San Francisco 49ers Major League Sports Raffle Program ... · MAJOR LEAGUE SPORTS RAFFLE PAGE 1 of4...

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_________________________ STATE OF CALIFORN IA BGC 203 (Rev. 02/20 17) DEPARTMENT OF JUSTICE PAGE 1 of4 MAJOR LEAGUE SPORTS RAFFLE ELIGIBLE ORGANIZATION ANNUAL REPORT PLEASE 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: 01/01/17-12/31 /1T Eligible Organization's Name: -=S-=a....:n.:..:F.:..:ra::.:.n-=c-=is-=c.:.o....:4.:.9e.:.r-=s...:.F...:o....:u....:nd....:a:c..:t...:io....:n _ Eligible Organization's Registration Number: 16-000008 Pursuant to Penal Code section 320.6, 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 organization's last three fiscal years. Pursuant to Penal Code section 320.6, subdivision (o)(12)(B), failure to submit the annual report shall be grounds for denial of an annual registration. Year1 Year2 Year3 REGULATION/STATUTE 1 /1/17 to 12/31/17 1 /1/16 to 12/31/16 1 /1/15 to 12/31/15 (i) The aggregate gross receipts from the operation of raffles. 506 ,196 196,349 N/a (ii) The aggregate direct costs incurred by the eligible organization from the operation of raffles. 127,266 54,387 N/a (iii) The charitable or beneficial purposes for which proceeds of the raffles were used . Educate and Empower Bay Area Youth Keep Kids safe, on track , & in school N/a (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 283,183 136,763 N/a recipient organizations, under Penal Code section 320.5 , subdivision (c). (v) The aggregate distributions of proceeds from the operation of raffles made to raffle winners. 222,973 62,592 N/a (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), 0 0 N/a (iv), and (v) above.

Transcript of San Francisco 49ers Major League Sports Raffle Program ... · MAJOR LEAGUE SPORTS RAFFLE PAGE 1 of4...

Page 1: San Francisco 49ers Major League Sports Raffle Program ... · MAJOR LEAGUE SPORTS RAFFLE PAGE 1 of4 ELIGIBLE ORGANIZATION ANNUAL REPORT . PLEASE SEND COMPLETED REPORT TO: Bureau of

_________________________

STATE OF CALIFORN IA BGC 203

(Rev 0220 17)

DEPARTMENT OF JUSTICE

PAGE 1 of4 MAJOR LEAGUE SPORTS RAFFLE ELIGIBLE ORGANIZATION ANNUAL REPORT

PLEASE 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 01 0117-1231 1T

Eligible Organizations Name -=S-=anFran-=c-=is-=co49er-=sFoundaction _

Eligible Organizations Registration Number 16-000008

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

1 1 17 to 123117 1 1 16 to 123116 1 1 15 to 123115

(i) The aggregate gross receipts from the operation of raffles 506 196 196349 Na

(ii) The aggregate direct costs incurred by the eligible organization from the operation of raffles 127266 54387 Na

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

Educate and Empower Bay Area Youth

Keep Kids safe on track amp in school

Na

(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 283183 136763 Na recipient organizations under Penal Code section 3205 subdivision (c)

(v) The aggregate distributions of proceeds from the operation of raffles made to raffle winners 222973 62592 Na

(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) 0 0 Na (iv) and (v) above

STATE OF CALIFORNI A DEPARTMENT OF JU STICE BGC 203 PAG E 2 of 4 MAJOR LEAGUE SPORTS RAFFLE (Rev 0220 17)

Year 1 Year2 Year3 REGULATIONSTATUTE

11 17 to 123117 1116 to 123116 1115 to 123115 (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 Attached Exhibit A See Attached Exhibit B Na

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

See Attached Exhibit A Na 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

Na Na Na

eligible organization

(x) The aggregate gross receipts from activities other than the operation of raffles 840430365 4048909 5234 561

(xi) The aggregate costs incurred by the eligible organization from activities other than the operation of raffles 2276 841 1140711 1505011

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

3973 063 4246 228 366776

(c)

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

ELIGIBLE ORGANIZATION ANNUAL REPORT

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 203 PAGE 3 of 4MAJOR LEAGUE SPORTS RAFFLE (Rev 022017)

ELIGIBLE ORGANIZATION ANNUAL REPORT

Year1 Year2 Year3 REGULATIONSTATUTE

1117 to 123117 1116 to 123116 1115 to 123115 (xiv) A schedule of distributions of funds other than proceedsfrom the operation of raffles made to eligible recipient organizations under Penal Code section 3205 subdivision See Attached Exhibit C See Attached Exhibit D See Attached Exhibit E (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 See Attached Exhibit C See Attached Exhibit D See Attached Exhibit E 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

First Name Last Name Middle Initial

Fiduciarys Printed Name

zs lt ~ --- - - --

lt I ~ bullgt Ygt --Q1 ~5is-ltYgtc ~ zs ~ ~ ~~~~~~~~-

Fiduciarys Signature -- Date 5J ~

DEPARTME NT OF JUSTICE

BGC 203 PAGE 4 of 4 STATE OF CALIFORNIA

MAJOR LEAG UE SPORTS RAFFLE (Rev 022017)

ELIGIBLE ORGANIZATION ANNUAL REPORT

Privacy Notice on Data Collection Forms As Required by Civil Code sect 179817

Collection and Use of Personal Information The Division of Law Enforcement Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by California 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 Practices Act and state policy The Department of Justices general privacy policy is available at http oag cagovprivacy -policy

Providing Personal Information All the personal information requested in this form must be provided

Access to Your Information You may review the records maintained by the Divis ion of Law Enforcement Bureau of Gambling Control 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 us with law enforcement or regulatory agencies

The information you provide may also be disclosed in the following circumstances

With other persons or agencies where necessary to perform the ir legal duties and their use of your information is compatible and complies with state law such has for investigations or for licensing certification or regulatory purposes

To another government agency as required by state or federal law

Contact Information For questions about this notice or access to your records you may contact the Special Agent Supervisor of Special Programs at the Department of Justice Bureau of Gambling Control at P 0 Box 168024 Sacramento CA 95816-8024 (916) 227-3584 or e-mail at GamblingControldojcagov

San Francisco 49ers Foundation

Exhibit B - Raffle Proceeds Recipients

12312016

American Cancer Society

Edgewood Center for Children and Families

Silicon Valley Education Foundation

VA Palo Alto Polytrauma Rehab Ctr

La Casa de Las Madres

Fresh Lifelines for Youth Inc

49ers Academy

Grand Total

32645 00

3254900

18606 50

1553250

1376200

12719 50

10948 50

13676300

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

19 For Life 17500

49ers Academy 31515500

AIM High San Francisco 10000

Alameda County Court Appointed Special Ad 10000 00

American Diabetes Assocation Inc 3500

American Red Cross 5000 00

Ann amp Robert H Lurie Chirldrens Hopsital of Chicago Foundation 10000 00

Aragon High School 500 00

Avon Breast Cancer Crusade 15000

Bay Area Womens Sports Initiative 500000

Bay Scholars 6240000

Bayview YMCA 5000 00

Bellarmine Preparatory Academy 100000

Berryessa Cougars Football amp Cheer 1000000

Best Buddies California 2000 00

Bill Wilson Center 1000 00

Branham HS Football 50000

Breakthrough Collaborative 23400 00

Breast Cancer Fund 24949

Carlmont High School 1000 00

Center for Youth Wellness 71640 00

Champion Charities 4000000

Child Abuse Prev Council of Contra Costa 4000000

Childrens Hospital and Research Center 35000 00

CityYear 75415 00

College Track 5000 00

Community Overcoming Relationship Abuse 1000 00

Cool Earth Action Inc 1000 00

Cristo ReySan Jose Jesuit High School 39000 00

Cystic Fibrosis Foundation 500 00

East Bay Childrens Law Offices 45000 00

East Bay College Fund 23400 00

East Bay Community Recovery Project 52500 00

Edgewood Center for Children and Families 52500 00

Fast Forward 25000 00

First Place for Youth 52500 00

Fresh Lifelines for Youth Inc 64915 00

Golden Heart Fund 15764

Golden West Chapter ALS Association 5250 00

Harper for Kids 39000 00

Hedge Funds CareHelp for Children 2500000

Huntingtons Disease Society of America 1000 00

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

Jefferson High School

Jewish Family amp Childrens Services

La Casa de Las Madres

Leland High School

Los Gatos High School

Madden Charities

Make-A-Wish Greater Bay

Marthas Kitchen

Milpitas High School

MISSSEY

Monta Vista High School Football

Mosaic Global Transportation

National Center for Youth Law

Oshman Family Jewish Community Center

Piedmont Hills High School

Pioneer High School

Positive Coaching Alliance

Safe amp Sound

San Francisco Court Appointed Special Adv

San Mateo High School

Santa Clara High School

Santa Rosa City Schools

Second Harvest Food Bank

Seneca Family of Agencies

SF PAL

Silicon Valley Education Foundation

Sonoma County 4-H

Special Olympics Northern California

StarVista

Techbridge Girls

Terra Nova High School

The V Foundation

Tipping Point Community

Unity Care

Urban Services YMCA of San Francisco

VIA Services

WestCoast Childrens Clinic

Westmont High School

Willow Glen High School

Grand Total

Total distributions on behalf of 49ers Museum STEAM program

1000 00

15000 00

5250000

100000

50000

10000 00

200000

1000000

1000 00

5250000

50000

212400

5250000

500000

50000

50000

2840000

8250000

5250000

50000

1000 00

450000

5000000

48766 00

166600

137056400

1000 00

850000

5250000

2500 00

100000

850000

350000 00

10000 00

10000 00

39000 00

5250000

50000

500 00

353096213

26373602

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

Total distributions on behalf of 49ers Youth Football Program 17836574

Total distributions of non raffle proceeds 397306389

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

49ers Academy

Adolescent Counseling Services

Alameda County Court Appointed Special Ad

American Cancer Society

American Red Cross

Aragon High School

BAAST Scholarship

Baler Backers - Football

Bay Area Womens Sports Initiative

Bayview YMCA

Bellarmine Preparatory Academy

Bill Wilson Center

Booksin Elementary School Community Assoc

Breakthrough Collaborative

California High School

Carlmont High School

CDE Foundation

Center for Youth Wellness

Child Abuse Prev Council of Contra Costa

Childrens Discovery Museum of San Jose

Childrens Hospital and Research Center

Childrens Hospital of Orange County

CityYear

Cupertino High School

DASH Sports Education

East Bay Childrens Law Offices

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

First Place for Youth

Fischer Middle School

Football Camp for The Stars

Fremont-Sunnyvale High School Athletics

Fresh Lifelines for Youth Inc

Hack the Hood

Half Moon Bay HS Football

Hedge Funds Care

Homes For Our Troops

Homestead High School

Jewish Family amp Childrens Services

Khan Academy

115881579

1000000

1000000

659670

1000000

100000

500000

50000

5000 00

500000

50000

100000

53000

22600 00

50000

50000

1500000

1000000

10000 00

100000

1500000

17000

5000000

100000

100000

15000 00

17500 00

1000000

17500 00

1750000

1509585

50000

100000

5500000

120000 00

50000

2510000

335927

100000

1500000

25000000

KICKCANCER 50000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

Kimochi Inc

Konocti Unified School District

La Casa de Las Madres

La Cocina

Little Kids Rock

Los Altos High School

Los Gatos Orthopedic Sports Therapy

Lucile Packard Foundation for Childrens

MADD

Make-A-Wish Greater Bay

Menlo-Atherton High School

Milpitas High School Athletics

Miscellaneous

MISSSEY

Monte Vista Christian School

Mountain View High School

National Center for Youth Law

Next Door Solutions to Domestic Violence

Overfelt High School

Pacific Grove High School

Peninsula Pop-Warner Little Scholars

Piedmont Hills High School

PLAYNICE Productions Inc

Positive Coaching Alliance

Ronald McDonald House at Stanford

Safe Coverage

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Jose Sports Authority

Santa Clara City Library Foundation

Santa Clara PAL

Saratoga High School

Seneca Family of Agencies

SF AIDS Foundation

SF Marin Food Bank

Silicon Valley Education Foundation

Silicon Valley FACES

Somos Mayfair

St Francis High School

StarVista

The Commonwealth Club of California

The Giving Back Project

100000

1000000

4010000

120000 00

2260000

1000 00

5000000

1000 00

400 00

100000

100000

50000

250000

17500 00

50000

50000

1750000

5000 00

100000

50000

1000000

100000

1000000

3000 00

2260000

1000000

2750000

1750000

400000

100000

5000 00

1000 00

1500000

5000000

50000 00

95438900

22600 00

22600 00

2000 00

1750000

5000 00

1000000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

The LEMO Foundation

The Warriors Community Foundation

Tipping Point Community

Urban Services YMCA of San Francisco

WestCoast Childrens Clinic

WorldWide Women Foundation

Year Up Bay Area

Youth Catalytics

YWCA Silicon Valley

Grand Total

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

100000

150000 00

250000 00

10000 00

1750000

5000 00

19784000

2500000

50000

411739661

12883162

424622823

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

2015 Special Olympics World Summer Games

49ers Academy

Alameda County Court Appointed Special Ad

Alum Rock Union Elementary School Distric

Aptos High School Football Program

Archbishop Mitty High School Football Pro

Bay Area Womens Sports Initiative

Bay Area Young Survivors

Bayview Magic

Bayview YMCA

Boys amp Girls Club of Central Florida

BUILD

Camp Taylor Inc

Capuchino High School Football Program

CASA of San Mateo County

Center for Youth Wellness

Childrens Hospital and Research Center

CityYear

College Spring

College Track

ConXion Community

Don Callejon School Community Organizatio

East Bay Childrens Law Offices

East Bay Childrens Theatre

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

Evan Murray Scholarship Fund

First Place for Youth

Football Camp for The Stars

Frameline

Fresh Lifelines for Youth Inc

Friends of Commission on Status of Women

Friends of the Pleasant Hill Library

Friends of the Urban Forest

Half Moon Bay High School Football Prog

Heart2Heart-Teens

Hedge Funds Care

Hillsdale High School Football Program

lndiegogo

Jefferson High School Football Program

Jewish Family amp Childrens Services

25000 00

407270 67

20000 00

500000

500 00

100000

10000 00

430 00

650000

10000 00

200000 00

2000 00

100000

10000 00

1500000

40000 00

7500000

5000000

1000000

100000

1500 00

30000 00

100000

3500000

10000 00

60000 00

50000

35000 00

1050000

3000 00

230000 00

1000 00

1000 00

4000 00

100000

10000 00

25000 00

50000

25000 00

50000

30000 00

000

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

JW House

Kathi Good

Kings Academy Football Program

La Casa de Las Madres

Lincoln High School Football Program

Loaves amp Fishes Family Kitchen

Los Gatos High School Football Program

Lucile Salter Packard Childrens Hospital

Make A Birthday Wish

Make-A-Wish Greater Bay

Manteca Youth Football amp Cheer

Menlo School Football Program

Menlo-Atherton High School Football Prog

MISSSEY

Mountain View Police Activities League

National Center for Youth Law

Oak Grove High School Football Program

Piedmont Hills High School Football Prog

Playworks

Positive Coaching Alliance

Project Open Hand

Sacred Heart Prep Football Program

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Francisco Fire Fighters Toy Program

San Francisco Police Foundation

San Francisco Recreation and Parks

San Jose Sports Authority

Santa Clara Lions

SF Marin Food Bank

Silicon Valley Education Foundation

Silver Creek High School Football Program

Special Olympics Northern California

StarVista

SVLG Young Womens Summit April 28 2015

The Jewish Sports Hall of Fame

The Justice and Diversity Center

Tipping Point Community

UCSF Benioff Childrens Hospital Oakland

Urban Services YMCA of San Francisco

US Bank

Valley Christian High School Football Pro

50000 00

3000 00

50000

35000 00

250000

1000 00

1000 00

35000 00

1000 00

48000 00

10000 00

1000 00

50000

3500000

1000 00

35000 00

100000

500 00

5000000

50000 00

200000 00

500 00

55000 00

35000 00

12000 00

12000 00

4000 00

300000

7500000

20000000

59467500

1000 00

5000 00

35000 00

4060 73

14000

20000 00

250000 00

2500000

10000 00

314594

500 00

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

Warren Easton Charter High School

WestCoast Childrens Clinic

Westmont High School Football Program

Woodside High School Football Program

Year Up Bay Area

Total distributions to other organizations

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

1000000

3500000

100000

100000

350 00000

370722234

65955364

436677598

San Francisco 49ers Foundation

Exhibit A - Raffle Proceeds Recipients

12312017

Payments to unaffiliated eligible recipient organizations

American Red Cross

American Cancer Society

Fresh Lifelines for Youth Inc

CityYear

Homes for Our Troops

Golden Heart Fund

San Francisco PAL

JUMA

Center for Youth Wellness

La Casa De Las Madres

Santa Clara PAL

San Jose PAL

Total

Payments of behalf of affiliated eligible recipient organizations

49ers Museum STEAM program

Total

Grand Total

4036000

31685 00

30085 00

30085 00

27090 00

27025 00

26900 00

19754 00

8360 00

836000

6469 50

6469 50

26264300

2054000

28

2054000

318300

Page 2: San Francisco 49ers Major League Sports Raffle Program ... · MAJOR LEAGUE SPORTS RAFFLE PAGE 1 of4 ELIGIBLE ORGANIZATION ANNUAL REPORT . PLEASE SEND COMPLETED REPORT TO: Bureau of

STATE OF CALIFORNI A DEPARTMENT OF JU STICE BGC 203 PAG E 2 of 4 MAJOR LEAGUE SPORTS RAFFLE (Rev 0220 17)

Year 1 Year2 Year3 REGULATIONSTATUTE

11 17 to 123117 1116 to 123116 1115 to 123115 (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 Attached Exhibit A See Attached Exhibit B Na

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

See Attached Exhibit A Na 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

Na Na Na

eligible organization

(x) The aggregate gross receipts from activities other than the operation of raffles 840430365 4048909 5234 561

(xi) The aggregate costs incurred by the eligible organization from activities other than the operation of raffles 2276 841 1140711 1505011

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

3973 063 4246 228 366776

(c)

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

ELIGIBLE ORGANIZATION ANNUAL REPORT

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 203 PAGE 3 of 4MAJOR LEAGUE SPORTS RAFFLE (Rev 022017)

ELIGIBLE ORGANIZATION ANNUAL REPORT

Year1 Year2 Year3 REGULATIONSTATUTE

1117 to 123117 1116 to 123116 1115 to 123115 (xiv) A schedule of distributions of funds other than proceedsfrom the operation of raffles made to eligible recipient organizations under Penal Code section 3205 subdivision See Attached Exhibit C See Attached Exhibit D See Attached Exhibit E (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 See Attached Exhibit C See Attached Exhibit D See Attached Exhibit E 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

First Name Last Name Middle Initial

Fiduciarys Printed Name

zs lt ~ --- - - --

lt I ~ bullgt Ygt --Q1 ~5is-ltYgtc ~ zs ~ ~ ~~~~~~~~-

Fiduciarys Signature -- Date 5J ~

DEPARTME NT OF JUSTICE

BGC 203 PAGE 4 of 4 STATE OF CALIFORNIA

MAJOR LEAG UE SPORTS RAFFLE (Rev 022017)

ELIGIBLE ORGANIZATION ANNUAL REPORT

Privacy Notice on Data Collection Forms As Required by Civil Code sect 179817

Collection and Use of Personal Information The Division of Law Enforcement Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by California 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 Practices Act and state policy The Department of Justices general privacy policy is available at http oag cagovprivacy -policy

Providing Personal Information All the personal information requested in this form must be provided

Access to Your Information You may review the records maintained by the Divis ion of Law Enforcement Bureau of Gambling Control 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 us with law enforcement or regulatory agencies

The information you provide may also be disclosed in the following circumstances

With other persons or agencies where necessary to perform the ir legal duties and their use of your information is compatible and complies with state law such has for investigations or for licensing certification or regulatory purposes

To another government agency as required by state or federal law

Contact Information For questions about this notice or access to your records you may contact the Special Agent Supervisor of Special Programs at the Department of Justice Bureau of Gambling Control at P 0 Box 168024 Sacramento CA 95816-8024 (916) 227-3584 or e-mail at GamblingControldojcagov

San Francisco 49ers Foundation

Exhibit B - Raffle Proceeds Recipients

12312016

American Cancer Society

Edgewood Center for Children and Families

Silicon Valley Education Foundation

VA Palo Alto Polytrauma Rehab Ctr

La Casa de Las Madres

Fresh Lifelines for Youth Inc

49ers Academy

Grand Total

32645 00

3254900

18606 50

1553250

1376200

12719 50

10948 50

13676300

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

19 For Life 17500

49ers Academy 31515500

AIM High San Francisco 10000

Alameda County Court Appointed Special Ad 10000 00

American Diabetes Assocation Inc 3500

American Red Cross 5000 00

Ann amp Robert H Lurie Chirldrens Hopsital of Chicago Foundation 10000 00

Aragon High School 500 00

Avon Breast Cancer Crusade 15000

Bay Area Womens Sports Initiative 500000

Bay Scholars 6240000

Bayview YMCA 5000 00

Bellarmine Preparatory Academy 100000

Berryessa Cougars Football amp Cheer 1000000

Best Buddies California 2000 00

Bill Wilson Center 1000 00

Branham HS Football 50000

Breakthrough Collaborative 23400 00

Breast Cancer Fund 24949

Carlmont High School 1000 00

Center for Youth Wellness 71640 00

Champion Charities 4000000

Child Abuse Prev Council of Contra Costa 4000000

Childrens Hospital and Research Center 35000 00

CityYear 75415 00

College Track 5000 00

Community Overcoming Relationship Abuse 1000 00

Cool Earth Action Inc 1000 00

Cristo ReySan Jose Jesuit High School 39000 00

Cystic Fibrosis Foundation 500 00

East Bay Childrens Law Offices 45000 00

East Bay College Fund 23400 00

East Bay Community Recovery Project 52500 00

Edgewood Center for Children and Families 52500 00

Fast Forward 25000 00

First Place for Youth 52500 00

Fresh Lifelines for Youth Inc 64915 00

Golden Heart Fund 15764

Golden West Chapter ALS Association 5250 00

Harper for Kids 39000 00

Hedge Funds CareHelp for Children 2500000

Huntingtons Disease Society of America 1000 00

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

Jefferson High School

Jewish Family amp Childrens Services

La Casa de Las Madres

Leland High School

Los Gatos High School

Madden Charities

Make-A-Wish Greater Bay

Marthas Kitchen

Milpitas High School

MISSSEY

Monta Vista High School Football

Mosaic Global Transportation

National Center for Youth Law

Oshman Family Jewish Community Center

Piedmont Hills High School

Pioneer High School

Positive Coaching Alliance

Safe amp Sound

San Francisco Court Appointed Special Adv

San Mateo High School

Santa Clara High School

Santa Rosa City Schools

Second Harvest Food Bank

Seneca Family of Agencies

SF PAL

Silicon Valley Education Foundation

Sonoma County 4-H

Special Olympics Northern California

StarVista

Techbridge Girls

Terra Nova High School

The V Foundation

Tipping Point Community

Unity Care

Urban Services YMCA of San Francisco

VIA Services

WestCoast Childrens Clinic

Westmont High School

Willow Glen High School

Grand Total

Total distributions on behalf of 49ers Museum STEAM program

1000 00

15000 00

5250000

100000

50000

10000 00

200000

1000000

1000 00

5250000

50000

212400

5250000

500000

50000

50000

2840000

8250000

5250000

50000

1000 00

450000

5000000

48766 00

166600

137056400

1000 00

850000

5250000

2500 00

100000

850000

350000 00

10000 00

10000 00

39000 00

5250000

50000

500 00

353096213

26373602

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

Total distributions on behalf of 49ers Youth Football Program 17836574

Total distributions of non raffle proceeds 397306389

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

49ers Academy

Adolescent Counseling Services

Alameda County Court Appointed Special Ad

American Cancer Society

American Red Cross

Aragon High School

BAAST Scholarship

Baler Backers - Football

Bay Area Womens Sports Initiative

Bayview YMCA

Bellarmine Preparatory Academy

Bill Wilson Center

Booksin Elementary School Community Assoc

Breakthrough Collaborative

California High School

Carlmont High School

CDE Foundation

Center for Youth Wellness

Child Abuse Prev Council of Contra Costa

Childrens Discovery Museum of San Jose

Childrens Hospital and Research Center

Childrens Hospital of Orange County

CityYear

Cupertino High School

DASH Sports Education

East Bay Childrens Law Offices

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

First Place for Youth

Fischer Middle School

Football Camp for The Stars

Fremont-Sunnyvale High School Athletics

Fresh Lifelines for Youth Inc

Hack the Hood

Half Moon Bay HS Football

Hedge Funds Care

Homes For Our Troops

Homestead High School

Jewish Family amp Childrens Services

Khan Academy

115881579

1000000

1000000

659670

1000000

100000

500000

50000

5000 00

500000

50000

100000

53000

22600 00

50000

50000

1500000

1000000

10000 00

100000

1500000

17000

5000000

100000

100000

15000 00

17500 00

1000000

17500 00

1750000

1509585

50000

100000

5500000

120000 00

50000

2510000

335927

100000

1500000

25000000

KICKCANCER 50000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

Kimochi Inc

Konocti Unified School District

La Casa de Las Madres

La Cocina

Little Kids Rock

Los Altos High School

Los Gatos Orthopedic Sports Therapy

Lucile Packard Foundation for Childrens

MADD

Make-A-Wish Greater Bay

Menlo-Atherton High School

Milpitas High School Athletics

Miscellaneous

MISSSEY

Monte Vista Christian School

Mountain View High School

National Center for Youth Law

Next Door Solutions to Domestic Violence

Overfelt High School

Pacific Grove High School

Peninsula Pop-Warner Little Scholars

Piedmont Hills High School

PLAYNICE Productions Inc

Positive Coaching Alliance

Ronald McDonald House at Stanford

Safe Coverage

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Jose Sports Authority

Santa Clara City Library Foundation

Santa Clara PAL

Saratoga High School

Seneca Family of Agencies

SF AIDS Foundation

SF Marin Food Bank

Silicon Valley Education Foundation

Silicon Valley FACES

Somos Mayfair

St Francis High School

StarVista

The Commonwealth Club of California

The Giving Back Project

100000

1000000

4010000

120000 00

2260000

1000 00

5000000

1000 00

400 00

100000

100000

50000

250000

17500 00

50000

50000

1750000

5000 00

100000

50000

1000000

100000

1000000

3000 00

2260000

1000000

2750000

1750000

400000

100000

5000 00

1000 00

1500000

5000000

50000 00

95438900

22600 00

22600 00

2000 00

1750000

5000 00

1000000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

The LEMO Foundation

The Warriors Community Foundation

Tipping Point Community

Urban Services YMCA of San Francisco

WestCoast Childrens Clinic

WorldWide Women Foundation

Year Up Bay Area

Youth Catalytics

YWCA Silicon Valley

Grand Total

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

100000

150000 00

250000 00

10000 00

1750000

5000 00

19784000

2500000

50000

411739661

12883162

424622823

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

2015 Special Olympics World Summer Games

49ers Academy

Alameda County Court Appointed Special Ad

Alum Rock Union Elementary School Distric

Aptos High School Football Program

Archbishop Mitty High School Football Pro

Bay Area Womens Sports Initiative

Bay Area Young Survivors

Bayview Magic

Bayview YMCA

Boys amp Girls Club of Central Florida

BUILD

Camp Taylor Inc

Capuchino High School Football Program

CASA of San Mateo County

Center for Youth Wellness

Childrens Hospital and Research Center

CityYear

College Spring

College Track

ConXion Community

Don Callejon School Community Organizatio

East Bay Childrens Law Offices

East Bay Childrens Theatre

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

Evan Murray Scholarship Fund

First Place for Youth

Football Camp for The Stars

Frameline

Fresh Lifelines for Youth Inc

Friends of Commission on Status of Women

Friends of the Pleasant Hill Library

Friends of the Urban Forest

Half Moon Bay High School Football Prog

Heart2Heart-Teens

Hedge Funds Care

Hillsdale High School Football Program

lndiegogo

Jefferson High School Football Program

Jewish Family amp Childrens Services

25000 00

407270 67

20000 00

500000

500 00

100000

10000 00

430 00

650000

10000 00

200000 00

2000 00

100000

10000 00

1500000

40000 00

7500000

5000000

1000000

100000

1500 00

30000 00

100000

3500000

10000 00

60000 00

50000

35000 00

1050000

3000 00

230000 00

1000 00

1000 00

4000 00

100000

10000 00

25000 00

50000

25000 00

50000

30000 00

000

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

JW House

Kathi Good

Kings Academy Football Program

La Casa de Las Madres

Lincoln High School Football Program

Loaves amp Fishes Family Kitchen

Los Gatos High School Football Program

Lucile Salter Packard Childrens Hospital

Make A Birthday Wish

Make-A-Wish Greater Bay

Manteca Youth Football amp Cheer

Menlo School Football Program

Menlo-Atherton High School Football Prog

MISSSEY

Mountain View Police Activities League

National Center for Youth Law

Oak Grove High School Football Program

Piedmont Hills High School Football Prog

Playworks

Positive Coaching Alliance

Project Open Hand

Sacred Heart Prep Football Program

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Francisco Fire Fighters Toy Program

San Francisco Police Foundation

San Francisco Recreation and Parks

San Jose Sports Authority

Santa Clara Lions

SF Marin Food Bank

Silicon Valley Education Foundation

Silver Creek High School Football Program

Special Olympics Northern California

StarVista

SVLG Young Womens Summit April 28 2015

The Jewish Sports Hall of Fame

The Justice and Diversity Center

Tipping Point Community

UCSF Benioff Childrens Hospital Oakland

Urban Services YMCA of San Francisco

US Bank

Valley Christian High School Football Pro

50000 00

3000 00

50000

35000 00

250000

1000 00

1000 00

35000 00

1000 00

48000 00

10000 00

1000 00

50000

3500000

1000 00

35000 00

100000

500 00

5000000

50000 00

200000 00

500 00

55000 00

35000 00

12000 00

12000 00

4000 00

300000

7500000

20000000

59467500

1000 00

5000 00

35000 00

4060 73

14000

20000 00

250000 00

2500000

10000 00

314594

500 00

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

Warren Easton Charter High School

WestCoast Childrens Clinic

Westmont High School Football Program

Woodside High School Football Program

Year Up Bay Area

Total distributions to other organizations

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

1000000

3500000

100000

100000

350 00000

370722234

65955364

436677598

San Francisco 49ers Foundation

Exhibit A - Raffle Proceeds Recipients

12312017

Payments to unaffiliated eligible recipient organizations

American Red Cross

American Cancer Society

Fresh Lifelines for Youth Inc

CityYear

Homes for Our Troops

Golden Heart Fund

San Francisco PAL

JUMA

Center for Youth Wellness

La Casa De Las Madres

Santa Clara PAL

San Jose PAL

Total

Payments of behalf of affiliated eligible recipient organizations

49ers Museum STEAM program

Total

Grand Total

4036000

31685 00

30085 00

30085 00

27090 00

27025 00

26900 00

19754 00

8360 00

836000

6469 50

6469 50

26264300

2054000

28

2054000

318300

Page 3: San Francisco 49ers Major League Sports Raffle Program ... · MAJOR LEAGUE SPORTS RAFFLE PAGE 1 of4 ELIGIBLE ORGANIZATION ANNUAL REPORT . PLEASE SEND COMPLETED REPORT TO: Bureau of

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 203 PAGE 3 of 4MAJOR LEAGUE SPORTS RAFFLE (Rev 022017)

ELIGIBLE ORGANIZATION ANNUAL REPORT

Year1 Year2 Year3 REGULATIONSTATUTE

1117 to 123117 1116 to 123116 1115 to 123115 (xiv) A schedule of distributions of funds other than proceedsfrom the operation of raffles made to eligible recipient organizations under Penal Code section 3205 subdivision See Attached Exhibit C See Attached Exhibit D See Attached Exhibit E (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 See Attached Exhibit C See Attached Exhibit D See Attached Exhibit E 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

First Name Last Name Middle Initial

Fiduciarys Printed Name

zs lt ~ --- - - --

lt I ~ bullgt Ygt --Q1 ~5is-ltYgtc ~ zs ~ ~ ~~~~~~~~-

Fiduciarys Signature -- Date 5J ~

DEPARTME NT OF JUSTICE

BGC 203 PAGE 4 of 4 STATE OF CALIFORNIA

MAJOR LEAG UE SPORTS RAFFLE (Rev 022017)

ELIGIBLE ORGANIZATION ANNUAL REPORT

Privacy Notice on Data Collection Forms As Required by Civil Code sect 179817

Collection and Use of Personal Information The Division of Law Enforcement Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by California 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 Practices Act and state policy The Department of Justices general privacy policy is available at http oag cagovprivacy -policy

Providing Personal Information All the personal information requested in this form must be provided

Access to Your Information You may review the records maintained by the Divis ion of Law Enforcement Bureau of Gambling Control 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 us with law enforcement or regulatory agencies

The information you provide may also be disclosed in the following circumstances

With other persons or agencies where necessary to perform the ir legal duties and their use of your information is compatible and complies with state law such has for investigations or for licensing certification or regulatory purposes

To another government agency as required by state or federal law

Contact Information For questions about this notice or access to your records you may contact the Special Agent Supervisor of Special Programs at the Department of Justice Bureau of Gambling Control at P 0 Box 168024 Sacramento CA 95816-8024 (916) 227-3584 or e-mail at GamblingControldojcagov

San Francisco 49ers Foundation

Exhibit B - Raffle Proceeds Recipients

12312016

American Cancer Society

Edgewood Center for Children and Families

Silicon Valley Education Foundation

VA Palo Alto Polytrauma Rehab Ctr

La Casa de Las Madres

Fresh Lifelines for Youth Inc

49ers Academy

Grand Total

32645 00

3254900

18606 50

1553250

1376200

12719 50

10948 50

13676300

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

19 For Life 17500

49ers Academy 31515500

AIM High San Francisco 10000

Alameda County Court Appointed Special Ad 10000 00

American Diabetes Assocation Inc 3500

American Red Cross 5000 00

Ann amp Robert H Lurie Chirldrens Hopsital of Chicago Foundation 10000 00

Aragon High School 500 00

Avon Breast Cancer Crusade 15000

Bay Area Womens Sports Initiative 500000

Bay Scholars 6240000

Bayview YMCA 5000 00

Bellarmine Preparatory Academy 100000

Berryessa Cougars Football amp Cheer 1000000

Best Buddies California 2000 00

Bill Wilson Center 1000 00

Branham HS Football 50000

Breakthrough Collaborative 23400 00

Breast Cancer Fund 24949

Carlmont High School 1000 00

Center for Youth Wellness 71640 00

Champion Charities 4000000

Child Abuse Prev Council of Contra Costa 4000000

Childrens Hospital and Research Center 35000 00

CityYear 75415 00

College Track 5000 00

Community Overcoming Relationship Abuse 1000 00

Cool Earth Action Inc 1000 00

Cristo ReySan Jose Jesuit High School 39000 00

Cystic Fibrosis Foundation 500 00

East Bay Childrens Law Offices 45000 00

East Bay College Fund 23400 00

East Bay Community Recovery Project 52500 00

Edgewood Center for Children and Families 52500 00

Fast Forward 25000 00

First Place for Youth 52500 00

Fresh Lifelines for Youth Inc 64915 00

Golden Heart Fund 15764

Golden West Chapter ALS Association 5250 00

Harper for Kids 39000 00

Hedge Funds CareHelp for Children 2500000

Huntingtons Disease Society of America 1000 00

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

Jefferson High School

Jewish Family amp Childrens Services

La Casa de Las Madres

Leland High School

Los Gatos High School

Madden Charities

Make-A-Wish Greater Bay

Marthas Kitchen

Milpitas High School

MISSSEY

Monta Vista High School Football

Mosaic Global Transportation

National Center for Youth Law

Oshman Family Jewish Community Center

Piedmont Hills High School

Pioneer High School

Positive Coaching Alliance

Safe amp Sound

San Francisco Court Appointed Special Adv

San Mateo High School

Santa Clara High School

Santa Rosa City Schools

Second Harvest Food Bank

Seneca Family of Agencies

SF PAL

Silicon Valley Education Foundation

Sonoma County 4-H

Special Olympics Northern California

StarVista

Techbridge Girls

Terra Nova High School

The V Foundation

Tipping Point Community

Unity Care

Urban Services YMCA of San Francisco

VIA Services

WestCoast Childrens Clinic

Westmont High School

Willow Glen High School

Grand Total

Total distributions on behalf of 49ers Museum STEAM program

1000 00

15000 00

5250000

100000

50000

10000 00

200000

1000000

1000 00

5250000

50000

212400

5250000

500000

50000

50000

2840000

8250000

5250000

50000

1000 00

450000

5000000

48766 00

166600

137056400

1000 00

850000

5250000

2500 00

100000

850000

350000 00

10000 00

10000 00

39000 00

5250000

50000

500 00

353096213

26373602

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

Total distributions on behalf of 49ers Youth Football Program 17836574

Total distributions of non raffle proceeds 397306389

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

49ers Academy

Adolescent Counseling Services

Alameda County Court Appointed Special Ad

American Cancer Society

American Red Cross

Aragon High School

BAAST Scholarship

Baler Backers - Football

Bay Area Womens Sports Initiative

Bayview YMCA

Bellarmine Preparatory Academy

Bill Wilson Center

Booksin Elementary School Community Assoc

Breakthrough Collaborative

California High School

Carlmont High School

CDE Foundation

Center for Youth Wellness

Child Abuse Prev Council of Contra Costa

Childrens Discovery Museum of San Jose

Childrens Hospital and Research Center

Childrens Hospital of Orange County

CityYear

Cupertino High School

DASH Sports Education

East Bay Childrens Law Offices

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

First Place for Youth

Fischer Middle School

Football Camp for The Stars

Fremont-Sunnyvale High School Athletics

Fresh Lifelines for Youth Inc

Hack the Hood

Half Moon Bay HS Football

Hedge Funds Care

Homes For Our Troops

Homestead High School

Jewish Family amp Childrens Services

Khan Academy

115881579

1000000

1000000

659670

1000000

100000

500000

50000

5000 00

500000

50000

100000

53000

22600 00

50000

50000

1500000

1000000

10000 00

100000

1500000

17000

5000000

100000

100000

15000 00

17500 00

1000000

17500 00

1750000

1509585

50000

100000

5500000

120000 00

50000

2510000

335927

100000

1500000

25000000

KICKCANCER 50000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

Kimochi Inc

Konocti Unified School District

La Casa de Las Madres

La Cocina

Little Kids Rock

Los Altos High School

Los Gatos Orthopedic Sports Therapy

Lucile Packard Foundation for Childrens

MADD

Make-A-Wish Greater Bay

Menlo-Atherton High School

Milpitas High School Athletics

Miscellaneous

MISSSEY

Monte Vista Christian School

Mountain View High School

National Center for Youth Law

Next Door Solutions to Domestic Violence

Overfelt High School

Pacific Grove High School

Peninsula Pop-Warner Little Scholars

Piedmont Hills High School

PLAYNICE Productions Inc

Positive Coaching Alliance

Ronald McDonald House at Stanford

Safe Coverage

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Jose Sports Authority

Santa Clara City Library Foundation

Santa Clara PAL

Saratoga High School

Seneca Family of Agencies

SF AIDS Foundation

SF Marin Food Bank

Silicon Valley Education Foundation

Silicon Valley FACES

Somos Mayfair

St Francis High School

StarVista

The Commonwealth Club of California

The Giving Back Project

100000

1000000

4010000

120000 00

2260000

1000 00

5000000

1000 00

400 00

100000

100000

50000

250000

17500 00

50000

50000

1750000

5000 00

100000

50000

1000000

100000

1000000

3000 00

2260000

1000000

2750000

1750000

400000

100000

5000 00

1000 00

1500000

5000000

50000 00

95438900

22600 00

22600 00

2000 00

1750000

5000 00

1000000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

The LEMO Foundation

The Warriors Community Foundation

Tipping Point Community

Urban Services YMCA of San Francisco

WestCoast Childrens Clinic

WorldWide Women Foundation

Year Up Bay Area

Youth Catalytics

YWCA Silicon Valley

Grand Total

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

100000

150000 00

250000 00

10000 00

1750000

5000 00

19784000

2500000

50000

411739661

12883162

424622823

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

2015 Special Olympics World Summer Games

49ers Academy

Alameda County Court Appointed Special Ad

Alum Rock Union Elementary School Distric

Aptos High School Football Program

Archbishop Mitty High School Football Pro

Bay Area Womens Sports Initiative

Bay Area Young Survivors

Bayview Magic

Bayview YMCA

Boys amp Girls Club of Central Florida

BUILD

Camp Taylor Inc

Capuchino High School Football Program

CASA of San Mateo County

Center for Youth Wellness

Childrens Hospital and Research Center

CityYear

College Spring

College Track

ConXion Community

Don Callejon School Community Organizatio

East Bay Childrens Law Offices

East Bay Childrens Theatre

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

Evan Murray Scholarship Fund

First Place for Youth

Football Camp for The Stars

Frameline

Fresh Lifelines for Youth Inc

Friends of Commission on Status of Women

Friends of the Pleasant Hill Library

Friends of the Urban Forest

Half Moon Bay High School Football Prog

Heart2Heart-Teens

Hedge Funds Care

Hillsdale High School Football Program

lndiegogo

Jefferson High School Football Program

Jewish Family amp Childrens Services

25000 00

407270 67

20000 00

500000

500 00

100000

10000 00

430 00

650000

10000 00

200000 00

2000 00

100000

10000 00

1500000

40000 00

7500000

5000000

1000000

100000

1500 00

30000 00

100000

3500000

10000 00

60000 00

50000

35000 00

1050000

3000 00

230000 00

1000 00

1000 00

4000 00

100000

10000 00

25000 00

50000

25000 00

50000

30000 00

000

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

JW House

Kathi Good

Kings Academy Football Program

La Casa de Las Madres

Lincoln High School Football Program

Loaves amp Fishes Family Kitchen

Los Gatos High School Football Program

Lucile Salter Packard Childrens Hospital

Make A Birthday Wish

Make-A-Wish Greater Bay

Manteca Youth Football amp Cheer

Menlo School Football Program

Menlo-Atherton High School Football Prog

MISSSEY

Mountain View Police Activities League

National Center for Youth Law

Oak Grove High School Football Program

Piedmont Hills High School Football Prog

Playworks

Positive Coaching Alliance

Project Open Hand

Sacred Heart Prep Football Program

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Francisco Fire Fighters Toy Program

San Francisco Police Foundation

San Francisco Recreation and Parks

San Jose Sports Authority

Santa Clara Lions

SF Marin Food Bank

Silicon Valley Education Foundation

Silver Creek High School Football Program

Special Olympics Northern California

StarVista

SVLG Young Womens Summit April 28 2015

The Jewish Sports Hall of Fame

The Justice and Diversity Center

Tipping Point Community

UCSF Benioff Childrens Hospital Oakland

Urban Services YMCA of San Francisco

US Bank

Valley Christian High School Football Pro

50000 00

3000 00

50000

35000 00

250000

1000 00

1000 00

35000 00

1000 00

48000 00

10000 00

1000 00

50000

3500000

1000 00

35000 00

100000

500 00

5000000

50000 00

200000 00

500 00

55000 00

35000 00

12000 00

12000 00

4000 00

300000

7500000

20000000

59467500

1000 00

5000 00

35000 00

4060 73

14000

20000 00

250000 00

2500000

10000 00

314594

500 00

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

Warren Easton Charter High School

WestCoast Childrens Clinic

Westmont High School Football Program

Woodside High School Football Program

Year Up Bay Area

Total distributions to other organizations

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

1000000

3500000

100000

100000

350 00000

370722234

65955364

436677598

San Francisco 49ers Foundation

Exhibit A - Raffle Proceeds Recipients

12312017

Payments to unaffiliated eligible recipient organizations

American Red Cross

American Cancer Society

Fresh Lifelines for Youth Inc

CityYear

Homes for Our Troops

Golden Heart Fund

San Francisco PAL

JUMA

Center for Youth Wellness

La Casa De Las Madres

Santa Clara PAL

San Jose PAL

Total

Payments of behalf of affiliated eligible recipient organizations

49ers Museum STEAM program

Total

Grand Total

4036000

31685 00

30085 00

30085 00

27090 00

27025 00

26900 00

19754 00

8360 00

836000

6469 50

6469 50

26264300

2054000

28

2054000

318300

Page 4: San Francisco 49ers Major League Sports Raffle Program ... · MAJOR LEAGUE SPORTS RAFFLE PAGE 1 of4 ELIGIBLE ORGANIZATION ANNUAL REPORT . PLEASE SEND COMPLETED REPORT TO: Bureau of

DEPARTME NT OF JUSTICE

BGC 203 PAGE 4 of 4 STATE OF CALIFORNIA

MAJOR LEAG UE SPORTS RAFFLE (Rev 022017)

ELIGIBLE ORGANIZATION ANNUAL REPORT

Privacy Notice on Data Collection Forms As Required by Civil Code sect 179817

Collection and Use of Personal Information The Division of Law Enforcement Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by California 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 Practices Act and state policy The Department of Justices general privacy policy is available at http oag cagovprivacy -policy

Providing Personal Information All the personal information requested in this form must be provided

Access to Your Information You may review the records maintained by the Divis ion of Law Enforcement Bureau of Gambling Control 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 us with law enforcement or regulatory agencies

The information you provide may also be disclosed in the following circumstances

With other persons or agencies where necessary to perform the ir legal duties and their use of your information is compatible and complies with state law such has for investigations or for licensing certification or regulatory purposes

To another government agency as required by state or federal law

Contact Information For questions about this notice or access to your records you may contact the Special Agent Supervisor of Special Programs at the Department of Justice Bureau of Gambling Control at P 0 Box 168024 Sacramento CA 95816-8024 (916) 227-3584 or e-mail at GamblingControldojcagov

San Francisco 49ers Foundation

Exhibit B - Raffle Proceeds Recipients

12312016

American Cancer Society

Edgewood Center for Children and Families

Silicon Valley Education Foundation

VA Palo Alto Polytrauma Rehab Ctr

La Casa de Las Madres

Fresh Lifelines for Youth Inc

49ers Academy

Grand Total

32645 00

3254900

18606 50

1553250

1376200

12719 50

10948 50

13676300

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

19 For Life 17500

49ers Academy 31515500

AIM High San Francisco 10000

Alameda County Court Appointed Special Ad 10000 00

American Diabetes Assocation Inc 3500

American Red Cross 5000 00

Ann amp Robert H Lurie Chirldrens Hopsital of Chicago Foundation 10000 00

Aragon High School 500 00

Avon Breast Cancer Crusade 15000

Bay Area Womens Sports Initiative 500000

Bay Scholars 6240000

Bayview YMCA 5000 00

Bellarmine Preparatory Academy 100000

Berryessa Cougars Football amp Cheer 1000000

Best Buddies California 2000 00

Bill Wilson Center 1000 00

Branham HS Football 50000

Breakthrough Collaborative 23400 00

Breast Cancer Fund 24949

Carlmont High School 1000 00

Center for Youth Wellness 71640 00

Champion Charities 4000000

Child Abuse Prev Council of Contra Costa 4000000

Childrens Hospital and Research Center 35000 00

CityYear 75415 00

College Track 5000 00

Community Overcoming Relationship Abuse 1000 00

Cool Earth Action Inc 1000 00

Cristo ReySan Jose Jesuit High School 39000 00

Cystic Fibrosis Foundation 500 00

East Bay Childrens Law Offices 45000 00

East Bay College Fund 23400 00

East Bay Community Recovery Project 52500 00

Edgewood Center for Children and Families 52500 00

Fast Forward 25000 00

First Place for Youth 52500 00

Fresh Lifelines for Youth Inc 64915 00

Golden Heart Fund 15764

Golden West Chapter ALS Association 5250 00

Harper for Kids 39000 00

Hedge Funds CareHelp for Children 2500000

Huntingtons Disease Society of America 1000 00

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

Jefferson High School

Jewish Family amp Childrens Services

La Casa de Las Madres

Leland High School

Los Gatos High School

Madden Charities

Make-A-Wish Greater Bay

Marthas Kitchen

Milpitas High School

MISSSEY

Monta Vista High School Football

Mosaic Global Transportation

National Center for Youth Law

Oshman Family Jewish Community Center

Piedmont Hills High School

Pioneer High School

Positive Coaching Alliance

Safe amp Sound

San Francisco Court Appointed Special Adv

San Mateo High School

Santa Clara High School

Santa Rosa City Schools

Second Harvest Food Bank

Seneca Family of Agencies

SF PAL

Silicon Valley Education Foundation

Sonoma County 4-H

Special Olympics Northern California

StarVista

Techbridge Girls

Terra Nova High School

The V Foundation

Tipping Point Community

Unity Care

Urban Services YMCA of San Francisco

VIA Services

WestCoast Childrens Clinic

Westmont High School

Willow Glen High School

Grand Total

Total distributions on behalf of 49ers Museum STEAM program

1000 00

15000 00

5250000

100000

50000

10000 00

200000

1000000

1000 00

5250000

50000

212400

5250000

500000

50000

50000

2840000

8250000

5250000

50000

1000 00

450000

5000000

48766 00

166600

137056400

1000 00

850000

5250000

2500 00

100000

850000

350000 00

10000 00

10000 00

39000 00

5250000

50000

500 00

353096213

26373602

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

Total distributions on behalf of 49ers Youth Football Program 17836574

Total distributions of non raffle proceeds 397306389

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

49ers Academy

Adolescent Counseling Services

Alameda County Court Appointed Special Ad

American Cancer Society

American Red Cross

Aragon High School

BAAST Scholarship

Baler Backers - Football

Bay Area Womens Sports Initiative

Bayview YMCA

Bellarmine Preparatory Academy

Bill Wilson Center

Booksin Elementary School Community Assoc

Breakthrough Collaborative

California High School

Carlmont High School

CDE Foundation

Center for Youth Wellness

Child Abuse Prev Council of Contra Costa

Childrens Discovery Museum of San Jose

Childrens Hospital and Research Center

Childrens Hospital of Orange County

CityYear

Cupertino High School

DASH Sports Education

East Bay Childrens Law Offices

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

First Place for Youth

Fischer Middle School

Football Camp for The Stars

Fremont-Sunnyvale High School Athletics

Fresh Lifelines for Youth Inc

Hack the Hood

Half Moon Bay HS Football

Hedge Funds Care

Homes For Our Troops

Homestead High School

Jewish Family amp Childrens Services

Khan Academy

115881579

1000000

1000000

659670

1000000

100000

500000

50000

5000 00

500000

50000

100000

53000

22600 00

50000

50000

1500000

1000000

10000 00

100000

1500000

17000

5000000

100000

100000

15000 00

17500 00

1000000

17500 00

1750000

1509585

50000

100000

5500000

120000 00

50000

2510000

335927

100000

1500000

25000000

KICKCANCER 50000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

Kimochi Inc

Konocti Unified School District

La Casa de Las Madres

La Cocina

Little Kids Rock

Los Altos High School

Los Gatos Orthopedic Sports Therapy

Lucile Packard Foundation for Childrens

MADD

Make-A-Wish Greater Bay

Menlo-Atherton High School

Milpitas High School Athletics

Miscellaneous

MISSSEY

Monte Vista Christian School

Mountain View High School

National Center for Youth Law

Next Door Solutions to Domestic Violence

Overfelt High School

Pacific Grove High School

Peninsula Pop-Warner Little Scholars

Piedmont Hills High School

PLAYNICE Productions Inc

Positive Coaching Alliance

Ronald McDonald House at Stanford

Safe Coverage

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Jose Sports Authority

Santa Clara City Library Foundation

Santa Clara PAL

Saratoga High School

Seneca Family of Agencies

SF AIDS Foundation

SF Marin Food Bank

Silicon Valley Education Foundation

Silicon Valley FACES

Somos Mayfair

St Francis High School

StarVista

The Commonwealth Club of California

The Giving Back Project

100000

1000000

4010000

120000 00

2260000

1000 00

5000000

1000 00

400 00

100000

100000

50000

250000

17500 00

50000

50000

1750000

5000 00

100000

50000

1000000

100000

1000000

3000 00

2260000

1000000

2750000

1750000

400000

100000

5000 00

1000 00

1500000

5000000

50000 00

95438900

22600 00

22600 00

2000 00

1750000

5000 00

1000000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

The LEMO Foundation

The Warriors Community Foundation

Tipping Point Community

Urban Services YMCA of San Francisco

WestCoast Childrens Clinic

WorldWide Women Foundation

Year Up Bay Area

Youth Catalytics

YWCA Silicon Valley

Grand Total

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

100000

150000 00

250000 00

10000 00

1750000

5000 00

19784000

2500000

50000

411739661

12883162

424622823

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

2015 Special Olympics World Summer Games

49ers Academy

Alameda County Court Appointed Special Ad

Alum Rock Union Elementary School Distric

Aptos High School Football Program

Archbishop Mitty High School Football Pro

Bay Area Womens Sports Initiative

Bay Area Young Survivors

Bayview Magic

Bayview YMCA

Boys amp Girls Club of Central Florida

BUILD

Camp Taylor Inc

Capuchino High School Football Program

CASA of San Mateo County

Center for Youth Wellness

Childrens Hospital and Research Center

CityYear

College Spring

College Track

ConXion Community

Don Callejon School Community Organizatio

East Bay Childrens Law Offices

East Bay Childrens Theatre

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

Evan Murray Scholarship Fund

First Place for Youth

Football Camp for The Stars

Frameline

Fresh Lifelines for Youth Inc

Friends of Commission on Status of Women

Friends of the Pleasant Hill Library

Friends of the Urban Forest

Half Moon Bay High School Football Prog

Heart2Heart-Teens

Hedge Funds Care

Hillsdale High School Football Program

lndiegogo

Jefferson High School Football Program

Jewish Family amp Childrens Services

25000 00

407270 67

20000 00

500000

500 00

100000

10000 00

430 00

650000

10000 00

200000 00

2000 00

100000

10000 00

1500000

40000 00

7500000

5000000

1000000

100000

1500 00

30000 00

100000

3500000

10000 00

60000 00

50000

35000 00

1050000

3000 00

230000 00

1000 00

1000 00

4000 00

100000

10000 00

25000 00

50000

25000 00

50000

30000 00

000

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

JW House

Kathi Good

Kings Academy Football Program

La Casa de Las Madres

Lincoln High School Football Program

Loaves amp Fishes Family Kitchen

Los Gatos High School Football Program

Lucile Salter Packard Childrens Hospital

Make A Birthday Wish

Make-A-Wish Greater Bay

Manteca Youth Football amp Cheer

Menlo School Football Program

Menlo-Atherton High School Football Prog

MISSSEY

Mountain View Police Activities League

National Center for Youth Law

Oak Grove High School Football Program

Piedmont Hills High School Football Prog

Playworks

Positive Coaching Alliance

Project Open Hand

Sacred Heart Prep Football Program

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Francisco Fire Fighters Toy Program

San Francisco Police Foundation

San Francisco Recreation and Parks

San Jose Sports Authority

Santa Clara Lions

SF Marin Food Bank

Silicon Valley Education Foundation

Silver Creek High School Football Program

Special Olympics Northern California

StarVista

SVLG Young Womens Summit April 28 2015

The Jewish Sports Hall of Fame

The Justice and Diversity Center

Tipping Point Community

UCSF Benioff Childrens Hospital Oakland

Urban Services YMCA of San Francisco

US Bank

Valley Christian High School Football Pro

50000 00

3000 00

50000

35000 00

250000

1000 00

1000 00

35000 00

1000 00

48000 00

10000 00

1000 00

50000

3500000

1000 00

35000 00

100000

500 00

5000000

50000 00

200000 00

500 00

55000 00

35000 00

12000 00

12000 00

4000 00

300000

7500000

20000000

59467500

1000 00

5000 00

35000 00

4060 73

14000

20000 00

250000 00

2500000

10000 00

314594

500 00

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

Warren Easton Charter High School

WestCoast Childrens Clinic

Westmont High School Football Program

Woodside High School Football Program

Year Up Bay Area

Total distributions to other organizations

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

1000000

3500000

100000

100000

350 00000

370722234

65955364

436677598

San Francisco 49ers Foundation

Exhibit A - Raffle Proceeds Recipients

12312017

Payments to unaffiliated eligible recipient organizations

American Red Cross

American Cancer Society

Fresh Lifelines for Youth Inc

CityYear

Homes for Our Troops

Golden Heart Fund

San Francisco PAL

JUMA

Center for Youth Wellness

La Casa De Las Madres

Santa Clara PAL

San Jose PAL

Total

Payments of behalf of affiliated eligible recipient organizations

49ers Museum STEAM program

Total

Grand Total

4036000

31685 00

30085 00

30085 00

27090 00

27025 00

26900 00

19754 00

8360 00

836000

6469 50

6469 50

26264300

2054000

28

2054000

318300

Page 5: San Francisco 49ers Major League Sports Raffle Program ... · MAJOR LEAGUE SPORTS RAFFLE PAGE 1 of4 ELIGIBLE ORGANIZATION ANNUAL REPORT . PLEASE SEND COMPLETED REPORT TO: Bureau of

San Francisco 49ers Foundation

Exhibit B - Raffle Proceeds Recipients

12312016

American Cancer Society

Edgewood Center for Children and Families

Silicon Valley Education Foundation

VA Palo Alto Polytrauma Rehab Ctr

La Casa de Las Madres

Fresh Lifelines for Youth Inc

49ers Academy

Grand Total

32645 00

3254900

18606 50

1553250

1376200

12719 50

10948 50

13676300

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

19 For Life 17500

49ers Academy 31515500

AIM High San Francisco 10000

Alameda County Court Appointed Special Ad 10000 00

American Diabetes Assocation Inc 3500

American Red Cross 5000 00

Ann amp Robert H Lurie Chirldrens Hopsital of Chicago Foundation 10000 00

Aragon High School 500 00

Avon Breast Cancer Crusade 15000

Bay Area Womens Sports Initiative 500000

Bay Scholars 6240000

Bayview YMCA 5000 00

Bellarmine Preparatory Academy 100000

Berryessa Cougars Football amp Cheer 1000000

Best Buddies California 2000 00

Bill Wilson Center 1000 00

Branham HS Football 50000

Breakthrough Collaborative 23400 00

Breast Cancer Fund 24949

Carlmont High School 1000 00

Center for Youth Wellness 71640 00

Champion Charities 4000000

Child Abuse Prev Council of Contra Costa 4000000

Childrens Hospital and Research Center 35000 00

CityYear 75415 00

College Track 5000 00

Community Overcoming Relationship Abuse 1000 00

Cool Earth Action Inc 1000 00

Cristo ReySan Jose Jesuit High School 39000 00

Cystic Fibrosis Foundation 500 00

East Bay Childrens Law Offices 45000 00

East Bay College Fund 23400 00

East Bay Community Recovery Project 52500 00

Edgewood Center for Children and Families 52500 00

Fast Forward 25000 00

First Place for Youth 52500 00

Fresh Lifelines for Youth Inc 64915 00

Golden Heart Fund 15764

Golden West Chapter ALS Association 5250 00

Harper for Kids 39000 00

Hedge Funds CareHelp for Children 2500000

Huntingtons Disease Society of America 1000 00

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

Jefferson High School

Jewish Family amp Childrens Services

La Casa de Las Madres

Leland High School

Los Gatos High School

Madden Charities

Make-A-Wish Greater Bay

Marthas Kitchen

Milpitas High School

MISSSEY

Monta Vista High School Football

Mosaic Global Transportation

National Center for Youth Law

Oshman Family Jewish Community Center

Piedmont Hills High School

Pioneer High School

Positive Coaching Alliance

Safe amp Sound

San Francisco Court Appointed Special Adv

San Mateo High School

Santa Clara High School

Santa Rosa City Schools

Second Harvest Food Bank

Seneca Family of Agencies

SF PAL

Silicon Valley Education Foundation

Sonoma County 4-H

Special Olympics Northern California

StarVista

Techbridge Girls

Terra Nova High School

The V Foundation

Tipping Point Community

Unity Care

Urban Services YMCA of San Francisco

VIA Services

WestCoast Childrens Clinic

Westmont High School

Willow Glen High School

Grand Total

Total distributions on behalf of 49ers Museum STEAM program

1000 00

15000 00

5250000

100000

50000

10000 00

200000

1000000

1000 00

5250000

50000

212400

5250000

500000

50000

50000

2840000

8250000

5250000

50000

1000 00

450000

5000000

48766 00

166600

137056400

1000 00

850000

5250000

2500 00

100000

850000

350000 00

10000 00

10000 00

39000 00

5250000

50000

500 00

353096213

26373602

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

Total distributions on behalf of 49ers Youth Football Program 17836574

Total distributions of non raffle proceeds 397306389

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

49ers Academy

Adolescent Counseling Services

Alameda County Court Appointed Special Ad

American Cancer Society

American Red Cross

Aragon High School

BAAST Scholarship

Baler Backers - Football

Bay Area Womens Sports Initiative

Bayview YMCA

Bellarmine Preparatory Academy

Bill Wilson Center

Booksin Elementary School Community Assoc

Breakthrough Collaborative

California High School

Carlmont High School

CDE Foundation

Center for Youth Wellness

Child Abuse Prev Council of Contra Costa

Childrens Discovery Museum of San Jose

Childrens Hospital and Research Center

Childrens Hospital of Orange County

CityYear

Cupertino High School

DASH Sports Education

East Bay Childrens Law Offices

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

First Place for Youth

Fischer Middle School

Football Camp for The Stars

Fremont-Sunnyvale High School Athletics

Fresh Lifelines for Youth Inc

Hack the Hood

Half Moon Bay HS Football

Hedge Funds Care

Homes For Our Troops

Homestead High School

Jewish Family amp Childrens Services

Khan Academy

115881579

1000000

1000000

659670

1000000

100000

500000

50000

5000 00

500000

50000

100000

53000

22600 00

50000

50000

1500000

1000000

10000 00

100000

1500000

17000

5000000

100000

100000

15000 00

17500 00

1000000

17500 00

1750000

1509585

50000

100000

5500000

120000 00

50000

2510000

335927

100000

1500000

25000000

KICKCANCER 50000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

Kimochi Inc

Konocti Unified School District

La Casa de Las Madres

La Cocina

Little Kids Rock

Los Altos High School

Los Gatos Orthopedic Sports Therapy

Lucile Packard Foundation for Childrens

MADD

Make-A-Wish Greater Bay

Menlo-Atherton High School

Milpitas High School Athletics

Miscellaneous

MISSSEY

Monte Vista Christian School

Mountain View High School

National Center for Youth Law

Next Door Solutions to Domestic Violence

Overfelt High School

Pacific Grove High School

Peninsula Pop-Warner Little Scholars

Piedmont Hills High School

PLAYNICE Productions Inc

Positive Coaching Alliance

Ronald McDonald House at Stanford

Safe Coverage

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Jose Sports Authority

Santa Clara City Library Foundation

Santa Clara PAL

Saratoga High School

Seneca Family of Agencies

SF AIDS Foundation

SF Marin Food Bank

Silicon Valley Education Foundation

Silicon Valley FACES

Somos Mayfair

St Francis High School

StarVista

The Commonwealth Club of California

The Giving Back Project

100000

1000000

4010000

120000 00

2260000

1000 00

5000000

1000 00

400 00

100000

100000

50000

250000

17500 00

50000

50000

1750000

5000 00

100000

50000

1000000

100000

1000000

3000 00

2260000

1000000

2750000

1750000

400000

100000

5000 00

1000 00

1500000

5000000

50000 00

95438900

22600 00

22600 00

2000 00

1750000

5000 00

1000000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

The LEMO Foundation

The Warriors Community Foundation

Tipping Point Community

Urban Services YMCA of San Francisco

WestCoast Childrens Clinic

WorldWide Women Foundation

Year Up Bay Area

Youth Catalytics

YWCA Silicon Valley

Grand Total

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

100000

150000 00

250000 00

10000 00

1750000

5000 00

19784000

2500000

50000

411739661

12883162

424622823

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

2015 Special Olympics World Summer Games

49ers Academy

Alameda County Court Appointed Special Ad

Alum Rock Union Elementary School Distric

Aptos High School Football Program

Archbishop Mitty High School Football Pro

Bay Area Womens Sports Initiative

Bay Area Young Survivors

Bayview Magic

Bayview YMCA

Boys amp Girls Club of Central Florida

BUILD

Camp Taylor Inc

Capuchino High School Football Program

CASA of San Mateo County

Center for Youth Wellness

Childrens Hospital and Research Center

CityYear

College Spring

College Track

ConXion Community

Don Callejon School Community Organizatio

East Bay Childrens Law Offices

East Bay Childrens Theatre

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

Evan Murray Scholarship Fund

First Place for Youth

Football Camp for The Stars

Frameline

Fresh Lifelines for Youth Inc

Friends of Commission on Status of Women

Friends of the Pleasant Hill Library

Friends of the Urban Forest

Half Moon Bay High School Football Prog

Heart2Heart-Teens

Hedge Funds Care

Hillsdale High School Football Program

lndiegogo

Jefferson High School Football Program

Jewish Family amp Childrens Services

25000 00

407270 67

20000 00

500000

500 00

100000

10000 00

430 00

650000

10000 00

200000 00

2000 00

100000

10000 00

1500000

40000 00

7500000

5000000

1000000

100000

1500 00

30000 00

100000

3500000

10000 00

60000 00

50000

35000 00

1050000

3000 00

230000 00

1000 00

1000 00

4000 00

100000

10000 00

25000 00

50000

25000 00

50000

30000 00

000

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

JW House

Kathi Good

Kings Academy Football Program

La Casa de Las Madres

Lincoln High School Football Program

Loaves amp Fishes Family Kitchen

Los Gatos High School Football Program

Lucile Salter Packard Childrens Hospital

Make A Birthday Wish

Make-A-Wish Greater Bay

Manteca Youth Football amp Cheer

Menlo School Football Program

Menlo-Atherton High School Football Prog

MISSSEY

Mountain View Police Activities League

National Center for Youth Law

Oak Grove High School Football Program

Piedmont Hills High School Football Prog

Playworks

Positive Coaching Alliance

Project Open Hand

Sacred Heart Prep Football Program

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Francisco Fire Fighters Toy Program

San Francisco Police Foundation

San Francisco Recreation and Parks

San Jose Sports Authority

Santa Clara Lions

SF Marin Food Bank

Silicon Valley Education Foundation

Silver Creek High School Football Program

Special Olympics Northern California

StarVista

SVLG Young Womens Summit April 28 2015

The Jewish Sports Hall of Fame

The Justice and Diversity Center

Tipping Point Community

UCSF Benioff Childrens Hospital Oakland

Urban Services YMCA of San Francisco

US Bank

Valley Christian High School Football Pro

50000 00

3000 00

50000

35000 00

250000

1000 00

1000 00

35000 00

1000 00

48000 00

10000 00

1000 00

50000

3500000

1000 00

35000 00

100000

500 00

5000000

50000 00

200000 00

500 00

55000 00

35000 00

12000 00

12000 00

4000 00

300000

7500000

20000000

59467500

1000 00

5000 00

35000 00

4060 73

14000

20000 00

250000 00

2500000

10000 00

314594

500 00

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

Warren Easton Charter High School

WestCoast Childrens Clinic

Westmont High School Football Program

Woodside High School Football Program

Year Up Bay Area

Total distributions to other organizations

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

1000000

3500000

100000

100000

350 00000

370722234

65955364

436677598

San Francisco 49ers Foundation

Exhibit A - Raffle Proceeds Recipients

12312017

Payments to unaffiliated eligible recipient organizations

American Red Cross

American Cancer Society

Fresh Lifelines for Youth Inc

CityYear

Homes for Our Troops

Golden Heart Fund

San Francisco PAL

JUMA

Center for Youth Wellness

La Casa De Las Madres

Santa Clara PAL

San Jose PAL

Total

Payments of behalf of affiliated eligible recipient organizations

49ers Museum STEAM program

Total

Grand Total

4036000

31685 00

30085 00

30085 00

27090 00

27025 00

26900 00

19754 00

8360 00

836000

6469 50

6469 50

26264300

2054000

28

2054000

318300

Page 6: San Francisco 49ers Major League Sports Raffle Program ... · MAJOR LEAGUE SPORTS RAFFLE PAGE 1 of4 ELIGIBLE ORGANIZATION ANNUAL REPORT . PLEASE SEND COMPLETED REPORT TO: Bureau of

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

19 For Life 17500

49ers Academy 31515500

AIM High San Francisco 10000

Alameda County Court Appointed Special Ad 10000 00

American Diabetes Assocation Inc 3500

American Red Cross 5000 00

Ann amp Robert H Lurie Chirldrens Hopsital of Chicago Foundation 10000 00

Aragon High School 500 00

Avon Breast Cancer Crusade 15000

Bay Area Womens Sports Initiative 500000

Bay Scholars 6240000

Bayview YMCA 5000 00

Bellarmine Preparatory Academy 100000

Berryessa Cougars Football amp Cheer 1000000

Best Buddies California 2000 00

Bill Wilson Center 1000 00

Branham HS Football 50000

Breakthrough Collaborative 23400 00

Breast Cancer Fund 24949

Carlmont High School 1000 00

Center for Youth Wellness 71640 00

Champion Charities 4000000

Child Abuse Prev Council of Contra Costa 4000000

Childrens Hospital and Research Center 35000 00

CityYear 75415 00

College Track 5000 00

Community Overcoming Relationship Abuse 1000 00

Cool Earth Action Inc 1000 00

Cristo ReySan Jose Jesuit High School 39000 00

Cystic Fibrosis Foundation 500 00

East Bay Childrens Law Offices 45000 00

East Bay College Fund 23400 00

East Bay Community Recovery Project 52500 00

Edgewood Center for Children and Families 52500 00

Fast Forward 25000 00

First Place for Youth 52500 00

Fresh Lifelines for Youth Inc 64915 00

Golden Heart Fund 15764

Golden West Chapter ALS Association 5250 00

Harper for Kids 39000 00

Hedge Funds CareHelp for Children 2500000

Huntingtons Disease Society of America 1000 00

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

Jefferson High School

Jewish Family amp Childrens Services

La Casa de Las Madres

Leland High School

Los Gatos High School

Madden Charities

Make-A-Wish Greater Bay

Marthas Kitchen

Milpitas High School

MISSSEY

Monta Vista High School Football

Mosaic Global Transportation

National Center for Youth Law

Oshman Family Jewish Community Center

Piedmont Hills High School

Pioneer High School

Positive Coaching Alliance

Safe amp Sound

San Francisco Court Appointed Special Adv

San Mateo High School

Santa Clara High School

Santa Rosa City Schools

Second Harvest Food Bank

Seneca Family of Agencies

SF PAL

Silicon Valley Education Foundation

Sonoma County 4-H

Special Olympics Northern California

StarVista

Techbridge Girls

Terra Nova High School

The V Foundation

Tipping Point Community

Unity Care

Urban Services YMCA of San Francisco

VIA Services

WestCoast Childrens Clinic

Westmont High School

Willow Glen High School

Grand Total

Total distributions on behalf of 49ers Museum STEAM program

1000 00

15000 00

5250000

100000

50000

10000 00

200000

1000000

1000 00

5250000

50000

212400

5250000

500000

50000

50000

2840000

8250000

5250000

50000

1000 00

450000

5000000

48766 00

166600

137056400

1000 00

850000

5250000

2500 00

100000

850000

350000 00

10000 00

10000 00

39000 00

5250000

50000

500 00

353096213

26373602

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

Total distributions on behalf of 49ers Youth Football Program 17836574

Total distributions of non raffle proceeds 397306389

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

49ers Academy

Adolescent Counseling Services

Alameda County Court Appointed Special Ad

American Cancer Society

American Red Cross

Aragon High School

BAAST Scholarship

Baler Backers - Football

Bay Area Womens Sports Initiative

Bayview YMCA

Bellarmine Preparatory Academy

Bill Wilson Center

Booksin Elementary School Community Assoc

Breakthrough Collaborative

California High School

Carlmont High School

CDE Foundation

Center for Youth Wellness

Child Abuse Prev Council of Contra Costa

Childrens Discovery Museum of San Jose

Childrens Hospital and Research Center

Childrens Hospital of Orange County

CityYear

Cupertino High School

DASH Sports Education

East Bay Childrens Law Offices

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

First Place for Youth

Fischer Middle School

Football Camp for The Stars

Fremont-Sunnyvale High School Athletics

Fresh Lifelines for Youth Inc

Hack the Hood

Half Moon Bay HS Football

Hedge Funds Care

Homes For Our Troops

Homestead High School

Jewish Family amp Childrens Services

Khan Academy

115881579

1000000

1000000

659670

1000000

100000

500000

50000

5000 00

500000

50000

100000

53000

22600 00

50000

50000

1500000

1000000

10000 00

100000

1500000

17000

5000000

100000

100000

15000 00

17500 00

1000000

17500 00

1750000

1509585

50000

100000

5500000

120000 00

50000

2510000

335927

100000

1500000

25000000

KICKCANCER 50000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

Kimochi Inc

Konocti Unified School District

La Casa de Las Madres

La Cocina

Little Kids Rock

Los Altos High School

Los Gatos Orthopedic Sports Therapy

Lucile Packard Foundation for Childrens

MADD

Make-A-Wish Greater Bay

Menlo-Atherton High School

Milpitas High School Athletics

Miscellaneous

MISSSEY

Monte Vista Christian School

Mountain View High School

National Center for Youth Law

Next Door Solutions to Domestic Violence

Overfelt High School

Pacific Grove High School

Peninsula Pop-Warner Little Scholars

Piedmont Hills High School

PLAYNICE Productions Inc

Positive Coaching Alliance

Ronald McDonald House at Stanford

Safe Coverage

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Jose Sports Authority

Santa Clara City Library Foundation

Santa Clara PAL

Saratoga High School

Seneca Family of Agencies

SF AIDS Foundation

SF Marin Food Bank

Silicon Valley Education Foundation

Silicon Valley FACES

Somos Mayfair

St Francis High School

StarVista

The Commonwealth Club of California

The Giving Back Project

100000

1000000

4010000

120000 00

2260000

1000 00

5000000

1000 00

400 00

100000

100000

50000

250000

17500 00

50000

50000

1750000

5000 00

100000

50000

1000000

100000

1000000

3000 00

2260000

1000000

2750000

1750000

400000

100000

5000 00

1000 00

1500000

5000000

50000 00

95438900

22600 00

22600 00

2000 00

1750000

5000 00

1000000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

The LEMO Foundation

The Warriors Community Foundation

Tipping Point Community

Urban Services YMCA of San Francisco

WestCoast Childrens Clinic

WorldWide Women Foundation

Year Up Bay Area

Youth Catalytics

YWCA Silicon Valley

Grand Total

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

100000

150000 00

250000 00

10000 00

1750000

5000 00

19784000

2500000

50000

411739661

12883162

424622823

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

2015 Special Olympics World Summer Games

49ers Academy

Alameda County Court Appointed Special Ad

Alum Rock Union Elementary School Distric

Aptos High School Football Program

Archbishop Mitty High School Football Pro

Bay Area Womens Sports Initiative

Bay Area Young Survivors

Bayview Magic

Bayview YMCA

Boys amp Girls Club of Central Florida

BUILD

Camp Taylor Inc

Capuchino High School Football Program

CASA of San Mateo County

Center for Youth Wellness

Childrens Hospital and Research Center

CityYear

College Spring

College Track

ConXion Community

Don Callejon School Community Organizatio

East Bay Childrens Law Offices

East Bay Childrens Theatre

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

Evan Murray Scholarship Fund

First Place for Youth

Football Camp for The Stars

Frameline

Fresh Lifelines for Youth Inc

Friends of Commission on Status of Women

Friends of the Pleasant Hill Library

Friends of the Urban Forest

Half Moon Bay High School Football Prog

Heart2Heart-Teens

Hedge Funds Care

Hillsdale High School Football Program

lndiegogo

Jefferson High School Football Program

Jewish Family amp Childrens Services

25000 00

407270 67

20000 00

500000

500 00

100000

10000 00

430 00

650000

10000 00

200000 00

2000 00

100000

10000 00

1500000

40000 00

7500000

5000000

1000000

100000

1500 00

30000 00

100000

3500000

10000 00

60000 00

50000

35000 00

1050000

3000 00

230000 00

1000 00

1000 00

4000 00

100000

10000 00

25000 00

50000

25000 00

50000

30000 00

000

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

JW House

Kathi Good

Kings Academy Football Program

La Casa de Las Madres

Lincoln High School Football Program

Loaves amp Fishes Family Kitchen

Los Gatos High School Football Program

Lucile Salter Packard Childrens Hospital

Make A Birthday Wish

Make-A-Wish Greater Bay

Manteca Youth Football amp Cheer

Menlo School Football Program

Menlo-Atherton High School Football Prog

MISSSEY

Mountain View Police Activities League

National Center for Youth Law

Oak Grove High School Football Program

Piedmont Hills High School Football Prog

Playworks

Positive Coaching Alliance

Project Open Hand

Sacred Heart Prep Football Program

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Francisco Fire Fighters Toy Program

San Francisco Police Foundation

San Francisco Recreation and Parks

San Jose Sports Authority

Santa Clara Lions

SF Marin Food Bank

Silicon Valley Education Foundation

Silver Creek High School Football Program

Special Olympics Northern California

StarVista

SVLG Young Womens Summit April 28 2015

The Jewish Sports Hall of Fame

The Justice and Diversity Center

Tipping Point Community

UCSF Benioff Childrens Hospital Oakland

Urban Services YMCA of San Francisco

US Bank

Valley Christian High School Football Pro

50000 00

3000 00

50000

35000 00

250000

1000 00

1000 00

35000 00

1000 00

48000 00

10000 00

1000 00

50000

3500000

1000 00

35000 00

100000

500 00

5000000

50000 00

200000 00

500 00

55000 00

35000 00

12000 00

12000 00

4000 00

300000

7500000

20000000

59467500

1000 00

5000 00

35000 00

4060 73

14000

20000 00

250000 00

2500000

10000 00

314594

500 00

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

Warren Easton Charter High School

WestCoast Childrens Clinic

Westmont High School Football Program

Woodside High School Football Program

Year Up Bay Area

Total distributions to other organizations

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

1000000

3500000

100000

100000

350 00000

370722234

65955364

436677598

San Francisco 49ers Foundation

Exhibit A - Raffle Proceeds Recipients

12312017

Payments to unaffiliated eligible recipient organizations

American Red Cross

American Cancer Society

Fresh Lifelines for Youth Inc

CityYear

Homes for Our Troops

Golden Heart Fund

San Francisco PAL

JUMA

Center for Youth Wellness

La Casa De Las Madres

Santa Clara PAL

San Jose PAL

Total

Payments of behalf of affiliated eligible recipient organizations

49ers Museum STEAM program

Total

Grand Total

4036000

31685 00

30085 00

30085 00

27090 00

27025 00

26900 00

19754 00

8360 00

836000

6469 50

6469 50

26264300

2054000

28

2054000

318300

Page 7: San Francisco 49ers Major League Sports Raffle Program ... · MAJOR LEAGUE SPORTS RAFFLE PAGE 1 of4 ELIGIBLE ORGANIZATION ANNUAL REPORT . PLEASE SEND COMPLETED REPORT TO: Bureau of

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

Jefferson High School

Jewish Family amp Childrens Services

La Casa de Las Madres

Leland High School

Los Gatos High School

Madden Charities

Make-A-Wish Greater Bay

Marthas Kitchen

Milpitas High School

MISSSEY

Monta Vista High School Football

Mosaic Global Transportation

National Center for Youth Law

Oshman Family Jewish Community Center

Piedmont Hills High School

Pioneer High School

Positive Coaching Alliance

Safe amp Sound

San Francisco Court Appointed Special Adv

San Mateo High School

Santa Clara High School

Santa Rosa City Schools

Second Harvest Food Bank

Seneca Family of Agencies

SF PAL

Silicon Valley Education Foundation

Sonoma County 4-H

Special Olympics Northern California

StarVista

Techbridge Girls

Terra Nova High School

The V Foundation

Tipping Point Community

Unity Care

Urban Services YMCA of San Francisco

VIA Services

WestCoast Childrens Clinic

Westmont High School

Willow Glen High School

Grand Total

Total distributions on behalf of 49ers Museum STEAM program

1000 00

15000 00

5250000

100000

50000

10000 00

200000

1000000

1000 00

5250000

50000

212400

5250000

500000

50000

50000

2840000

8250000

5250000

50000

1000 00

450000

5000000

48766 00

166600

137056400

1000 00

850000

5250000

2500 00

100000

850000

350000 00

10000 00

10000 00

39000 00

5250000

50000

500 00

353096213

26373602

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

Total distributions on behalf of 49ers Youth Football Program 17836574

Total distributions of non raffle proceeds 397306389

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

49ers Academy

Adolescent Counseling Services

Alameda County Court Appointed Special Ad

American Cancer Society

American Red Cross

Aragon High School

BAAST Scholarship

Baler Backers - Football

Bay Area Womens Sports Initiative

Bayview YMCA

Bellarmine Preparatory Academy

Bill Wilson Center

Booksin Elementary School Community Assoc

Breakthrough Collaborative

California High School

Carlmont High School

CDE Foundation

Center for Youth Wellness

Child Abuse Prev Council of Contra Costa

Childrens Discovery Museum of San Jose

Childrens Hospital and Research Center

Childrens Hospital of Orange County

CityYear

Cupertino High School

DASH Sports Education

East Bay Childrens Law Offices

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

First Place for Youth

Fischer Middle School

Football Camp for The Stars

Fremont-Sunnyvale High School Athletics

Fresh Lifelines for Youth Inc

Hack the Hood

Half Moon Bay HS Football

Hedge Funds Care

Homes For Our Troops

Homestead High School

Jewish Family amp Childrens Services

Khan Academy

115881579

1000000

1000000

659670

1000000

100000

500000

50000

5000 00

500000

50000

100000

53000

22600 00

50000

50000

1500000

1000000

10000 00

100000

1500000

17000

5000000

100000

100000

15000 00

17500 00

1000000

17500 00

1750000

1509585

50000

100000

5500000

120000 00

50000

2510000

335927

100000

1500000

25000000

KICKCANCER 50000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

Kimochi Inc

Konocti Unified School District

La Casa de Las Madres

La Cocina

Little Kids Rock

Los Altos High School

Los Gatos Orthopedic Sports Therapy

Lucile Packard Foundation for Childrens

MADD

Make-A-Wish Greater Bay

Menlo-Atherton High School

Milpitas High School Athletics

Miscellaneous

MISSSEY

Monte Vista Christian School

Mountain View High School

National Center for Youth Law

Next Door Solutions to Domestic Violence

Overfelt High School

Pacific Grove High School

Peninsula Pop-Warner Little Scholars

Piedmont Hills High School

PLAYNICE Productions Inc

Positive Coaching Alliance

Ronald McDonald House at Stanford

Safe Coverage

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Jose Sports Authority

Santa Clara City Library Foundation

Santa Clara PAL

Saratoga High School

Seneca Family of Agencies

SF AIDS Foundation

SF Marin Food Bank

Silicon Valley Education Foundation

Silicon Valley FACES

Somos Mayfair

St Francis High School

StarVista

The Commonwealth Club of California

The Giving Back Project

100000

1000000

4010000

120000 00

2260000

1000 00

5000000

1000 00

400 00

100000

100000

50000

250000

17500 00

50000

50000

1750000

5000 00

100000

50000

1000000

100000

1000000

3000 00

2260000

1000000

2750000

1750000

400000

100000

5000 00

1000 00

1500000

5000000

50000 00

95438900

22600 00

22600 00

2000 00

1750000

5000 00

1000000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

The LEMO Foundation

The Warriors Community Foundation

Tipping Point Community

Urban Services YMCA of San Francisco

WestCoast Childrens Clinic

WorldWide Women Foundation

Year Up Bay Area

Youth Catalytics

YWCA Silicon Valley

Grand Total

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

100000

150000 00

250000 00

10000 00

1750000

5000 00

19784000

2500000

50000

411739661

12883162

424622823

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

2015 Special Olympics World Summer Games

49ers Academy

Alameda County Court Appointed Special Ad

Alum Rock Union Elementary School Distric

Aptos High School Football Program

Archbishop Mitty High School Football Pro

Bay Area Womens Sports Initiative

Bay Area Young Survivors

Bayview Magic

Bayview YMCA

Boys amp Girls Club of Central Florida

BUILD

Camp Taylor Inc

Capuchino High School Football Program

CASA of San Mateo County

Center for Youth Wellness

Childrens Hospital and Research Center

CityYear

College Spring

College Track

ConXion Community

Don Callejon School Community Organizatio

East Bay Childrens Law Offices

East Bay Childrens Theatre

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

Evan Murray Scholarship Fund

First Place for Youth

Football Camp for The Stars

Frameline

Fresh Lifelines for Youth Inc

Friends of Commission on Status of Women

Friends of the Pleasant Hill Library

Friends of the Urban Forest

Half Moon Bay High School Football Prog

Heart2Heart-Teens

Hedge Funds Care

Hillsdale High School Football Program

lndiegogo

Jefferson High School Football Program

Jewish Family amp Childrens Services

25000 00

407270 67

20000 00

500000

500 00

100000

10000 00

430 00

650000

10000 00

200000 00

2000 00

100000

10000 00

1500000

40000 00

7500000

5000000

1000000

100000

1500 00

30000 00

100000

3500000

10000 00

60000 00

50000

35000 00

1050000

3000 00

230000 00

1000 00

1000 00

4000 00

100000

10000 00

25000 00

50000

25000 00

50000

30000 00

000

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

JW House

Kathi Good

Kings Academy Football Program

La Casa de Las Madres

Lincoln High School Football Program

Loaves amp Fishes Family Kitchen

Los Gatos High School Football Program

Lucile Salter Packard Childrens Hospital

Make A Birthday Wish

Make-A-Wish Greater Bay

Manteca Youth Football amp Cheer

Menlo School Football Program

Menlo-Atherton High School Football Prog

MISSSEY

Mountain View Police Activities League

National Center for Youth Law

Oak Grove High School Football Program

Piedmont Hills High School Football Prog

Playworks

Positive Coaching Alliance

Project Open Hand

Sacred Heart Prep Football Program

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Francisco Fire Fighters Toy Program

San Francisco Police Foundation

San Francisco Recreation and Parks

San Jose Sports Authority

Santa Clara Lions

SF Marin Food Bank

Silicon Valley Education Foundation

Silver Creek High School Football Program

Special Olympics Northern California

StarVista

SVLG Young Womens Summit April 28 2015

The Jewish Sports Hall of Fame

The Justice and Diversity Center

Tipping Point Community

UCSF Benioff Childrens Hospital Oakland

Urban Services YMCA of San Francisco

US Bank

Valley Christian High School Football Pro

50000 00

3000 00

50000

35000 00

250000

1000 00

1000 00

35000 00

1000 00

48000 00

10000 00

1000 00

50000

3500000

1000 00

35000 00

100000

500 00

5000000

50000 00

200000 00

500 00

55000 00

35000 00

12000 00

12000 00

4000 00

300000

7500000

20000000

59467500

1000 00

5000 00

35000 00

4060 73

14000

20000 00

250000 00

2500000

10000 00

314594

500 00

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

Warren Easton Charter High School

WestCoast Childrens Clinic

Westmont High School Football Program

Woodside High School Football Program

Year Up Bay Area

Total distributions to other organizations

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

1000000

3500000

100000

100000

350 00000

370722234

65955364

436677598

San Francisco 49ers Foundation

Exhibit A - Raffle Proceeds Recipients

12312017

Payments to unaffiliated eligible recipient organizations

American Red Cross

American Cancer Society

Fresh Lifelines for Youth Inc

CityYear

Homes for Our Troops

Golden Heart Fund

San Francisco PAL

JUMA

Center for Youth Wellness

La Casa De Las Madres

Santa Clara PAL

San Jose PAL

Total

Payments of behalf of affiliated eligible recipient organizations

49ers Museum STEAM program

Total

Grand Total

4036000

31685 00

30085 00

30085 00

27090 00

27025 00

26900 00

19754 00

8360 00

836000

6469 50

6469 50

26264300

2054000

28

2054000

318300

Page 8: San Francisco 49ers Major League Sports Raffle Program ... · MAJOR LEAGUE SPORTS RAFFLE PAGE 1 of4 ELIGIBLE ORGANIZATION ANNUAL REPORT . PLEASE SEND COMPLETED REPORT TO: Bureau of

San Francisco 49ers Foundation

Exhibit C - Non-Raffle Proceeds Recipients

12312017 Name Amount

Total distributions on behalf of 49ers Youth Football Program 17836574

Total distributions of non raffle proceeds 397306389

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

49ers Academy

Adolescent Counseling Services

Alameda County Court Appointed Special Ad

American Cancer Society

American Red Cross

Aragon High School

BAAST Scholarship

Baler Backers - Football

Bay Area Womens Sports Initiative

Bayview YMCA

Bellarmine Preparatory Academy

Bill Wilson Center

Booksin Elementary School Community Assoc

Breakthrough Collaborative

California High School

Carlmont High School

CDE Foundation

Center for Youth Wellness

Child Abuse Prev Council of Contra Costa

Childrens Discovery Museum of San Jose

Childrens Hospital and Research Center

Childrens Hospital of Orange County

CityYear

Cupertino High School

DASH Sports Education

East Bay Childrens Law Offices

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

First Place for Youth

Fischer Middle School

Football Camp for The Stars

Fremont-Sunnyvale High School Athletics

Fresh Lifelines for Youth Inc

Hack the Hood

Half Moon Bay HS Football

Hedge Funds Care

Homes For Our Troops

Homestead High School

Jewish Family amp Childrens Services

Khan Academy

115881579

1000000

1000000

659670

1000000

100000

500000

50000

5000 00

500000

50000

100000

53000

22600 00

50000

50000

1500000

1000000

10000 00

100000

1500000

17000

5000000

100000

100000

15000 00

17500 00

1000000

17500 00

1750000

1509585

50000

100000

5500000

120000 00

50000

2510000

335927

100000

1500000

25000000

KICKCANCER 50000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

Kimochi Inc

Konocti Unified School District

La Casa de Las Madres

La Cocina

Little Kids Rock

Los Altos High School

Los Gatos Orthopedic Sports Therapy

Lucile Packard Foundation for Childrens

MADD

Make-A-Wish Greater Bay

Menlo-Atherton High School

Milpitas High School Athletics

Miscellaneous

MISSSEY

Monte Vista Christian School

Mountain View High School

National Center for Youth Law

Next Door Solutions to Domestic Violence

Overfelt High School

Pacific Grove High School

Peninsula Pop-Warner Little Scholars

Piedmont Hills High School

PLAYNICE Productions Inc

Positive Coaching Alliance

Ronald McDonald House at Stanford

Safe Coverage

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Jose Sports Authority

Santa Clara City Library Foundation

Santa Clara PAL

Saratoga High School

Seneca Family of Agencies

SF AIDS Foundation

SF Marin Food Bank

Silicon Valley Education Foundation

Silicon Valley FACES

Somos Mayfair

St Francis High School

StarVista

The Commonwealth Club of California

The Giving Back Project

100000

1000000

4010000

120000 00

2260000

1000 00

5000000

1000 00

400 00

100000

100000

50000

250000

17500 00

50000

50000

1750000

5000 00

100000

50000

1000000

100000

1000000

3000 00

2260000

1000000

2750000

1750000

400000

100000

5000 00

1000 00

1500000

5000000

50000 00

95438900

22600 00

22600 00

2000 00

1750000

5000 00

1000000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

The LEMO Foundation

The Warriors Community Foundation

Tipping Point Community

Urban Services YMCA of San Francisco

WestCoast Childrens Clinic

WorldWide Women Foundation

Year Up Bay Area

Youth Catalytics

YWCA Silicon Valley

Grand Total

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

100000

150000 00

250000 00

10000 00

1750000

5000 00

19784000

2500000

50000

411739661

12883162

424622823

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

2015 Special Olympics World Summer Games

49ers Academy

Alameda County Court Appointed Special Ad

Alum Rock Union Elementary School Distric

Aptos High School Football Program

Archbishop Mitty High School Football Pro

Bay Area Womens Sports Initiative

Bay Area Young Survivors

Bayview Magic

Bayview YMCA

Boys amp Girls Club of Central Florida

BUILD

Camp Taylor Inc

Capuchino High School Football Program

CASA of San Mateo County

Center for Youth Wellness

Childrens Hospital and Research Center

CityYear

College Spring

College Track

ConXion Community

Don Callejon School Community Organizatio

East Bay Childrens Law Offices

East Bay Childrens Theatre

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

Evan Murray Scholarship Fund

First Place for Youth

Football Camp for The Stars

Frameline

Fresh Lifelines for Youth Inc

Friends of Commission on Status of Women

Friends of the Pleasant Hill Library

Friends of the Urban Forest

Half Moon Bay High School Football Prog

Heart2Heart-Teens

Hedge Funds Care

Hillsdale High School Football Program

lndiegogo

Jefferson High School Football Program

Jewish Family amp Childrens Services

25000 00

407270 67

20000 00

500000

500 00

100000

10000 00

430 00

650000

10000 00

200000 00

2000 00

100000

10000 00

1500000

40000 00

7500000

5000000

1000000

100000

1500 00

30000 00

100000

3500000

10000 00

60000 00

50000

35000 00

1050000

3000 00

230000 00

1000 00

1000 00

4000 00

100000

10000 00

25000 00

50000

25000 00

50000

30000 00

000

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

JW House

Kathi Good

Kings Academy Football Program

La Casa de Las Madres

Lincoln High School Football Program

Loaves amp Fishes Family Kitchen

Los Gatos High School Football Program

Lucile Salter Packard Childrens Hospital

Make A Birthday Wish

Make-A-Wish Greater Bay

Manteca Youth Football amp Cheer

Menlo School Football Program

Menlo-Atherton High School Football Prog

MISSSEY

Mountain View Police Activities League

National Center for Youth Law

Oak Grove High School Football Program

Piedmont Hills High School Football Prog

Playworks

Positive Coaching Alliance

Project Open Hand

Sacred Heart Prep Football Program

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Francisco Fire Fighters Toy Program

San Francisco Police Foundation

San Francisco Recreation and Parks

San Jose Sports Authority

Santa Clara Lions

SF Marin Food Bank

Silicon Valley Education Foundation

Silver Creek High School Football Program

Special Olympics Northern California

StarVista

SVLG Young Womens Summit April 28 2015

The Jewish Sports Hall of Fame

The Justice and Diversity Center

Tipping Point Community

UCSF Benioff Childrens Hospital Oakland

Urban Services YMCA of San Francisco

US Bank

Valley Christian High School Football Pro

50000 00

3000 00

50000

35000 00

250000

1000 00

1000 00

35000 00

1000 00

48000 00

10000 00

1000 00

50000

3500000

1000 00

35000 00

100000

500 00

5000000

50000 00

200000 00

500 00

55000 00

35000 00

12000 00

12000 00

4000 00

300000

7500000

20000000

59467500

1000 00

5000 00

35000 00

4060 73

14000

20000 00

250000 00

2500000

10000 00

314594

500 00

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

Warren Easton Charter High School

WestCoast Childrens Clinic

Westmont High School Football Program

Woodside High School Football Program

Year Up Bay Area

Total distributions to other organizations

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

1000000

3500000

100000

100000

350 00000

370722234

65955364

436677598

San Francisco 49ers Foundation

Exhibit A - Raffle Proceeds Recipients

12312017

Payments to unaffiliated eligible recipient organizations

American Red Cross

American Cancer Society

Fresh Lifelines for Youth Inc

CityYear

Homes for Our Troops

Golden Heart Fund

San Francisco PAL

JUMA

Center for Youth Wellness

La Casa De Las Madres

Santa Clara PAL

San Jose PAL

Total

Payments of behalf of affiliated eligible recipient organizations

49ers Museum STEAM program

Total

Grand Total

4036000

31685 00

30085 00

30085 00

27090 00

27025 00

26900 00

19754 00

8360 00

836000

6469 50

6469 50

26264300

2054000

28

2054000

318300

Page 9: San Francisco 49ers Major League Sports Raffle Program ... · MAJOR LEAGUE SPORTS RAFFLE PAGE 1 of4 ELIGIBLE ORGANIZATION ANNUAL REPORT . PLEASE SEND COMPLETED REPORT TO: Bureau of

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

49ers Academy

Adolescent Counseling Services

Alameda County Court Appointed Special Ad

American Cancer Society

American Red Cross

Aragon High School

BAAST Scholarship

Baler Backers - Football

Bay Area Womens Sports Initiative

Bayview YMCA

Bellarmine Preparatory Academy

Bill Wilson Center

Booksin Elementary School Community Assoc

Breakthrough Collaborative

California High School

Carlmont High School

CDE Foundation

Center for Youth Wellness

Child Abuse Prev Council of Contra Costa

Childrens Discovery Museum of San Jose

Childrens Hospital and Research Center

Childrens Hospital of Orange County

CityYear

Cupertino High School

DASH Sports Education

East Bay Childrens Law Offices

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

First Place for Youth

Fischer Middle School

Football Camp for The Stars

Fremont-Sunnyvale High School Athletics

Fresh Lifelines for Youth Inc

Hack the Hood

Half Moon Bay HS Football

Hedge Funds Care

Homes For Our Troops

Homestead High School

Jewish Family amp Childrens Services

Khan Academy

115881579

1000000

1000000

659670

1000000

100000

500000

50000

5000 00

500000

50000

100000

53000

22600 00

50000

50000

1500000

1000000

10000 00

100000

1500000

17000

5000000

100000

100000

15000 00

17500 00

1000000

17500 00

1750000

1509585

50000

100000

5500000

120000 00

50000

2510000

335927

100000

1500000

25000000

KICKCANCER 50000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

Kimochi Inc

Konocti Unified School District

La Casa de Las Madres

La Cocina

Little Kids Rock

Los Altos High School

Los Gatos Orthopedic Sports Therapy

Lucile Packard Foundation for Childrens

MADD

Make-A-Wish Greater Bay

Menlo-Atherton High School

Milpitas High School Athletics

Miscellaneous

MISSSEY

Monte Vista Christian School

Mountain View High School

National Center for Youth Law

Next Door Solutions to Domestic Violence

Overfelt High School

Pacific Grove High School

Peninsula Pop-Warner Little Scholars

Piedmont Hills High School

PLAYNICE Productions Inc

Positive Coaching Alliance

Ronald McDonald House at Stanford

Safe Coverage

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Jose Sports Authority

Santa Clara City Library Foundation

Santa Clara PAL

Saratoga High School

Seneca Family of Agencies

SF AIDS Foundation

SF Marin Food Bank

Silicon Valley Education Foundation

Silicon Valley FACES

Somos Mayfair

St Francis High School

StarVista

The Commonwealth Club of California

The Giving Back Project

100000

1000000

4010000

120000 00

2260000

1000 00

5000000

1000 00

400 00

100000

100000

50000

250000

17500 00

50000

50000

1750000

5000 00

100000

50000

1000000

100000

1000000

3000 00

2260000

1000000

2750000

1750000

400000

100000

5000 00

1000 00

1500000

5000000

50000 00

95438900

22600 00

22600 00

2000 00

1750000

5000 00

1000000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

The LEMO Foundation

The Warriors Community Foundation

Tipping Point Community

Urban Services YMCA of San Francisco

WestCoast Childrens Clinic

WorldWide Women Foundation

Year Up Bay Area

Youth Catalytics

YWCA Silicon Valley

Grand Total

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

100000

150000 00

250000 00

10000 00

1750000

5000 00

19784000

2500000

50000

411739661

12883162

424622823

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

2015 Special Olympics World Summer Games

49ers Academy

Alameda County Court Appointed Special Ad

Alum Rock Union Elementary School Distric

Aptos High School Football Program

Archbishop Mitty High School Football Pro

Bay Area Womens Sports Initiative

Bay Area Young Survivors

Bayview Magic

Bayview YMCA

Boys amp Girls Club of Central Florida

BUILD

Camp Taylor Inc

Capuchino High School Football Program

CASA of San Mateo County

Center for Youth Wellness

Childrens Hospital and Research Center

CityYear

College Spring

College Track

ConXion Community

Don Callejon School Community Organizatio

East Bay Childrens Law Offices

East Bay Childrens Theatre

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

Evan Murray Scholarship Fund

First Place for Youth

Football Camp for The Stars

Frameline

Fresh Lifelines for Youth Inc

Friends of Commission on Status of Women

Friends of the Pleasant Hill Library

Friends of the Urban Forest

Half Moon Bay High School Football Prog

Heart2Heart-Teens

Hedge Funds Care

Hillsdale High School Football Program

lndiegogo

Jefferson High School Football Program

Jewish Family amp Childrens Services

25000 00

407270 67

20000 00

500000

500 00

100000

10000 00

430 00

650000

10000 00

200000 00

2000 00

100000

10000 00

1500000

40000 00

7500000

5000000

1000000

100000

1500 00

30000 00

100000

3500000

10000 00

60000 00

50000

35000 00

1050000

3000 00

230000 00

1000 00

1000 00

4000 00

100000

10000 00

25000 00

50000

25000 00

50000

30000 00

000

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

JW House

Kathi Good

Kings Academy Football Program

La Casa de Las Madres

Lincoln High School Football Program

Loaves amp Fishes Family Kitchen

Los Gatos High School Football Program

Lucile Salter Packard Childrens Hospital

Make A Birthday Wish

Make-A-Wish Greater Bay

Manteca Youth Football amp Cheer

Menlo School Football Program

Menlo-Atherton High School Football Prog

MISSSEY

Mountain View Police Activities League

National Center for Youth Law

Oak Grove High School Football Program

Piedmont Hills High School Football Prog

Playworks

Positive Coaching Alliance

Project Open Hand

Sacred Heart Prep Football Program

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Francisco Fire Fighters Toy Program

San Francisco Police Foundation

San Francisco Recreation and Parks

San Jose Sports Authority

Santa Clara Lions

SF Marin Food Bank

Silicon Valley Education Foundation

Silver Creek High School Football Program

Special Olympics Northern California

StarVista

SVLG Young Womens Summit April 28 2015

The Jewish Sports Hall of Fame

The Justice and Diversity Center

Tipping Point Community

UCSF Benioff Childrens Hospital Oakland

Urban Services YMCA of San Francisco

US Bank

Valley Christian High School Football Pro

50000 00

3000 00

50000

35000 00

250000

1000 00

1000 00

35000 00

1000 00

48000 00

10000 00

1000 00

50000

3500000

1000 00

35000 00

100000

500 00

5000000

50000 00

200000 00

500 00

55000 00

35000 00

12000 00

12000 00

4000 00

300000

7500000

20000000

59467500

1000 00

5000 00

35000 00

4060 73

14000

20000 00

250000 00

2500000

10000 00

314594

500 00

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

Warren Easton Charter High School

WestCoast Childrens Clinic

Westmont High School Football Program

Woodside High School Football Program

Year Up Bay Area

Total distributions to other organizations

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

1000000

3500000

100000

100000

350 00000

370722234

65955364

436677598

San Francisco 49ers Foundation

Exhibit A - Raffle Proceeds Recipients

12312017

Payments to unaffiliated eligible recipient organizations

American Red Cross

American Cancer Society

Fresh Lifelines for Youth Inc

CityYear

Homes for Our Troops

Golden Heart Fund

San Francisco PAL

JUMA

Center for Youth Wellness

La Casa De Las Madres

Santa Clara PAL

San Jose PAL

Total

Payments of behalf of affiliated eligible recipient organizations

49ers Museum STEAM program

Total

Grand Total

4036000

31685 00

30085 00

30085 00

27090 00

27025 00

26900 00

19754 00

8360 00

836000

6469 50

6469 50

26264300

2054000

28

2054000

318300

Page 10: San Francisco 49ers Major League Sports Raffle Program ... · MAJOR LEAGUE SPORTS RAFFLE PAGE 1 of4 ELIGIBLE ORGANIZATION ANNUAL REPORT . PLEASE SEND COMPLETED REPORT TO: Bureau of

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

Kimochi Inc

Konocti Unified School District

La Casa de Las Madres

La Cocina

Little Kids Rock

Los Altos High School

Los Gatos Orthopedic Sports Therapy

Lucile Packard Foundation for Childrens

MADD

Make-A-Wish Greater Bay

Menlo-Atherton High School

Milpitas High School Athletics

Miscellaneous

MISSSEY

Monte Vista Christian School

Mountain View High School

National Center for Youth Law

Next Door Solutions to Domestic Violence

Overfelt High School

Pacific Grove High School

Peninsula Pop-Warner Little Scholars

Piedmont Hills High School

PLAYNICE Productions Inc

Positive Coaching Alliance

Ronald McDonald House at Stanford

Safe Coverage

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Jose Sports Authority

Santa Clara City Library Foundation

Santa Clara PAL

Saratoga High School

Seneca Family of Agencies

SF AIDS Foundation

SF Marin Food Bank

Silicon Valley Education Foundation

Silicon Valley FACES

Somos Mayfair

St Francis High School

StarVista

The Commonwealth Club of California

The Giving Back Project

100000

1000000

4010000

120000 00

2260000

1000 00

5000000

1000 00

400 00

100000

100000

50000

250000

17500 00

50000

50000

1750000

5000 00

100000

50000

1000000

100000

1000000

3000 00

2260000

1000000

2750000

1750000

400000

100000

5000 00

1000 00

1500000

5000000

50000 00

95438900

22600 00

22600 00

2000 00

1750000

5000 00

1000000

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

The LEMO Foundation

The Warriors Community Foundation

Tipping Point Community

Urban Services YMCA of San Francisco

WestCoast Childrens Clinic

WorldWide Women Foundation

Year Up Bay Area

Youth Catalytics

YWCA Silicon Valley

Grand Total

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

100000

150000 00

250000 00

10000 00

1750000

5000 00

19784000

2500000

50000

411739661

12883162

424622823

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

2015 Special Olympics World Summer Games

49ers Academy

Alameda County Court Appointed Special Ad

Alum Rock Union Elementary School Distric

Aptos High School Football Program

Archbishop Mitty High School Football Pro

Bay Area Womens Sports Initiative

Bay Area Young Survivors

Bayview Magic

Bayview YMCA

Boys amp Girls Club of Central Florida

BUILD

Camp Taylor Inc

Capuchino High School Football Program

CASA of San Mateo County

Center for Youth Wellness

Childrens Hospital and Research Center

CityYear

College Spring

College Track

ConXion Community

Don Callejon School Community Organizatio

East Bay Childrens Law Offices

East Bay Childrens Theatre

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

Evan Murray Scholarship Fund

First Place for Youth

Football Camp for The Stars

Frameline

Fresh Lifelines for Youth Inc

Friends of Commission on Status of Women

Friends of the Pleasant Hill Library

Friends of the Urban Forest

Half Moon Bay High School Football Prog

Heart2Heart-Teens

Hedge Funds Care

Hillsdale High School Football Program

lndiegogo

Jefferson High School Football Program

Jewish Family amp Childrens Services

25000 00

407270 67

20000 00

500000

500 00

100000

10000 00

430 00

650000

10000 00

200000 00

2000 00

100000

10000 00

1500000

40000 00

7500000

5000000

1000000

100000

1500 00

30000 00

100000

3500000

10000 00

60000 00

50000

35000 00

1050000

3000 00

230000 00

1000 00

1000 00

4000 00

100000

10000 00

25000 00

50000

25000 00

50000

30000 00

000

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

JW House

Kathi Good

Kings Academy Football Program

La Casa de Las Madres

Lincoln High School Football Program

Loaves amp Fishes Family Kitchen

Los Gatos High School Football Program

Lucile Salter Packard Childrens Hospital

Make A Birthday Wish

Make-A-Wish Greater Bay

Manteca Youth Football amp Cheer

Menlo School Football Program

Menlo-Atherton High School Football Prog

MISSSEY

Mountain View Police Activities League

National Center for Youth Law

Oak Grove High School Football Program

Piedmont Hills High School Football Prog

Playworks

Positive Coaching Alliance

Project Open Hand

Sacred Heart Prep Football Program

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Francisco Fire Fighters Toy Program

San Francisco Police Foundation

San Francisco Recreation and Parks

San Jose Sports Authority

Santa Clara Lions

SF Marin Food Bank

Silicon Valley Education Foundation

Silver Creek High School Football Program

Special Olympics Northern California

StarVista

SVLG Young Womens Summit April 28 2015

The Jewish Sports Hall of Fame

The Justice and Diversity Center

Tipping Point Community

UCSF Benioff Childrens Hospital Oakland

Urban Services YMCA of San Francisco

US Bank

Valley Christian High School Football Pro

50000 00

3000 00

50000

35000 00

250000

1000 00

1000 00

35000 00

1000 00

48000 00

10000 00

1000 00

50000

3500000

1000 00

35000 00

100000

500 00

5000000

50000 00

200000 00

500 00

55000 00

35000 00

12000 00

12000 00

4000 00

300000

7500000

20000000

59467500

1000 00

5000 00

35000 00

4060 73

14000

20000 00

250000 00

2500000

10000 00

314594

500 00

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

Warren Easton Charter High School

WestCoast Childrens Clinic

Westmont High School Football Program

Woodside High School Football Program

Year Up Bay Area

Total distributions to other organizations

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

1000000

3500000

100000

100000

350 00000

370722234

65955364

436677598

San Francisco 49ers Foundation

Exhibit A - Raffle Proceeds Recipients

12312017

Payments to unaffiliated eligible recipient organizations

American Red Cross

American Cancer Society

Fresh Lifelines for Youth Inc

CityYear

Homes for Our Troops

Golden Heart Fund

San Francisco PAL

JUMA

Center for Youth Wellness

La Casa De Las Madres

Santa Clara PAL

San Jose PAL

Total

Payments of behalf of affiliated eligible recipient organizations

49ers Museum STEAM program

Total

Grand Total

4036000

31685 00

30085 00

30085 00

27090 00

27025 00

26900 00

19754 00

8360 00

836000

6469 50

6469 50

26264300

2054000

28

2054000

318300

Page 11: San Francisco 49ers Major League Sports Raffle Program ... · MAJOR LEAGUE SPORTS RAFFLE PAGE 1 of4 ELIGIBLE ORGANIZATION ANNUAL REPORT . PLEASE SEND COMPLETED REPORT TO: Bureau of

San Francisco 49ers Foundation

Exhibit D - Non-Raffle Proceeds Recipients

12312016 Name Amount

The LEMO Foundation

The Warriors Community Foundation

Tipping Point Community

Urban Services YMCA of San Francisco

WestCoast Childrens Clinic

WorldWide Women Foundation

Year Up Bay Area

Youth Catalytics

YWCA Silicon Valley

Grand Total

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

100000

150000 00

250000 00

10000 00

1750000

5000 00

19784000

2500000

50000

411739661

12883162

424622823

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

2015 Special Olympics World Summer Games

49ers Academy

Alameda County Court Appointed Special Ad

Alum Rock Union Elementary School Distric

Aptos High School Football Program

Archbishop Mitty High School Football Pro

Bay Area Womens Sports Initiative

Bay Area Young Survivors

Bayview Magic

Bayview YMCA

Boys amp Girls Club of Central Florida

BUILD

Camp Taylor Inc

Capuchino High School Football Program

CASA of San Mateo County

Center for Youth Wellness

Childrens Hospital and Research Center

CityYear

College Spring

College Track

ConXion Community

Don Callejon School Community Organizatio

East Bay Childrens Law Offices

East Bay Childrens Theatre

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

Evan Murray Scholarship Fund

First Place for Youth

Football Camp for The Stars

Frameline

Fresh Lifelines for Youth Inc

Friends of Commission on Status of Women

Friends of the Pleasant Hill Library

Friends of the Urban Forest

Half Moon Bay High School Football Prog

Heart2Heart-Teens

Hedge Funds Care

Hillsdale High School Football Program

lndiegogo

Jefferson High School Football Program

Jewish Family amp Childrens Services

25000 00

407270 67

20000 00

500000

500 00

100000

10000 00

430 00

650000

10000 00

200000 00

2000 00

100000

10000 00

1500000

40000 00

7500000

5000000

1000000

100000

1500 00

30000 00

100000

3500000

10000 00

60000 00

50000

35000 00

1050000

3000 00

230000 00

1000 00

1000 00

4000 00

100000

10000 00

25000 00

50000

25000 00

50000

30000 00

000

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

JW House

Kathi Good

Kings Academy Football Program

La Casa de Las Madres

Lincoln High School Football Program

Loaves amp Fishes Family Kitchen

Los Gatos High School Football Program

Lucile Salter Packard Childrens Hospital

Make A Birthday Wish

Make-A-Wish Greater Bay

Manteca Youth Football amp Cheer

Menlo School Football Program

Menlo-Atherton High School Football Prog

MISSSEY

Mountain View Police Activities League

National Center for Youth Law

Oak Grove High School Football Program

Piedmont Hills High School Football Prog

Playworks

Positive Coaching Alliance

Project Open Hand

Sacred Heart Prep Football Program

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Francisco Fire Fighters Toy Program

San Francisco Police Foundation

San Francisco Recreation and Parks

San Jose Sports Authority

Santa Clara Lions

SF Marin Food Bank

Silicon Valley Education Foundation

Silver Creek High School Football Program

Special Olympics Northern California

StarVista

SVLG Young Womens Summit April 28 2015

The Jewish Sports Hall of Fame

The Justice and Diversity Center

Tipping Point Community

UCSF Benioff Childrens Hospital Oakland

Urban Services YMCA of San Francisco

US Bank

Valley Christian High School Football Pro

50000 00

3000 00

50000

35000 00

250000

1000 00

1000 00

35000 00

1000 00

48000 00

10000 00

1000 00

50000

3500000

1000 00

35000 00

100000

500 00

5000000

50000 00

200000 00

500 00

55000 00

35000 00

12000 00

12000 00

4000 00

300000

7500000

20000000

59467500

1000 00

5000 00

35000 00

4060 73

14000

20000 00

250000 00

2500000

10000 00

314594

500 00

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

Warren Easton Charter High School

WestCoast Childrens Clinic

Westmont High School Football Program

Woodside High School Football Program

Year Up Bay Area

Total distributions to other organizations

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

1000000

3500000

100000

100000

350 00000

370722234

65955364

436677598

San Francisco 49ers Foundation

Exhibit A - Raffle Proceeds Recipients

12312017

Payments to unaffiliated eligible recipient organizations

American Red Cross

American Cancer Society

Fresh Lifelines for Youth Inc

CityYear

Homes for Our Troops

Golden Heart Fund

San Francisco PAL

JUMA

Center for Youth Wellness

La Casa De Las Madres

Santa Clara PAL

San Jose PAL

Total

Payments of behalf of affiliated eligible recipient organizations

49ers Museum STEAM program

Total

Grand Total

4036000

31685 00

30085 00

30085 00

27090 00

27025 00

26900 00

19754 00

8360 00

836000

6469 50

6469 50

26264300

2054000

28

2054000

318300

Page 12: San Francisco 49ers Major League Sports Raffle Program ... · MAJOR LEAGUE SPORTS RAFFLE PAGE 1 of4 ELIGIBLE ORGANIZATION ANNUAL REPORT . PLEASE SEND COMPLETED REPORT TO: Bureau of

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

2015 Special Olympics World Summer Games

49ers Academy

Alameda County Court Appointed Special Ad

Alum Rock Union Elementary School Distric

Aptos High School Football Program

Archbishop Mitty High School Football Pro

Bay Area Womens Sports Initiative

Bay Area Young Survivors

Bayview Magic

Bayview YMCA

Boys amp Girls Club of Central Florida

BUILD

Camp Taylor Inc

Capuchino High School Football Program

CASA of San Mateo County

Center for Youth Wellness

Childrens Hospital and Research Center

CityYear

College Spring

College Track

ConXion Community

Don Callejon School Community Organizatio

East Bay Childrens Law Offices

East Bay Childrens Theatre

East Bay Community Recovery Project

Eastside College Preparatory School

Edgewood Center for Children and Families

Evan Murray Scholarship Fund

First Place for Youth

Football Camp for The Stars

Frameline

Fresh Lifelines for Youth Inc

Friends of Commission on Status of Women

Friends of the Pleasant Hill Library

Friends of the Urban Forest

Half Moon Bay High School Football Prog

Heart2Heart-Teens

Hedge Funds Care

Hillsdale High School Football Program

lndiegogo

Jefferson High School Football Program

Jewish Family amp Childrens Services

25000 00

407270 67

20000 00

500000

500 00

100000

10000 00

430 00

650000

10000 00

200000 00

2000 00

100000

10000 00

1500000

40000 00

7500000

5000000

1000000

100000

1500 00

30000 00

100000

3500000

10000 00

60000 00

50000

35000 00

1050000

3000 00

230000 00

1000 00

1000 00

4000 00

100000

10000 00

25000 00

50000

25000 00

50000

30000 00

000

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

JW House

Kathi Good

Kings Academy Football Program

La Casa de Las Madres

Lincoln High School Football Program

Loaves amp Fishes Family Kitchen

Los Gatos High School Football Program

Lucile Salter Packard Childrens Hospital

Make A Birthday Wish

Make-A-Wish Greater Bay

Manteca Youth Football amp Cheer

Menlo School Football Program

Menlo-Atherton High School Football Prog

MISSSEY

Mountain View Police Activities League

National Center for Youth Law

Oak Grove High School Football Program

Piedmont Hills High School Football Prog

Playworks

Positive Coaching Alliance

Project Open Hand

Sacred Heart Prep Football Program

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Francisco Fire Fighters Toy Program

San Francisco Police Foundation

San Francisco Recreation and Parks

San Jose Sports Authority

Santa Clara Lions

SF Marin Food Bank

Silicon Valley Education Foundation

Silver Creek High School Football Program

Special Olympics Northern California

StarVista

SVLG Young Womens Summit April 28 2015

The Jewish Sports Hall of Fame

The Justice and Diversity Center

Tipping Point Community

UCSF Benioff Childrens Hospital Oakland

Urban Services YMCA of San Francisco

US Bank

Valley Christian High School Football Pro

50000 00

3000 00

50000

35000 00

250000

1000 00

1000 00

35000 00

1000 00

48000 00

10000 00

1000 00

50000

3500000

1000 00

35000 00

100000

500 00

5000000

50000 00

200000 00

500 00

55000 00

35000 00

12000 00

12000 00

4000 00

300000

7500000

20000000

59467500

1000 00

5000 00

35000 00

4060 73

14000

20000 00

250000 00

2500000

10000 00

314594

500 00

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

Warren Easton Charter High School

WestCoast Childrens Clinic

Westmont High School Football Program

Woodside High School Football Program

Year Up Bay Area

Total distributions to other organizations

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

1000000

3500000

100000

100000

350 00000

370722234

65955364

436677598

San Francisco 49ers Foundation

Exhibit A - Raffle Proceeds Recipients

12312017

Payments to unaffiliated eligible recipient organizations

American Red Cross

American Cancer Society

Fresh Lifelines for Youth Inc

CityYear

Homes for Our Troops

Golden Heart Fund

San Francisco PAL

JUMA

Center for Youth Wellness

La Casa De Las Madres

Santa Clara PAL

San Jose PAL

Total

Payments of behalf of affiliated eligible recipient organizations

49ers Museum STEAM program

Total

Grand Total

4036000

31685 00

30085 00

30085 00

27090 00

27025 00

26900 00

19754 00

8360 00

836000

6469 50

6469 50

26264300

2054000

28

2054000

318300

Page 13: San Francisco 49ers Major League Sports Raffle Program ... · MAJOR LEAGUE SPORTS RAFFLE PAGE 1 of4 ELIGIBLE ORGANIZATION ANNUAL REPORT . PLEASE SEND COMPLETED REPORT TO: Bureau of

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

JW House

Kathi Good

Kings Academy Football Program

La Casa de Las Madres

Lincoln High School Football Program

Loaves amp Fishes Family Kitchen

Los Gatos High School Football Program

Lucile Salter Packard Childrens Hospital

Make A Birthday Wish

Make-A-Wish Greater Bay

Manteca Youth Football amp Cheer

Menlo School Football Program

Menlo-Atherton High School Football Prog

MISSSEY

Mountain View Police Activities League

National Center for Youth Law

Oak Grove High School Football Program

Piedmont Hills High School Football Prog

Playworks

Positive Coaching Alliance

Project Open Hand

Sacred Heart Prep Football Program

San Francisco Child Abuse

San Francisco Court Appointed Special Adv

San Francisco Fire Fighters Toy Program

San Francisco Police Foundation

San Francisco Recreation and Parks

San Jose Sports Authority

Santa Clara Lions

SF Marin Food Bank

Silicon Valley Education Foundation

Silver Creek High School Football Program

Special Olympics Northern California

StarVista

SVLG Young Womens Summit April 28 2015

The Jewish Sports Hall of Fame

The Justice and Diversity Center

Tipping Point Community

UCSF Benioff Childrens Hospital Oakland

Urban Services YMCA of San Francisco

US Bank

Valley Christian High School Football Pro

50000 00

3000 00

50000

35000 00

250000

1000 00

1000 00

35000 00

1000 00

48000 00

10000 00

1000 00

50000

3500000

1000 00

35000 00

100000

500 00

5000000

50000 00

200000 00

500 00

55000 00

35000 00

12000 00

12000 00

4000 00

300000

7500000

20000000

59467500

1000 00

5000 00

35000 00

4060 73

14000

20000 00

250000 00

2500000

10000 00

314594

500 00

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

Warren Easton Charter High School

WestCoast Childrens Clinic

Westmont High School Football Program

Woodside High School Football Program

Year Up Bay Area

Total distributions to other organizations

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

1000000

3500000

100000

100000

350 00000

370722234

65955364

436677598

San Francisco 49ers Foundation

Exhibit A - Raffle Proceeds Recipients

12312017

Payments to unaffiliated eligible recipient organizations

American Red Cross

American Cancer Society

Fresh Lifelines for Youth Inc

CityYear

Homes for Our Troops

Golden Heart Fund

San Francisco PAL

JUMA

Center for Youth Wellness

La Casa De Las Madres

Santa Clara PAL

San Jose PAL

Total

Payments of behalf of affiliated eligible recipient organizations

49ers Museum STEAM program

Total

Grand Total

4036000

31685 00

30085 00

30085 00

27090 00

27025 00

26900 00

19754 00

8360 00

836000

6469 50

6469 50

26264300

2054000

28

2054000

318300

Page 14: San Francisco 49ers Major League Sports Raffle Program ... · MAJOR LEAGUE SPORTS RAFFLE PAGE 1 of4 ELIGIBLE ORGANIZATION ANNUAL REPORT . PLEASE SEND COMPLETED REPORT TO: Bureau of

San Francisco 49ers Foundation

Exhibit E - Non-Raffle Proceeds Recipients

12312015 Name Amount

Warren Easton Charter High School

WestCoast Childrens Clinic

Westmont High School Football Program

Woodside High School Football Program

Year Up Bay Area

Total distributions to other organizations

Total distributions on behalf of 49ers Museum STEAM program

Total distributions of non raffle proceeds

1000000

3500000

100000

100000

350 00000

370722234

65955364

436677598

San Francisco 49ers Foundation

Exhibit A - Raffle Proceeds Recipients

12312017

Payments to unaffiliated eligible recipient organizations

American Red Cross

American Cancer Society

Fresh Lifelines for Youth Inc

CityYear

Homes for Our Troops

Golden Heart Fund

San Francisco PAL

JUMA

Center for Youth Wellness

La Casa De Las Madres

Santa Clara PAL

San Jose PAL

Total

Payments of behalf of affiliated eligible recipient organizations

49ers Museum STEAM program

Total

Grand Total

4036000

31685 00

30085 00

30085 00

27090 00

27025 00

26900 00

19754 00

8360 00

836000

6469 50

6469 50

26264300

2054000

28

2054000

318300

Page 15: San Francisco 49ers Major League Sports Raffle Program ... · MAJOR LEAGUE SPORTS RAFFLE PAGE 1 of4 ELIGIBLE ORGANIZATION ANNUAL REPORT . PLEASE SEND COMPLETED REPORT TO: Bureau of

San Francisco 49ers Foundation

Exhibit A - Raffle Proceeds Recipients

12312017

Payments to unaffiliated eligible recipient organizations

American Red Cross

American Cancer Society

Fresh Lifelines for Youth Inc

CityYear

Homes for Our Troops

Golden Heart Fund

San Francisco PAL

JUMA

Center for Youth Wellness

La Casa De Las Madres

Santa Clara PAL

San Jose PAL

Total

Payments of behalf of affiliated eligible recipient organizations

49ers Museum STEAM program

Total

Grand Total

4036000

31685 00

30085 00

30085 00

27090 00

27025 00

26900 00

19754 00

8360 00

836000

6469 50

6469 50

26264300

2054000

28

2054000

318300