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CC - Item 4A - Approval of Fireworks Stand Locations , 4fff1.-EM� v9O, : staqp0rt I. TO: HONORABLE MAYOR AND MEMBERS ROSEMEAD CITY COUNCIL FROM: FRANK G. TRIPEPI, CITY MANAG 3._____) 4,-....77____ DATE: JUNE 4, 1997 RE: APPROVAL OF FIREWORKS STAND LOCATIONS - The License Department originally received 16 applications for fireworks stands. The City Council approved 12 locations at the last Meeting. Attached is a list of the 4 remaining applications of which we are recommending approval of 3. We are not recommending approval of the Industry Education Council. Their permanent meeting place is in San Gabriel and although Rosemead Students are recipients of some their award presentations, it does not appear as if it directly benefits Rosemead residents. Staff made repeated requests for financial and membership information and none was provided. Attached are copies of all 4 applications. RECOMMENDATION It is recommended that the Rosemead City Council approve the 3 applications and waive the electrical permit fees; and reject the application from the Industry Education Council. COUNCIL AGENDA JUN 101997 ITEM No. 3:-Z.. ce-A. firew97 1 1997 FIREWORKS STAND LOCATIONS Recommend for Approval Rosemead Scout Hut 8351 Garvey Avenue Parents of Cub Scout, Pack 311 8400 Valley Boulevard San Gabriel Valley Search for Christian Maturity Valley Blvd/Temple City Bl. Recommend Not Approval Industry Education Council N/E corner Rosemead/Mission 4 4ik A CITY OF ROSEMEAD • 'TT APPLICATION FOR FIREWORKS SALES PERMIT FILL IN ALL QUESTIONS & RETURN BY MAY 1st NAME OF ORGANIZATION Io E7,-✓t J G�T wT Tim r - PURPOSE OF. ORGANIZATION SGA pr'cg:7- kl c e rig /2 _ HOW DOES THIS ORGANIZATION INTEND TO USE THE PROCEEDS FROM FIREWORKS SALES TO BENEFIT THE ROSEMEAD COMMUNITY? ATTACH FINANCIAL STATEMENTS AND BUDGETS TO SUPPORT YOUR ANSWER. /a_fcios 4 61-4-E7-11 -77r7 �r ii✓T 1��J ��P�i�'Y �L`ALl�!•✓�_S Fcp� 0 sc.,.w?s a. O;uc l� �L / � 'L3lVs. mi G • (Y.,.^Ta-D -7-0 /A:.0iV1✓O1/-/ L- 5bt-13 S !1' /��r —7 v'/ 7 PRINCIPAL & PERMANENT MEETING PLACE ?sy c IS THIS A NON-PROFIT ORGANIZATION? PRINCIPAL PLACE FOR THE CONDUCT OF NON-PROFIT ACTIVITIES DATE OF INCORPORATION/ESTABLISHED NUMBER OF MEMBERS RESIDING IN ROSEMEAD , ,0 ✓,y`. OFFICERS NAME, ADDRESS, TITLE AND TELEPHONE NUMBER: J i< i M 1//5 5-3 3 N- -e-/- z. /f^ ZkeGAG 3 I2ti6,n it-SIL RG5e7n eG,z/ S r -- .8" -7/y76 /V i - T f�57z b7�L'4,/L �l n�p' �ri'eG%5 5r1� y�!"3��.�v LENGTH OF STAND: ,2 LOCATION/ S/ C-; '7 n STATE BOARD OF EQUALIZATION SALES TAX U BER 5/ A- /2 Cj 7 127 3 c,/, RETURN- DEPOSIT - PAYABLE TO x,330/ MAILING ADDRESS (;_c, r. C / 117). SIGNATURE TITLE (go.a O //i AA. f2_ • Tkd/e �. alicF - 92 . / �dS- 6 31 JUN-03-97 TUE 08 :57 BIG BEAR FIREWORKS 2094915188 P. 02 TO: CITY CLERK LOCAL FIRE AGENCX ANO/Op OTHER INTERESTED PNRIIES PROPPRS.`Y PERMISSION USE TO WHOM IT I-AY CONCERN: THE UNDERSIGNED, owNER AHD/OR coNTROLLING PARTY, of TUE PROPER"Y ?LISTED BELOW HEREBY GRANTS PERMISSION • 5 . -� �1 AND BIG BEAR^ FIREwORRS Co. INC. , TEM 175E OF TEE PROPERTY LOCATED AT: 83 s/ • e- ve. APt1 � (AssESSORS PARCEL NUMBER) ` !,�� C 4 CITY OF r' COUNTY OV • 44I FUR TREIR 19 V FIREWORKS SEASON. TEE ORGANIZATION AND/OR BIG BEAR FIREWORKS CO. ,fNC. A E To SEE TEAT 'r&F PROPERTY LISTED ABOVE WILL $Z CLEARED OF ALL STAND* i RE SE WITHIN /0 DAYS OF xah CLOSE O$' Y"H}; SEASON_ I Ppir iro 4 NA :8 - PLEASE PRINT LAIL S I .��r TU2E (PROPERTY OWN t2/CONTROLLER OF FROPERTY) DATED 19 97 • c PROPERTY OWNER: PLEASE INDICATE BELOW T& 1-ZM.Z OF TME ADDITIONAL. INSURED AND EOW YOU WISE YOUR CERTIFICATE OF INSoRANC.F, TO htAD. ADDITONAI l f INSURED t e(1Pin * L-• c R L.) ( -,/rune • / J CERTIFICATE OF INSURANCE TO aE MAYLJD TO:^_a(% 4 (-t ftr-Ey 4,1& Pgo1�E: (6/69) 0180.73 977 5e_77-)e,,,r q/ 770. CERTIFICATE OF INSUR .t Cx WILL BE h.AX LEE PRIOR TO ERECTING OF S ANO8 AND T SALE OF ANY F ZRCE NDISE, BIG BEAR "PE? jpM„ rIR.EWORY.s CO. 700 KIERNM AVE. , UNIT A MODESTO, CA. 95356 •i^800-733-777i APR-01-97 TUE 10 :33 DIG DEAR FIREWORKS 2094915158 F- 07 • CALIFORNIA DEPARTMENT OF FORESTRY A ND FIRE PROTECTION STATE FIRE MAR.SHAI., 4-'7:74;",--.. RETAIL FIREWORKS APPLICATION nor rIr, swvn, .:•I•17A • (Print or Type Only) �jti ..,r,—.3 STAT yl MA HAL t::nrnl)f„te all lines and return all copies to office nearest stand location with $50.00 money order. ‘..--1 ca.sh.icr cheek or postal note. Application Must Be FilcrI Prior to June IS. 7171. Bowling Drive 1501 W. Cameron Avenue 2300 Merced. Street Suite 600 Suite C-110 San Leandro. CA 94577 Sacramento, CA 95823 West Covina, CA 91790 (510) 357-8173 (916) 262-1963 (818) 960-6441 • CAJ.,IF013NIA STATE FIRE MARSHAI, RETAIL FIREWORKS LICENSE_. Licenseef p7-1(ecc � c. /tyL V r� • / Stand ? ' � L( I,ocatirn � � � Yc ! flL ____ (Nearest cross st ect to the stand) Cin•_ 1C>r _ 1)1Ea�• Q 6-1, qr7JG} LOCA_. CONTACT Pf 11SON • Nan},F: - Lk:AA r..Q._ !*)Cc.kV" Phone (&- ) (.)37 ` q-,2'&1 ----NOTICE— TIIIS COPY MUST BE: POSTED AT STAND • li'ITII ;1 COPY OF THE LOCAL, PERMIT • No license rcill h' issued after ,Pine 1.5 of the current year. This license i.; not valid 121110.cN ertlidated by the State Fire Marshal. When r:alidated, this license allows the sale of only c(assi.f ed -Safe riled Sane" fireworks of the approved location from NI)()N: Il" e 28, to NOON, JULY IL of the year indicated, when accompanied by a permit 'coni the local authority having jurisdiction. (Note! Retail licensee's are required to he at least .2] years of age, f tnplot aes of fireworks stands must he at lca.ct 18 and firerrork-c may riot be sold to anyone ander the age of 16, Permits ',icy bc., rr-grtired b;, your local fire department, and contpliMICe with local regulations is expected.) t,1:'11.i?'( ,•IDhRF.",S OF LICENSEE f c" `;�;,.,:.;, } j .T •e,l+ra Nam 0 1- 5 �'r1fiC M kaHAL . l / 1 .:t4 _SrLL/(- r V'1 Li IL.. r' ! `r.. .F:,e 11iL 6 Address G -iiZ - r • r .3: r kyylz}:,;;.,'::',-,:i. '77 l'' is M.l. i .,._•It1 ,.�'�'{`..' ;'.-. . i+ ' z.,,,:-... z.i FIRE AtTIJORF1Y IIA\ INC JURSt) CTION _ ' . . --�- 4 �— —.'irr Signature of Ap >lent 7c ,t. 4,0 c4 [('r - 'l< �— / 3 0 -� ilio,`—/A•• _f'.0-F�/l 44,,c,,. _ Siguatlitc ut Applicant I pate: ROSEMEAD SCOUT HUT, INC. Annual Report January 1 thru December 31, 1996 Total checking and savings 1/1/96 $7,386.45 Income Interest on savings account $ 96.20 Fireworks (net income) 5,429.45 Donations—hut use 1,325.00 Total income 6,850.65 $14,237.10 • Disbursements Utilities Electric $278.33 Telephone 454.81 Gas 185.12 Water 255.81 $1,174.07 P.O. Box Rental 40.00 Insurance 2 1,552.71 Property tax SII A_ D. 2� �_ Repairs �'�'`" ' 20.00 Troop 511 1,500.00 Troop 591 1,500.00 Total disbursements -5,786.78 Total savings and checking 12/31/96 $8,450.32 -�� • • :� �a:Qa ::l:t,l".,Yl.:.;:::^"'hV;:;,�l�:n..:i.v`i� Y./V-..✓:iaoit.�iN< ES:a4:'l:.r • ... ..y. A> + .y<.r }� ^:4 }� <a� D +}}�� T 1 SUIT�... .>x,. ., .,. :.,<�x-::`w'.w '': '�z"."' ,:x:;;�;;:; 02112/97 Britton-Gallagher & Assoc. 21e 248-x711 OONLYCAND FICONF IS RSSNO RIGHTS MUPONRTOHEINFORMATION CERTIFICATE 6240 SOM Center Rd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, ATE ALTER THE COVERAGE AFFORDED BY THE POLICIES EXTEND Cleveland, OH 44139-29$5 COMPANIES AFFORDING COVERAGE COMPANY A General Star Indemnity Co. WSURED - — $.J- Alan Company COMPANY B The Travelers Indemnity Co. Big Bear Fireworks . 555 Martin Luther King Jr. Blv CO CANY Youngstown OH 44502 - • .-- COMPANY tour •:•:•<•,-"xw:"'"<':::air�R:S:a.'«..,n.>..:..a:�c:`„'. '" � ,u^,. ,.il!�xa`�s' -. THIS IS TO CERTIFY THAT .<w.e;r'>,wxraoav: a:..,.._.... ., :,;'a'��=��k :;:`.�iti "? ,.,•�"nz THE POUCIES OF INSURANCELISTED BELOW HAVE BEEN ISSUED TO THEINSURED �� POLICY PERIOD" INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT ABOVE RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E<CU'USIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- r I Dat TYPE OF INsue.ANDE i ICY EFPlCTR/E P!SLJCY)iXPIRAT101v �_ L rt I I POLICY HUMBER DAT IMM/DD/YY) DATE IMM/DD/TY) I UMITS A 1 O NFNAL UAEIUTY I IYG345596 �� X c 10/01/96 To/DI/97 1GENERALAtcstuAm I7 2000000 oUMERcwL GE?IERAL LIABILITY CL4ifAS I1ADE I X OCCUR I PRODUCT l'_,.P:OP AOG 1000000 I PEPSOrJAL IJ,ADv INJtRY i 3 1000000 OWNER'S&Cot:TRAC T OR'S PROT I 1 EACH OCCL:P.RSNCE - s 1000000 i - i IME JA MAGE Any cna r:ral I • 50000 _ i M;0 EYP:Ary:na:alsor.l 'AUTOMOB!L.E LIABILITY • I rJ I ANY ALIrc. CCS3IP:ED S'JOL5 LIMIT • S ! 1 i • • I SODiLY:NJVRYerA :LrTGS iiiDT I(Per eersrn) ' 0'L ! AI NON-O'A Ei AUTOS I Per a cl SnuPY S • • i PRQFEAT'!DAMAGE A II—GAALi:F LIABILITYI -- - --.-.— i I I AUTD ONLY-E-.ACCIDENT a- ANY AUT.0 !r 1 ;OT'ER THAN AUTO ONLY: i -- • . I EA CJ--At'.C1DE."JT . . .itiunC:L-S.Ta 3 B 7cEss LIABILITY 231T14-2596 10/01/96 J 10/01/97 • EACH OCCURRENCE I s 4000000 L'mSP.EL:h FvRlr1 . • ?cru FEr ATE _ S L __ 000000 X I DTHER THAN UMBRELLA FOAM SIR s 10000 WORKERS COMPENSATION AND I I:NC STATt. OTH.'7 E;IPLCY9is'LIABIL''TY ORY L.MIT$1 i FF .• _ ••• THE PROPRIETOR/ 1 FI EACH ACCIDENT I a PAATI..E?S,EeECUTIVE INCL 1 - •- EL DISEASE-POLICY LIMIT 13 OFFICERS ARE: I I ID<CL OTHER - — ! EL DISEASE-EA E?•.7PLOYEE • S - ! I • i CE5CRIPnnn OF OPE \TIONSLOCATIONSN£FIICLEB,SPECuu rrEMS SEE ATTACHED ADDENDUM A T SHOULD ANY CF THE ABOVE DESCRIBED POLICIES of CAM:ELLIEE BEFORE THE !, ,n it L L SCOUT ��T EXPIRATION DATE TRF.REDF, THE ISSUIh3 COMPANY JIJ ENDEAVOR TO MAIL -' ,-, . .. ".: C• . - 1_ 30 DAYS WRITTEN Nonce TO THE CERTWFICATE HOLDER NAMED TO THE LEFT- BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR L'.:BIL!T7 QY Guess Ct.. r OP A Y KI D UPON THE COM ANY. ITS AGENTS OR REPRESENTATIVES. ri0Se;T!ear_L, 0r_. 9l! 0 �a,$i�'F<i I�TF:9�_CFF:1 1 a'�ts'.: ::....: -....... .... ..:......_•..._..... ___.... ......--..,.,.....__._...,.....--,....s.. ..-.- ..^.^^.... ..._...--- -- ........ .--._...-...-................ ........ y .. • ADDENDUM A • Attachment to Certificate of insurance for: • B.J. ALAN COMPANY BIG BEAR FIREWORKS, INC The Certificate Holder, the following Organizations; Interests of the Property and Municipalities are included as Additional Insured as respects liability coverace (Vendors Endorsement and premises Liability) as their interests may appear. • Certificate Holder: ?'osenle d Scout Hut Location: Parkir:_ Lot i8 5i Garvey rive, , oseif.ea L, CA. Property Owner: _ '.ant Laidlaw _ality. CiTy of Flos : ead i County of Los Ang 1 Es It' s officers, acents, employees and volunteers when acting in their official Canacity. • BT-400-THO-LZ(S1)REV. 15 (7-96) • STATE OF CALIFORNIA TEMPORARY SELLER'S PERMIT AND SALES AND USE TAX RETURN BOARD OF EQUALIZATION DUE- ON OR BEFORE 08/31/97 FOR JULY 1997 BOARD USE ONLY RR-B/A Mail to: 29 19073 036 0000 ST AP 97073619 RR-OS 3675 ROSEMEAD BLVD. ROSEMEAD • ROSEMEAD SCOUT HUT INC. L°" BOARD OF EQUALIZATIONROSEMEAD P.O. BOX 942879 9453 GUESS ST. • ACC SACRAMENTO CA 94279-000IROSEMEADr CA 91770 REF PLEASE READ INSTRUCTIONS BEFORE PREPARING IMPORTANT REMINDER: A return must be filed even though you have no tar,to report. NOTE:This return requires completion of only the identified line numbers. Please disregard any skipped or missing numbers. STATE;A•k E; LOCAL and DISTRICT SALES and USE TAX RETURN TEMPORARY SELLER'S PERMIT AUTHORIZED FROM 6/28/97 THRU 7/4/97 1. TOTAL GROSS SALES 1 oO PLEASE ROUND CENTS TO THE NEAREST WHOLE 2. PURCHASE PRICE OF UNSOLD TAXABLE INVENTORY PURCHASED 00 DOLLAR WITHOUT PAYMENT OF CALIFORNIA SALES AND USE TAX(your cost) 2 ' 3. TOTAL(add lines 1 and 2) • 3 00I 4. SALES TO OTHER RETAILERS FOR PURPOSES OF RESALE 5e$ .00 5. NONTAXABLE SALES OF FOOD PRODUCTS 51 .00 8. SALES IN INTERSTATE OR FOREIGN COMMERCE 54 REC TO OUT-OF-STATE CONSUMERS 00 NO 9. SALES TAX(IF ANY)INCLUDED ON LINE 1 55 .00 10. (a)COST OF TAX PAID PURCHASES RESOLD PRIOR TO USE 57 .00 (b)OTHER(clearly explain) 90 .00, 11. TOTAL EXEMPT TRANSACTIONS jadd lines 4 thru 10(b)] 11• 00 12.TAXABLE TRANSACTIONS(subtract line 71 from line 3) • 12. .00 13.STATE&COUNTY TAX 6 1/4% (multiply amount on line 72 by.0825) 13. .00 PM 17. LOCAL TAX 1% (multiply amount on line 72 by.01) 17- .00 18. DISTRICT TAX(enter from line All, Schedule A) 18.f .00 19.TOTAL STATE,COUNTY,LOCAL AND DISTRICT TAX(add lines 13, 17&18) 19: .00 { Transactions subject to San Diego Co.Tax Credit.(Effective 4-1-94 thru 3-31-96) y N "Jt,, Transactions subject to Monterey Co.Tax Credit. (Effective 10-1-94 thru 3-31-96) • r iii; r, n 24. PENALTY OF 10% (.10)is due if payment is made after due date shown above 24' .00 25. INTEREST:One month's interest is due on tax for each month or fraction of a month that payment is delayed after the due date;refer to Notice of Interest Rate Change,Form BT-581,for current rate 25. 00 RE 26.TOTAL AMOUNT DUE AND PAYABLE(add lines 19,24&25) 26. $ .00 • I hereby certify that this return,including any accompanying schedules and statements,has been examined by me and to the best of my knowledge and belief is a true,correct and complete return. YOUR SIGNATURE AND TITLE TELEPHONE NUMBER DATE PAID PP.EPARER'S NAME • PREPARER'S SSN OR FEIN PAID PREPARER'S FIRM'S NAME(or yours if self-employed) USE ONLY BUSINESS ADDRESS • MAKE CHECK OR MONEY ORDER PAYABLE TO THE STATE BOARD OF EQUALIZATION Always write your account number on your check nr mnnav„rd - BT-400-THQ-LZ(S2)REV. 15 (7-9G) READ SCHEDULE A - COMPUTATION SCHEDULE FOR DISTRICT TAX INSTRUCTIONS eEFo TRANSACTIONS SUBJECT TO STATE,COUNTY AND LOCAL TAX PREPARING TH15 Al. (enter amount from line 12 on 13T-400-T1-10-IZ) $ .00 SCHEDULE DEDUCT- Sales made from locations INSIDE or OUTSIDE districts and • Please round cents to thi A2/P.3. delivered to any point not in a district. 000 - .00 nearest whole dollar AMOUNT OF DISTRICT TRANSACTIONS(subtract line A2/A3 from line Al) $ 97073619 A4. [Allocate this amount to the correct district(s)in Column A5 00 DISTRICT TAX ALLOCATE LINE A4 TO ADD( + )A5./A7.DEDUCT(-) TAXABLE AMOUNT TAX DISTRICTI0.TAX DUE AREAS CORRECT DISTRICT(S) ADJUSTMENTS A5 plus/minus A6/A7 RATE Multiply A8 by A9 'ALAMEDA Co. 011 .00 .00 .00 -01 $ .00 'CONTRA COSTA Co. 025 .00 .00 .00 .01 .00 DEL NORTE Co. 047 .00 .00 .00 .005 .00 FRESNO Co. • Transportation Authority 012 .00 .00 .00 .005 .00 FRESNO(Effective 7-1-93 thru 3-20-96)040 .00 .00 .001 Metro. Projects Authority Discontinued00 IMPERIAL Co. Local Transportation Authority 029 .00 .00 .00 .005 .00 046 . 'CITY OF CALEXICO*' 045 .00 Heffernan Hospital District 00 .00 .005 .00 INYO Co. 014 .00 .00 .00 ..005 . .00 CITY OF CLEARLAKE(Lake Co.) 058 .00 .00 .00 .005 .00 'LOS ANGELES Co. 036 .00 .00 .00 .01 .00 MAD RA Co. 034 .00 .00 .00 .005 .00 ORANGE Co. 037 .00 .00 .00 .005 .00 RIVERSIDE Co. 026 .00 .00 .00 .005 .00 SACRAMENTO Co. 023 .00 .00 .00 .005 .00 'SAN BENITO Co. 054 •00 .00 .00 .01 .00 SAN BERNAR DINO Co. 031 .00 .00 .00 .005 .00 SAN DIEGO Co. 013 .00 .00 .00 -.005 .00 "SAN FRANCISCO Co. 052 .00 • .00 .00 .0125 .00 SAN JOAQUIN Co. 038 .00 • .00 .00 .005 .00 'SAN MATEO Co. 019 .00 .00 • .00 .01 .00 SANTA BARBARA Co. 03D - .00 .00 .00 .005 .00 SANTA CLARA Co. 003 .00 .00 .00 .005 .00 'SANTA CRUZ Co. 041 .00 .00 .00 .01 . .00 SONOMA Co. 039 .00 .00 .00 .0025 .00 STANISLAUS Co. 059 .00 • .00 .00 .00125 .00 TULARE Co. 060 .00 .00 .00 :005 .00 A 11.I TOTAL DISTRICT TAX.Add Column A.10. (Enter here and on line 18 on front of return) .00 "This district tax area includes more than one transactions tax district.(See Instructions for Schedule A)*"The City of Calexico Heffernan Hospital District Is located in Imperial County.Its boundaries are the same as the City of Calexico.Transactions subject to the Calexico district tax are also subject to the Imperial County Local Transportation Authority Tax. . 'Salesman 0 ae City aac( Date --.7-97 Organization OSQ S-C, Acct. # Thomas Guides Co. Page Chairman Rail 1/4, 4r511 PHONE: Home Qie �j C-�O 7�Q2.67Wo rk da -.2g7--.277/ Chairman Change ^ i g !F�O Home Work • • Size Type Back Doors Vit Ord. Up Date 7 Down Date tair • P.O. Up Date 77 ♦ TADown Date Address/Intersection S33A- <.__Z6Lt �"'c'"� �1_ f` � A' SPECIAL INSTRUCTIONS Look. 41' IN lek "h r Setback 3 ' Setbac Sidewalk /d Bldg_ 7U Gas t 11 �`L i,rve i 7• F R B E BB 4xR 4xE 2x4x12 1515.. .IW..W. 1•... .W.IIPFAM./■■...N.■■■■.w...WW..... 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FILL IN Ztlp QUESTIONS a StElTuRN Sy MY 1st MANE OP ORGANIZATXQ refS _offe.k. 0- _ MVO= OF oRZANizaTrow moi► _. ' a II 41, tri A Wit DOES THIS ORBANIZATIOP rim= TO DIM TER PRAomDB PROM ?mammaR,S $A ZEO TTo =UPUYWPOIT T$8 =MEWNI't'Y7 ATTACH PZNA2�CI1L. .6TANTg AND BUDGETS TO aUPPORT YOUR AltswEx- n _ 1 AfoCQels nvv, I \ it tNt" or -. '. \ a C A . a '� D Y l • p a /A I • • V 4.4 .a tt, 4 \A. .•. .. i _ ._..__.P .SCS 1-'-eige,zp . PRINCIPAL 1 MEETING PLACE, lb 3? E• i ' ' cc ' ,:. i: , , ', J/tcttge AG- si` I8 Taxa A NON-pfopIT ORGAa/ZATIODt'; ....41_______________________ PRINCIPAL PLACE POR mn CONnum op Nam-p1OPzx ACT1vZTIg,S 2�! ' OUB!'1 . D`�T'°Q V a r P ItIN DTP OF MOR OB ON/g8Tuimsaxp • • 0? MMNIBURs RESIDING Ix Ro6P.r+ s*+ •FirI E i _ bDREBA 1. •.t! s_ : . .!ho i !. .‘M • ., -614664_ ..$t- . t.- +61 _ % _ / . ,4 _,_ . . ,,f 1 i . 5. , 1- . L --P, - 81 36-1- I � j?.ium o H or IM s Ar- . ..:',rum. CC • (X... V._ ti ' t Mp„ tg#►a. `..EQUAL=8ATYCiN. 83lLES.TA$a ituithist, RETtrax DSPO=Y'P - PAYABLE TO . . l HAILING imus Ho 0 s.' . .• G),Asiti As In ) , t— =WA t7 - i , . Ce- " . 1 =Tzar, ae,v1 Lk-AA ,r. e - DRAYTON INSURANCE BROKERS, INC:- -:.- ". w gip' 2500 GMER POINT ROAD,SURE 301 POST OFFICE BOX 94067 -" BIRMINGHAM,ALABAMA 35215 . BIRMINGHAM,ALABAMA 35220 1EI.EPIIONE(205)6545606.: - `=:FAX:(205)8545E99 ' CERTIFICATE OF INSURANCE " :::•'2-..:. .; NO t1GeS6O.7,' We certify that 'insurance as outlined below is afforded the Named Insured '. NAMED INSURED Blockbuster Fireworks of California, Inc 7` ti � '" 169 West 'Mindanao ' '.• - ::- i Bloomington, California 92316 . PERIOD: . December 1, 1996 to November 30, 1997• BothDays Inclusive. SI-4 COVERAGE:-•' Commercial General Liability including Premises-5 Operations Liability and Products & Completed Operations"Liability. 'LIMIT OF LIABILITY: A) Each Occurrence - $10,000,000 B) Products & Completed Operations A reate--•:<_: $10,000,000 .; P P 88 8 ` . Afforded by :I. Admiral .Insurance Company, :.. f Policy No: A96EG24409'.for a;limit of $5,000,000. 7- II. United National Insurance'Company ' - Policy No. XTP47121 for-a:limit of $5,000,000 - Excess of $5,000,000.. ;;: F. The above stated limits of liability apply to each occurrence but,,as respects Products and Completed Operations liability only, in the aggregate. It is certified that, in accordance with, and subject to, the terms of',the above policies the following SPONSORS AND/OR COMMITTEES AND/OR PROPERTY OWNERS AND/OR LICENSING AUTHORITIES are included as Additional Insured(s), but only in respect of the legal liability of such Additional Insureds for Bodily Injury and Property Damage arising out of; 1) the ownership or use of the Insured Premises stated below, which are used for the sale of fireworks distributed by the Named Insured, 2) the sale 'by the Additional Insured of fireworks distributed by the Named Insured. The limits of liability stated above shall not be increased either:. 1) by the inclusion of more than one Insured; nor 2) by the receipt of more than one certificate by any Insured. INSURED PREMISES: SUNSERI'S MARKET 8400 VALLEY BLVD. ROSEMEAD,CA ADDITIONAL INSUREDS: CHARITY: PARENTS OF PACK 311 - PROPERTY OWNER: MIKE SERENO ` CITY OF: ROSEMEAD, CA their officers, agents, and employees when acting in their official capacities as such. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate may be issued, or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions, and conditions of such policies. For particulars concerning such terms, exclusions and conditions each Additional Insured is referred to the policy documents in the possession of the Named Insured. Should the above described policies be cancelled before the expiration date thereof, the issuing company will mail 30 days' prior written notice to the above named Additional Insured. - c' DRAYTON INSURANCE BROKERS,-INC. aT APRIL 21. 1997 » t•3i.: DATE A. J. STRINGER, PRES nNT .�, ;: '4. ' re,-sox: • CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION STATE FIRE MARSHAL r - RETAIL FIREWORKS APPLICATION °`""� (Print or Type Only) ®� Complete all lines and return all copies to office nearest stand location with $50.00 money order, STATE FIRE MARSHAL cashier check or postal note. Application Must Be Filed Prior to June 15. CSFM Northern Region 1501 W. Cameron Avenue 2300 Merced Street P.O. Box 944246 Suite C-110 San Leandro, CA 94577 Sacramento, CA 94244 . West Covina, CA 91790 (510) 357-8173 (916) 262-1963 -.(818) 960-6441 CALIFORNIA STATE FIRE MARSHAL RETAIL FIREWORKS LICENSE Licensee R; P#7-6 G 3// Stand o ation v d /.71//e/ r (Nearest cross street to the stand) City d.SG�'/Ljf.�-� C•'7 LOCAL CONTACT PERSON / Name' C=� 4/C� 1P- p9125 i/`) Phone ( ,) f77- zy"Ltti - NOTICE — THIS COPY MUST BE POSTED AT STAND WITH A COPY OF THE LOCAL PERMIT No license will be issued after June 15 of the current year. This license is not valid unless validated by the State Fire Marshal. When validated, this license allows the sale of only classified"Safe and Sane"fireworks at the approved location.from NOON, JUNE 28, to NOON,JULY 6, of the year indicated, whenaccompanied by a permit from the local authority having jursidiction. (Note: Retail licensee's are required to be at least 21 years of age; employees of fireworks stands must be at least 18 and fireworks may not be sold to anyone under the age of 16. Permits may be required by your local fire department, and compliance with local regulations is expected.) MAILING ADDRESS OF LICENSEE Name Blockbuster Fireworks �� tk r ` { mot Address 169 West Mindanao • City Bloomington, CA 92316 L a. h FIRE AUTHORITY HAVING JURISDICTION /ip / Fire ` i_ • re of Applican Dept. -- L. 4 1V y Address 3c=3Ds l L=7�'� i'7UC _ Signature of Applicant City S e4 Date: EXHIBIT "A" CUSTOMER NUMBER: DATE: Lk/9- 97 SALES ASSOCIATE: ORGANIZATION NAME: f ALJ7 & 3// SELLING CITY:22,SPi./..4cc_ CHAIRMAN/CONTACT: /UIrf2/L r/ lbi PHONE: W E</q- S95— 74H ALTERNATE CONTACT: PHONE: W H SIZE OF STAND: X Co PROPERTY OWNER: SET UP DATE REMOVAL DATE CITY ORDINANCE: SET UP DATE REMOVAL DATE STREET ADDRESS: °�° //ice/ CROSS STREETS: 1 /(1' INSTRUCTIONS: s ,-7 ll C'f 7 � � / /37 SETBACKS: CURB SIDEWALK BUILDING GAS OTHER "ThNORTH[- -J Q.[ Vuv R . E S I (1• T T cem Uf\seA rS � 4 1 I , L. �OUiL TF L THOMAS GUIDE COUNTY/YEAR: . A• Co �^ j - CQIn PAGE/GRID: 51 CA -- p J GI GROUP APPROVAL: i \ DATE APPROVED: SIGN AND PRINT NAME • PROPERTY OWNER AUTHORIZATION i G hcke, I ✓1 U , do hereby certify that I am the (Property Owner/Authorized Person) owner, or have the Power-of-Attorney for the owner, of the property located at: 6. U4(le-y x°11 CGt 91)? (Street Address,City,State,Zip Code) and that I hereby grant permission to Blockbuster Fireworks of California, Inc. and DARE KY-1 S P c c " to use the above stated property for the (Charity) express purpose of the retail sale of"Safe and Sane Fireworks" (as defined by California law), for the q 7 July 4th season. (Year) Name (ficc_Lel CLv� Address: S40D 6. Ucdic�, IJI�J: City, State, Zip: £ :tkw cc, 9 0) 0 Phone Number:// D; - 7 J- 1 i u.s / • (Property Owner) (Date) My\ c, S n4- o . PERMIT COMMITTEE ITEMIZED REPORT OF RECEIPTS AND EXPENDITURES FOR THE SALE OF FIREWORKS FOR THE YEAR 19 97 I. GROSS RECEIPTS FROM THE SALE OF FIREWORKS $ /1// Oa • 2. ITEMIZED EXPENDITURES:* a. Fireworks Distributor** $ / 000 b. Fireworks $. 1 c. Construction of Standyi&&TAL $ Z oU• d. Taxes (itemize) $ I, /657 — e. Permit Fees (itemize) $ (p0• p a f Insurance 5 - S8. • ' g. Utilities $ -S'v • 4 h. Advertising $ .t) i. Other (specify) .,o (/ ;-;e4- / 4z .) 3. TOTAL EXPENDITURES $ 4. NET PROCEEDS (line 1 minus line 3) $ . .J l--Tkrz"" * No expenditures may be made for compensation or remuneration paid to any person assisting in the sale of fireworks. All expenditures must be itemized, otherwise this form will be returned to you for re-submittal. ** List name and address of distributor on back of form. I certify that this is a true and accurate accounting. (SUBJECT TO AUDIT) VA0 Signature I Title 1-C-)14-S L (-1 �k ) i , ► ggri Organization Date WirrAecrc-- bt/r .nAL n dv-P- -40 . _ 1 PERMIT COMMITTEE REPORT OF DISBURSEMENTS OF NET PROCEEDS • FROM THF SALE OF FIREWORKS Di 19 9'7 o0 NET PROCEEDS (from line of fowl FW-4) $ /3 ITEMIZED EXPENDITURES:* Chrry s —C73.S-:15-'7"' (5e -- -ict(//fL-Arj.) TOTAL EXPENDITURES _ $ L((./`3`5-7 NET S Must be completed in detail. Each line item expense must be listed. Failure to do so will result in rejection of this form. I certify that all the expenditures of net proceeds from the sale of fireworks were expended solely for charitable purposes within the City of R dsEt/ ' ,0 • (SUBJECT TO AUDIT) v�G � Signature Title •f rel t-ikx � I l Organization Date • .. - 818 .. Parents of Pack 311 The goal of the Parents of Pack 311 is to send all the children of the pack to Camp Cherry Valley. Camp Cherry Valley is located on Catalina Island and is a facility owned and operated by the Boy Scouts of America. The camp's activities include swimming, snorkeling, canoeing, kayaking, hiking, sailing, and crafts. For many of the children, partaking in some of these activities will be a first. The following is a breakdown of the costs: Camp Cherry Valley fee per a child- $235 Number of children in Pack 311- 38 Total needed to send the children of Pack 311 to Camp Cherry Valley- $8,930 The fun filled week of activities at Camp Cherry Valley will certainly enrich the lives of the youth of our community. It is with this in mind that the Parents of Pack 311 strive to attain its goal. Thank you, VAJP-Ce--- Mark Padilla Den Leader (818)293-8721 • . .. . : 818• Parents of Pack 311 The goal of the Parents of Pack 311 is to send all the children of the pack to Camp Cherry Valley. Camp Cherry Valley is located on Catalina Island and is a facility owned and operated by the Boy Scouts of America. The camp's activities include swimming, snorkeling, canoeing, kayaking, hiking, sailing, and crafts. For many of the children, partaking in some of these activities will be a first. The following is a breakdown of the costs: Camp Cherry Valley fee per a child- $235 Number of children in Pack 311- 38 Total needed to send the children of Pack 311 to Camp Cherry Valley- $8,930 The fun filled week of activities at Camp Cherry Valley will certainly enrich the lives of the youth of our community. It is with this in mind that the Parents of Pack 311 strive to attain its goal. Thank you, Mark Paciiiia Den Leader (818)293-8721 0.4729/97 12:12 FAX 310 4048948 A.P.E. , VEST a002 CITY OF ROSEMEAD APPLICATION FOR FIREWORKS SALE) pgirtmli FILL IN ALL QUESTIONS & RETURN BY MAY 1st NAME OF ORGANIZATION San Gabriel Val 1 v Search for ('hr;Gt;an M 1-i,, ;i-y • r for pyoung people and young adults opportunities PURPOSE OF ORGANIZATIONpersonalgrowth and leadership development throu:h workshops and retreats. HOW DOES THIS ORGANIZATION INTEND TO USE THE PROCEEDS FROM FIREWORKS SALES TO BENEFIT THE ROSEMEAD COMMIINITY? ATTACH FINANCIAL STATEMENTS AND BUDGET: TO SUPPORT YOUR ANSWER. Funds raised by fireworks sales will be used by the center to sustain its continued youth activites. Many of the youth we serve participate at minimal cost. These funds will make that kind of participation possible. PRINCIPAL & PERMANENT MEETING PLACE 8301 Arroyo Dr. , Rosemead, Ca. 91770 IS THIS A NON-PROFIT ORGANIZATION? yes PRINCIPAL PLACE FOR THE CONDUCT OF NON-PROFIT ACTIVITIES 8301 Arroyo Drive, Rosemead, Ca_. 91770 DATE OF INCORPORATION/ESTABLISHED 1978 NUMBER OF MEMBERS RESIDING IN ROSEMEAD 121 OFFICERS NAME, ADDRESS TITLE AND TELEPHONE NUMBER: Miguel Holling 11203 Shade Lane, Santa Fe Springs 310-699-4828 - President Lizett Villarreal 7636 E. Marsh Ave, Rosemead; 818-573-1286 _ Vice President Tony Bueno 666 S. Ditman Ave; Los Angeles 213-262-7739 - Treasurer Fr. Ted Montemayor P.O. Box 1639, Rosemead; 818-280-8622 - Advisor (7, LENGTH OF STAND: 24 feet LOCATION Valley and Temple City Blvd. se STATE BOARD OF EQUALIZATION SALES TAX NU}iBER ST AP 910(09 I m0 ead) RETURN DEPOSIT - PAYABLE TO Si/L_,_� MAILING ADDRESS /`7/// - • Z o7C'7) i41-k-05 9D676 SIGNATURE 1 1120-11A/77-411-9TITLE 4D��'SoR �/ • DRAYTON INSURANCE BROKERS, INC. 754160 2600 CENTER POINT ROAD,SUITE 301 POST OFFICE BOX 94067 BIRMINGHAM,ALABAMA 35215 BIRMINGHAM,ALABAMA 35220 TELEPHONE:(206)864 FAX:(205)864.6899 CERTIFICATE OF INSURANCE We certify that insurance as outlined below is afforded the Named Insured under Policy No.A96EG24407 issued by Admiral Insurance Company. NAMED INSURED: American Promotional Events, Inc. Freedom Fireworks Red Devil Fireworks Patriot Fireworks Pyrodyne American Corporation O.K. American Corp. 14111 Freeway Drive, Suite 200 Santa Fe Springs, California 90670 (562) 921-1466 PERIOD: November 1, 1996 to October 31, 1997; Both Days Inclusive COVERAGE: Commercial General Liability including Premises& Operations Liability and Products & Completed Operations Liability. LIMITS OF LIABILITY: A) Each Occurrence $1,000,000 B) Products &Completed Operations Aggregate $1,000,000 It is certified that, in accordance with, and subject to, the terms of the above policy, the following SPONSORS AND/OR COMMITTEES AND/OR PROPERTY OWNERS AND/OR LICENSING AUTHORITIES are included as Additional Insured(s), but only in respect of the legal liability of such Additional Insured(s)for Bodily Injury and Property Damage arising out of; 1)the ownership or use of the Insured Premises stated below, which are used for the sale of fireworks distributed by the Named Insured, 2)the sale by the Additional Insured of fireworks distributed by the Named Insured. The limits of liability stated above shall not be increased either; 1) by the inclusion of more than one Insured; nor 2) by the receipt of more than one certificate by any Insured. INSURED PREMISES: SEC Temple & Valley Blvd. , Rosemead, Ca • ADDITIONAL INSUREDS: San Gabriel Valley Search for Christian Maturity, City of Rosemead their officers, agents, and employees when acting in their official capacities as such. This certificate is not an insurance policy and does not in any way amend, extend or alter the coverage afforded by the policy listed above. For particulars concerning the terms, exclusions, and conditions of such policy each Additional Insured is referred to the policy documents in the possession of the Named Insured. Should the above described policy be cancelled before the expiration date there- of,the issuing company will mail 30 days' prior written notice to the above named Additional Insured. DRAYTON INSURANCE BROKERS, INC. • May 1, 1997 DATE mp A.J. STRINGER, PRESIDEN TO WHOM IT MAY CONCERN: SAN GABRIEL VALLEY SEARCH FOR CHRISTIAN MATURITY Permission is hereby granted to an American Promotional Events, Inc., dba Freedom Fireworks for the exclusive right to use the property located at the southeast corner of Temple and Valley Boulevard in the City of Rosemead for their 1997 Fireworks Stand. L )✓ Lcr jK I d; fo .4-,") ) It is understood that this sale will be conducted in accordance with all City, County, and State regulations, and the property left clean and free of debris. This agreement is subject to cancellation in the event of construction or sale of the property. This agreement is also subject to cancellation if, for any reason, the necessary permits or licenses are canceled or withdrawn, thereby preventing the lawful sale of fireworks at the site. In either event, the amount of rental consideration shall be refunded. Z. KASSABIAN By: / r ... Dated this day of 1996 Loc. #0369 • • CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION STATE FIRE MARSHAL RETAIL FIREWORKS APPLICATION 7 r APPLICATION <lpfrSr o (Print or Type Only) ( 1 �-- Complete all lines and return all copies to officenearest stand s,• 5 STATE FIRE MARSH I l e location with 5�0.00 money order, cashier check or postal note. Application Must Be Filed Prior to June 15. CSFM Northern Region 1501 W. Cameron Avenue 2300 Merced Street P.O. Box 944246 Suite C-110 San Leandro, CA 9451 Sacramento. CA 94244 West Covina, CA 91790 (510) 357-8173 (916) 262-1963 (81S) 960-6441 7-7 CALIFORNIA STATE FIRE MARSHAL RETAIL FIREWORKS LICENSE Licensee SAN GABRIEL VALLEY SEARCH Lac d ort SEC Temple & Valley Blvd. (Nearest cross street to the stand) City Rosemead ' I LOCAL CONTACT PERSON Name• Ted Mont emayor Phone ( 562 ) 921-1466 — NOTICE — THIS COPY MUST BE POSTED AT STAND WITH A COPY OF THE LOCAL PERMIT • No license will be issued after juric 15 of the current year. This license is not calid unless validated by the State Fire Marshal. nen ca/idated. ilris' license allows the .sale of only classified•'Safrmlrl San '.fireworksai the rnrl,rot:ed local iou from\-OO-\-. • JUNE 2S. to NOON..JULY 6. of the r.rc'ai: indicated. u•hrrr accompanied by a permit faun tlu' local authority lraczng 1iir idiction. i\-nae: Retail licerrsec•..s' arc required to be at least 21 years of nr_r.•: employees of flrru:urr;s siaurls rnu.et h(• at !r•rr.ct P..) and .fireworks may not be sold to amiour t111(1(r the age or 16. Permits may be required by your local.fire department. and e'onrl,liauce with local re,rrlaiiorrs• is expected.I • \iAILING ADDRESS OF LICENSEE \11111 San Gabriel Valley Search Y�f lis+ Lss " 4a ,rl t Address ,,i tr�- .•C c/o P.OP0 Box 1170 -+ � x A y4. Cityat y, :xt^aMr ? Norwalk, CA 90651 � „� _ �- `�•-�> x.� Za FIRE AUTI-IORITY HAVING JURISDICTION 7 }2 ff Fire Sidnature ofAppli n Dept. Los Angeles County Fire Dept. • Address 1320 North Eastern Avenue Signature of Applicant Lrty Los Angeles, CA 90063 Date: • \FW.38Ike.• 1/97 97 9016[ Ser Third Pa•r.for J'iar'r'nu'nt i i C;rn7un'alinu .lira;and C.rrliiera/inn .Sialrvu'uI LICENSEE COPY • • JG117AZISZ •i - _.---' LL I T • 44EZ:10 YALl g- �iLelC ,j S Slaew►ru� 4L� 1. V L _ , , sNoN i H ! Chi(f • \III STAND OPERATIONS APP. SALES MGR.APP. SET BY DATE PICKED UP BY nerP • LA/SGV Search Board of Directors - Financial Plan San Gabriel Valley Search is a group of Young Adults that provide opportunities for personal growth and leadership development through workshops and retreats. The essential genius of Search is the youth to youth approach to leadership building. Search has 4 large Retreats a year • and numerous workshops and leadership building opportunities for the youth of Rosemead and surrounding areas. Over the past 24 years we have touched more than 10,000 young adults with much success. The proceeds of this event are intended to assist in the growth of our organization by providing more scholarship opportunities to those young adults in the community. Expenses a Year: Facility Rental for retreats and workshops: $ 8,000.00 Retreat Facility Rental: $ 6800.00 Office space Rental: 1200,00 Stipends for workshops: $ 1000.00 Fr. Harry Rasmussen $ 150.00 • Fr. Marc Rougeau 150.00 Fr. Marco Reyes 150.00 Fr, Donald Liberty 150.00 • Misc. Presentors 400,00 Materials: $ 1000.00 Office Supplies $ 300.00 Postage 400.00 Copies 150.00 Craft Supplies 50.00 Paints 100.00 Food for events $ 3000.00 4 Retreats (3 days each) $ 2000.00 Workshops/Day retreats $ 1000.00 $13,000.00 We would like to provide 50 scholarships this next year as opposed to 25 this year. Our only source of income is through fundraisers and donations from community members.. • Los Angeles/San Gabriel Valley Search for Christian Maturity BYLAWS Statement of Philosophy Los Angeles/San Gabriel Valley(LAJSGV) Search for Christian Maturity is basically a weekend..experience In a Christian community organized and conducted by committed and trained team members who have already had such an experience. The essential genius of the Search movement is it's young adult-to-young adult approach;it is an instrument through_which the Holy.Spirit speaks and directs young people through the words, actions, and lives of their peers. The Search movement provides an opportunity for each young person to gain greater insight into the meaning of Catholic Christian faith through the works and thoughts of peers who have already begun finding and discovering these insights and meanings. Search offers a beginning to an ever-deepening commitment to Christ in the Catholic Church. Therefore, the Search movement,through its ongoing ministry,trains leaders and encourages young persons to be apostollically committed to their local churches and involve themselves in programs and activities according to their talents. ARTICLE I (Name, Purpose, Membership, Symbol) 1.1 Name The official name of the organization is"Los Angeles/San Gabriel Valley Search for Christian Maturity." 12 Purpose The purpose of the organization are threefold:to foster.a greater understanding of the Catholic faith;share a deeper level of Christian community through young adult-to-young adult ministry;and train leaders for youth ministry and Leadership within the San Gabriel Valley but primarily in the City of Rosemead. J.3 Membership Any person who completes a LA/SGV Search weekend experience becomes eligible for membership; membership continues as long as the member shows interest in the philosophy, goals and activities of LA/SGV Search. No personal information regarding LA/SGV Search members is released to any outside organization. ARTICLE II (Principal place of business) • II. Place of Business St.Joseph's Salesian YoUth Renewal Center LA/SGV Search Office#101 P.O. Box 1639 8301 Arroyo Drive Rosemead CA 91770 -1- ARTICLE III (Board of Directors, Qualifications and Terms of Office) 111.1 Board of Directors The Board of Directors is the governing body of LA/SGV Search dedicated to promoting unity and harmony through the prudent formulation of policies and regulations in faithfulness to the organization's basic statement of philosophy. The Board of Directors is composed of:a-Spiritual Director, Parental Advisor(s), and twelve(12)young-adult members. 111.2 Qualifications A candidate for membership on the Board of directors shall: a.) Be a young adult member of LA/SGV Search with an adequate understanding of the philosophy, goals, and working of the organization. b.) Be willing to fulfill the duties of their commitment in accepting a Board position. c.) Display Christian maturity and leadership qualities. d.) Live in the San Gabriel Valley area ,preferably in the City of Rosemead. 111,3 Term of Office_ A commitment of 6 months is asked of each Board member,with the exception of Executive Board position, (Art.VIII)which is a commitment of(1) year. Installation of Board members shall take place in January and July of each year. After each term, those members seeking to continue serving on the Board are reinstated based on an evaluation by the Spiritual Director and other members. ARTICLE IV (Election of Board Members) JV. 1 Election of Board Members Nomination of candidates for positions on the LA/SGV Search Board may be made by any member of the organization. Those candidates that accept a nomination and fulfill the qualifications for membership in the Board are placed on the ballot. Incumbent Board members then cast votes by secret ballot to elect the new members by simple majority. ARTICLE V (Vacancies, and Removal of Board Members) V.1 Vacancies Vacant Board positions are filled at the discretion of the Board or at the beginning of the following year. If at any time three or more vacancies exist on the Board,the Board must calf for an election of new members to fill the positions. -2- • St. Joseph's Salesian Youth Renewal Center • P.O. Box I639 Invoice Rosemead CA 9I770-4298 Number 69 Date Bill To LA/SGV Search La/SGV Search Attn:Miguel IIolling Ann:Tone Bucno P.O. Box 1639 666 S. Ditman Ave. Rosemead CA 9I770 Los Angeles CA 90023 Deposit Amount • Check// Contract Date Students Description Each Person1 Amount J 1 Weekend Retreat : Youth 1,700.00 1,700.00 3 Month Rental : #f 101 100.00 30{).00 300. 0O C / 66. /Go. Do G fPr Ati•.n Paid 2 ()DO Amount Due 0.00 i•JILIVa TOTAL S2,000.00 Si. • • Joseph's Salesian Youth Renewal Center P.O.Box 1639 - Invoice Rosemead CA 91770-4298 Number 107 Date Bill Tu LA/SGV Search LW SGV Search Attn:Miguel!lolling P.O.Box 1639 Attn:TonyBucuo Rosemead CA 91770 666 S. Duman Ave. Los Angeles CA 90023 Deposit Amount Check.# Contract Date • Students Description Each Person Amount 1 Weekend Retreat : Youth 1,70000 3 Month Rental : #101 1,700.00 100.00 300.00 f � � Amount Pa , )0 Amount Due 0.00 J OO, d0 t H e c� / 70 ct9Cj!f=T it/Or),OO CASA TOTAL 52000.00 ' St. Joseph's Salesian Youth Renewal Center • P.O. Box 1639 Invoice Rosemead CA 91770-1298 Number 171 Date Bill To LA/SGV Search La/SGV Search Attn: Miguel'Tolling Attn:Tony Buono P.O, Box 1639 666 S. Ditman Ave. Rosemead CA 91770 Los Angeles CA 90023 Deposit Amount Check# Contract Date Students Description Each Person Amount 1 Weekend Rctrcat : Youth L700.00 1,700.00 3 Month Rental : #101 100.00 300.00 • 200. oo Cf/6 c'L / 7` / /Oa • OQ c>'p.vgT/o et/ A 111 Mr: Art);t Paid 2,000.t1 Amount Due 0.00 4 . TOTAL 52,000.00 • St. Joseph's Salesian Youth Renewal Center - P.O. Box 1639 • Rosemead CA 91770-4298 Invoke Number 210 Dat; Bill To LAJSGV Search Ln/SOV Search Ann: Miguel Hulling Attu:Tony Bucno P.O.Box 1639 666 S.Ditman Ave. Rosemead CA 91770 Los Angeles CA 90023 Deposit Amount Chcckff Contract Date { Students Description Each Person Amount 1. Weekend Retreat : Youth 1,70000 1,700 00 3 Month Rental ; #101 100.00 300.00 • Antou . 'z'-. 2.000.00 { Amount Due 0.00 it f /“30. O0 e-/4f TO TA L s2,000.00 /vO , 0Z f 0A/ATic4/ .0° C,q c/ 7c9 JUN-03-97 11 :52 AM ST_ JOSEPH,S. RETREAT. 18182800545 P. 02 ATTN: DON WAGNER HERE IS A PARTIAL LIST OF THE MEMBERS THAT LIVE IN ROSEMEED, I DO NOT HAVE MY WHOLE LIST OF OUR MEMBERSHIP BUT THIS IS WHAT I DO HAVE. I RETYPED THIS IlS LIST BECAUSE IT WOULD MAKE IT EASIER TO READ. IF THF.RF ARE ANY OTHER QUESTIONS, PLEASE CALL ME. JULIA 818-280-8622 LINDA LEDESMA YVONNE LOPEZ LIZETT VILLARREAL 7341 E. BERNE ST. 7341 E. KERNE ST. 7636 E. MARSII AVE. ROSEMEAD CA 90706 ROSEMF.AD CA 90706 ROSEMEAD CA 91720 GEORGINA VILLARREAL JEFF KELLER AL VU 7636 E. MARSH AVE. 8224 BLEEKER ST. 8301 ARROYO DRIVE ROSEMEAD CA 91720 ROSEMF.AD CA 91770 ROSEMEAD CA 91770 VAN TRAM LONG MAT JOHN ROCIIL 8301 ARROYO DR 8301 ARROYO DRIVE 8301 ARROYO DRIVE ROSEMEAD CA 91770 ROSEMEAD CA 91770 ROSEMEAD CA 91770 JULIA TAFOYA LAURIE LOPEZ MARGARET AGRUSA P.O. BOX 2000 P.O. BOX 2000 P.0 BOX 2000 ROSEMEAD CA 91770 ROSEMAED CA 91770 ROSEMEAD CA 91770 HEIDIE VILLARREAL HARRY RASMUSSEN • MARC ROUGEU 7636 E. MARSH AVE. P.0 BOX 1639 P.O, BOX 1639 ROSEMEAD CA 91720 ROSEMAED CA 91770 ROSEMEAD CA 91770 TED MONTEMAYOR RICK RAMOS GEORGE RICIIARDS P.O. BOX 1 639 7825 DOROTHY 8417 MISSION DR. ROSEMF,AD CA 91770 ROSEMEAD CA 91720 ROSEMF.AD CA 91770 LENNY LAM BILL BERAN KAREN KELLER 9337 STEELE AVE. 3720 BROOKLINE AVE. 8224 BLEF.KER ST. ROSEMEAD CA 91770 ROSEMEAD CA 91720 ROSEMEAD CA 91770 CERVANTES FAMILY ERNEST& DEBBIE SOSA PETER/STF,1.LA BELTRAN 2745 EVELYN AVE, 9225 E. GLF_,NION WAY 45 1026 N. LAWRENCE ROSEMEAD CA 91770 ROSEMEAD CA 91770 ROSEMEAD CA 91770 JUN-03-97 11 :52 AM ST. JOSEPH'S. RETREAT. 18182800545 P.'03 PAUL,ERANCO SHEILA & LOUIS KUN MAX PADILLA 1004 N. LAWRENCE AVE. 8545 E. S11.V1RRIDGE DR. 3222 IVAR AVE. ROSEMEAD CA 91770 ROSEMEAD CA 91770 ROSEMEAD CA 91770 LINDA BERNAL BENJAMIN MIRELES CHRISTINA NUJEN 1874 CF.1.,1TO DR 3314 BARTLET]' ST. 2702 DEL MAR ROSEMEAD CA 91770 ROSEMEAD CA 91772 ROSEMEAD CA 91776 JOEY CASAS 4503 N. 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F - C3• ,•i. f'1 �i+ � ,, 1tr t , b 4 ' 6 ......,;:,"•:::1•::-.;.•':',.••• ,..i,...•:•••'-','''.. 4i.‘� - ret. xf4 ' 1i-,k � 4ryt Y ` 4- , : • 5'; • '^ { [ M. q4, ''' "„`t `, 714 ” -Y." 11'+f tf . ;5c r ti ..:?w rr,,,,, ,.V1l • 4cM *-j" Z�atiiig�` ert , i' '-`nu�ance as•,.out•lined-bel.o.w -is.afforded.•the .lamdInsured",- ' vam' � 1Y i% o7;4',4T '� ''...-4..A.,4:-. Ya Y *� b e. .+ ', 1 So,c+ t,-It -%` '. -t. l .� t {7ZI � ' 5J ; 17 v` 1 ° � � � l . P ! ! . 'z} - r• - V- `iYn1' � ° i1 .• ai--', �ILa l � + �p S `ii� / 4e . , r " r; K .'? o,' aw .._ `7^.e�'`1r``�'' .+' 7 - ! f s ... Vi • `r i4 '_,.' . •xo , ^v c ^« * w� '' 11* s e `" ``-x, L. ' 1i•,� • • `' AHED! NSU De�v'' �1ockuster •Fire•workst of-Caiifornja,,-lac•,, w :1 ' •wrZ , TgY5, �Y �� .1-.•- 6 WbstrMindao ? r, Ia4 , 1 c A r�Y , iFti R ...1/4,....,,T,,...7---,...41,.....,..-,::-..„ anm �; .a ,.'' .r a_ , ty`'w. ,s1 `k ..i° Bloomn ttCa1ifornia'92316^ '2 rX � 'a itRrf ;.�? cr . u14.V c' '' 02 ' x`xt ,i. e0 ,,,, "' i , .- - aF < r„; F ;i4 r>r • • • PERIOD„ ; i - ,, r F i, Decmber1, 1996 to November 0, 1 97, BothDays Iclive r. SF'`va;%$.534-1L xkWAP:i Jl • ! , .' t 7r7K _ .'y ; _ 4 - c COVERAGE , ,.y :a & Cormnercial General Liability:.includingremises,&Operations ,, .. � . '�` . • -,xLiability and Products & Completed OperationLiablhty f- . .E r. LIMIT OF LIABILITY A) ..Each Occurrence z <.. '� `510,000,000 t'' -` �TO n B) Products & Completed Operations Aggregate $103000,000 • ,,k-:;.- , r , Afforded, by':I. Admiral”.Insurance Company,y) - -� . . Policy No A96EG24409 for:a .limit- of $5;000,000 - - :' k II. United National Insu ance Com an '"ris 5 t P y: t. � 'ti f }\ . Policy No.==XTP47121 for a`limit of $5,000,00o.. jy. _ ;'+..r�sf` ,•,pA • Excess of $5.,000,000 a1f{.4.s“,j - ' The above statedi -lmits of liability apply to each occurrence but, as{respects Products. .• . and Completed-Operations' liability only, in the aggregate �t ' It is cer.tifsed that, in accordance.with, and subject to, the_~terms of the above:policies - • . the foll• owing SPONSORS'AND/OR COMMITTEES AND/OR PROPERTY.OWNERS• AND/OR:LICENSING-''• - AUTHORITIES;'are;included as Additional Insured(s), but only in-respect"of`.the_legal • liability of•such• .Additional Insureds Bodily Injury and Property Damage arising out •of; 1) the ownership or•use of the Insured Premises stated below,:which'are used for the sale of-.fireworks distributed by the. Named Insured, 2) the.sale by the'Additional Insured of fireworks=distributed by the Named• Insured. The limits of liability-=stated above shall . ' • not be;increased either; 1) by the inclusion of more than sone.lnsured; .nor: 2) by the receipt 'of more'than one .certificate •by any Insured.'`'•, ' "' •INSURED-PREMISES -` NEC ROSEMEAD BLVD.&MISSION DR ROSEMEAD,CA • ADDITIONAL-INSUREDS: CHARITY: INDUSTRY EDUCATION COUNCIL =_ PROPERTY OWNER: U-HAUL-BRIAN•WERTZ -. - = CITY OF: ROSEMEAD .: .—'.' :`'- • • • • their officers, agents, and employees when acting in their official capacities as- such. Notwithstanding any requirement, term or condition of any contract or other document with • respect to which this certificate may be issued, or may pertain, the insurance' afforded by• - - - the policies described herein is subject to all the terms,''exclusions, and conditions of such policies. For particulars concerning such terms, exclusions and conditions each Additional Insured is referred to the policy documents in the possession of the Named- Insured_ Should the above described policies be cancelled before' the expiration date thereof, the issuing company will mail 30 days' prior written notice to: the above named Additional Insured.-• _ _ . •• DRAYTON INSURANCE BROKERS, INC. - • a/ .• 7 APRIL 29, 1997 — l DATE A. J. STRINGER, PRES NT CALIFORNIA. DEPARTMENT OF FORESTRY AND FIRE PROTECTION STATE FIRE MARSHAL RETAIL FIREWORKS APPLICATION °`;",� (Print or Type Only) (��1 A STATE FIRE MARSHAL Complete all lines and return all copies to office nearest stand location with $50.00 money order, cashier check or postal note. Application Must Be Filed Prior to June 15. . CSFM Northern Region 1501 W. Cameron Avenue 2300 Merced Street P:O. Box 944246 Suite C-110 San Leandro, CA 94577 Sacramento, CA 94244 West Covina, CA 91790 (510) 357-8173 (916) 262-1963 (818) 960-6441 CALIFORNIA STATE FIRE MARSHAL RETAIL FIREWORKS LICENSE • Licensee �l'1 Du S1 12-)1 24 tdc-("L-)'t'(-✓1 l/Y7 / . Stand dd Location ►"L L ` „3i31lI 7.0, /cSS/Qn - Q (Neares cross stet t�e stand) City LOCAL CONTACT PERSON /� Name -- -CF/ / '/Ce".�ZCX l%�ji29 Phone ( 7 F?7 7 -') '=) — NOTICE — THIS.COPY MUST-BE POSTED AT STAND WITH A COPY OF THE LOCAL PERMIT • No license will be issued after June 15 of the current year. This license is not valid • unless validated by the State Fire Marshal. When validated, this license allows the sale of only classified"Safe and Sane"fireworks at the approved location from.;NOON, _ - JUNE 28, to NOON,JULY 6, of the year indicated, when accdmpanied by a permit from the local authority having jursidiction. (Note: Retail licensee's are required to be at least 21 years of age; employees of fireworks stands must be at least 18 and fireworks may not be sold to anyone under the age of 16. Permits may be required by your local fire department, and compliance with local regulations is expected.) - MAILING ADDRESS OF LICENSEE Blockbuster Fireworks Name • 1 } 4 x Address 169 West Mindanao _ .�';, Bloomington, CA 92316 City • ..r._,__,_Z_i_ FIRE AUTHORITY HAVING JURISDICTION • /� �� Fire / ' to—of Applicant Dept. '/�" (4:1,1 1J�eI�y /---72 iG /_D�.-- Address / XI / / ;c-S-��Z/z: /9Z‘-. --- _ Signature of A plicant City vg' 2 ��'�Z /4/&) 7-- ---5 A _ Date: y/2'? \ FW-38 Rev.1/97) 97 90164 See Third Page for Placement of Corporation Seal and Certification Statement LICENSEE COPY EXHIBIT "A" CUSTOMER NUMBER: DATE: UI)2 ti 1 �� SALES ASSOCIATE: _3e:7-r 13 - ORGANIZATION NAME: -1.,r)b S 112A .0 U L Kahl...4 COvi-v-i\ SELLING CITY: St1ro<.c-VW.,A CHAIRMAN/CONTACT: V j(AaZ c Y1,6CTG'- PHONE: WRN-36"6-).3StvH ALTERNATE CONTACT: PHONE: W H SIZE OF STAND: PROPERTY OWNER: SETUP DATE REMOVAL DATE CITY ORDINANCE: SET UP DATE REMOVAL DATE STREET ADDRESS: CROSS STREETS: IEC lz )Se-h'lc 8/v401- PL iSS1h-Dia. INSTRUCTIONS: SETBACKS: CURB SIDEWALK BUILDING GAS OTHER ORT - _ mi ,. Q ()I ilAt L55/Lilo W. _ J E E A S S T nn TT \ (C1 , 'i '-, N a ?, yo¢.s-�U- J UT� THOMAS GUIDE COUNTY/YEAR: PAGE/GRID: GROUP APPROVAL: DATE APPROVED: SIGN AND PRINT NAME PROPERTY OWNER AUTHORIZATION M9f4' I, V J� ,- =//e -�'1 (-64"‘e,4:2_,hereby certify that I am the (Property Owner!/Authorized Pers L n) owner, or have the Power-of-Attorney for the owner, of the property located at: /(1E e / -'nom , %-- , g` ��55,efii 62-- (Street Address,City,State,Zip Code) and that I hereby grant permission to Blockbuster Fire• orks of California, Inc. and 7v---76' 3, . nc, g j <�, to use the above stated property for the (Charity) express purpose of the retail sale of"Safe and Sane Fireworks" (as defined by California law), for the /9 9 my 4th season. (Year) Name -" /74q11/ .%;7 - / Z, &a". z4J Address: r City, State, Zip: 1 y;21c c.. / c''' ',{ G/12 y Phone Number: ;6---- --..,..C-Q — L--/..SG , Jo �� _, / ' ' (Property Owner) / 7 (Date) BT-400-THQ:LZIS1)REV.15(7-96) STATE OF CAUFORNIA TEMPORARY SELLER'S PERMIT AND SALES AND USE TAX RETURN BOARD OF EQUALIZATION DUE ON OR BEFORE 08/31/97 FOR JULY 1997 BOARD USE ONLY RR-B/A Mail to: 29 19073 036 0000 ST AP 97070280 RR-Q5 NE CRN ROSEMEAD & MISSION ROSEMEAD INDUSTRY EDUCATIONAL COUNCIL LOC BOARD OF EQUALIZATIONREG P.O. BOX 942879 425 ADELYN DR. AGO SACRAMENTO CA 94279-0001 SAN GABRIEL, CA 91775 -REF PLEASE READ INSTRUCTIONS BEFORE PREPARING IMPORTANT REMINDER:A return must be filed even though you have no tax to report. NOTE:This return requires completion of only the Identified line numbers.Please disregard any skipped or missing numbers. STATE, LOCAL and DISTRICT SALES and USE TAX RETURN TEMPORARY SELLER'S PERMIT AUTHORIZED FROM 6/28/97 THRU 7/4/97 ROUND 1. TOTAL GROSS SALES 1. $ .00 PLEASECENTSTO THE NEAREST WHOLE 2. PURCHASE PRICE OF UNSOLD TAXABLE INVENTORY PURCHASED00 DOLLAR WITHOUT PAYMENT OF CALIFORNIA SALES AND USE TAX(your cost) 2' 3. TOTAL(add lines 1 and 2) 3. .00 4. SALES TO OTHER RETAILERS FOR PURPOSES OF RESALE 50 .00 . 5. NONTAXABLE SALES OF FOOD PRODUCTS 51 .00 8. SALES IN INTERSTATE OR FOREIGN COMMERCE 54 REC TO OUT-OF-STATE CONSUMERS 00 NO 9. SALES TAX(IF ANY)INCLUDED ON LINE 1 55 .00 57 10. (a)COST OF TAX PAID PURCHASES RESOLD PRIOR TO USE .00 (b)OTHER(clearly explain) 90 .00I 11.TOTALEXEMPT TRANSACTIONS[add lines 4 thni 10(b)] 111 .00 12.TAXABLE TRANSACTIONS(subtract line 11 from line 3) 12. .00 13.STATE&COUNTY TAX 6 1/4% (multiply amount on line 12 by.0625) 13. .00 PM 17. LOCAL TAX 1% (multiply amount on line 12 by.01) 17. .00 18. DISTRICT TAX(enter from line All,Schedule A) 18. .00 19.TOTAL STATE,COUNTY,LOCAL AND DISTRICT TAX(add lines 13, 17&18) 19. .00 Transactions subject to San Diego Co.TaxY....0.411w1Uf U Credit.(Effective 4-1-94 thru 3-31-96) Transactions subject to Monterey Co.Tax Credit. (Effective 10-1-94 thru 3-31-96) t�2'L1t L+NII I I 24. PENALTY OF 10% (.10)is due if payment is made after due date shown above 24• .00 25. INTEREST:One month's interest is due on tax for each month or fraction of a month that payment 25. .00 is delayed after the due date;refer to Notice of Interest Rate Change,Form BT-581,for current rate RE 26.TOTAL AMOUNT DUE AND PAYABLE(add lines 19,24&25) 26. $ .00 I hereby certify that this return,including any accompanying schedules and statements,has been examined by me and to the best of my knowledge and belief is a true,correct and complete return. YOUR SIGNATURE AND TITLE TELEPHONE NUMBER DATE PAID PREPARER'S NAME PREPARER'S SSN OR FEIN PAID PREPARER'S FIRM'S NAME(or yours if self-employed) BUSINESS ADDRESS USE ONLY MAKE CHECK OR MONEY ORDER PAYABLE TO THE STATE BOARD OF EQUALIZATION Always write Your account nnmhar nn,,nn.rhnr4......n,, .,...tee. • •BT-400-THQ LZ(S2)REV. 15 (7-96) READ SCHEDULE A - COMPUTATION SCHEDULE FOR DISTRICT TAX INSTRUCTIONS BEFOI TRANSACTIONS SUBJECT TO STATE,COUNTY AND LOCAL TAX PREPARING THIS Al._renter amount from line 12 on BT-400-THQ-LZ) $ .00_ ' SCHEDULE DEDUCT- Sales made from locations INSIDE or OUTSIDE districts and Please round cents to thi A2/A3. delivered to any point not in a district. 000 - .00 nearest whole dollar AMOUNT OF DISTRICT TRANSACTIONS(subtract line A2/A3 from line Al) 97070280 A4. (Allocate this amount to the correct district(s)in Column A51 $ .00 A5. A6JA7. A8. A9. A10. DISTRICT TAX ALLOCATE LINE A4 TO ADD( + )/DEDUCT(-) TAXABLE AMOUNT TAX DISTRICT TAX DUE AREAS CORRECT DISTRICT(S) ADJUSTMENTS A5 plus/minus A6/A7 RATE .Multiply A8 by A9 'ALAMEDA Co. 011 .00 .00 .00 .01 $ .00 'CONTRA COSTA Co. 025 .00 .00 .00 .01 .00 DEL NORTE Co. 047 .00 .00 .00 .005 .00 FRESNO Co. Transportation Authority 012 .00 .00 .00 .005 .00 FRESNO(Effective 7-1-93 thru 3-20-96)048 .00 .00 ..001 .00 Metro.Projects Authority Discontinued IMPERIAL Co. Local Transportation Authority 029 .00 .00 .00 .005 .00 046 "CITY OF CALEXICO"" 045 .00 .00 .00 .005 .00 Heffernan Hospital District INYO Co. 014 .00 .00 .00 .005 .00 CITY OF CLEARLAKE(Lake Co.) 058 .00 .00 .00 .005 .00 'LOS ANGELES Co. 036 .00 .00 .00 .01 .00 MADERA Co. 034 .00 .00 .00 .005 .00 ORANGE Co. 037 .00 .00 .00 .005 .00 RIVERSIDE Co. 026 .00 .00 .00 .005 .00 I SACRAMENTO Co. 023 .00 .00 .00 .005 .00 SAN BENITO Co. 054 .00 .00 .00 .01 .00 SAN BERNARDINO Co. 031 .00 .00 .00 .005 .00 SAN DIEGO Co. 013 - .00 .00 .00 .005 .00 'SAN FRANCISCO Co. 052 .00 .00 .00 .0125 .00 SAN JOAQUIN Co. 038 .00 .00 .00 .005 .00 *SAN MATEO Co. 019 .00 .00 .00 .01 • .00 SANTA BARBARA Co. 030 .00 .00 .00 .005 .00 SANTA CLARA Co. 003 .00 .00 .00 .005 .00 SANTA CRUZ Co. 041 .00 .00 .00 .01 .00 SONOMA Co. 039 .00 .00 .00 .0025 .00 STANISLAUS Co. 059 .00 .00 .00 .00125 00 TULARE Co. 060 .00 .00 .00 .005 .00 All. TOTAL DISTRICT TAX.Ado Column A10.(Enter here and on line 18 on front of return) $ .00 'This district tax area Includes more than one transactions tax district.(See Instructions for Schedule A)"The City of Calexico Heffernan Hospital District is located in Imperial County. boundaries are the same as the City of Calexico.Transactions subject to the Calexico district tax are also subject to the Imperial County Local Transportation Authority Tax.