THE TWENTY-EIGHTH LEGISLATURE APPLICATION FOR GRANTS

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1 y:, --Senate District x --- Huse District THE TWENTY-EIGHTH LEGISLATURE APPLICATION FOR GRANTS Lg N: CHAPTER 42F, HAWAII REVISED STATUTES I Fr Leglsteture' Use Only Type f Grant Request: 0 Ill GRANT REQUEST- CAPITAL GRANT REQUEST - OPERATING "Grant" means an award f state funds by the legislature, by an apprpriatin t a specified recipient, t supprt the activities f the recipient and permit the cmmunity t benefit frm thse activities. "Recipient" means any rganizatin r persn receiving a grant. STATE DEPARlMENT OR AGENCY RELA'ID> TO TmS REQUEST (LEA VE BLANK lfunj<nown):! STATE PROGRAM J.D. NO. (LEA VE BLANK IF UNKNOWN): 1. APPLICANT INFORMATION: 2. Legal Name f Requesting Organizatin r Individual: Innvatins Public Charter Schl Fundatin Name JULIE "LEE" NELSON CONTACT P RSON FOR MATTI:RS INVOLVING TBJS APPUCA TION: Tille Business Manager Oba: Phne # Street Address: Queen Ka'ahumanu Hwy. Kailua - na, HI Fax# Mailing Address: Queen Ka'ahumanu Hwy. Kailua - Kna, HI TYPE OF BUSINESS ENTtn': 6. NON PROFIT CORPORATION INCORPORATED IN HAWAII 0 FOR PROFIT CORPORATION INCORPORATED IN HAWAII 0 LIMITED LIABILITY COMPANY 0 OTHER 0 SOLE PROPRIETORSHIP/INDIVIDUAL 4. FEDERAL TAX m 5. STATE TAX ID#: lnnovations PlIBLJC CHARTER SCHOOL FOUNDATION CAP!TAL REQUEST FOR COMMUNITY AND CHARTER SCHOOL RECREATIONAL FACILlTIES. THls REQUEST ts FOR RECREATIONAL FACilJTIES TO BE USED FOR 11lE II 0 I INNOVATIONS PUBLIC CHARTER SCHOOL AND 11lE KAILUA KONA COMMUNITY. FAcn.JTIES SHALL INCLUOE OUTDOOR PAVILION AND RECREATION CENTER. PLAVFlEl.O, BASKETBALL, COURT ANO PLAYGROUND AND SHALL INCLUDE A NEW ENTRANCE AND COMMUNITY PARKINO LOT. 7. AMOUNT OF STATE FUNDS REQUI.STED: FISCAL YEAR 2016: 8. STATUS Of SERVICE DESCRIBED IN THIS REQUEST: NEW SERVICE (PRESENT\.y DOES NOT EXIST) EXISTING SERVICE (PRESENTLY IN OPERATION) ' DESCJUPTIVE TITLE OF APPLICANT'S REQUEST: SPECIFY THE AMOUNT BY SOURCES OF FUNDS AVAILABLE AT THE TIME OF THIS REQUEST: STATE FEDERAL COUNTY PRIVATE/OTHER TYPE NAME & TinE OF AUTliORIZEO REPRESENTATIVE: fl JENNIFER HIRO, BOARD SECRETARY N....._ 'lsigna'l\jre NAME&TIT\.I JANUARY 26, 2015 Da.TESIGNEQ : " ' l l... - '- ((!1. y

2 Applicant Innvatins Public Charter Schl Fundatin Applicatin fr Grants If any item is nt applicable t the request, the applicant shuld enter "nt applicable". I. Backgrund and Summary This sectin shall clearly and cncisely sununarize and highlight the cntents f the request in such a way as t prvide the State Legislature with a brad understanding f the request. Include the fllwing: I. A brief descriptin f the applicant's backgrund; Innvatins Public Charter Schl Fundatin (Innvatins Fundatin) supprts Innvatins Public Charter Schl. The missin f Innvatins Fundatin is t prvide facilities, raise funds fr capital campaigns, and t seek cntributins t preserve the endwment fr Innvatins Public Charter Schl. The Fundatin als seeks t imprve cmmunity relatins and invites the cmmunity t be part f the campus in schl cmmunity partnership activities. 2. The gals and bjectives related t the request; The gal f this request is t seek funds t assist Innvatins Public Charter Schl with schl cmmunity utdr recreatinal facilities. Innvatins Public Charter Schl is lcated n beautiful cean view acres in the heart fkailua-kna. The Innvatins Fundatin is striving t utilize the campus as nt nly a tp perfrming state charter schl, but als as a thriving cmmunity center. The visin is t have an utdr playfield and basketball curt where club and cmmunity teams can practice, playgrunds fr keiki t utilize, cmmunity gardens, utdr pavilin and recreatin center fr cmmunity grups. Innvatins is s successful because f its cmmunity partnerships. Innvatins facilities are state f the art and we wuld like t share the campus with the cmmunity. Innvatins new recreatinal facilities will deliver desperately needed schl and cmmunity facilities. 3. The public purpse and need t be served; Currently, Innvatins Public Charter Schl serves ver 200 students (Kindergarten thrugh gth grade) in the heart fkailua-kna n the Big Island. Our rigrus prject based curriculum, rich in the arts and technlgy bas created and verwhelming demand fr enrllment in ur schl. The current wait list fr enrllment exceeds 500 students. The cnstructin f utdr cmmunity facilities will allw us t serve the cmmunity with an utdr recreatin center, park, cmmunity gardens and playfield and basketball curt. Innvatins has been apprached by by scut trps and bth cmmunity and Applicatin fr Grants

3 Applicant Innvatins Public Charter Schl Fundatin club sprts teams seeking field practice space and design input n the design f ur recreatinal facilities. There are just nt enugh cmmunity areas t serve ur cmmunity and these facilities will help meet the need f mre recreatinal facilities. With the help f the West Hawaii cmmunity, Innvatins has delivered excellence in educatin fr the past 12 years. Innvatins has a histry f excellence and these facilities will allw the excellent Innvatins Public Charter Schl t help serve and partner with the cmmunity at large. In January 2012, Innvatins was the recipient f the Charter Schl Award fr Excellence. The three main factrs fr receiving the award were as fllws: "Receiving a 20% higher perfrmance rate fr academic perfrmance than cmparable public schls in the same area as measured by the Hawaii State Assessment" -Innvatins has small class size, rigrus prject based learning, and tutrs in every classrm which translates t better student achievement. "Strng willingness t partner with ther schls and the surrunding cmmunity." -Innvatins has partnerships with ver 50 businesses in the cmmunity. All 7th and 8th grade students participate in cmmunity mentrship and service prjects. Business and cmmunity partners that mentr Innvatins students n a weekly basis fr tw t five hurs include: Safeway, KWXX 93.7, Waimea Surf Classics. Wrld Cre Surf Shp, Kna Bay Bks, KB Extreme Bwling, Kna Stries, Bike Wrks, Hspice f Kna, Memry Lane Thrift Stre, Jack's Diving Lcker, Intrigue Design Hair Saln, Paws University Dg Training, NPS Kalk - Hnkhau, Miranda's Pets, Hiltn Dlphin Quest, See Thrugh Windw Tinting, Alii Vet, Keauhu Vet. Dnkey Mill Art Center, Cry Fulk Architect, Kna Bys Kayak Rentals, Creative Day Pre-Schl, Adaptatins Prduce Distributr, Chris Jhnsn Kealakehe High Schl Band Directr, Gregg Lupien Architect, Kailua Candy Cmpany, Inter-island Slar Supply, West Hawaii Tday, M Betta Ygurt Shp, Urs Leuenberger Wdwrker, Kealala Organic Lettuce Farmers, University f the Natins Preschl, Full Life Hawaii Disabilites, Advcats, Hluala Ukulele Gallery, Michael Inman Phtgrapher, Jenny Slmirin Kealakehe High Schl Teacher, Je Dank Phtgrapher, Kna Business Center, Nse fr Adventure, Lindsey Kramer Marine Bilgist, Rbin Fisher Childcare, Tm Neer Green Building, Vanessa King Acupuncturist, Nate Fine Film Making, and Linda Waltn Prsecuting Attrney. "Diligently identifying and btaining funding fr the schl t ensure sufficient resurces necessary t prvide quality educatin" - Innvatins Fundatin and/r Schl has received grants frm the fllwing fundatins and rganizatins t supprt their prgrams and facilities: Athertn Fundatin Cke Fundatin Change Happens Fundatin 2 Applicatin fr Grants

4 Applicant Innvatins Public Charter Schl Fundatin Kuki Fundatin Hawaii Cmmunity Fundatin Aid t Teachers Bill Healy Fundatin Hawaii Department f Health USDA Walmart Fundatin Target Stres Kkua Hawaii Fundatin Ezra Keats Fundatin Kbala Center NEA Fundatin Hawaii Alliance fr Arts Educatin Yung Brthers Central Pacific Bank Lwes Stres Altres Staffing Kna Sunrise Rtary Club Cunty f Hawaii Dnrs Chse Gd Idea We are well primed t develp after-schl cmmunity prgrams at this stage f ur develpment. We are in ur 9th year f schl garden and sustainability prgrams. Our current schl garden prvides ver 50% f afterschl meals fr ur extended day prgram students. In ur prpsed cmmunity facilities expansin, we have designated a acre area fr cmmunity gardens that wuld enable area cmmunity residents t prduce fds fr themselves and t share with ur keiki fr afterschl meals and in schl snacks. Additinally, we can ffer scuting trps, the 4H, ther cmmunity grups and sprts teams a hme fr practices and meetings. 4. Describe the target ppulatin t be served; The cmmunity facilities prject will have the capacity t serve all residents in the cmmunity. Facilities will be available fr all cmmunity grups. Cmmunity gardeners, scuts, sprts teams, cmmunity rganizatins and clubs will be invited t utilize the facilities. 5. Describe the gegraphic cverage. Innvatins Public Charter Schl Fundatin is lcated in the heart fkailua Kna. Our cmmunity facilities wuld cver all f the Kailua Kna n the west side f the Big Island. The facility wuld be pen t all gardeners, sccer and sprts teams, and cmmunity grups in need f meeting and perfrmance space. 3 Applicatin fr Grants

5 Applicant Innvatins Public Charter Schl Fundatin II. Service Summary and Outcmes The Service Summary shall include a detailed discussin f the applicant's apprach t the request. The applicant shall clearly and cncisely specify the results, utcmes, and measures f effectiveness frm this request. The applicant shall: 1. Describe the scpe f wrk, tasks and respnsibilities; Cnstructin f cmmunity facilities. The cmmunity facilities shall cnsist f the fllwing: Outdr Recreatin Center - 1,000 sq. ft. utdr cvered seated area equipped with cmmercial cunters and sinks fr gatherings and dining Outdr Green Playgrund Outdr Basketball Curt - t be used fr afterschl, weekend recreatin and available fr cmmunity play, physical educatin classes Outdr Playfield - t be used afterschl and n weekends fr club and cmmunity sprts teams and physical educatin classes New entrance and parking lt- t divert traffic ff f busy Queen Ka' ahumanu Hwy, a new parking lt and entrance will be engineered ff fhualalai Rad. Please see master plan and building renderings presented as attachment A. 2. Prvide a prjected annual timeline fr accmplishing the results r utcmes f the service; The timing f prject is as fllws: January Framing, puring and creating basketball facilities - all wrk t be perfrmed by cmmunity vlunteers - n labr cst February Cmpletin f New Entrance Plans (including parking and driveway) - On Schedule March Submit fr new driveway access t the Innvatins Public Charter Schl Cmmunity facilities - A new driveway is scheduled that rutes the new entrance t the campus and cmmunity facilities ff the busy Queen Ka'ahumanu Hwy t the cunty f Hawaii Hualalai Rad. August 2015 Cnstructin f New Parking Lt and Driveway int the cmmunity I charter schl facilities. September 2015 submit fr permit fr utdr recreatin center and green playgrund January 2016 cnstructin f utdr recreatin center, Yi acre cmmunity gardens infrastructure and green playgrund. May 2016 Blessing f New Cmmunity Facilities 4 Applicatin fr Grants

6 Applicant Innvatins Public Charter Schl Fundatin 3. Describe its quality assurance and evaluatin plans fr the request. Specify hw the applicant plans t mnitr, evaluate, and imprve their results; and Innvatins Public Charter Schl Fundatin secured in-kind, cmmunity dnatins and cmmercial financing t purchase beautiful fee simple cean view acres in the heart f Kailua-Kna. With the help f cmmunity members and lcal businesses, Innvatins Fundatin has cnstructed ver square feet f state f the art classrm and administrative space fr its faculty and students. All facilities are fully permitted and ADA cmpliant. These cmmunity facilities are needed fr the children in cmmunity t have adequate play facilities t stay fit and healthy. Schl / cmmunity gardens and fitness I play areas in the cmmunity are necessary t insure a future f healthy adults. Innvatins has a prven track recrd as an exceptinal schl. These recreatinal facilities will serve hundreds f children and adults. Beautifully designed parks and gardens enrich the entire cmmunity. Fr the requested cmmunity recreatinal facilities prject, Innvatins Fundatin bard will take the same great care in building state f the art recreatinal facilities at the least cst t the state and cmmunity. The actual cnstructin will be a bid prcess cmpliant with the Fundatin's prcurement plicy and the USDA guidelines. All bard members are nn cmpensated individuals that have n financial interest r cnflict f interest in the prject. The Innvatins Fundatin Bard and Leadership Team have established a Cnstructin Cmmittee led by Jhn Bertsch, Prject manager and cnsisting f Lee Nelsn, Business Manager, Ed Rapza, Bard Member, William Wng, CPA, Bard Member and Jennifer Hir, Schl Directr. T ensure quality, the Building and Cnstructin Cmmittee will act as the agent t 1) manage cntracts, 2) btain permits, 3) review prgress f cnstructin, 4) review the quality f cnstructin, including arranging interim inspectins, 5) prcess clarificatin requests and prduce submittals, 6) apprve cntractr payment requests, 7) assure that all prcesses fllw applicable laws and plicies related t prcurement f cnstructin. This cnstructin cmmittee will be the team respnsible fr cntinually mnitring, evaluating and imprving results. Additinally Innvatins Fundatin has an independent :financial audit perfrmed annually. 4. List the measure(s) f effectiveness that will be reprted t the State agency thrugh which grant funds are apprpriated (the expending agency). The measure(s) will prvide a standard and bjective way fr the State t assess the s Applicatin fr Grants

7 Applicant Innvatins Public Charter Schl Fundatin prgram's achievement r accmplishment. Please nte that if the level f apprpriatin differs frm the amunt included in this applicatin that the measure(s) f effectiveness will need t be updated and transmitted t the expending agency. Innvatins Fundatin missin is t prvide the best, state f the art facilities fr the Innvatins Public Charter Schl students and the cmmunity. Innvatins gal is t prvide these facilities at the least cst t the state and cmmunity. The Fundatins gal is t encmpass green building practices, including the use f dnated recycled materials and vlunteers whenever pssible. Facilities will be psitined t take advantage f the wnderful island breezes and views. Our lcatin is at 600 feet elevatin which will pse cler recreatinal facilities than any ther cmmunity recreatins facilities lcated in the Kena Cmmunity. The Cnstructin Cmmittee lead by Jhn Bertsch, Prject Manager and members Lee Nelsn, Business Manager, Ed Rapza, Bard Member, William Wng, CPA, Bard Member and Jennifer Hire, Schl Directr will review all prpsals and make final recmmendatins t the bard regarding the selectin f general and subcntractrs and t prvide versight f all phases and aspects f the prject. The cnstructin cmmittee will meet regularly with architect/prject manager and general cntractr t keep abreast f prgress, and ensure that any difficulties, bth anticipated and unanticipated, will be reslved ptimally t assure the prject cntinues n schedule. This team will reprt the effectiveness t the state regarding budgeting and cnstructin prgress. The cnstructin cmmittee will prepare mnthly budget t actual reprts as well as track timeline prgress. After the cnstructin is cmplete, the Fundatin will lg all cmmunity use f the facilities. This usage lg will depict all thse in the cmmunity benefiting frm these new recreatinal facilities. ill. Financial Budget 1. The applicant shall submit a budget utilizing the enclsed budget frms as applicable, t detail the cst f the request. Please see infrmatin prvided n all attached pages, pursuant t legislative directive. 2. The applicant shall prvide its anticipated quarterly funding requests fr the fiscal year Applicatin fr Grants

8 Applicant Innvatins Public Charter Schl Fundatin Quarter l i 250,000 Quarter 2 Quarter 3 Quarter4 Ttal Grant 250, , , , The applicant shall prvide a listing f all ther surces f funding that they are seeking fr fiscal year Innvatins Fundatin has secured IM frm the USDA via a 40 year fixed 3.375% permanent nte. These funds are allcated fr the new infrastructure assciated with this prject (driveway, parking lts, lights and sidewalks). This is secured. Athertn Fundatin - 100,000 in cnstructin funds fr cmmunity facilities expansin Healy Fundatin ,000 funds t supprt garden expansin Hawaii Fundatin f Culture and Art- 100,000 has been awarded fr Art in the center f the cmmunity facilities Cunty f Hawaii - 10,000 garden equipment. American Academy f Dermatlgy - 10,000 shade structure. 4. The applicant shall prvide a listing f all state and federal tax credits it has been granted within the prir three years. Additinally, the applicant shall prvide a listing f all state and federal tax credits they have applied fr r anticipate applying fr pertaining t any capital prject, if applicable. Nt Applicable. 5. The applicant shall prvide a listing f all gvernment cntracts and grants it has been and will be receiving fr prgram funding. 1,000,000 USDA federal lan which will pay fr infrastructure and driveway fr new entrance, lighting, sidewalks and parking lt. 6. The applicant shall prvide the balance f its unrestricted current assets as f December 31, As f December 31, 2014, the Innvatins Public Charter Schl Fundatin has 432,140 in unrestricted net assets. 7 Applicatin fr Grants

9 Applicant Innvatins Public Charter Schl Fundatin IV. Experience and Capability A. Necessary Skills and Experience The applicant shall demnstrate that it has the necessary skills, abilities, knwledge f, and experience relating t the request. State yur experience and apprpriateness fr prviding the service prpsed in this applicatin. The applicant shall als prvide a listing f verifiable experience f related prjects r cntracts fr the mst recent three years that are pertinent t the request. The Innvatins Fundatin Bard is cmpsed f 50% real estate and financial experienced prfessinals including a certified public accuntant, real estate develpers, business wners, certified investment management analyst and certified investment planner. In the 2012, the Innvatins Fundatin Bard secured and purchased fee simple cean view acres in Kailua Kna. The bard cnstructed 15,000 new classrm square feet during fiscal year Additinally, in 2007 the bard previusly built and/r retrfitted ver 15,000 square feet f classrm and administrative space fr the schl. Lee Nelsn, Business Manager, will be in charge f managing the prject alng with Jhn Bertsch, Prject Manager. Bth individuals just finished managing the recent 15,000 square ft middle schl campus expansin. B. Facilities The applicant shall prvide a descriptin f its facilities and demnstrate its adequacy in relatin t the request. If facilities are nt presently available, describe plans t secure facilities. Innvatins Fundatin will cnstruct cmmunity I schl recreatin facilities n the Innvatins Public Charter Schl Fundatin Campus. The campus is a beautiful, cean view acre parcel in the heart fkailua Kna. The prperty is fee simple and wned by the Innvatins Public Charter Schl Fundatin. The facilities are graded and shvel ready fr the prpsed request. All buildings will be ADA cmpliant and cmply with all state, cunty and schl building cdes. 8 Applicatin fr Grants

10 Applicant Innvatins Public Charter Schl Fundatin V. Persnnel: Prject Organizatin and Staffing A. Prpsed Staffing, Staff Qualificatins, Supervisin and Training The applicant shall describe the prpsed staffing pattern and prpsed service capacity apprpriate fr the viability f the request. The applicant shall prvide the qualificatins and experience f persnnel fr the request and shall describe its ability t supervise, train and prvide administrative directin relative t the request. The prject will be under the direct supervisin f the Innvatins Fundatin Cnstructin Cmmittee which is led by Jhn Bertsch, Prject Manager. Bertsch has ver 25 years f experience in the cnstructin industry dealing with all facets f the cnstructin trade with the last eight years as senir management-principal and prject values cumulatively ttaling ver 100 millin. Bertsch is an ACI Certified Cnstructin Inspectr and ACI Certified Cnstructin Prject Manager specializing in rganizatin ffice management. His skills include prject management, prject estimating, develpment acquisitins & scheduling, primary and subcntract negtiatins, custmer service, general and n-site safety training. Bertsch will be assisted by Lee Nelsn, Business Manager, wh has an extensive financial backgrund which includes several cnstructin industry prjects. She has been managing Innvatins' campus grwth and expansin fr the last nine years. She was integral in the financing and slicitatin f funds fr the 30,000 sq. ft. campus cnstructin. Jennifer Hir, Directr, will als versee the prject t insure that all aspects f the cnstructin are in line with the Fundatin's missin and visin. Jennifer is a funding member f Innvatins Schl Public Charter Schl and represents the students, teachers and cmmunity interests. William Wng, CPA, has served n the Innvatins Fundatin Bard fr seven years. He has been invlved in several cmmunity and develpment prjects and will be in charge f financial versight fr the prject. Ed Rapza, has served n the Innvatins Fundatin bard fr ten years. Ed Rapza is a cmmercial real estate develpment specialist. Ed will be respnsible fr ensuring timelines are met, verseeing quality f cnstructin and interfacing with architect/prject manager and general cntractr. Innvatins Fundatin has n emplyees. The Fundatin is run entirely by the vlunteer bard and cmmunity vlunteers. The Fundatin has cntracted Jhn Bertsch as Prject Manager. There will be a cmpetitive bid prcess fr the cnstructin phase per the hmvatins Fundatin and USDA prcurement requirements. The Innvatins Fundatin bard shall versee the prject. 9 Applicatin fr Grants

11 Applicant Innvatins Public Charter Schl Fundatin B. Organizatin Chart The applicant shall illustrate the psitin f each staff and line f respnsibility/supervisin. If the request is part f a large, multi-purpse rganizatin, include an rganizatinal chart that illustrates the placement f this request. Innvatins Fundatin is managed by a vlunteer bard made up fkailua-kna business and cmmunity members. Tw Innvatins Public Charter Schl emplyees (Directr and Business Manager) serve n the Fundatin Bard. Bard members and bigraphies are as fllws: Susan Carrll, Chair - Ms. Carrll has ver 35 years f Infrmatin Technlgy experience in enterprise business slutins, cnsulting and executive management. She has wrked with several US independent sftware vendrs in Asian Pacific cuntries and has an extensive internatinal applicatins develpment backgrund. Ms. Carrll was invlved in several large scale prject implementatins fr marketing, insurance, financial, airline, petrleum and utility applicatins. Ms. Carrll retired frm crprate business in 2000 and nw serves n the bards f the Kna Outdr Circle Fundatin and Habitat fr Humanity, Kna as well as Innvatins Fundatin. William Wng, Treasurer - William L. Wng CPA, PFS, CVA, Mr. Wng graduated frm the University f Hawaii with a degree in Finance with emphasis in Business Ecnmics and attended the UH Graduate Schl f Business. He was hnred and named the Natinal winner f the U. S. Small Business Administratin's Accuntant Advcate f the Year in He has served as the Taxatin Chair f the Gvernr's Task Frce n Regulatry Relief and as a member f the Taxatin Wrking Grup f the Ecnmic Revitalizatin Task Frce fr the State f Hawaii. He is a Certified Public Accuntant, Persnal Financial Specialist, Certified Valuatin Analyst, and a Registered Investment Advisr. Barbara Werner - A graduate f San Dieg State University, Barbara received her BA in English and Elementary Teacher Certificatin prir t mving t Hawaii in She attended University f Oregn where she earned an MA in Gifted and Talented Educatin. Barbara has wrked in educatin fr ver 40 years and is ne f the schl's riginal funders. She served as Directr frm August 2001 t June Barbara serves an Administrative advisr n the Innvatins' Lcal Schl Bard and the Innvatins Fundatin Bard. As Administrative Advisr, Barbara's respnsibilities include facility develpment, financial planning and management, team and peratins advisr, and liaisn between the varius bards and cmmunity grups. 10 Applicatin fr Grants

12 Applicant Innvatins Public Charter Schl Fundatin Jasn lkaika Hauani - Jasn graduated frm University f Hawaii at Mana with a BA in Business & Finance and Master f Business Administratin. He is Vice-President and Wealth Management Advisr fr Merrill Lynch. Jasn specializes in financial planning with retirees and small business wners, helping clients manage ver 115 millin in assets. He has Series 7 and 65 Certificatins, Hawaii State Insurance License, CIMA and CFM. He is heavily invlved in his cmmunity and has been a Kna-Khala Chamber f Cmmerce member since He serves n the Natural Energy Lab f Hawaii Authrity Bard, Hawaii Strategic Develpment Crpratin Bard and is a past-president f the Rtary Club f Kana Mauka, West Hawaii Advisry Cmmittee and Queen Liliukalani Trust Advisry Grup. Lee Nelsn - Lee Nelsn graduated frm the University f Califrnia at Santa Barbara with a degree in Business Ecnmics. Lee wrked as a certified public accuntant fr Delitte & Tuche LLP specializing in hi-tech cmpanies fr five years. She wned her wn accunting and financial management services practice in Suthern Califrnia servicing start up internet cmpanies until In 2005, she jined the Innvatins staff as a part-time teacher. She currently serves as Innvatins' Business Manager. Jennifer Hir, Secretary - Directr Innvatins Public Charter Schl. Jennifer has been teaching in Hawaii since She is a funding member f Innvatins Public Charter Schl. She is a specialist in curriculum and student supprt services. She has extensive experience in "hands-n" prject based curriculum. Ed Rapza - Owner f Island Land Cmpany Inc. Mr. Rapza has extensive experience with residential and cmmercial real estate develpment. His skills include prject marketing, sales, management, and peratins. He brings t the bard expertise in the lgistics f wrking with varius gvernmental agencies, develpers and the business cmmunity. Rebecca Mrtn - Rebecca trained at Lines Institute f Chregraphy and the San Francisc Ballet befre mving t Kana in 1996 t teach at West Hawaii Dance Academy. She has been a real estate brker since C. Cmpensatin The applicant shall prvide the annual salaries paid by the applicant t the three highest paid fficers, directrs, r emplyees f the rganizatin by psitin. Innvatins Public Charter Schl Fundatin is a 501(c)3 des nt have emplyees. It is a nn-prfit run by a vlunteer bard f directrs. N bard members receive any cmpensatin frm the Fundatin. 11 Applicatin fr Grants

13 Applicant Innvatins Public Charter Schl Fundatin VI. Other A. Litigatin The applicant shall disclse any pending litigatin t which they are a party, including the disclsure f any utstanding judgement. If applicable, please explain. The applicant des nt have any pending litigatin r any utstanding judgments. B. Licensure r Accreditatin The applicant shall specify any special qualificatins, including but nt limited t licensure r accreditatin that applicant pssesses relevant t this request. The applicant is 50l(c) 3 charitable rganizatin. C. Federal and Cunty Grants The applicant shall separately specify the amunt f federal and cunty grants awarded since July l, ,000 Cunty f Hawaii Grant fr ur Planting Wellness with ur Keild Prgram. lbis is a health and wellness prgram fr ur charters schl students. D. Private Educatinal Institutins The applicant shall specify whether the grant will be used t supprt r benefit a sectarian r nn-sectarian private educatinal institutin. Please see Article X, Sectin 1, f the State Cnstitutin fr the relevance f this questin. The grant will NOT be used t supprt r benefit a private educatinal institutin. E. Future Sustainability Plan The applicant shall prvide a plan fr sustaining after fiscal year the activity funded by the grant if the grant f this applicatin is: (1) Received by the applicant fr fiscal year , but 12 Applicatin fr Grants

14 Applicant Innvatins Public Charter Schl Fundatin (2) Nt received by the applicant thereafter. This is a grant fr recreatinal cmmunity recreatinal facilities. T be used by the cmmunity and public charter schl students. The Fundatin has a reserve adequate t cver eighteen mnths f perating expenses. The fundatin receives prgram ccupancy assessments frm the schl that will adequately fund utility csts and repairs and maintenance. Additinal reserve accunts will be established fr replacement I repairs f the facilities. The estimated useful life f the facilities is estimated at 40 years. Cmmunity sprts teams have vlunteered t perfrm all field maintenance in exchange fr use f the facilities. We have ver 50 cmmunity members that vlunteer in ur current schl gardens. Once we have the infrastructure in place fr the new cmmunity gardens (pig prf fencing, irrigatin, sil, shading, seating areas), the cmmunity will cntinue maintenance. We will be sustainable if funding is received in If funding is received, we will nt seek funding in the fllwing years t sustain this activity. F. Certificate f Gd Standing (If the Applicant is an Organizatin) If the applicant is an rganizatin, the applicant shall submit ne (1) cpy f a certificate f gd standing frm the Directr f Cmmerce and Cnsumer Affairs that is dated n earlier than December 1, See attached Certificate in Gd Standing. 13 Applicatin fr Grants

15 Department f Cmmerce and Cnsumer Affairs CERTIFICATE OF GOOD STANDING. 1, the undersigned Directr f Cmmerce and Cnsumer Affairs f the State f Hawaii, d hereby certify that INNOVATIONS PUBLIC CHARTER SCHOOL FOUNDATION was incrprated under the laws f Hawaii n 11/26/2003; that it is an existing nnprfit crpratin; and that, as far as the recrds f this Department reveal, has cmplied with all f the prvisins f the Hawaii Nnprfit Crpratins Act, regulating dmestic nnprfit crpratins. IN WITNESS WHEREOF, I have hereunt set my hand and affixed the seal f the Department f Cmmerce and Cnsumer Affairs, at Hnlulu, Hawaii. Dated: January 25, 2015 Interim Directr f Cmmerce and Cnsumer Affairs T check the authenticity f this certificate, please visit: /hbe.ehawaii. gv /dcuments/ authenticate. html AuthenlicaUn Cde: COGS_PDf'

16 INNOVATIONS PUBLIC CHARTER. SCHOOL FOUNDATION COMMUNITY AND PUBLIC CHARTER. SCHOOL FACILITIES...,,..,...,.,.,...,l\AC.,,..,.."' 1Dane D ' '"""'-""r.mc'iqjry.. 0 'ii 1 ":l::> ::x: A t ::0. 1. \ \ EXISTING ElfMENTAR.Y SCHOOL CAMF'US SITE PlAN MIDDLf SCHOOL CAMF'US z 0 0 g :x:: :x:: - u8 II\ 5!:! _ <"' >.: _,_

17 BUDGETREQUESTBYSOURCEOFFUNDS Perid: July 1, 2015 t June 30, 2016 Applicant: Innvatins Public Charter Schl Fundatin BUDGET Ttal State Ttal Federal Ttal Cunty!Ttal Private/Othe CATEGORIES Funds Requested Funds Requested Funds Requested Funds Requested (a) (b) (c) (d) A. PERSONNEL COST 1. Salaries 2. Payrll Taxes & Assessments 3. Fringe Benefits TOTAL PERSONNEL COST B. OTHER CURRENT EXPENSES 1. Airfare, Inter-Island 2. Insurance 3. Lease/Rental f Equipment 4. Lease/Rental f Space 5. Staff Trainina 6. Supplies 7. Telecmmunicatin B. Utilities TOTAL OTHER CURRENT EXPENSES c. EQUIPMENT PURCHASES 125,000 20, MOTOR VEHICLE PURCHASES 10,000 E. CAPITAL 625,000 1,000, ,000 TOTAL (A+B+C+D+E) 750,000 1,000,000 10, ,000 Budget Prepared By: SOURCES OF FUNDING (a) Ttal State Funds Reauested 750,000 Julie Nelsn (b) Ttal Federal Funds ReauestE Name (Please type r print) 1,000,000 Phne (c) Ttal Cunty Funds Reaueste 10,000 1/ (d) Ttal Private/Other Funds Requested 220,000 Slgte f Ai1rized Official Date TOTAL BUDGET Jennifer Hire, Fundatin Bard Secretarv 1,980,000 Name and Trtle (Please type r print) 5 Applicatin fr Grants l l/ Zi

18 BUDGET JUSTIFICATION - PERSONNEL SALARIES AND WAGES Perid: July 1, 2015 t June 30, 2016 Applicant: Innvatins Public Charter Schl Fundatin POSITION TITLE FULL TIME EQUIVALENT ANNUAL SALARY A %0FTJME ALLOCATED TO GRANT REQUEST B TOTAL STATE FUNDS REQUESTED (Ax B) N/A TOTAL: JUSTIFICATION/COMMENTS: rt :Jtiff: r' :w : : wll j'wtl<.:'''' :Jf 11; 11, ' "l'i''"1'' :r1 1: l''l* "l L!lrj:i ''k'j':ilitt:'ii'"'i'' '?P''"Tt''' i;:;: ff!t;;. ; 11p:''''i';j1; 1 1 'W'1i '!'''b' 'l'1: 1 i;1; t!:i;c 1 i'.i :i'.f if1;mwii:1;n1t11i1ntlhi;h::\t1rn:mfwilli'ir1ifi1m1m11l1!r]ltii'.liiiuii i!:l!l:[:j1jj[:mm!lrmmmi1mih Hli1lm!1l IMmlllti1til1!!nmmmm1i1 1: ri d, 1.,;!'11f = U'.:1;re.l:;1l10.1;r! l,;i!;f.;hltrj.,,; ;;rhl1'r-".r i 1. I. :': : u1;<hu-lijl!;..;i :H: 1 1!11 ;t ;J1. JLth(j. :1 1-!!bl :t;, 11.!1 blld!: r h.! NIA - N Salaries and Wages are being requested as part f this grant., 6 Applicatin fr Grants

19 BUDGET JUSTIFICATION - EQUIPMENT AND MOTOR VEHICLES Perid: July 1, 2015 t June 30, 2016 Applicant: Innvatins Public Charter Schl Fundatin DESCRIPTION NO.OF COST PER TOTAL TOTAL EQUIPMENT ITEMS ITEM COST BUDGETED Playgrund equipment This equipment includes a large green playstructure fr children aged 5 t 12. This structure includes multiple slides and climbing structure , I , TOTAL:,:: :; :'H_ :;,::1d : " : p;(j :._ ' r2,q:opf 125,000 JUSTIFICATION/COMMENTS: The r_und equipment_\'t{ill cmply with all state and cunty safety and ADA cmpliance requlatins. DESCRIPTION NO. OF COST PER TOTAL TOTAL OF MOTOR VEHICLE VEHICLES VEHICLE COST BUDGETED N/A TOTAL: < :::-:J:.:n,/:l :'-.:- : :_ :- : H_-:(!:(--tl::. : '.: ::: ::_ :;.> t : _:i:\i:: : JUSTIFICA TIONICOMMENTS: N vehicles will be purchased with this grant. 7 Applicatin fr Grants

20 BUDGET JUSTIFICATION - CAPITAL PROJECT DETAILS Perid: July 1, 2015 t June 30, 2016 Applicant: Innvatins Public Charter Schl Fundatin FUNDING AMOUNT REQUESTED ALL SOURCES OF FUNDS STATE FUNDS OF TOTAL PROJECT COST RECEIVED IN PRIOR YEARS REQUESTED FUNDS REQUESTED FY: FY: FY: FY: FUNDING REQUIRED IN SUCCEEDING YEARS FY: FY: B PLANS LAND ACQUISITION DESIGN CONSTRUCTION EQUIPMENT TOTAL: 750,000 1,230, JUSTIFICATION/COMMENTS: N funds will be needed in the fllwing years as the Fundatin has the capacity t fund the peratins and maintenance f these cmmunity I charter schl recreatinal facilities thrugh perating incme and vlunteer labr. 8 Applicatin fr Grants

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