Item 08 - Informational Report for the California Department of Social Services Child Care Grant

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California Health & Human Services Agency California Department of Social Services CCD 34 (2/23) Page 10 of 32 Section X – Fiscal Attachments Please consult the “Requirement” information to determine if each form is required for your agency. Program Staffing Plan • Requirement: For all applicants • Instructions: Include this completed form with your RFA submission. Payee Data Record (STD. 204) • Requirement: Agencies who are not a current child care contractor with the State of California • Instructions: Complete sections 2 through 6; information on sections 2, 4, and 6 must be consistent with the information identified on the application cover sheet. Proof of “Current” Charity Status with the California Department of Justice • Requirement: For Charitable Corporations, Unincorporated associations, and Trustees only If the organization is classified as a California nonprofit public benefit corporation or has received federal tax exemption under United States Code (USC) Section 501(c)(3), it is considered a charity. (California Corporations Code (CCC), Section 5110 et seq.) Registration with the Attorney General’s Registry of Charitable Trusts is required for all California public benefit corporations and other types of organizations that hold assets for a charitable purpose. (Government Code (GC) § 12580 et seq.) • Instructions: Visit the California Department of Justice Registry Verification Search web page. Enter your organization’s name in the ‘Organization Name’ field and select the link with your organization’s name that corresponds with the ‘charity registration’ record type. Save a screenshot of the subsequent page showing the registrant details and mailing address. Proof of 501(c)(3) or 501(c)(5) Status • Requirement: For Charities and Non-Profits only If the organization is classified as a California nonprofit public benefit corporation or has received federal tax exemption under USC Section 501(c)(3), it is considered a charity. ((CCC), Section 5110 et seq.) Organizations that do not file for 3 consecutive years automatically lose their tax -exempt status. An automatic revocation is effective on the original filing due date of the 3rd annual return or notice. (USC Section 6033(j)) • Instructions: Visit the Internal Revenue Service Tax Exempt Organization Search web page. You may search by your organization’s name or Employer Identification Number (EIN). Click on your organization’s name. Save a screenshot of the subsequent page showing the search results.