amount 2,000 Veterinary Care (spay/neuter assessment, 50 home visits at $100 ea) $ 7,000 Spay & Neuter procedures (5-10 per annum) $ 2,000 Pet Food (dog and Cat) $ 4,000 Pet supplies (litter, animal carriers, leashes, crates) $ 1,500 Transportation costs for emergency and critical pet care to clinics $ 1,000 TOTAL Expenses $ 17,500 Funding Source Amount Council on Aging & other committed I pending requests $ 15,500.00 Deschutes County $ 2,000.00 TOTAL Funding $ 17,500.00 of 01 0 0 C 7 U c 0 N O m C U 0 N O N O M Lfl 0 Lon 0 H CD0 n m O O LO !1' d- LO tM O N OO O O O O 00 O N O T- O tV 0 0 1` 0) � r- ti M N N = - Cri LA Q 00 O Nt M LO m 19t Ln M M M O T ti N CD N m N N �- N O N } O O to CD — N O I- M �t * N V- cn O co 00 � to O CDr- M C) -- O -- 00 O_ 1- 00 tV cn _ lC N U3 00 O ti CDM O N ti C cn O 00 N •- N O 00 Lf) M N N M O O Q N N N N G 1— N N t-- Lo t0 co t0 O N O) OD O M - N r-O m ti — O d O 00 U') LU C) CN!_ 00 0 d _ C 00 i� 00 tl- 00 ti N N d' r- LO m cY O LO1l- 1.- Q � .«3+ m R c) L N � 7 Q 0 0 0 0 0 Lt)— C a. 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N I-- O m M w m N O CO N GD CO N N tim co O Q � d co V- O LO N ti ti c (3i ' N ' O >- � Cl) O LL N M O V Q m M N LO ' OD 00 00 M cM Ln N ob 00 -- O � O d' O 'I LO CN CD CD LL O y.s V a B 00 O - O M N cM co d CO O 1-- LO M lqt et >- N CV qR* M CO Cl) (O 00 co LL O N� M NN IT N LO ON V O N Q r O' Cn O t� 04 CD CO ti O NCN CNO O 000 Q c m GO! ccoo coM Ln cn }} LL �- rn rn Ln co m rn N rn N U')rn co N CDLf) CD Ltd N C V - L L Q CL Q ��♦ V CL c N O LL o co ai C Z U is `� . _O a�i C" � od � w O m U CIO c c V 3 a CD m — m CL Z w Cu � X L1J Q- a) c C O _rn N CU V i c LL cn ca V a> a> ya U Q :mO a- 0 U 06 E ca c G C •` •Q Oj LO Ucn L � Ccu Cj C7 Q> m m U- U 0 iczo 2 O 00 N CDCD 00 00 00 Q 0 0 N _T 7 COUNCIL ON AGING Council on Aging Board of Directors January 2021 Louis Capozzi (President) 3735 NW junegrass Ct. Bend, OR 97703 917-443-2462 Icapozzi@mac.com Formerly served as chairperson of the MSL Group, one of the world's largest public relations firms. He managed operations in 30 cities around the world. Earlier he was Chief Communications Officer at Aetna. The author of two books on communication, he now teaches in the Master's program in Strategic Communication at The University of Oregon. In the community, Lou is treasurer of Bend 2030 and serves on several Bend and Central Oregon government committees. Peter Lekki (Vice President) 19841 Copernicus Avenue Bend, OR 97702 315-323-8592 petelekkilaw@gmail.com Practiced law from for 37 years in New York state, with extensive experience representing municipal governments, villages, towns, school districts and counties. Served in the US Army active duty 1970-1972. Jenna Corbly (Secretary) 2155 NE 6th Street, Apt. 95 Bend, OR 97701 503-347-0140 jcorbly@hotmail.com Executive Director, Pilot Butte Rehab Center; served on junior League in Portland and Eugene. Wendy Miki Glans (Treasurer) 20302 Mariner Dr. Bend, OR 97703 808-381-7521 wmglaus@hurley-re.com Paralegal for Hurley Re P. C. Wendy is a licensed CPA in Oregon and is working on obtaining her law license in Oregon. Wendy is licensed to practice law in Hawaii. She is certified as an elder law specialist and recognized as a Certified Elder Law Attorney (CELA) by the American Bar Association (ABA), accredited by the National Elder Law Foundation and so certified by the Supreme Court of Hawaii. She is also certified as an Estate Planning Law Specialist and Accredited Estate Planner@ (AEP@) by the Estate Law Specialist Board, Inc., an organization accredited by the American Bar Association and affiliated with the National Association of Estate Planners & Counsel (NAEPC), and so certified by the Supreme Court of Hawaii. Peter Metherall 3527 NW Braid Road Bend, OR 97703 608-658-3409 pmetherall@gmail.com Retired Vice President for Dean Health Systems, Wisconsin; Past Board Member Howard University Hospital. Dr. Jennifer Neahring 96 NW Drake Rd. Bend, OR 97703 541-668-1968 jcneahring@icloud.com Palliative care physician at St. Charles Health System and the founder of the WEAVE (WE are All Village Elders) Village nonprofit to help adults age in place in Salem, Oregon. Former congressional candidate. Chris Piper 19815 Kenzie Avenue Bend, Oregon 97702 (541) 408-5494 piperducks36@email.com Mr. Piper is a seasoned business development and marketing executive and a recent member of the City Council of Bend, OR. Emily Salmon 633 NE Innes Lane Bend, OR 97701 541-390-8449 esalmon@gmail.com Director of Population Health at St. Charles Health System in Central Oregon. Member of the Central Oregon Health Council's Operations Council (Ops). Formerly Program Manager for Pioneer Memorial Hospital. riDepartment of the Treasury Internal Revenue Service ITax Exempt and Government Entities COUNCIL ON AGING OF CENTRAL OREGON 373 NE GREENWOOD AVE BEND, OR 97701 Date: June 28, 2018 Person to contact: Name: Ms. Wiles ID number: 1000196728 Employer ID number: 93-0661229 Form 990 required: Yes Deaf Sir or Madam: We're responding to your request dated 05/14/2018. about your tax-exempt status. We issued you a determination letter in February 1979, recognizing you as tax-exempt under Internal (IRC) Section 501(c)( 3 ). We also show you're not a private foundation as defined under IRC Section 509(a) because you're described in IRC Sections 509(a)(1) and 170(b)(1)(A)(vi) Donors can deduct contributions they make to you as provided in IRC Section 170. You're also qualified to receive tax-deductible bequests, legacies, devises, transfers. or gifts under IRC Sections 2055. 2106_ and 2522. In the heading, we indicated whether you must file an annual information return. If you're required to file a return, you must file one of the following by the 15th day of the 5thmonth after the end of your annual accounting period. • Form 990, Return of Organization Exempt From Income Tax • Form 990-EZ, Short Form Return of Organization Exempt From Income Tax a Form 990-N, Electronic Notice (e-Postcard) for Tax -Exempt Organizations Not Required to File Form 990 or Form 990EZ • Form 990-PF, Return of Private Foundation or Section 4947(a)(1) Trust Treated as Private Foundation According to IRC Section 60330), if you don't file a required annual information return or notice for 3 consecutive years, we'll revoke your tax-exempt status on the due date of the 3rd required return or notice. You can get IRS forms or publications you need from our website at WWW,irs.s�ov/forms-pubs or by calling 800-TAX-FORM (800-829-3676). If you have questions, call 877-829-5500 between 8 a.m. and 5 p.m., local time, Monday through Letter 4168 (2-2018) Catalog Number 66666G Friday (Alaska and Hawaii follow Pacific tune). Thank you for your cooperation. Sincerely, Stephen A. Martin Director, Exempt Organizations Rulings and Agreements Letter 4168 (2-2018) Catalog Number 66666G G c � 0 o O ri m is to o rn 40V a m m mrn Zt Ln E I N r�l bq tR tiR bR to +J4 O u d OC Ln N to N u to to o2S O to C to N O C -0 O Z3 C ��-+ o a M N to x L L v >, (A �+ 4- 4-•' 4 O 4-.� +' W i N N to r6 m ?� b00 Q Q Y 1 Q 0 v �O Q1 4-1 O rL6 b-0 o2S Ln L_ O Q. E Q to i tL E Q d tL � 0 3 to O O tL L C N O O Ln L u N > u x a C O�ul r6 CD L r0 Q C O m 0 " c 0 41 L N C tOi! r0 o L N Q Q vi _ i L C E O o twit Z O 0 OL rLo id >u N \ U a) C u i '� to U Q U •L QJ Q' a) T O tL � a- a)'u tL Q '� t6 'T a O i + N tL d - p 4-1 >' N Oo E E .L Oro Q AJ `o +-+ C tL o rLO - >, N L , , � N >, Q E ,�, L > 0 E tin Q Q f w Q U o o w w ra o 0 o O o E> u c -0 Q a) O O Q Q o v, U m L E rp U E Q .- u Q L o 0 a u to 0 4. m m w M to to Ix O LL Q Z L to to — � to Q IAO N m O _ � u O L L 'r6 U E O C L C bA � _M 4— U O C:r6 !_ r0 ttn C O4-1 to 0 0 u c 4-1 C N C cn c C 4= m UC: Ln t+- -� w I L != lL U O ,� C _00 Q ±' E C r6 Q _� tL Ln to `� N u to .N "a tA r0 tIJ L O ro _U Q 0 L tL 4- O O N ® - to I E tw E Q Q E c 4" 4 E � ao E � Q 00 O 4- x o bQ .� U O tv t .N -0 N d 1S rp U O r6 0 4— L O U4� O O O c O U +' E O O u v bA 0 J+�—' QL � o O to E 76 4-1E (U _0 O C C 'O N c m U m in m fp O L N O E be O C N Q b �_ v M d Q C C o 4J L O O �j f0 d O N L O H b00 v1 L a+ GJ ++ 'a E i E O mw toGOi V O V V � ... U U uii Q t i LL 2 V I 11-11911,150 Organization: Ember's Wildflower Animal Sanctuary Project: Shay/neuter each rabbit prior to its adoption, as the only rabbit sanctuary in Central Oregon. Estimated impact/cost: Since openinob in 2019, 127 rabbits have been spayed or neutered, 10 are currently on the vvaitlist. Each spay procedure costs $150, neuter $97 Dog Board 2021 funding recommendation: $1.5,90 Grants awarded in past five years: None Deschutes County Spay and Neuter Grant Application 2021 A complete application will consist of the following: 1. This cover sheet, signed and dated. 2. Narrative responses to the questions which appear at the end of this document submitted on no more than three separate, single -sided, single-spaced pages. 3. Attachments as follows: a. Proof of the organization's 501(c)(3) tax-exempt status in the form of a letter from the Internal Revenue Service (IRS). b. An operating budget specific to the proposed program, project, or activity. c. A financial statement that shows actual total revenue and expenditures for the most recently completed 12-month period. d. A roster of the organization's current Board of Directors. Submit the completed application electronically to laura.skundrick@deschutes.org no later than 5:00 p.m. on June 30, 2021. Late or incomplete applications will not be considered. Information or materials submitted instead of or in addition to those specifically requested in this application form will not be reviewed. Contact Information Organization Name Ember's Wildflower Animal Sanctuary & Bunny RP.ruP Address 2584 NW 58th Street City Redmond, OR 97756 Phone Number (541) 419-9173 Alternate Phone Number (541) 221-1478 Fax Number N/A Email Address wildflowerbunnylove@gmaii.com Website http://emberswildflower.org/ By signing below, I certify the following: 1. All information provided to Deschutes County in this application is correct. 2. 1 am authorized by the governing board of the stated organization to submit this grant application. 3. This organization is in good standing with the IRS and retains its official 501(c)(3) tax-exempt status. 4. This organization is located in Deschutes County. 5. Any proceeds from a grant award will be used in support of Deschutes County residents. Print Name Lindsey Provost Signature Title President/Founder Date June 30, 2021 Deschutes County Spay and Neuter Grant Application 2021 1. Describe the history of your organization. In April 2015, our Founder/President Lindsey was given Ember, her first bunny, as a gift the day before Easter. He showed her how special bunnies are and inspired her to save as many as she could. She soon learned bunnies are the 31d most abandoned pet and decided to help. Lindsey started Ember's in January 2019 and became an official 501(c)(3) nonprofit in March 2019. Bunnies are Ember's main focus, although we love all animals and have a small variety. We are happy to provide a place for children and adults to volunteer with animals, where they can learn and practice kindness for all beings. We plan small events for children to interact with our animals. In addition, we provide local presentations and have been featured on Central Oregon Daily News and in Source Weekly and Bend Magazine to spread awareness and education in our community. We also recently collaborated with Humane Society of Central Oregon to receive a reduced fee for spays/neuters. In our short time open, we have taken in 184 bunnies (have 28 on the waitlist), spayed or neutered 130, placed 101 into loving homes and currently provide sanctuary for 68 bunnies and 10 other animals. We are the only sanctuary in Central Oregon dedicated to bunny rescue and are eager to continue to grow and make a difference. We recently fundraised ($13,000+) and built an expanded bunny barn which holds three times+ (3x) the number of bunnies our previous shed held. Due to the expansion and the current need for surrender, we project our need for spay/neuters to expand accordingly. This past year our spay/neuter costs were $4,111 and our vet bills (not including o rtw/nog +or\ +n+�larl to 1 RR \A/a hwa -nn nrtiva rprof rct1it -nrrni int with n tntni rrarlit of 0.4 rinn spyinwu—/ totaled w4, 1dd. vv- ��ave w� active —t.—edit account .....� a total -edit 1 w-,500, which is at capacity and are currently making payments. We respectfully seek a total amount of $5,000 to help pay for approximately half of the spay/neuters in 2021 (see attached spreadsheet). 2. State the mission of your organization. We provide a safe place for rescued animals to receive the love and care that they deserve while offering education to the public regarding the need for domestic bunny rescue and spay/neuter. Our main focus is to take in bunnies, including special needs, and provide the medical care they need as well as spaying and neutering bunnies before adopting them into loving homes. 3. Describe the leadership and structure of your organization. President/Founder: Lindsey Provost Treasurer: Emma Petterson Secretary: Skyla Moynihan Finance/Fundraising Volunteer: Cindy Hamlin 4. Describe the primary activities conducted by your organization. Ember's main focus is taking in unwanted or abandoned domestic bunnies, especially those with special needs, in order to care for their health needs, spay/neuter and adopt out into loving, forever homes. 5. Describe the specific program, project, or activity that a Spay and Neuter grant would support, if awarded. It is Ember's policy to spay or neuter each bunny that is surrendered, in addition to microchip and RHDV2 vaccination, prior to adopting out. This grant support will ensure that we are able to accomplish this in a timely manner in order to take in and adopt out as many bunnies as possible. Previous to the RHDV2 outbreak in Oregon, we had partnered with the HSCO to receive discounted spay/neuters. Due to RHDV2, they are no longer taking in bunnies, therefore we are unable to get that discount. 6. Describe how this program, project, or activity would positively impact the goal of promoting or expanding spay and neuter procedures. Our spay/neuter policy has already positively impacted the lives of numerous bunnies. Male and female bunnies are at higher risk of cancer if left unaltered. If we are able to get grant funds, we will be ensured of getting all of our surrendered bunnies spayed or neutered in a timely manner in order for them to be eligible to adoption. 7. Explain the anticipated outcomes of this program, project, or activity and describe how success will be measured. Success will be measured by the amount of funds received paying for the spays and neuters needed over the next few months. Spay cost $150, neuter cost $97. We currently have 64 bunnies in our care, including fosters. We have successfully spay/neutered 127 bunnies as of today, and currently have 10 waiting to be altered (5 spay & 5 neuters). Ember's Financials Statement of Financial Position (Balance Sheet) Cash, operating Cash, savings Bunny Barn, construction in progress Total Assets Care credit payable Total Liabilities Net assets, unrestricted Net assets, board designated operating reserves Net assets, restricted Total Net Assets Total Liabilities and Net Assets Statement of Activities (Profit & Loss) Revenue Donations, cash Donations, in -kind Surrender fees Adoption fees Boarding fees Fundraising events Fundraising events, direct costs Total Revenue Expenses Dues Food Mileage Other veterinary Spay & neuter Supplies & enrichment Total Expenses 12/31 /2020 3,448 1,084 10,645 15,177 3,357 3,357 10,736 1,084 11,820 15,177 January - December 2020 17,322 2,395 1,135 3,021 1,316 4,738 (493) 29,434 426 1,048 368 5,590 4,651 3,116 15,199 Change in net assets 14,235 Statement of Financial Position (Balance Sheet) Cash, operating Cash, savings Bunny Barn, construction in progress Total Assets Care credit payable Total Liabilities Net assets, unrestricted Net assets, board designated operating reserves Net assets, restricted Total Net Assets Total Liabilities and Net Assets Statement of Activities (Profit & Loss) Revenue Donations, cash Donations, in -kind Surrender fees Adoption fees Boarding fees Fundraising events Fundraising events, direct costs Total Revenue Expenses Dues Food Mileage Other veterinary Spay & neuter Supplies & enrichment Total Expenses Change in net assets January 2021 Month -To -Date 2,837 1,084 11,185 14,022 3,259 3,259 9,679 1,084 10,763 14,022 January 2021 Month -To -Date 871 190 130 5i 1,242 5 65 93 734 247 59 1,203 39 EMBERS SPAY & NEUTERS 2021 Bunny Name Date GENDER COST spay/neuter CURRENT ADOPTEES 1 Coral 1/6/2021 F $150.00 2 Spice 1 /6/2021 M $97.00 3 jAriel 1/29/2021 F $150.00 4 Indio 1/29/2021 M $97.00 5 Aries 2/3/2021 F $150.00 6 Magnolia 2/3/2021 F $150.00 7 Marin 2/4/2021 M $97.00 8 1 Maisie 2/4/2021 F $150.00 9 Marsh 2/12/2021 M $97.00 10 Mist 2/12/2021 F $150.00 11 Galax 2/17/2021 F $150.00 12 Peach 2/17/2021 F $150.00 13 1 Pear 2/23/2021 M $97.00 14 Peach 2/23/2021 F $150.00 15 Huckleberry 2/23/2021 M $97.00 16 Leo 2/23/2021 M $97.00 17 Luca 2/23/2021 M $97.00 18 Pudding 3/3/2021 M $97.00 19 Orin 3/4/2021 F $150.00 20 Cascade 3/10/2021 M $97.00 21 Opal 3/17/2021 F $170.00 22 Mango 3/17/2021 F 23 Butternut 3/18/2021 F $150.00 24 Cinder 4/21/2021 F $150.00 25 Can on 5/11 /2021 M $97.00 26 Cliff 5/11 /2021 M $97.00 27 Oakley 5/20/2021 M $97.00 28 Chili 5/20/2021 M $97.00 29 Clarke 5/20/2021 M $97.00 30 lGinny 5/20/2021 F $150.00 31 jAbbie 5/25/2021 F $150.00 32 Moose 5/25/2021 M $97.00 33 Luna 5/27/2021 F $150.00 34 Maple 6/1/2021 M $97.00 $4,069.00 1 1 Button F $150.00 2 Otter M $97.00 3 Cotton M $97.00 4 Rosemary F $150.00 5 Ban on F $150.00 6 Sunshine M $97.00 7 Isabella sister F $150.00 8 Isabella sister F $150.00 9 Strawberry F $150.00 10 Blueberry M $97.00 2nd Half 2021 projected $1, 288.00 $6,103.50 THE UNDERSIGNED. being all of the directors of EMBER'S WILDFLOWER ANIMAL SANCTUARY AND BUNNY RESCUE, an Oregon non-profit corporation, adopt the following Corporate actior3s. Axtieles cif filed i I the office of the Secretary of State of the State of Oregon on February 25, 2Q1.9 and a file -stamped copy of the original of the Articles of Incorporation was returned to the incorporator. The Secretary has inserted or will insert the file -stamped copy of the Articles of Incorporation in the minute book. 1. The BvIaws attached as Exhibit "N' are adapted. as the B-�,VaN.sas cif the corporation. 2. The number of directors of the corporation shall be no fewer than three and no more than nine. The following individuals are elected as the directors to serve for the following year and until their successors are duly elected and qualified: LINDSEY SAGE PROVOST SK YL A. 2W0Y?L7H_4 !\7 EMM A PETTERSON 3. The following individuals are appointed to the offices sec opposite their name, to serve for the following year and until their successors are duly elected and qualified: LINDSEY SAGE PROVOST Presidew E MA PET 'ERSON Treasurer SKYLA MOYNIHAN Secretary 4. The registered agent of the corporation is LINDSEY SAGE PROVOST and the registered office of the corporation is 2584 SW 58TH ST REDMONID, OR 97756 INTERNAL REVENUE SERVICE P. 0. BOX 2508 CINCINNATI, OH 45201 Date: MAR 2 b 201/ EMBERS WILDFLOWER ANIMAL SANCTUARY AND BUNNY RESCUE 2584 SW 58TH ST REDMOND, OR 97756-0000 Dear Applicant: DEPARTMENT OF THE TREASURY Employer Identification Number: 83-3668244 DLN: 26053456002969 Contact Person: CUSTOMER SERVICE ID# 31954 Contact Telephone Number: (877) 829-5500 Accounting Period Ending: December 31 Public Charity Status: 170 (b) (1) (A) (vi) Form 990/990-EZ/990-N Required: Yes Effective Date of Exemption: February 21, 2019 Contribution Deductibility: Yes Addendum Applies: No We're pleased to tell you we determined you're exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). Donors can deduct contributions they make to you under IRC Section 170. You're also qualified to receive tax deductible bequests, devises, transfers or gifts under Section 2055, 2106, or 2522. This letter could help resolve questions on your exempt status. Please keep it for your records. Organizations exempt under IRC Section 501(c)(3) are further classified as either public charities or private foundations. We determined you're a public charity under the IRC Section listed at the top of this letter. If we indicated at the top of this letter that you're required to file Form 990/990-EZ/990-N, our records show you're required to file an annual information return (Form 990 or Form 990-EZ) or electronic notice (Form 990-N, the e-Postcard). If you don't file a required return or notice for three consecutive years, your exempt status will be automatically revoked. If we indicated at the top of this letter that an addendum applies, the enclosed addendum is an integral part of this letter. For important information about your responsibilities as a tax-exempt organization, go to www.irs.gov/charities. Enter 114221-PC" in the search bar to view Publication 4221-PC, Compliance Guide for 501(c)(3) Public Charities, which describes your recordkeeping, reporting, and disclosure requirements. Letter 947 01A ES C- 0 BOARD OF COMMISSIONERS Organization: Furry Friends Foundation Project: The Fix is FREE Program- Sponsor and promote spay and neuter procedures perforrned by the Bend Spay & Neuter Project for dogs and cats of farnilies in financial hardship, allowing pets to rei-Train in -chek- homes. Estimated impact/cost: in, 2020, 71 pets were spayed or neutered. Average cost for spay/neuter services is $53.34 I-,)er procedure. Dna Rn;ird 2021 funding rprommpndation- �).4'�4 Grants awarded in past five years: 2020 $2,431 S&N Grant 2019 $4,400 S&N Grant 2018 $3,875 S&N Grant Deschutes County Spay and Neuter Grant Application 2021 A complete application will consist of the following: 1. This cover sheet, signed and dated. 2. Narrative responses to the questions which appear at the end of this document submitted on no more than three separate, single -sided, single-spaced pages. 3. Attachments as follows: a. Proof of the organization's 501(c)(3) tax-exempt status in the form of a letter from the internal Revenue Service (IRS). b. An operating budget specific to the proposed program, project, or activity. c. A financial statement that shows actual total revenue and expenditures for the most recently completed 12-month period. d. A roster of the organization's current Board of Directors. Submit the completed application electronically to Laura.skundricktasdeschutes.org no later than 5:00 p.m. on June 30, 2021. Late or incomplete applications will not be considered. Information or materials submitted instead of or in addition to those specifically requested in this application form will not be reviewed. Contact Information Organization Name Furry Friends Foundation Address 412 E. Main Ave., Ste. 4 / PO Box 1175 City Sisters Phone Number _541-797-4023 Fax Number Zip Code 97759 Alternate Phone Number 541-480-3201 none Email Address info@furryfriendsfoundation.org Website 1'`'ww-ftirr friendsfoundation.org By signing below, I certify the following: 1. All information provided to Deschutes County in this application is correct. 2. 1 am authorized by the governing board of the stated organization to submit this grant application. 3. This organization is in good standing with the IRS and retains its official 501(c)(3) tax-exempt status. 4. This organization is located in Deschutes County. 5. Any proceeds from a grant award will be used in support of Deschutes County residents. Print Name Signature Kiki Dolson Di aIi, sq; �,d b, V. Az Colson D'{�<n�K.4'Wl,nM1 a=f n.ry {Hcrd4 Caundal•o�.9u, r ,i "" i"✓.)L_ ,ornnt.aryt.xnd•: once:��., o, q �S.us Wte2021.06 If oes L'Sfi W 0 Title Executive Director Date 6/16/2021 On a separate sheet(s), please briefly answer the following questions: 1. Describe the history of your organization. 2. State the mission of your organization. 3. Describe the leadership and structure of your organization. 4. Describe the primary activities conducted by your organization. 5. Describe the specific program, project, or activity that a Spay and Neuter grant would support, if awarded. 6. Describe how this program, project, or activity would positively impact the goal of promoting or expanding spay and neuter procedures. 7. Explain the anticipated outcomes of this program, project, or activity and describe how success will be measured. Attach: 1. Proof of the organization's 501(c)(3) tax-exempt status in the form of a letter from the Internal Revenue Service (IRS). 2. An operating budget specific to the proposed program, project, or activity. 3. A financial statement that shows actual total revenue and expenditures for the most recently completed 12-month period. 4. A roster of the organization's current Board of Directors. "Not all pets in need are homeless, some just need a helping paw." www.furryfriendsfoundation.org email: info@furryfriendsfoundation.org I EIN: 45-2352228 412 E. Main Ave., Ste. 4 PO Box 1 175 I Sisters, OR 97759 ( 541-797-4023 June 16, 2021 Deschutes County Board of Commissioners Deschutes County Spay & Neuter Grant Program Email to: laura.skundrick@deschutes.org Deschutes County Spay & Neuter Grant Program Application 1. History of Organization Furry Friends Foundation first began in 1992 as the Furry Friends Holiday Pet Food Drive in partnership with Sisters Kiwanis Club and Sisters -Camp Sherman RFPD, both located in Sisters, Oregon. Families in need for the drive apply through the Sisters Kiwanis application process and are identified as low income. The holiday pet food drive application includes requests for free spay/neuter sponsorships, and is distributed in late December at the Sisters Fire Hall. The drive continues today with Furry Friends feeding a 10-year-average of 391 pets per holiday drive. In March of 2012 Furry Friends Foundation expanded its pet food distribution and spay/neuter/wellness sponsorship services to year-round and became a 501(c)(3) organization known formally as Furry Friends Foundation, Inc. Our support and funding includes The Roundhouse Foundation, City of Sisters grant, Ray's Food Place rewards program, OBRC (Oregon Bottle Recycling Cooperative) and the Deschutes Co. Spay & Neuter Grant Program. We raise other funds year-round primarily through private donations and fundraisers. 2. Mission We are dedicated to improving the welfare of families with pets in Sisters, Oregon. It is our mission to help pets stay healthy and remain in their homes through sponsorship of free spay/neuter surgeries, by operating pet supply and pet food banks, and by offering monetary assistance for pet wellness, vaccinations and emergency veterinary medical needs to families in financial hardship. 3. Leadership and Structure The Furry Friends office is open 2 days a week, daily by appointment with clients able to call for assistance 7 days a week. During the COVID-19 pandemic we have been able to continue to serve families and seniors through no - contact pickup. We also offer delivery services to those who are disabled and to seniors. Applications for spay/neuter and vaccination sponsorships, wellness services and medical assistance are completed at the office or over the phone. The Furry Friend's office maintains a pet food and pet supply bank. We partner with Sisters Kiwanis to provide a second pet food bank at their location. Our focus is the area encompassing a 10-mile radius within the Sisters School District; with an estimated population of 8,000+. Furry Friends Foundation is the sole nonprofit in Sisters aiding pets and their families. There is a core group of approximately 10 volunteers. No individual is paid a salary for his or her time by Furry Friends Foundation. The three board members are Kiki Dolson, Marcy Kuhlman, and Jeannie Sandecki. (See attached roster.) 4. Primary Activities (Of Note: An estimated 40% of the clients we serve are seniors living on a fixed income.) a. Spay & Neuter Sponsorships: Both dog and cat. Individuals fill out a simple application form for sponsorship. We have a partnership with Bend Spay & Neuter Project where the surgeries are performed. We notify Bend Spay & Neuter to add the family to the Furry Friends sponsorship list. The family then makes the appointment and transports their pet. Vaccinations and deworming are also often sponsored at this time. Bend Spay & Neuter then bills Furry Friends Foundation for the surgery and services. b. Vaccinations: We sponsor vaccinations through the Bend Spay & Neuter Saturday Wellness Clinics. Often the only thing keeping a family from licensing their dog is the rabies vaccine. Due to cost, they are unable to afford a visit to a veterinary clinic, so this Furry Friends service paves the way for them to license their pet. c. Two Pet Food Banks & Pet Supply Banks: We maintain 2 pet food banks, one at the Furry Friends office and one at the Sisters Kiwanis Food Bank. We distribute approximately 2 tons of pet food monthly through the pet food banks. The pet food bank at the Furry Friends office also distributes pet supplies including but not limited to toys, chews, coats, leashes, harnesses, collars, e-collars, dog cookies, nail clippers, bowls, shampoo, cat litter, beds and kennels. There are kennels to borrow along with a Have -A -Heart trap for feral cats. d. Financial Medical Assistance: The family fills out an application for medical assistance for their pet. Each application is evaluated on a case -by -case basis. Based on that evaluation and when appointments are available, the family is referred to Crooked Tails Veterinary Clinic in Prineville. Crooked Tails is able to offer excellent care at reduced cost. If the family is unable to transport their pet out of the area, they are referred to one of the three veterinarians in Sisters. We work with Sisters Veterinary, Broken Top Veterinary and Black Butte Veterinary. We begin with a $125 cap to cover the exam and any lab work or medicine prescribed. After the first visit we re-evaluate the level of sponsorship based on the pet's needs and family's ability to pay. We also offer euthanasia sponsorships through the local veterinarians. e. Misc. services - We handle many individual requests for winter pet coats/booties to requests year `round for leashes and collars, kennels, toys and chews, bowls, pet beds, e-collars, prescription or allergy diet pet food, to lost -and -found pet listings posted on our Facebook page. We work with Three Rivers Humane Society to facilitate aclnntion and release of ownership. 5. Grant Program — "The Fix is FREE" We will continue our successful spay/neuter program though 2021 with the same campaign title of "The Fix is Free." The campaign will be marketed through free announcements in the local newspaper, limited free newspaper advertising and some at a reduced rate. It will also be promoted heavily through social media primarily the Furry Friends Facebook page and other Central Oregon Facebook pet groups. Further promotion will include flyers attached to the pet food bags distributed at the pet food banks. Word of mouth has spread our message to the Bend, Redmond and Prineville areas. We never turn down a request for free spay/neuter sponsorship even though the client may live outside our Sisters service area. 6. Program Impact Continuing this program aids us in reaching every Sisters area resident needing spay and neutering services. An important part of the campaign is to educate and emphasize that an altered pet is a healthier pet. We also work with an individual that traps feral cats in the Sisters area and Furry Friends sponsors their spay/neuter surgeries. 7.Outcome We are confident we can continue to aid the Sisters community by reducing the feral cat and unwanted pet population. And, in addition with this grant help families keep their pets healthy, in their homes, and out of the crowded Central Oregon shelters. We respectively request a $4,000 grant from Deschutes County. Thank you for your consideration. Kiki Dolson, Executive Director "Not all pets in need are homeless, some just need a helping paw." www.furryfriendsfoundation.org I info@furryfriendsfoundation.org I EIN:45-2352228 412 E. Main Ave., Ste. 4 i PO Box 1 175 1 Sisters, OR 97759 1 541-797-4023 "The Fix is Free" Campaign Budget 2021 With the 2-month closing of our spay/neuter partner clinic in 2020 we estimated 65 pets for the year. The actual number for 2020 was 71 pets. As the county opens up in 2021 we are hopeful so will the requests for spay/neuters. We are estimating a slight increase for 2021 to 75 pets. Spay/Neuters Cost Estimate for 75 pets Cat Male - $35 + $7 exam fee = $42 Cat Female - $42 + $7 exam fee = $49 Average Cost per Cat = $45.50 Dog Male - $70 + $10 e-collar + $7 exam fee = $87 Dog Female - $87 + $10 e-collar + $7 exam fee = $104 Average Cost per Doq = $95.50 Projected Cost for 75 pets (38 cats, 37 dogs) Cats - $1,729 Dogs - $3,533.50 $3,534 Total projected Campaign Cost = $5,263* Total Estimated Cost = $5,263 Funding from... Deschutes Co. Grant award < $4,000 > Furry Friends Foundation Contribution < $1,263 > Balance -0- Average Cost to Deschutes County to spay/neuter 38 cats/37 dogs (75 pets) = $53.34 per animal *NOTE: The majority of pets are also vaccinated at the time of surgery increasing the cost by $30-$45 per pet. Furry Friends Foundation, Inc. 412 E. Main, Ste. 4 PO Box 1175 Sisters, OR 97759 January 2020 through December 2020 6/15/21 7:36:34 AM Income Donations $13,814.01 Donation - In Memory $1,240.00 Donations Online $3,772.66 FB Network for Good $2,991.13 Benevity Fund $191.20 Fundraiser Sales $190.00 Ray's Access Reward Card Funds $1,462.35 Amazon Smile $233.17 OBRC Bottle/Can Drive $11,000.00 Grants other $6,428.00 Roundhouse Grant $2,000.00 Deschutes Co. Grant $2,431.00 City of Sisters Grant $1,800.00 Total Income Cost of Sales Food / Treats / Beds & Toys Pet Food $8,917.94 Cat Litter $1,524.08 Beds / Tovs / Collars / Coats $_2,9.25.00 Total Food / Treats / Beds & Toys $13,367.02 Freight Pet Food Freight $900.70 Spay Neuter Vaccinations Spay & Neuter $2,982.00 Vaccinations/wormer $3,149.00 Dog Licenses / Chips /Nails $255.00 Total Spay Neuter Vaccinations $6,386.00 Veterinary Care Sisters Vet $723.38 Broken Top Vet $480.00 Crooked Tails $63.00 Humane Societies etc $103.00 Medical Vets misc a_ $349.75 Total Veterinary Care $1,719.13 Fundraisers Fundraiser Supplies cost. $79.83 Total Fundraisers $79.83 Online & Fees Online costs $141,05 Square Fees $3.65 Paypal fees $94.66 Total Online & Fees — _ $239.36 Total Cost of Sales Gross Profit Expenses Supplies $393.37 Office Equipment $269.94 Software $179.88 $47,553.52 $22,692,04 $24,861.48 Furry Friends Foundation, Inc. 6/15/21 7:36:34 AM Postage & Shipping Promotion/Public Relations Liability Insurance Maintenance State Corp Fees Bus. License Rent Telephone Verizon Total Expenses Operating Profit Other Income Other Expenses Net Profit / (Loss) $46.20 $31.99 $1,830.00 $135.00 $50.00 $10.00 $1,860.00 $851.45 $5,657.83 $19,203.65 _ _ $119 203.65 Furry Friends Foundation, Inc. 412 E. Main, Ste. 4 PO Box 1175 Sisters, OR 97759 6/15/21 7:35:49 AM Assets Current Assets Cash On Hand Checking Account Total Cash On Hand Total Current Assets Property & Equipment Buildings Equipment Total Buildings Total Property & Equipment Total Assets Liabilities Current Liabilities Accounts Payable Oregon Department of Justice Total Current Liabilities Total Liabilities Equity Retained Earnings Current Year Earnings Historical Balancing Total Equity Total Liability & Equity Balance Sheet 1 $89,570.26 $89,570.26 $89,570.26 $289.98 289.98 $289.98 $89,860.24 $1,486.89 -$57.00 $1,429.89 $1,429.89 $57,982.58 $19,203.65 $11,244.12 $88,430.35 $89,860.24 412 E. Main Ave., Ste. 4 PO Box 1175 1 Sisters, Oregon 97759 EIN: 45-2352228 Furry Friends Foundation Board of Directors: Kiki Dolson, Executive Director PO Box 1175 Sisters, OR 97759 Marcy Kuhlman, Director 891 S. Starry Skies Ct. Sisters OR 97759 Jeannie Sandecki, Director 783 Greenridge Sisters, OR 97759 INTERNAL REVENUE SERVICE P. O. BOX 2508 CINCINNATI, OH 45201 MAR 2 O� ?01 Date: FURRY FRIENDS FOUNDATION INCORPORATED C/O KATHLEEN DOLSON PO BOX 698 SISTERS, OR 97759-0698 Dear Applicant: DEPARTMENT OF THE TREASURY Employer Identification Number: 45-2352228 DLN: 17053320354011 Contact Person: PETER A ORLETT ID# 31436 Contact Telephone Number: (877) 829-5500 Accounting Period Ending: December 31 Public Charity Status: 170 (b) (1) (A) (vi) Form 990 Required: Yes Effective Date of Exemption: May 16, 2011 Contribution Deductibility: Yes Addendum Applies: No We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501(c)(3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records. Organizations exempt under section 501(c)(3) of the Code are further classified as either public charities or private foundations. We determined that you are a public charity under the Code section(s) listed in the heading of this letter. Please see enclosed Publication 4221-PC, Compliance Guide for 501(c)(3) Public Charities, for some helpful information about your responsibilities as an exempt organization. Letter 947 (DO/CG) _2_ FURRY FRIENDS FOUNDATION Enclosure: Publication 4221-PC Sincerely, Lois G. Lerner Director, Exempt Organizations Letter 947 (DO/CG) \)I ES CdG Organization: Nun lane Society of Central Oregon Project: Subsidizes the Mother & Kittens Special, offering spay/neuter surgeries for rnother & four kittens for $100. This special ensures when kittens are ultimately re - horned, they're unable to produce unplanned or unwanaed litters themselves. in 2020, 17 Mot!--)er & Kitten specials were pi ovideCi. Average cost for each special is about $150, Pto� D--4 lnll fktme4inn rornn-iryinnrlmtinn- q-,? f,l Q L-' 6 "Uclg%A t6 5—b , — Grants awarded in past five years: 2020 $2,569 S&N Grant 2019 $8,600 S&N Grant G _ O O O O t0 C Ln � m v r m Ln m m r- Ln Ln E N N c— N r E {f} H4 tR tf4 �i4 bR O u (A ZZ u x °� N v c vC 4-1 0 C � _ V1 � IL i � v '~'i Co C a i i C C N p aJ Q aJ ice, Y 1 Q C p O O � L aJ N ro 0 0 by 4-1 � � {L� N Q " y W vi p di Q. 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E_ C Q ai i aJ � aJ E 6L Q 'E� o aJ C '� p N _ N w I 7 aN,142 C 'C 0 v- X O .� 'tn 'O aJ > ro 0 0� E 0 ro ro p V Q m U 0 a) r a> u +- 4- 'a C 0 O O 0 v 0 u v � J 1 o � 0 3 N 0 to E 4 E _0 C C C _0 w aJ ry m U m V1 m O tQ � O i d i w O O E ++ to C C N a a o O a iO t- M O o;w •= t a G7 O L a L O O 3 41 0 N L O bA i = L C fG p t0 In i R i w u' O Z 4J O.:a V O 4J E M i= m i E bo O E 4l Q O C L O O C mu u°O�� u°u Wa U.° =u