Acknowledgement of Rebate Check Requirements

ACSA REGION XV CHARTER ACTION PLAN 2017-2018

This Action Plan, Council/Committee member list, and Membership List Alhambra Unified update is due before October 1 for full Rebate: Charter Stacie Colman-Hsu President 2017-2018 Year

Region Responsibilities Date Activity Responsible / Location Attendance or Sent To 6/15/17 Action Plan Due President Collin Miller

9/20/17 Regional Assembly President Coco’s

10/19/17 Women’s Leadership Members Pasadena American Legion Members/New AUSD 11/2-11/4 ACSA Leadership SummitAdmin Mentees and San Jose Mentors/HR Dept.

11/15/17 Every Student Charter Kellogg West, Succeeding Presidents/Nomination Cal Poly Pomona Recognition Members 1/10/18 TBD Castaways,Burba Award nominations nk due President /Pres 1/17/18 Elect/Membership Coco’s

Regional Assembly 3/10/18 Members Monrovia High School, Monrovia Region Conference

3/28/18 President, Members Pasadena American Legion Student Oratory 4/15-4/16 Contest Members (Pending) Sacramento

4/11/18 Legislative Action Members Day Coco’s 4/30/18 Members Castaways Regional Assembly /Burbank 6/18-6/19 Spring Conference & Awards Marriott VBR

Leadership Retreat Charter Membership Promotional Activity Date Activity Speaker/ Topic Location Budget (Breakfast, Attendance/ Dinner, etc.) Responsible Denise Jaramillo Superintendent’s Opening District $500 Fall 8/2/17 AMA Welcome Back Stacie Colman-Hsu Message, Recruitment Breakfast Celebration Petrillo’s Winter Restaurant $700 AMA Mid Year Event Spring 1/18/18 Pending TBD $1,000

AMA End of the Year Party (June 6) Charter Activities Date Activity Speaker/ Topic Location Budget (Breakfast, Attendance/ Dinner, etc.) Responsible 2 Charters should have at least four membership meetings per year (monthly meetings are best). 9/6/17 AMA Board Meeting AMA Board -Management -Communication District Office $0.00 9/21/17 Meeting with Supt./AMA Pres. between AMA and District 10/4/17 Superintendent AMA Board (ALL Meetings) 10/12/17 AMA Board Meeting Supt./AMA Pres. -Treasurer’s Report (ALL 11/1/17 Meeting with AMA Board Meetings) 11/2/17 Superintendent Supt./AMA Pres. 12/6/17 AMA Board Meeting AMA Board -Organize and Elect AMA 12/14/17 Meeting with Supt./AMA Pres. Board 2015-2017 1/10/18 Superintendent AMA Board -Review AMA Bylaws 1/18/18 AMA Board Meeting Supt./AMA Pres. -Review Student Scholarship 2/7/18 Meeting with AMA Board Criteria 2/8/18 Superintendent Supt./AMA Pres. -Create AMA Google Site 3/7/18 AMA Board Meeting AMA Board -Planning for Winter Event 3/15/18 Meeting with Supt./AMA Pres. -Planning for Spring Event 4/4/18 Superintendent AMA Board -How to increase ACSA 4/12/17 AMA Board Meeting Supt./AMA Pres. Participation 5/2/18 Meeting with AMA Board 5/10/18 Superintendent Supt./AMA Pres. AMA Board Meeting Meeting with Superintendent AMA Board Meeting Meeting with Superintendent AMA Board Meeting Meeting with Superintendent Maintain Charter Section of acsaregionxv.com

Charter Social Activities/Programs 4/4/18 AMA Scholarship AMA Board Reading and Selection District Office $2,000.00 Opportunity

* IRS Required Information Total $4,000 Acknowledgement of Rebate Check Requirements:

Name of individual receiving check: Stacie Colman-Hsu Title of Individual receiving check: Charter President FULL Address of individual to receive check: Ynez School, 120 S Ynez Ave., Monterey Park, CA 91754

Phone number of individual receiving check: 626-625-8868 email [email protected] Area Code Phone I acknowledge that the above budget analysis highlights where rebate funds will be expended.

On or before June 1, 2018 a list of all rebate funds issued for scholarships/grants; the name/complete address of the recipient will be forwarded to the Region Controller. In addition a list with the amount of funds paid to individual(s) and/or company/organization and W-9 will be forwarded to the Region Controller.

______Signed Date

This form will be kept on file in the Controller’s Office for State ACSA audit purposes.