STATE OF CALIFORNIA BGC 204 (Or ig 012016 )

DEPA RTMENT OF JUSTICE

PAGE 1 of 4 MAJOR LEAGUE SPORTS RAFFLE ELIGIBLE ORGANIZATION ANNUAL REPORT

FF8 07 21]17 F IJU(~Oi~l~gr i - -~-_rontrnl-middot middotmiddot-

~OCEIVED~ IPLEASE SEND COMPLETED REPORT TO Bureau of Gambling Control P 0 Box 168024 Sacramento CA 95816-8024 Phone 916-227-3584 Fax(916)227-0170

Annual Report Period 9272016-123116

Eligible Organizations Name Sharks Foundation

Eligible Orga nizations Registration Number 16-000009

Pursuant to Penal Code section 3206 subdivision (o)(12)(A) once registered an eligible organization shall file annually thereafter with the Departm ent of Justice a report that includes all of the following information for each of the eligible organizations last three fiscal years Pursuant to Penal Code section 3206 subdivision (o)(12)(B) failure to submit the annual report shall be grounds for denial of an annual registration

REGULATIONSTATUTE Year1 Year2 Year3

92716 to 123116 to to (i) The aggreg ate gross receipts from the operation of raffles

$31943000

ate direct costs incurred by the eligible om the operation of raffles

(ii) The aggreg organization fr $10460919

(iii) The charita ble or beneficial purposes for which proceeds of the raffles w ere used See Appendix A

(iv) The aggre gate distributions of proceeds from the operation of ra ffles made to directly support beneficial or charitable pur poses other than beneficial or charitable purposes und ertaken by the eligible organization or eligible recipient orga nizations under Penal Code section 3205 subdivision (c )

$0

ate distributions of proceeds from the ffles made to raffle winners

(v) The aggreg operation of ra

$14801250 (Winner was ineligible on 101216)

(vi) The aggre gate distributions of proceeds from the operation of ra ffles made to any other organizations or for any other purp oses other than those included in items (ii) (iv) and (v) ab ove

$0

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE 2 of 4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Year 1 Year2 Year3 REGULATIONSTATUTE

92716 to 123116 to to (vii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 subdivision (c) that are not affiliated with the eligible

See Appendix B

organization

(viii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 subdivision (c) that are affiliated with the eligible

NA

organization

(ix) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to any other organization not included under items (vii) or (viii)above or for beneficial or charitable purposes undertaken by the

See Append ix C

eligible organization

(x) The aggregate gross receipts from activities other than the operation of raffles

$22168653 (See Appendix D)

(xi) The aggregate costs incurred by the eligible organization from activities other than the operation of raffles $685 17625

(See Appendix E)

(xii) The aggregate distributions of funds other than proceedsfrom the operation of raffles made to directly support beneficial or charitable purposes or eligible recipient organizations under Penal Code section 3205 subdivision

$43361300

(c)

(xiii) The aggregate distributions of funds other than proceeds from the operation of raffles for purposes other $0 than those listed in items (xi) and (xii) above

I

STATE OF CA LIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 0120 16) PAGE 3 of 4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Year1 Year2 Year3 REGULATIONSTATUTE

92716 to 123116 to to (xiv) A schedule of distributions of funds other than proceedsfrom the operation of raffles made to eligible recipient organizations under Penal Code section 320 5 subdivision See Appendix F (c) that are not affiliated with the eligible organization

(xv) A schedule of distributions of funds other than proceeds from the operation of raffles made to any other organization not included under item (xiv) above or for beneficial or $0 charitable purposes undertaken by the eligible organization

NOTE The department shall make the reports required by this paragraph available to the public via the on line search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code

CERTIFICATION

I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete

Fiduciarys Signatur

Fiduciarys Printed Name

Sarah Landers

Date

Feb 2 2017

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAG E 4 of 4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Privacy Notice As Required by Civil Code sect 179817

Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy

Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied

Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information)

Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes

The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant

Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE 2 of 4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Year 1 Year2 Year3 REGULATIONSTATUTE

92716 to 123116 to to (vii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 subdivision (c) that are not affiliated with the eligible

See Appendix B

organization

(viii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 subdivision (c) that are affiliated with the eligible

NA

organization

(ix) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to any other organization not included under items (vii) or (viii)above or for beneficial or charitable purposes undertaken by the

See Append ix C

eligible organization

(x) The aggregate gross receipts from activities other than the operation of raffles

$22168653 (See Appendix D)

(xi) The aggregate costs incurred by the eligible organization from activities other than the operation of raffles $685 17625

(See Appendix E)

(xii) The aggregate distributions of funds other than proceedsfrom the operation of raffles made to directly support beneficial or charitable purposes or eligible recipient organizations under Penal Code section 3205 subdivision

$43361300

(c)

(xiii) The aggregate distributions of funds other than proceeds from the operation of raffles for purposes other $0 than those listed in items (xi) and (xii) above

I

STATE OF CA LIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 0120 16) PAGE 3 of 4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Year1 Year2 Year3 REGULATIONSTATUTE

92716 to 123116 to to (xiv) A schedule of distributions of funds other than proceedsfrom the operation of raffles made to eligible recipient organizations under Penal Code section 320 5 subdivision See Appendix F (c) that are not affiliated with the eligible organization

(xv) A schedule of distributions of funds other than proceeds from the operation of raffles made to any other organization not included under item (xiv) above or for beneficial or $0 charitable purposes undertaken by the eligible organization

NOTE The department shall make the reports required by this paragraph available to the public via the on line search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code

CERTIFICATION

I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete

Fiduciarys Signatur

Fiduciarys Printed Name

Sarah Landers

Date

Feb 2 2017

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAG E 4 of 4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Privacy Notice As Required by Civil Code sect 179817

Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy

Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied

Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information)

Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes

The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant

Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov

STATE OF CA LIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 0120 16) PAGE 3 of 4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Year1 Year2 Year3 REGULATIONSTATUTE

92716 to 123116 to to (xiv) A schedule of distributions of funds other than proceedsfrom the operation of raffles made to eligible recipient organizations under Penal Code section 320 5 subdivision See Appendix F (c) that are not affiliated with the eligible organization

(xv) A schedule of distributions of funds other than proceeds from the operation of raffles made to any other organization not included under item (xiv) above or for beneficial or $0 charitable purposes undertaken by the eligible organization

NOTE The department shall make the reports required by this paragraph available to the public via the on line search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code

CERTIFICATION

I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete

Fiduciarys Signatur

Fiduciarys Printed Name

Sarah Landers

Date

Feb 2 2017

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAG E 4 of 4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Privacy Notice As Required by Civil Code sect 179817

Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy

Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied

Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information)

Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes

The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant

Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAG E 4 of 4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Privacy Notice As Required by Civil Code sect 179817

Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy

Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied

Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information)

Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes

The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant

Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov

State of California

BGC 204

American Red Cross CA Wil df ire Reli ef - Inspired by Bay Area Loma Fires

Ameri carll Red Cross Ill response of th e Oakland Ghostship Fire

VMC Foundat ion Serving low - income famili es at th e County Hospit al

Dream Foundat ion Fulf illi ng Adult end-of -li fe w ishes

Hockey Fight s Cancer Partner- Provides support services for y outh and Jacob s Heart Chil drens Cancer Support Services

th eir famili es facing a family members cancer diagnosis

Hockey Fight s Cancer Partn er- Supp orts support research resources Pancreat ic Cancer Act ion Netw ork

and hope t o end pancreaUc cancer

Hockey Fight s Cancer Partn er- Dedicat ed t o fon ding research fin ding The Leukemi a amp Lymph oma Society

cures and access t o tr eatm ent

Hockey Fights Cancer Partner- Prov ides support services in th e for m of Okizu

a camp for chil dre n and famili es facing cancer

Provides donat ed baby cloth ing t o low -income fa mili es fo r th e fir st Loved Tw ice

year of li fe

Provides volunt eer and donat ion opportun it iemiddots in t he Bay Area Salvat ion Army

inclu ding disaster reli ef

Brings resources t o t he homeless populat ion by ways of a shower Breakt hrough Shelt er Out reach Netw ork

resume edit ing comput er use t o get th em on th eir fee t

Sharks Foundati on Grant Process- cont ribut es t o a to t al of $300000 in

Sharks Found at ion grant fun ding t o seven local non-prof it organizat ions in 2016-17

State of California

BGC 204

Wed Sept 27 2016 Red Cross (CA W il df ires) $ 275000

Fri Sept 30 2016 Red Cross (CA Wil df ires) $ 287750

Wed Oct 5 2016 Red Cross (CA Wil df ires) $ 398700

Wed Oct 12 2016 VMC Foundat ion $ 23405 00 W inn ing fan was ine ligible

to claim prize

Tue Oct 25 2016 Dream Foundati on $ 6512 50

Thu Oct 27 2016 Jacobs Heart Chil dren s Cancer Support Services $ s middot911so

Sat Oct 29 2016 Pancreati c Cancer Act ion Netw ork $ 1064750

Thu Nov 3 2016 The Leukemi a ampLymphoma Society $ 7020 00

Sat Nov 5 2016 Oki zu $ 990000

Mo n Nov 21 2016 Sharks Foundat ion $ 630750

Wed Nov 23 2016 Loved Tw ice $ 5492 50

Fri Nov 25 2016 Sharks Foundati on $ 838750

Sat Nov 26 20 16 Salvat ion Army $ 1034000

Tue Nov 29 2016 Sharks Foundati on $ 723500

Fri Dec 2 2016 Sharks Foundati on $ 9552 50

Wed Dec 7 2016 Amer ican Red Cross $ 9572 50

Sat Dec 10 2016 Amer ican Red Cross $ 1375550

Tue Dec 20 2016 Sharks Foundat ion $ 771500

Fri Dec 23 20 16 Breakth rough Shelter Outreac h Netw ork $ 977750

Fri Dec 30 2016 Sharks Foundat ion $ 1026500

St ate of California

BGC 204

Mon Nov 21 2016 Sharks Foundat ion $ 630750

Fri Nov 25 2016 Sharks Foundati on $ 838750

Tue Nov 29 2016 Sharks Foundat ion $ 723500

Fri Dec 2 2016 Sharks Foundat ion $ 955250

Tue Dec 20 2016 Sharks Foundat ion $ 771500

Fri Dec 30 2016 Sharks Foundat ion $ 1026500

The $4946250 raised by the 5050 Raffle w ill be contr ibuted to the

Foundat ion s annua l grant process where a tota l of $300000 in grant

fund ing is given t o seven local non-profit organ izations includ ing Vista TOTAL $ 4946250

Center for the Blind and Visually Impaired Lucil e Packard Foundat ion

for Chil drens Health George MarkChil drens House Breakthrough

Sili con Valley Monta lvo Arts Center Alearn and Students Rising Above

State of California

BGC 204

Wed Sept 27 2016 Red Cross (CA W il df ires) $ 275000

Fri Sept 30 2016 Red Cross (CA Wil df ires) $ 287750

Wed Oct 5 2016 Red Cross (CA Wil df ires) $ 398700

Wed Oct 12 2016 VMC Foundat ion $ 23405 00 W inn ing fan was ine ligible

to claim prize

Tue Oct 25 2016 Dream Foundati on $ 6512 50

Thu Oct 27 2016 Jacobs Heart Chil dren s Cancer Support Services $ s middot911so

Sat Oct 29 2016 Pancreati c Cancer Act ion Netw ork $ 1064750

Thu Nov 3 2016 The Leukemi a ampLymphoma Society $ 7020 00

Sat Nov 5 2016 Oki zu $ 990000

Mo n Nov 21 2016 Sharks Foundat ion $ 630750

Wed Nov 23 2016 Loved Tw ice $ 5492 50

Fri Nov 25 2016 Sharks Foundati on $ 838750

Sat Nov 26 20 16 Salvat ion Army $ 1034000

Tue Nov 29 2016 Sharks Foundati on $ 723500

Fri Dec 2 2016 Sharks Foundati on $ 9552 50

Wed Dec 7 2016 Amer ican Red Cross $ 9572 50

Sat Dec 10 2016 Amer ican Red Cross $ 1375550

Tue Dec 20 2016 Sharks Foundat ion $ 771500

Fri Dec 23 20 16 Breakth rough Shelter Outreac h Netw ork $ 977750

Fri Dec 30 2016 Sharks Foundat ion $ 1026500

St ate of California

BGC 204

Mon Nov 21 2016 Sharks Foundat ion $ 630750

Fri Nov 25 2016 Sharks Foundati on $ 838750

Tue Nov 29 2016 Sharks Foundat ion $ 723500

Fri Dec 2 2016 Sharks Foundat ion $ 955250

Tue Dec 20 2016 Sharks Foundat ion $ 771500

Fri Dec 30 2016 Sharks Foundat ion $ 1026500

The $4946250 raised by the 5050 Raffle w ill be contr ibuted to the

Foundat ion s annua l grant process where a tota l of $300000 in grant

fund ing is given t o seven local non-profit organ izations includ ing Vista TOTAL $ 4946250

Center for the Blind and Visually Impaired Lucil e Packard Foundat ion

for Chil drens Health George MarkChil drens House Breakthrough

Sili con Valley Monta lvo Arts Center Alearn and Students Rising Above

St ate of California

BGC 204

Mon Nov 21 2016 Sharks Foundat ion $ 630750

Fri Nov 25 2016 Sharks Foundati on $ 838750

Tue Nov 29 2016 Sharks Foundat ion $ 723500

Fri Dec 2 2016 Sharks Foundat ion $ 955250

Tue Dec 20 2016 Sharks Foundat ion $ 771500

Fri Dec 30 2016 Sharks Foundat ion $ 1026500

The $4946250 raised by the 5050 Raffle w ill be contr ibuted to the

Foundat ion s annua l grant process where a tota l of $300000 in grant

fund ing is given t o seven local non-profit organ izations includ ing Vista TOTAL $ 4946250

Center for the Blind and Visually Impaired Lucil e Packard Foundat ion

for Chil drens Health George MarkChil drens House Breakthrough

Sili con Valley Monta lvo Arts Center Alearn and Students Rising Above

State of California

BGC 204

927-1230 Company Match ing $ l0 78990

927-1230 In-Game Auctions $ 5955700

11282016 Sh arks and Strikes Bow li ng Event $ 7160687

122-1210 Star Wars Mystery Pucks $ 3533000

1222016 Star Wars Jerseys $ 3440276

12202016 Toys for Tots (Fan donat ions) $ 1000000

TOTAL 22168653 $

These tota ls are only reflected from 927-1231 of 2016 This does not include the fu ll year of

incom ing revenue

State of California

BGC 204

Append ix E xi

BUDGET 92716-123116

Expenses

Programs $ 1560000

Bow lin g $ 3000000

Events-A ll other $ 1443000

Merchandise et $ 3520000 1Gra nt Giv ing $ 420000 rOO

Adm in $ 16994625

TOTAL $ 68517625

State of California

BGC 204

Appendix F xiv

9 292016 Vision To learn $2000000

10132016 People Acting in Community Together (PACT) $500000

10202016 Minneapolis Heart Inst itut e Foundation $25000 10242016 Jessie Rees Foundation $1000000 10272016 Silicon Valley Council of Non-Profits $250000

1112016 Unit ed Heroes l eague (Formerly Defending the Blue lin e) $1500000

1152016 Austen Everett Foundation $536300

11102016 Hunger at Home $25000 00 11132016 March of Dimes $500000 11162016 Second Harvest Food Bank $1000000 11222016 loaves amp Fishes Family Kitchen $2000000 11282016 Cake4Kids $500000 1212016 Camp Kesem at The University of Oregon $50000

12142016 Vista Center for the Blind and Visually Impaired $3384800 12142016 Lucile Packard Foundation for Childrens Health $50000 00

12142016 George Mark Childrens House $4000000

12142016 Breakthrou gh Silicon Valley $5000000

12142016 Montalvo Arts Center $3000000

12142016 Aleam $4615200

12142016 Students Rising Above $5000000

12202016 Toys for Tot s $1000000

TOTAL $43361300

------------------------------

STATE OF CALIFORNIA BGC 204 (Orig 012016)

DEPARTMENT OF JUSTICE

PAGE1 of 4MAJOR LEAGUE SPORTS RAFFLE ELIGIBLE ORGANIZATION ANNUAL REPORT -Ob_middotcmiddot middotiJ1middot-11Vi

( 114 [_f f)JJ-17 t

~ middot ~JiRO8 2U1bull I

middot middot~~~- ~ - ~ ~~~~~ _ ~) Jbull

PLEASE SEND COMPLETED REPORT TO Bureau of Gambling Control

P o Box 168024 Sacram ento CA 95816-8024

Phone 916-227-35 84 Fax( 916 ) 227-0170 Annual Report Period

Print Form Save Form ] Reset Form -

- _ _ -- - __________________________ 20 16 201

Eligible Organizations Name Sharks Foundation

16-000009Eligible Organizations Registration Number

Pursuant to Penal Code section 3206 subdivision (o)(12)(A) once registered an eligible organization shall file annually thereafter with the Department of Justice a report that includes all of the following information for each of the eligible organizations last three fiscal years Pursuant to Penal Code section 3206 subdivision (o)(12)(B) failure to submit the annual report shall be grounds for denial of an annual registration

Year1 Year2 Year3 REGULATIONSTATUTE

2014 2015to 2015 2016 to to (i) The aggregate gross receipts from the operation of raffles

(ii) The aggregate direct costs incurred by the eligible organization from the operat ion of raffles

(iii) The charitable or beneficial purposes for which proceeds of the raffles were used

(iv) The aggregate distributions of proceeds from the operation of raffles made to directly support beneficial or charitable purposes other than beneficial or charitable purposes undertaken by the eligible organization or eligible recipient organizations under Penal Code section 3205 subdivision (c)

(v) The aggregate distributions of proceeds from the operation of raffles made to raffle winners

(vi) The aggregate distributions of proceeds from the operation of raffles made to any other organizations or for any other purposes other than those included in items (ii) (iv) and (v) above

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE 2 of4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Year1 Year2 Year3 REGULATIONSTATUTE

2014 to 2015 2015 to 2016 to (vii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 subdivision (c) that are not affiliated with the eligible organization

(viii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 subdivision (c) that are affiliated with the eligible organization

(ix) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to any other organization not included under items (vii) or (viii) above or for beneficial or charitable purposes undertaken by the eligible organization

(x) The aggregate gross receipts from activities other than the operation of raffles

$1700000 $1700000

(xi) The aggregate costs incurred by the eligible organization from activities other than the operation of raffles

$300000 $250000

(xii) The aggregate distributions of funds other than proceeds from the operation of raffles made to directly support

$1330000 $1450000

beneficial or charitable purposes or eligible recipient organizations under Pena Code section 3205 subdivision (c)

(xiii) The aggregate distributions of funds other than proceeds from the operation of raffles for purposes other

$0 $0

than those listed in items (xi) and (xii) above

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAG E 3 of 4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Year1 Year2 Year3 REGULATIONSTATUTE

2014 to 2015 2015 to 2016 to (xiv) A schedule of distributions of funds other than proceedsfrom the operation of raffles made to eligible recipient

Appendix G Appendix H

organizations under Penal Code section 3205 subdivision (c) that are not affiliated with the eligible organization

(xv) A schedule of distributions of funds other than proceeds from the operation of raffles made to any other organization

$0 $0

not included under item (xiv) above or for beneficial or charitable purposes undertaken by the eligible organization

NOTE The department shall make the reports required by this paragraph available to the public via the online search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code

CERTIFICATION

I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete

Date

332017Sarah Landers

STATE OF CALIFORNIA DEPART MENT OF JUSTICE BGC 204 (Orig 0120 16) PAGE 4 of4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Privacy Notice As Required by Civil Code sect 179817

Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy

Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied

Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information)

Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes

The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant

Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov

State of California

BGC 204

Appendix F xiv

9 292016 Vision To learn $2000000

10132016 People Acting in Community Together (PACT) $500000

10202016 Minneapolis Heart Inst itut e Foundation $25000 10242016 Jessie Rees Foundation $1000000 10272016 Silicon Valley Council of Non-Profits $250000

1112016 Unit ed Heroes l eague (Formerly Defending the Blue lin e) $1500000

1152016 Austen Everett Foundation $536300

11102016 Hunger at Home $25000 00 11132016 March of Dimes $500000 11162016 Second Harvest Food Bank $1000000 11222016 loaves amp Fishes Family Kitchen $2000000 11282016 Cake4Kids $500000 1212016 Camp Kesem at The University of Oregon $50000

12142016 Vista Center for the Blind and Visually Impaired $3384800 12142016 Lucile Packard Foundation for Childrens Health $50000 00

12142016 George Mark Childrens House $4000000

12142016 Breakthrou gh Silicon Valley $5000000

12142016 Montalvo Arts Center $3000000

12142016 Aleam $4615200

12142016 Students Rising Above $5000000

12202016 Toys for Tot s $1000000

TOTAL $43361300

------------------------------

STATE OF CALIFORNIA BGC 204 (Orig 012016)

DEPARTMENT OF JUSTICE

PAGE1 of 4MAJOR LEAGUE SPORTS RAFFLE ELIGIBLE ORGANIZATION ANNUAL REPORT -Ob_middotcmiddot middotiJ1middot-11Vi

( 114 [_f f)JJ-17 t

~ middot ~JiRO8 2U1bull I

middot middot~~~- ~ - ~ ~~~~~ _ ~) Jbull

PLEASE SEND COMPLETED REPORT TO Bureau of Gambling Control

P o Box 168024 Sacram ento CA 95816-8024

Phone 916-227-35 84 Fax( 916 ) 227-0170 Annual Report Period

Print Form Save Form ] Reset Form -

- _ _ -- - __________________________ 20 16 201

Eligible Organizations Name Sharks Foundation

16-000009Eligible Organizations Registration Number

Pursuant to Penal Code section 3206 subdivision (o)(12)(A) once registered an eligible organization shall file annually thereafter with the Department of Justice a report that includes all of the following information for each of the eligible organizations last three fiscal years Pursuant to Penal Code section 3206 subdivision (o)(12)(B) failure to submit the annual report shall be grounds for denial of an annual registration

Year1 Year2 Year3 REGULATIONSTATUTE

2014 2015to 2015 2016 to to (i) The aggregate gross receipts from the operation of raffles

(ii) The aggregate direct costs incurred by the eligible organization from the operat ion of raffles

(iii) The charitable or beneficial purposes for which proceeds of the raffles were used

(iv) The aggregate distributions of proceeds from the operation of raffles made to directly support beneficial or charitable purposes other than beneficial or charitable purposes undertaken by the eligible organization or eligible recipient organizations under Penal Code section 3205 subdivision (c)

(v) The aggregate distributions of proceeds from the operation of raffles made to raffle winners

(vi) The aggregate distributions of proceeds from the operation of raffles made to any other organizations or for any other purposes other than those included in items (ii) (iv) and (v) above

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE 2 of4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Year1 Year2 Year3 REGULATIONSTATUTE

2014 to 2015 2015 to 2016 to (vii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 subdivision (c) that are not affiliated with the eligible organization

(viii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 subdivision (c) that are affiliated with the eligible organization

(ix) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to any other organization not included under items (vii) or (viii) above or for beneficial or charitable purposes undertaken by the eligible organization

(x) The aggregate gross receipts from activities other than the operation of raffles

$1700000 $1700000

(xi) The aggregate costs incurred by the eligible organization from activities other than the operation of raffles

$300000 $250000

(xii) The aggregate distributions of funds other than proceeds from the operation of raffles made to directly support

$1330000 $1450000

beneficial or charitable purposes or eligible recipient organizations under Pena Code section 3205 subdivision (c)

(xiii) The aggregate distributions of funds other than proceeds from the operation of raffles for purposes other

$0 $0

than those listed in items (xi) and (xii) above

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAG E 3 of 4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Year1 Year2 Year3 REGULATIONSTATUTE

2014 to 2015 2015 to 2016 to (xiv) A schedule of distributions of funds other than proceedsfrom the operation of raffles made to eligible recipient

Appendix G Appendix H

organizations under Penal Code section 3205 subdivision (c) that are not affiliated with the eligible organization

(xv) A schedule of distributions of funds other than proceeds from the operation of raffles made to any other organization

$0 $0

not included under item (xiv) above or for beneficial or charitable purposes undertaken by the eligible organization

NOTE The department shall make the reports required by this paragraph available to the public via the online search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code

CERTIFICATION

I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete

Date

332017Sarah Landers

STATE OF CALIFORNIA DEPART MENT OF JUSTICE BGC 204 (Orig 0120 16) PAGE 4 of4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Privacy Notice As Required by Civil Code sect 179817

Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy

Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied

Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information)

Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes

The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant

Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov

------------------------------

STATE OF CALIFORNIA BGC 204 (Orig 012016)

DEPARTMENT OF JUSTICE

PAGE1 of 4MAJOR LEAGUE SPORTS RAFFLE ELIGIBLE ORGANIZATION ANNUAL REPORT -Ob_middotcmiddot middotiJ1middot-11Vi

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PLEASE SEND COMPLETED REPORT TO Bureau of Gambling Control

P o Box 168024 Sacram ento CA 95816-8024

Phone 916-227-35 84 Fax( 916 ) 227-0170 Annual Report Period

Print Form Save Form ] Reset Form -

- _ _ -- - __________________________ 20 16 201

Eligible Organizations Name Sharks Foundation

16-000009Eligible Organizations Registration Number

Pursuant to Penal Code section 3206 subdivision (o)(12)(A) once registered an eligible organization shall file annually thereafter with the Department of Justice a report that includes all of the following information for each of the eligible organizations last three fiscal years Pursuant to Penal Code section 3206 subdivision (o)(12)(B) failure to submit the annual report shall be grounds for denial of an annual registration

Year1 Year2 Year3 REGULATIONSTATUTE

2014 2015to 2015 2016 to to (i) The aggregate gross receipts from the operation of raffles

(ii) The aggregate direct costs incurred by the eligible organization from the operat ion of raffles

(iii) The charitable or beneficial purposes for which proceeds of the raffles were used

(iv) The aggregate distributions of proceeds from the operation of raffles made to directly support beneficial or charitable purposes other than beneficial or charitable purposes undertaken by the eligible organization or eligible recipient organizations under Penal Code section 3205 subdivision (c)

(v) The aggregate distributions of proceeds from the operation of raffles made to raffle winners

(vi) The aggregate distributions of proceeds from the operation of raffles made to any other organizations or for any other purposes other than those included in items (ii) (iv) and (v) above

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE 2 of4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Year1 Year2 Year3 REGULATIONSTATUTE

2014 to 2015 2015 to 2016 to (vii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 subdivision (c) that are not affiliated with the eligible organization

(viii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 subdivision (c) that are affiliated with the eligible organization

(ix) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to any other organization not included under items (vii) or (viii) above or for beneficial or charitable purposes undertaken by the eligible organization

(x) The aggregate gross receipts from activities other than the operation of raffles

$1700000 $1700000

(xi) The aggregate costs incurred by the eligible organization from activities other than the operation of raffles

$300000 $250000

(xii) The aggregate distributions of funds other than proceeds from the operation of raffles made to directly support

$1330000 $1450000

beneficial or charitable purposes or eligible recipient organizations under Pena Code section 3205 subdivision (c)

(xiii) The aggregate distributions of funds other than proceeds from the operation of raffles for purposes other

$0 $0

than those listed in items (xi) and (xii) above

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAG E 3 of 4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Year1 Year2 Year3 REGULATIONSTATUTE

2014 to 2015 2015 to 2016 to (xiv) A schedule of distributions of funds other than proceedsfrom the operation of raffles made to eligible recipient

Appendix G Appendix H

organizations under Penal Code section 3205 subdivision (c) that are not affiliated with the eligible organization

(xv) A schedule of distributions of funds other than proceeds from the operation of raffles made to any other organization

$0 $0

not included under item (xiv) above or for beneficial or charitable purposes undertaken by the eligible organization

NOTE The department shall make the reports required by this paragraph available to the public via the online search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code

CERTIFICATION

I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete

Date

332017Sarah Landers

STATE OF CALIFORNIA DEPART MENT OF JUSTICE BGC 204 (Orig 0120 16) PAGE 4 of4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Privacy Notice As Required by Civil Code sect 179817

Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy

Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied

Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information)

Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes

The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant

Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE 2 of4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Year1 Year2 Year3 REGULATIONSTATUTE

2014 to 2015 2015 to 2016 to (vii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 subdivision (c) that are not affiliated with the eligible organization

(viii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 subdivision (c) that are affiliated with the eligible organization

(ix) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to any other organization not included under items (vii) or (viii) above or for beneficial or charitable purposes undertaken by the eligible organization

(x) The aggregate gross receipts from activities other than the operation of raffles

$1700000 $1700000

(xi) The aggregate costs incurred by the eligible organization from activities other than the operation of raffles

$300000 $250000

(xii) The aggregate distributions of funds other than proceeds from the operation of raffles made to directly support

$1330000 $1450000

beneficial or charitable purposes or eligible recipient organizations under Pena Code section 3205 subdivision (c)

(xiii) The aggregate distributions of funds other than proceeds from the operation of raffles for purposes other

$0 $0

than those listed in items (xi) and (xii) above

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAG E 3 of 4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Year1 Year2 Year3 REGULATIONSTATUTE

2014 to 2015 2015 to 2016 to (xiv) A schedule of distributions of funds other than proceedsfrom the operation of raffles made to eligible recipient

Appendix G Appendix H

organizations under Penal Code section 3205 subdivision (c) that are not affiliated with the eligible organization

(xv) A schedule of distributions of funds other than proceeds from the operation of raffles made to any other organization

$0 $0

not included under item (xiv) above or for beneficial or charitable purposes undertaken by the eligible organization

NOTE The department shall make the reports required by this paragraph available to the public via the online search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code

CERTIFICATION

I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete

Date

332017Sarah Landers

STATE OF CALIFORNIA DEPART MENT OF JUSTICE BGC 204 (Orig 0120 16) PAGE 4 of4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Privacy Notice As Required by Civil Code sect 179817

Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy

Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied

Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information)

Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes

The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant

Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAG E 3 of 4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Year1 Year2 Year3 REGULATIONSTATUTE

2014 to 2015 2015 to 2016 to (xiv) A schedule of distributions of funds other than proceedsfrom the operation of raffles made to eligible recipient

Appendix G Appendix H

organizations under Penal Code section 3205 subdivision (c) that are not affiliated with the eligible organization

(xv) A schedule of distributions of funds other than proceeds from the operation of raffles made to any other organization

$0 $0

not included under item (xiv) above or for beneficial or charitable purposes undertaken by the eligible organization

NOTE The department shall make the reports required by this paragraph available to the public via the online search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code

CERTIFICATION

I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete

Date

332017Sarah Landers

STATE OF CALIFORNIA DEPART MENT OF JUSTICE BGC 204 (Orig 0120 16) PAGE 4 of4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Privacy Notice As Required by Civil Code sect 179817

Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy

Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied

Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information)

Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes

The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant

Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov

STATE OF CALIFORNIA DEPART MENT OF JUSTICE BGC 204 (Orig 0120 16) PAGE 4 of4 MAJOR LEAGUE SPORTS RAFFLE

ELIGIBLE ORGANIZATION ANNUAL REPORT

Privacy Notice As Required by Civil Code sect 179817

Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy

Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied

Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information)

Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes

The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant

Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov

bull I

Appendix G - 20142015 Legacy Project (see next page) $37500000

Goals for Kids (see next page) $24750000

KaBOOM $93026

Katie Moore Foundation $1297981

Rotary Club of San Jose $12000

Silicon Valley Turkey Trot $10000

Good Karma Bikes $8399 27

lnnVision Shelter Network $7957 57

Sierra Club $7439 12

Second Harvest Food Bank $6316

Defending the Blue Line $5022 24

San Francisco Zoo $5022 24

Leukemia amp Lymphoma Society $437184

Sacred Heart Community Service $3998

Folds of Honor $3338

Muscular Dystrophy Association $192447

GRANT RECIPIENTS AAUW- San Jose Gifts for Teens $24300

Achieve Kids $20000

American Heart Association Inc $20000

Assistance League of San Jose $25000

Bill Wilson Center $25000

CreaTV San Jose $25000

Downtown College Prep $25000

Environmental Volunteers Inc $25000

Family Supportive Housing Inc $25000

JW House $20000

Loved Twice $20000

Montalvo Arts Center $25000

Muscular Dystrophy Association $25000

My New Red Shoes $25000

Reading Partners $20000

Sacred Heart Community Service $25000

San Jose Grail Family Services $20000

South Bay Kidpower Teenpowe r Fullpowe r $25000

Sunnyvale Community Services $25000

Symphony Silicon Valley $20000

The Tech Museum of Innovation $10700

Youth Science Institute (YSI) $25000

YWCA Silicon Valley Domestic Violence Department $25000

Total $1329295

Goals for Kids

Child Advocates of Silicon Valley $45000

City Year $45000

Loaves amp Fishes Family Kitchen $45000

Ronald McDonald House at Stanford $45000

Via Services $45000

Rock the CASA $22500

Total $247 500

Legacy Projects

Valley Medical Center $350000

Tech Museum of Innovation $25000

Total $375000

Appendix H - 20152016

Shop with a Cop Foundation of Silicon Valley $500000

Second Harvest Food Bank $970000

Austen Everett Foundat ion $800000

Okizu Foundation $1700000

Cancer CAREPoint $800000

Jacob s Heart $1700000

Dream Foundation $800000

Toys for Tots $2344800

Ac hieveKids $20000

Advent Group Ministries $25000

Alearn $25000

Assistance League of San Jose $25000

Boys amp Girls Clubs of Silicon Valley $25000

Downtown College Prep $25000

Family Supportive Housing Inc $25000

George Mark Childrens House $25000

Inn Vision $25000

Loved Twice $25000

Lucile Packard Foundation for Childrens Health $25000

My New Red Shoes $25000

Palo Alto Medical Foundation $25000

Parent Institute for Quality Education $25000

Project Access $25000

San Jose Jazz $25000

San Jose Museum of Art $25000

Sunnyvale Community Services $25000

Third Street Community Center $20000

Unity Care Group $25000

Via Services Inc $25000

Vista Center for the Blind and Visually Impai red $22426

Youth Science Institute (YSI) $25000

Triton Museum of Art $2574

Capes4Heroes $393000

Operatio n Care and Comfort $2200000

Folds of Honor $800000

San Jose Rotary - Rotap last International $2000000

Tech Museum of Innovation $5000000

HelpAMotherOut org $530000

Loved Twice $530000

Capes4Heroes $100000

Red Cross $2000000

City Year San JoseSilicon Valley $50000 00

City Year San JoseSilicon Valley $266700

Make-A-W ish Greater Bay Area $5266700

Child Advocates of Silicon Valley $5266700

JW House $5266700

Silicon Valley Childrens Fund $52667 00

Loaves amp Fishes Family Kitchen $5266700

Alisa Ann Ruch Burn Foundation $50000 00

Little Kids Rock $7900 00

Ronald McDonald House at Stanford $7900 00

Good Tidings Foundation $19853 00

Tech Museum of Innovation $100 000 00

Valley Medical Center $50000 00

KaBOOM $482935

KaBOOM $6761090

KaBOOM $31000 00

Total $1451773 25

Goals for Kids

Child Advocates of Silicon Valley $45000

City Year $45000

Loaves amp Fishes Family Kitchen $45000

Ronald McDonald House at Stanford $45000

Via Services $45000

Rock the CASA $22500

Total $247 500

Legacy Projects

Valley Medical Center $350000

Tech Museum of Innovation $25000

Total $375000

Appendix H - 20152016

Shop with a Cop Foundation of Silicon Valley $500000

Second Harvest Food Bank $970000

Austen Everett Foundat ion $800000

Okizu Foundation $1700000

Cancer CAREPoint $800000

Jacob s Heart $1700000

Dream Foundation $800000

Toys for Tots $2344800

Ac hieveKids $20000

Advent Group Ministries $25000

Alearn $25000

Assistance League of San Jose $25000

Boys amp Girls Clubs of Silicon Valley $25000

Downtown College Prep $25000

Family Supportive Housing Inc $25000

George Mark Childrens House $25000

Inn Vision $25000

Loved Twice $25000

Lucile Packard Foundation for Childrens Health $25000

My New Red Shoes $25000

Palo Alto Medical Foundation $25000

Parent Institute for Quality Education $25000

Project Access $25000

San Jose Jazz $25000

San Jose Museum of Art $25000

Sunnyvale Community Services $25000

Third Street Community Center $20000

Unity Care Group $25000

Via Services Inc $25000

Vista Center for the Blind and Visually Impai red $22426

Youth Science Institute (YSI) $25000

Triton Museum of Art $2574

Capes4Heroes $393000

Operatio n Care and Comfort $2200000

Folds of Honor $800000

San Jose Rotary - Rotap last International $2000000

Tech Museum of Innovation $5000000

HelpAMotherOut org $530000

Loved Twice $530000

Capes4Heroes $100000

Red Cross $2000000

City Year San JoseSilicon Valley $50000 00

City Year San JoseSilicon Valley $266700

Make-A-W ish Greater Bay Area $5266700

Child Advocates of Silicon Valley $5266700

JW House $5266700

Silicon Valley Childrens Fund $52667 00

Loaves amp Fishes Family Kitchen $5266700

Alisa Ann Ruch Burn Foundation $50000 00

Little Kids Rock $7900 00

Ronald McDonald House at Stanford $7900 00

Good Tidings Foundation $19853 00

Tech Museum of Innovation $100 000 00

Valley Medical Center $50000 00

KaBOOM $482935

KaBOOM $6761090

KaBOOM $31000 00

Total $1451773 25

Appendix H - 20152016

Shop with a Cop Foundation of Silicon Valley $500000

Second Harvest Food Bank $970000

Austen Everett Foundat ion $800000

Okizu Foundation $1700000

Cancer CAREPoint $800000

Jacob s Heart $1700000

Dream Foundation $800000

Toys for Tots $2344800

Ac hieveKids $20000

Advent Group Ministries $25000

Alearn $25000

Assistance League of San Jose $25000

Boys amp Girls Clubs of Silicon Valley $25000

Downtown College Prep $25000

Family Supportive Housing Inc $25000

George Mark Childrens House $25000

Inn Vision $25000

Loved Twice $25000

Lucile Packard Foundation for Childrens Health $25000

My New Red Shoes $25000

Palo Alto Medical Foundation $25000

Parent Institute for Quality Education $25000

Project Access $25000

San Jose Jazz $25000

San Jose Museum of Art $25000

Sunnyvale Community Services $25000

Third Street Community Center $20000

Unity Care Group $25000

Via Services Inc $25000

Vista Center for the Blind and Visually Impai red $22426

Youth Science Institute (YSI) $25000

Triton Museum of Art $2574

Capes4Heroes $393000

Operatio n Care and Comfort $2200000

Folds of Honor $800000

San Jose Rotary - Rotap last International $2000000

Tech Museum of Innovation $5000000

HelpAMotherOut org $530000

Loved Twice $530000

Capes4Heroes $100000

Red Cross $2000000

City Year San JoseSilicon Valley $50000 00

City Year San JoseSilicon Valley $266700

Make-A-W ish Greater Bay Area $5266700

Child Advocates of Silicon Valley $5266700

JW House $5266700

Silicon Valley Childrens Fund $52667 00

Loaves amp Fishes Family Kitchen $5266700

Alisa Ann Ruch Burn Foundation $50000 00

Little Kids Rock $7900 00

Ronald McDonald House at Stanford $7900 00

Good Tidings Foundation $19853 00

Tech Museum of Innovation $100 000 00

Valley Medical Center $50000 00

KaBOOM $482935

KaBOOM $6761090

KaBOOM $31000 00

Total $1451773 25

Red Cross $2000000

City Year San JoseSilicon Valley $50000 00

City Year San JoseSilicon Valley $266700

Make-A-W ish Greater Bay Area $5266700

Child Advocates of Silicon Valley $5266700

JW House $5266700

Silicon Valley Childrens Fund $52667 00

Loaves amp Fishes Family Kitchen $5266700

Alisa Ann Ruch Burn Foundation $50000 00

Little Kids Rock $7900 00

Ronald McDonald House at Stanford $7900 00

Good Tidings Foundation $19853 00

Tech Museum of Innovation $100 000 00

Valley Medical Center $50000 00

KaBOOM $482935

KaBOOM $6761090

KaBOOM $31000 00

Total $1451773 25