Applicant Benneydale Hall Incorporated Project Reroofing of the Benneydale Hall. Type of group or Incorporated Society organisation Enhance the appearance of the hall and address Community Benefit maintenance issues. Total cost $62,150.00 Funds raised $17,000.00 Amount requested $45,150.00 Annual Halls Grant of $1000.00 Previous Funding Community Partnership Grant 2016 - $4,700.00 - Heating equipment received from WDC Discretionary Grant 2016 - $150.00 within past 3 years - Operational costs Community Partnership Grant 2017 - $1,500.00 - Flooring in men’s and women’s toilets The CPF can provide up to 50% of the capital costs of the project which is $31,075.00 The application notes a pending application to the Comments Lotteries Commission. Council could consider the grant being held until the outcome from this application is known. A412448 WDC Notices Gommun tyr Partnership Fund The Waitomo District Council invites community based groups to make application for financial assistance through the Community Partnership Fund. There is a fund pool of i25,000.00 available for distribution. The fund aims to'help our community help itsetf by ofiering access to seed funding and in kind support to groups in developing new community initiatives. This funding is unique in that it is the only funding pool provided by the Waitomo Distric{ Council that can be allocated to projects of a capital nature. Waitomo District Council supports resource sharing by communig groups and organisations and encourages, where possible, a collaborative approach to achieving the prioritised positive Community Outcomes. Application forms and further details ouflining the fund are available on our website www. waitomo.govt.nz, or by contacting the Customer Services Team, Waitomo Distric{ Council, Queen Street, Te Kuiti 07 878 0800 or Free phone 0E00 932 4357. Applications will open on Monday, October ld 2018 and close at 5.{n pLtIE?y, _ November 1d 2018. CHNS RYAN CHIEF EXECUTNE www.waitomo.govt.nz DlsHct Coundl Creating a better future with vibrant communities ond thriv ing busine ss, hhth ietYe- " r:ppliCcvfi VvrS dScuss<ct €J(ot i-, dve-ll (fi,d70 d.\c\ (-\ Ia-. \, *t^ tL Comrnunity Deve opment Fund Commrrnity Partnership Fund Application Dlstrlct C@mil 1. About your Organisation Full Name e \ t a^c- Postal Address q 3q U-4 Physical Location i+i Ra. €_ v,tya q qN o Contact Numbers o 01 818+-r23 C' E Phone Mobile Fax o .f o Email t= ;! o GST Number f ! o 3 Legal Status N = Formally Constituted Society qo o Incorporated Society Informal Group or Committee E 2o o 3 Other (Please Describe) @ .:.9 r= Years of Operation C o G E U Organisational Categories N N Please which of the following areas your organisation supports. Tick as many, or as few, as appropriate. F\ ,\@ o re and Recreation Environmental and Animal International Organisations, oF. o Protection C Aid and Relief x d II Education and Research Development and Housing Relig ious Congregations do C o o and Associations o(I, CO F. Health Civic and Advocacy Groups Not elsewhere classified @ c c o oF\ o Social Services and Emergency Philanthropic Organisation, c o C Relief C Aid and Relief Eo o g Purpose - What is the organisations main purpose and objectives? zF,i oIt no lr> a- \^o.\t So.i \it\ -P- g ub\,L '5 V fr.,.r,a*- .o F + r.\S^qe. to x o d) o C o(, (, c o o o) Contact Persons TWo contact names are required, These must be the same people who make the declaration on behalf of your organisation on page 6 of the application. Name (4o. .,-ro, R.,^ \r.a.rdl- Name Position So..-^r.-tot,-l , Position \v sLrva\r Phone(day) 01 ult+ Phone(day) Z Email Email i"^( [tr. 4v a.evv.e- rOglt,,cgt^ \ a Stro 7-- Referee Details .42 eo- Name 6 rn, Lsrura Name etrut t€rrJ+.P Position Position C tlnie ftaJqso^ Phone(day) 6-9Fr Shrac) q-<-6 Phone(day) oar I h63311 Email Email Mllneeu*t. rJ kro, k or.rq t t, brn Which of the following Community Categories will benefit from the project or initiative? (Tick as many, or as few, as appropriate) Urban Rural All of District 2. About your Project or Initiative Describe your ProJect For example; Will this grant fund capital expendiure? (i.e, purchase of equipment). Will this grant fund the development of existing facilities or services? R-.voo$;l { -\,< *o,t\. O-,r, a'.''t'.'. i= +- +" 1 <f,r..d. YO\Se- €.Lr,ct tndtwC€ {o ve- roe{ +\^e- \\-tl .r.-r.tl-- \n€-L\) ito1 *^r.+t^. a'rn -*p ..1"d \o-.1 \-u,. \ i Q=, \r.. .^l €-u €^/r iP -- <-e,-.n-rn o\- rz.r-..--kl\^a,t- \-ar- Jl;.^-r t .-!- erf ..-+olt- v.rz JUver,rz r.,.Je- uJoq,(d. J-: s<--i&\<_ O\..^- VL*;/.2 (JL) ruv Po(.".]i.^,1-tL* ,i ZV tS\rrn a\ a SLroul- \["rl un"a,[-ir-re- Length of Project - How long will your proJect or lnitiative continue for? U^lr( buc-l,n {r..*<- o.,\ t/Je bra".l 3 C\ Community 8enefit - How will the community benefit from your project or initiative? IlF wit[ ec L/a'\,\,<-e- a-vtd- v\/\ar!e^&<,./\a.{,^.c-€. =-^.n"Ln,auce- ^ Pe ig6, =-{ a8 +{r!e-. c_yrsl-i,,^-q /":{ uJ &A .,^,gto.I\<.d a,k \<as[- to 1e,a,.,< Project Focus - Is your project or initiative focused within the Waitomo District? ,r/r", No 3. Community Outcomes and Funding Priorities The basis of this Community Development Fund is to ensure recipients are undertaking projects that make a positlve contribution to achieving the Council's Strategic Community Outcomes. Below is a list of Community Outcomes that contribute to the Community Development Group. Please identify which outcgmes your project or activity will contribute to. Tick as many or as few as appropriate. ' { COl Cultural Heritage A place where people are enriched by the multicultural values of all its people and, in particular, Maori heritage and culture are an inherent and valued part of decision making that affects community life. CO2 Recreation and Socia! Amenities A place where all age groups have the opportunity to enjoy social, cultural and sporting activities within our District. co3 Youth 1 A place where young people have access to education, training and work opportunities. A place where young people feel valued and have opportunities for input into the District, CO4 Vibrant and Prosperous District 1. A place that attracts more people who want to live, work and play, and raise a family. 2. A place where wealth and employment are created through local businesses and development of tourism opportunities. 4. Funding for this Project or Initiative . If you are GST registered please do not include GST in these costs. Please round all figures to the nearest dollar. o Please list separate costs (attached written estimates forverification) and not just a total figure. Expenditure Income Cost of the project $ How do you plan to fund the project $ (Q-o-axc,,l i3'g')ot8 Ll tfz"zc G.tt- l,^.U,t<oU" i2, oor> 6.-*,.*- Aa.t{ t'tott &. 5 Cl-CrO I A Total Cost of B Funds for Project/Service L x.60 Project/Seruice 17, c't ., Total amount applied $ ( for(A - B) k\ sc) 237570: CDF1: P3l6 5. Funding from other Parties for this Project or Initiative Have you applied to, do you intend to apply to, or will you receive funding from any other group for If Yes, please detail below: Name of Group $ Lo *or,L G u..*r.^ra*io^ k ;. oo"\;.ot b\ 2o ocro ? 6. Previous Council funding for this Project or any other Service Have you received'financial assistance from Waitomo District Council during the last three years for a ny purpose? (i.e. rates relief, reduced rental, Triennial Grant / Discretionary Grants) No $ ,., If Yes, please detail below What was the purpose of funding? $ .A- ftva;.,*> 4ac< \_,, iar..4 4.7 co @prr.^r+o "*-( a'). c)ex,,Ls, et Lac Gi\.* va *{ade \5oo 7. Previous Funding for any other Projects or Initiative Have you received financial assistance from any other body or organisation during the last three years for any purpose? No Yes If Yes, please detail below: What was the purpose of funding? $ t .f^.{-.*,(o-!.o.^ A \n ezrt Or-tw. Os lot...l v l2- o-a'c3 \ ad\eY t.l. t. 15rc \) 237570 : FI: 8. Financial Accounts Please supply a copy of your organlsations last Annual Financial Report, or, in the absence of the Financial Report, a statement of lncome and expenditure for the past 12 months. If neither of these documents is avallable, please explain why below and attach a copy of your organisations latest bank statement/s. L Volunteer Support What level of volunteer suppoft will this project or service receive from your organisation? Number of volunteer workers involved? Describe the work volunteers will undeftake Resources supplied by volunteers 10. Further Information Please add any further infonnation you may wish to provide. This could include details of voluntary input towards the project or service and how you think the project will benefit our community, or what the impact would be on the community if the project is not provided. Letters of support from other organisations within the community would assist with defining the level of community benefit. G*l t,.r.,Jk- exwd'e-v'{o,kee-q- o*-{L..e- ,"*? "t{. d,a\e- t{^tl.