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STATE OF CALIFORNIA BGC 204 (Orig 012016) 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 January 1 2016- December 31 2016
Eligible Organizations Name Anaheim Ducks Foundation
Eligible Organizations Registration Number 17-000005
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 Year 3 REGULATIONSTATUTE
1 116 to 123116 to to (i) The aggregate gross receipts from the operation of raffles
$285785
(ii) The aggregate direct costs incurred by the eligible organization from the operation of raffles $52025
(iii) The charitable or beneficial purposes for which proceeds of the raffles were used SCORE AND LTP
(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 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 $14289250
(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) $216547 (iv) and (v) above
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE 2 of 4 MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Year1 Year2 Year3 REGULATIONSTATUTE
1 1 16 to 123116 to to (vii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 subdivision (c) that are not affiliated with the eligible
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
NA
organization
(ix) A schedu le 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
eligible organization
(x) The aggregate gross receipts from activities other than the operation of raffles NA
(xi) The aggregate costs incurred by the eligible organization from activities other than the operation of raffles NA
(xii) The aggregate distributions of funds other than proceedsfrom the operation of raffles made to directly support beneficial or charitable purposes or eligible recipient NIA organizations under Penal Code sect ion 3205 subdivision (c)
(xiii) The aggregate distributions of funds other than proceeds from the operation of raffles for purposes other than those fisted in items (xi) and (xii) above
NA
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE 3of 4 MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Year1 Year2 Year3 REGULATIONSTATUTE
1116 to 123116 to to (xiv)A schedule of distributions of funds other than proceedsfrom the operation of raffles made to eligible recipient organizations under Penal Code section 3205 subdivision NA (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 NA charitable purposes undertaken by the eligible organization
NOTE The department shall make the reports required by this paragraph available to the public via the online search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code
CERTIFICATION
I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete
I ROSANNA SITZMAN
Date
232017
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE 4 of 4MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Privacy Notice As Required by Civil Codesect 179817
Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy
Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied
Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information)
Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes
The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant
Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov
Amiddot MAR092011~~~~ar~~~
-- - --- ii JO______
STATEOF CALIFORNIA DEPARTMENTOFJUSTICE BGC204(Orig 012016) PAGE1014MAJOR LEAGUE SPORT S RAFFLE
ELIGIBLE ORGANIZATION AN NUAL 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
Print Form Save Form I Reset FormI I WCEWBD ~middotAnnual Report Period July 1 2016 December 31 2016
Eligible Organizations Name Anaheim Ducks Foundation
17-000005Eligible Organizations Registration Number
Pursuant to Penal Code section 3206 subdivision (o)(12)(A) once registered an eligible organization shall file annually thereafter with the Department of Justice a report that includes all of the following information for each of the eligible organizations last three fiscal years Pursuant to Penal Code section 3206 subdivision (o)(12)(B) failure to submit the annual report shall be grounds for denial of an annual registration
REGULATIONSTATUTE
(i) The aggregate gross receipts from the operation of raffles
7116
Year1
to 123116
$285785
7115
Year2
to 63015
NIA
7114
Year3
to
NIA
63015
(ii) The aggregate direct costs incurred by the eligible organization from the operation of raffles
$53025 NIA NIA
(iii) The charitable or beneficial purposes for which proceeds of the raffles were used
pSCORE AND LT NIA NIA
(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
NIA NIA recipient organizations under Penal Code section 3205 subdivision (c)
(v) The aggregate distributions of proceeds from the $14289250 NIA operation of raffles made to raffle winners Jfr (vi) The aggregate distributions of proceeds from the operation of raffles made to any other organizations or for Iff NIANIAany other purposes other than those included in Items (ii) (iv) and (v) above
I
II
I I
STATE OF CALIFORNIA middotoEPARTMENT OF JUSTICE BGC 204 (O~g 012016) PAGE2of4MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Year1 Year2 Year3 REGULATIONSTATUTE
7116 to 123116 7115 to 63016 7114 to 63015(vii) A schedule of distribut ions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 0 NA NA subdivision (c) that are not affiliated with the eligible organization
(viii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 0 NA NA subdivision (c) that are affiliated with the eligible organization
(ix) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to any other organization not included under items (vii) or (viii) above or 0 NA NA for beneficial or charitable purposes undertaken by the eligible organization
(x) The aggregate gross receipts from activities other than the operat ion of raffles
$766319 $1678005 $1706835
(xi) The aggregate costs incurred by the eligible organization from activities other than the operation of raffles
$193856 $475961 $453299
(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 $253686 $1259283 $1218953 organizations under Penal Code section 3205 subdivision (c)
(xiii)The aggregate distributions of funds other than proceeds from the operation of raffles for purposes other than those listed in items (xi) and (xii) above 0 0 0
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE3of4MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Year1 Year2 Year3 REGULATIONSTATUTE
711116 to 1213111 711115 to 613011 711114 to 613011(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 NIA See List See List (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 NIA NIA NIA charitable purposes undertaken by the eligible organization
6 I
6 5
NOTE The department shall make the reports required by this paragraph available to the public via the online search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code
CERTIFICATION
I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete
Fiducia~sSign ~ t~ ~~
DateFiduciarys Printed Name
AvCJ e_v i) 33gtt7~
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orfg 0112016) PAGE4o f 4 MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Privacy Notice As Required by Civil Code sect 179817
Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy
Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied
Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information )
Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes
The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant
Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov
ADF Inc Charitable Contributions
Fiscal Year Ending 63015
FY 2015 Event Date Amount
Youth Charities
Selanne Youth Sports Foundation Selanne Screening 22815 29052
Orangewood Childrens Foundation 1415 Jubilee (Casino Night) Net Proceeds 62515 72728
Orangewood Childrens Foundatlon Academy T-Shirt 61715 140
Jr Ducks Nationals - Team Support 32615 10000
Act II Anaheim 52815 111000
222920
Health Charities
CHOC Foundation for Children Lady Ducks Fashion Show 62515 212808
CHOC Foundation for Children Ducks CHOC Night 62515 39835
Movember Inc Movember Fundraising 22515 1012
Pancreatic Cancer Network Hockey Fights Cancer Skate 113014 2140
Loma Linda University Cancer Center Hockey Fights Cancer 21815 20000
275795
Community Charities
Defending the Blue Line Military Appreciation Night 62515 20136
County of Orange OC Animal Care Night 61715 3417
Veterans First Military appreciation Night 2014 61715 1500
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4815 3570
28623
Total for Fiscal Year 2015 5273381
FY 2015 Event Date ~
Youth Charities
Orangewood Foundation Casino Night 62216 117405
Act II Anaheim 51316 111000
228405
Health Charities bull
CHOC Foundation lor Children Lady Ducks Fashion Show 62116 211012
CHOC Foundation for Children Ducks CHOC Night 6n116 48422
Movember Inc Movember Fundraising 31016 8177
Pancreatic Cancer Network Hockey Fights Cancer Skate 31016 7449
Loma Linda University Cancer Center Hockey Fights Cancer 31016 12905
Hydrocephalus Association Pre-season Jersey Donation 111615 8852
CHOC Foundation for Children 1415 Lady Ducks Fashion Show 12121115 5467
City or Hope SD Gulls Hockey for Hope 68116 2757
University or Wisconsin Foundation SD Gulls Hockey lor Hope 618116 2757
307799
Community Charities
Defending the Blue Line Military Appreciation Night 3110116 14597
County or Orange DC Animal Care Night 61916 4194
Veterans First Military appreciation Night 2015 3110116 2000
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4115116 1290
Special Olympics or So Cal Pre-Season Jersey Donation 1116115 9920
Bum Institute SD Gulls First Responders 2516 5190
Angels Baseball LLP 2016 Angels Night Online Auction 62316 3164
40355
Total for Fiscal Year 2015 s1ssss1
ADF Inc Charitable Contributions
Fiscal Year Ending 63016
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE 2 of 4 MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Year1 Year2 Year3 REGULATIONSTATUTE
1 1 16 to 123116 to to (vii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 subdivision (c) that are not affiliated with the eligible
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
NA
organization
(ix) A schedu le 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
eligible organization
(x) The aggregate gross receipts from activities other than the operation of raffles NA
(xi) The aggregate costs incurred by the eligible organization from activities other than the operation of raffles NA
(xii) The aggregate distributions of funds other than proceedsfrom the operation of raffles made to directly support beneficial or charitable purposes or eligible recipient NIA organizations under Penal Code sect ion 3205 subdivision (c)
(xiii) The aggregate distributions of funds other than proceeds from the operation of raffles for purposes other than those fisted in items (xi) and (xii) above
NA
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE 3of 4 MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Year1 Year2 Year3 REGULATIONSTATUTE
1116 to 123116 to to (xiv)A schedule of distributions of funds other than proceedsfrom the operation of raffles made to eligible recipient organizations under Penal Code section 3205 subdivision NA (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 NA charitable purposes undertaken by the eligible organization
NOTE The department shall make the reports required by this paragraph available to the public via the online search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code
CERTIFICATION
I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete
I ROSANNA SITZMAN
Date
232017
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE 4 of 4MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Privacy Notice As Required by Civil Codesect 179817
Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy
Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied
Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information)
Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes
The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant
Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov
Amiddot MAR092011~~~~ar~~~
-- - --- ii JO______
STATEOF CALIFORNIA DEPARTMENTOFJUSTICE BGC204(Orig 012016) PAGE1014MAJOR LEAGUE SPORT S RAFFLE
ELIGIBLE ORGANIZATION AN NUAL 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
Print Form Save Form I Reset FormI I WCEWBD ~middotAnnual Report Period July 1 2016 December 31 2016
Eligible Organizations Name Anaheim Ducks Foundation
17-000005Eligible Organizations Registration Number
Pursuant to Penal Code section 3206 subdivision (o)(12)(A) once registered an eligible organization shall file annually thereafter with the Department of Justice a report that includes all of the following information for each of the eligible organizations last three fiscal years Pursuant to Penal Code section 3206 subdivision (o)(12)(B) failure to submit the annual report shall be grounds for denial of an annual registration
REGULATIONSTATUTE
(i) The aggregate gross receipts from the operation of raffles
7116
Year1
to 123116
$285785
7115
Year2
to 63015
NIA
7114
Year3
to
NIA
63015
(ii) The aggregate direct costs incurred by the eligible organization from the operation of raffles
$53025 NIA NIA
(iii) The charitable or beneficial purposes for which proceeds of the raffles were used
pSCORE AND LT NIA NIA
(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
NIA NIA recipient organizations under Penal Code section 3205 subdivision (c)
(v) The aggregate distributions of proceeds from the $14289250 NIA operation of raffles made to raffle winners Jfr (vi) The aggregate distributions of proceeds from the operation of raffles made to any other organizations or for Iff NIANIAany other purposes other than those included in Items (ii) (iv) and (v) above
I
II
I I
STATE OF CALIFORNIA middotoEPARTMENT OF JUSTICE BGC 204 (O~g 012016) PAGE2of4MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Year1 Year2 Year3 REGULATIONSTATUTE
7116 to 123116 7115 to 63016 7114 to 63015(vii) A schedule of distribut ions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 0 NA NA subdivision (c) that are not affiliated with the eligible organization
(viii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 0 NA NA subdivision (c) that are affiliated with the eligible organization
(ix) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to any other organization not included under items (vii) or (viii) above or 0 NA NA for beneficial or charitable purposes undertaken by the eligible organization
(x) The aggregate gross receipts from activities other than the operat ion of raffles
$766319 $1678005 $1706835
(xi) The aggregate costs incurred by the eligible organization from activities other than the operation of raffles
$193856 $475961 $453299
(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 $253686 $1259283 $1218953 organizations under Penal Code section 3205 subdivision (c)
(xiii)The aggregate distributions of funds other than proceeds from the operation of raffles for purposes other than those listed in items (xi) and (xii) above 0 0 0
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE3of4MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Year1 Year2 Year3 REGULATIONSTATUTE
711116 to 1213111 711115 to 613011 711114 to 613011(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 NIA See List See List (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 NIA NIA NIA charitable purposes undertaken by the eligible organization
6 I
6 5
NOTE The department shall make the reports required by this paragraph available to the public via the online search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code
CERTIFICATION
I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete
Fiducia~sSign ~ t~ ~~
DateFiduciarys Printed Name
AvCJ e_v i) 33gtt7~
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orfg 0112016) PAGE4o f 4 MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Privacy Notice As Required by Civil Code sect 179817
Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy
Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied
Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information )
Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes
The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant
Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov
ADF Inc Charitable Contributions
Fiscal Year Ending 63015
FY 2015 Event Date Amount
Youth Charities
Selanne Youth Sports Foundation Selanne Screening 22815 29052
Orangewood Childrens Foundation 1415 Jubilee (Casino Night) Net Proceeds 62515 72728
Orangewood Childrens Foundatlon Academy T-Shirt 61715 140
Jr Ducks Nationals - Team Support 32615 10000
Act II Anaheim 52815 111000
222920
Health Charities
CHOC Foundation for Children Lady Ducks Fashion Show 62515 212808
CHOC Foundation for Children Ducks CHOC Night 62515 39835
Movember Inc Movember Fundraising 22515 1012
Pancreatic Cancer Network Hockey Fights Cancer Skate 113014 2140
Loma Linda University Cancer Center Hockey Fights Cancer 21815 20000
275795
Community Charities
Defending the Blue Line Military Appreciation Night 62515 20136
County of Orange OC Animal Care Night 61715 3417
Veterans First Military appreciation Night 2014 61715 1500
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4815 3570
28623
Total for Fiscal Year 2015 5273381
FY 2015 Event Date ~
Youth Charities
Orangewood Foundation Casino Night 62216 117405
Act II Anaheim 51316 111000
228405
Health Charities bull
CHOC Foundation lor Children Lady Ducks Fashion Show 62116 211012
CHOC Foundation for Children Ducks CHOC Night 6n116 48422
Movember Inc Movember Fundraising 31016 8177
Pancreatic Cancer Network Hockey Fights Cancer Skate 31016 7449
Loma Linda University Cancer Center Hockey Fights Cancer 31016 12905
Hydrocephalus Association Pre-season Jersey Donation 111615 8852
CHOC Foundation for Children 1415 Lady Ducks Fashion Show 12121115 5467
City or Hope SD Gulls Hockey for Hope 68116 2757
University or Wisconsin Foundation SD Gulls Hockey lor Hope 618116 2757
307799
Community Charities
Defending the Blue Line Military Appreciation Night 3110116 14597
County or Orange DC Animal Care Night 61916 4194
Veterans First Military appreciation Night 2015 3110116 2000
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4115116 1290
Special Olympics or So Cal Pre-Season Jersey Donation 1116115 9920
Bum Institute SD Gulls First Responders 2516 5190
Angels Baseball LLP 2016 Angels Night Online Auction 62316 3164
40355
Total for Fiscal Year 2015 s1ssss1
ADF Inc Charitable Contributions
Fiscal Year Ending 63016
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE 3of 4 MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Year1 Year2 Year3 REGULATIONSTATUTE
1116 to 123116 to to (xiv)A schedule of distributions of funds other than proceedsfrom the operation of raffles made to eligible recipient organizations under Penal Code section 3205 subdivision NA (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 NA charitable purposes undertaken by the eligible organization
NOTE The department shall make the reports required by this paragraph available to the public via the online search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code
CERTIFICATION
I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete
I ROSANNA SITZMAN
Date
232017
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE 4 of 4MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Privacy Notice As Required by Civil Codesect 179817
Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy
Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied
Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information)
Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes
The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant
Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov
Amiddot MAR092011~~~~ar~~~
-- - --- ii JO______
STATEOF CALIFORNIA DEPARTMENTOFJUSTICE BGC204(Orig 012016) PAGE1014MAJOR LEAGUE SPORT S RAFFLE
ELIGIBLE ORGANIZATION AN NUAL 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
Print Form Save Form I Reset FormI I WCEWBD ~middotAnnual Report Period July 1 2016 December 31 2016
Eligible Organizations Name Anaheim Ducks Foundation
17-000005Eligible Organizations Registration Number
Pursuant to Penal Code section 3206 subdivision (o)(12)(A) once registered an eligible organization shall file annually thereafter with the Department of Justice a report that includes all of the following information for each of the eligible organizations last three fiscal years Pursuant to Penal Code section 3206 subdivision (o)(12)(B) failure to submit the annual report shall be grounds for denial of an annual registration
REGULATIONSTATUTE
(i) The aggregate gross receipts from the operation of raffles
7116
Year1
to 123116
$285785
7115
Year2
to 63015
NIA
7114
Year3
to
NIA
63015
(ii) The aggregate direct costs incurred by the eligible organization from the operation of raffles
$53025 NIA NIA
(iii) The charitable or beneficial purposes for which proceeds of the raffles were used
pSCORE AND LT NIA NIA
(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
NIA NIA recipient organizations under Penal Code section 3205 subdivision (c)
(v) The aggregate distributions of proceeds from the $14289250 NIA operation of raffles made to raffle winners Jfr (vi) The aggregate distributions of proceeds from the operation of raffles made to any other organizations or for Iff NIANIAany other purposes other than those included in Items (ii) (iv) and (v) above
I
II
I I
STATE OF CALIFORNIA middotoEPARTMENT OF JUSTICE BGC 204 (O~g 012016) PAGE2of4MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Year1 Year2 Year3 REGULATIONSTATUTE
7116 to 123116 7115 to 63016 7114 to 63015(vii) A schedule of distribut ions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 0 NA NA subdivision (c) that are not affiliated with the eligible organization
(viii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 0 NA NA subdivision (c) that are affiliated with the eligible organization
(ix) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to any other organization not included under items (vii) or (viii) above or 0 NA NA for beneficial or charitable purposes undertaken by the eligible organization
(x) The aggregate gross receipts from activities other than the operat ion of raffles
$766319 $1678005 $1706835
(xi) The aggregate costs incurred by the eligible organization from activities other than the operation of raffles
$193856 $475961 $453299
(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 $253686 $1259283 $1218953 organizations under Penal Code section 3205 subdivision (c)
(xiii)The aggregate distributions of funds other than proceeds from the operation of raffles for purposes other than those listed in items (xi) and (xii) above 0 0 0
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE3of4MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Year1 Year2 Year3 REGULATIONSTATUTE
711116 to 1213111 711115 to 613011 711114 to 613011(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 NIA See List See List (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 NIA NIA NIA charitable purposes undertaken by the eligible organization
6 I
6 5
NOTE The department shall make the reports required by this paragraph available to the public via the online search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code
CERTIFICATION
I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete
Fiducia~sSign ~ t~ ~~
DateFiduciarys Printed Name
AvCJ e_v i) 33gtt7~
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orfg 0112016) PAGE4o f 4 MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Privacy Notice As Required by Civil Code sect 179817
Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy
Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied
Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information )
Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes
The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant
Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov
ADF Inc Charitable Contributions
Fiscal Year Ending 63015
FY 2015 Event Date Amount
Youth Charities
Selanne Youth Sports Foundation Selanne Screening 22815 29052
Orangewood Childrens Foundation 1415 Jubilee (Casino Night) Net Proceeds 62515 72728
Orangewood Childrens Foundatlon Academy T-Shirt 61715 140
Jr Ducks Nationals - Team Support 32615 10000
Act II Anaheim 52815 111000
222920
Health Charities
CHOC Foundation for Children Lady Ducks Fashion Show 62515 212808
CHOC Foundation for Children Ducks CHOC Night 62515 39835
Movember Inc Movember Fundraising 22515 1012
Pancreatic Cancer Network Hockey Fights Cancer Skate 113014 2140
Loma Linda University Cancer Center Hockey Fights Cancer 21815 20000
275795
Community Charities
Defending the Blue Line Military Appreciation Night 62515 20136
County of Orange OC Animal Care Night 61715 3417
Veterans First Military appreciation Night 2014 61715 1500
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4815 3570
28623
Total for Fiscal Year 2015 5273381
FY 2015 Event Date ~
Youth Charities
Orangewood Foundation Casino Night 62216 117405
Act II Anaheim 51316 111000
228405
Health Charities bull
CHOC Foundation lor Children Lady Ducks Fashion Show 62116 211012
CHOC Foundation for Children Ducks CHOC Night 6n116 48422
Movember Inc Movember Fundraising 31016 8177
Pancreatic Cancer Network Hockey Fights Cancer Skate 31016 7449
Loma Linda University Cancer Center Hockey Fights Cancer 31016 12905
Hydrocephalus Association Pre-season Jersey Donation 111615 8852
CHOC Foundation for Children 1415 Lady Ducks Fashion Show 12121115 5467
City or Hope SD Gulls Hockey for Hope 68116 2757
University or Wisconsin Foundation SD Gulls Hockey lor Hope 618116 2757
307799
Community Charities
Defending the Blue Line Military Appreciation Night 3110116 14597
County or Orange DC Animal Care Night 61916 4194
Veterans First Military appreciation Night 2015 3110116 2000
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4115116 1290
Special Olympics or So Cal Pre-Season Jersey Donation 1116115 9920
Bum Institute SD Gulls First Responders 2516 5190
Angels Baseball LLP 2016 Angels Night Online Auction 62316 3164
40355
Total for Fiscal Year 2015 s1ssss1
ADF Inc Charitable Contributions
Fiscal Year Ending 63016
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE 4 of 4MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Privacy Notice As Required by Civil Codesect 179817
Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy
Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied
Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information)
Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes
The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant
Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov
Amiddot MAR092011~~~~ar~~~
-- - --- ii JO______
STATEOF CALIFORNIA DEPARTMENTOFJUSTICE BGC204(Orig 012016) PAGE1014MAJOR LEAGUE SPORT S RAFFLE
ELIGIBLE ORGANIZATION AN NUAL 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
Print Form Save Form I Reset FormI I WCEWBD ~middotAnnual Report Period July 1 2016 December 31 2016
Eligible Organizations Name Anaheim Ducks Foundation
17-000005Eligible Organizations Registration Number
Pursuant to Penal Code section 3206 subdivision (o)(12)(A) once registered an eligible organization shall file annually thereafter with the Department of Justice a report that includes all of the following information for each of the eligible organizations last three fiscal years Pursuant to Penal Code section 3206 subdivision (o)(12)(B) failure to submit the annual report shall be grounds for denial of an annual registration
REGULATIONSTATUTE
(i) The aggregate gross receipts from the operation of raffles
7116
Year1
to 123116
$285785
7115
Year2
to 63015
NIA
7114
Year3
to
NIA
63015
(ii) The aggregate direct costs incurred by the eligible organization from the operation of raffles
$53025 NIA NIA
(iii) The charitable or beneficial purposes for which proceeds of the raffles were used
pSCORE AND LT NIA NIA
(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
NIA NIA recipient organizations under Penal Code section 3205 subdivision (c)
(v) The aggregate distributions of proceeds from the $14289250 NIA operation of raffles made to raffle winners Jfr (vi) The aggregate distributions of proceeds from the operation of raffles made to any other organizations or for Iff NIANIAany other purposes other than those included in Items (ii) (iv) and (v) above
I
II
I I
STATE OF CALIFORNIA middotoEPARTMENT OF JUSTICE BGC 204 (O~g 012016) PAGE2of4MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Year1 Year2 Year3 REGULATIONSTATUTE
7116 to 123116 7115 to 63016 7114 to 63015(vii) A schedule of distribut ions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 0 NA NA subdivision (c) that are not affiliated with the eligible organization
(viii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 0 NA NA subdivision (c) that are affiliated with the eligible organization
(ix) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to any other organization not included under items (vii) or (viii) above or 0 NA NA for beneficial or charitable purposes undertaken by the eligible organization
(x) The aggregate gross receipts from activities other than the operat ion of raffles
$766319 $1678005 $1706835
(xi) The aggregate costs incurred by the eligible organization from activities other than the operation of raffles
$193856 $475961 $453299
(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 $253686 $1259283 $1218953 organizations under Penal Code section 3205 subdivision (c)
(xiii)The aggregate distributions of funds other than proceeds from the operation of raffles for purposes other than those listed in items (xi) and (xii) above 0 0 0
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE3of4MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Year1 Year2 Year3 REGULATIONSTATUTE
711116 to 1213111 711115 to 613011 711114 to 613011(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 NIA See List See List (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 NIA NIA NIA charitable purposes undertaken by the eligible organization
6 I
6 5
NOTE The department shall make the reports required by this paragraph available to the public via the online search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code
CERTIFICATION
I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete
Fiducia~sSign ~ t~ ~~
DateFiduciarys Printed Name
AvCJ e_v i) 33gtt7~
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orfg 0112016) PAGE4o f 4 MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Privacy Notice As Required by Civil Code sect 179817
Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy
Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied
Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information )
Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes
The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant
Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov
ADF Inc Charitable Contributions
Fiscal Year Ending 63015
FY 2015 Event Date Amount
Youth Charities
Selanne Youth Sports Foundation Selanne Screening 22815 29052
Orangewood Childrens Foundation 1415 Jubilee (Casino Night) Net Proceeds 62515 72728
Orangewood Childrens Foundatlon Academy T-Shirt 61715 140
Jr Ducks Nationals - Team Support 32615 10000
Act II Anaheim 52815 111000
222920
Health Charities
CHOC Foundation for Children Lady Ducks Fashion Show 62515 212808
CHOC Foundation for Children Ducks CHOC Night 62515 39835
Movember Inc Movember Fundraising 22515 1012
Pancreatic Cancer Network Hockey Fights Cancer Skate 113014 2140
Loma Linda University Cancer Center Hockey Fights Cancer 21815 20000
275795
Community Charities
Defending the Blue Line Military Appreciation Night 62515 20136
County of Orange OC Animal Care Night 61715 3417
Veterans First Military appreciation Night 2014 61715 1500
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4815 3570
28623
Total for Fiscal Year 2015 5273381
FY 2015 Event Date ~
Youth Charities
Orangewood Foundation Casino Night 62216 117405
Act II Anaheim 51316 111000
228405
Health Charities bull
CHOC Foundation lor Children Lady Ducks Fashion Show 62116 211012
CHOC Foundation for Children Ducks CHOC Night 6n116 48422
Movember Inc Movember Fundraising 31016 8177
Pancreatic Cancer Network Hockey Fights Cancer Skate 31016 7449
Loma Linda University Cancer Center Hockey Fights Cancer 31016 12905
Hydrocephalus Association Pre-season Jersey Donation 111615 8852
CHOC Foundation for Children 1415 Lady Ducks Fashion Show 12121115 5467
City or Hope SD Gulls Hockey for Hope 68116 2757
University or Wisconsin Foundation SD Gulls Hockey lor Hope 618116 2757
307799
Community Charities
Defending the Blue Line Military Appreciation Night 3110116 14597
County or Orange DC Animal Care Night 61916 4194
Veterans First Military appreciation Night 2015 3110116 2000
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4115116 1290
Special Olympics or So Cal Pre-Season Jersey Donation 1116115 9920
Bum Institute SD Gulls First Responders 2516 5190
Angels Baseball LLP 2016 Angels Night Online Auction 62316 3164
40355
Total for Fiscal Year 2015 s1ssss1
ADF Inc Charitable Contributions
Fiscal Year Ending 63016
Amiddot MAR092011~~~~ar~~~
-- - --- ii JO______
STATEOF CALIFORNIA DEPARTMENTOFJUSTICE BGC204(Orig 012016) PAGE1014MAJOR LEAGUE SPORT S RAFFLE
ELIGIBLE ORGANIZATION AN NUAL 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
Print Form Save Form I Reset FormI I WCEWBD ~middotAnnual Report Period July 1 2016 December 31 2016
Eligible Organizations Name Anaheim Ducks Foundation
17-000005Eligible Organizations Registration Number
Pursuant to Penal Code section 3206 subdivision (o)(12)(A) once registered an eligible organization shall file annually thereafter with the Department of Justice a report that includes all of the following information for each of the eligible organizations last three fiscal years Pursuant to Penal Code section 3206 subdivision (o)(12)(B) failure to submit the annual report shall be grounds for denial of an annual registration
REGULATIONSTATUTE
(i) The aggregate gross receipts from the operation of raffles
7116
Year1
to 123116
$285785
7115
Year2
to 63015
NIA
7114
Year3
to
NIA
63015
(ii) The aggregate direct costs incurred by the eligible organization from the operation of raffles
$53025 NIA NIA
(iii) The charitable or beneficial purposes for which proceeds of the raffles were used
pSCORE AND LT NIA NIA
(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
NIA NIA recipient organizations under Penal Code section 3205 subdivision (c)
(v) The aggregate distributions of proceeds from the $14289250 NIA operation of raffles made to raffle winners Jfr (vi) The aggregate distributions of proceeds from the operation of raffles made to any other organizations or for Iff NIANIAany other purposes other than those included in Items (ii) (iv) and (v) above
I
II
I I
STATE OF CALIFORNIA middotoEPARTMENT OF JUSTICE BGC 204 (O~g 012016) PAGE2of4MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Year1 Year2 Year3 REGULATIONSTATUTE
7116 to 123116 7115 to 63016 7114 to 63015(vii) A schedule of distribut ions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 0 NA NA subdivision (c) that are not affiliated with the eligible organization
(viii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 0 NA NA subdivision (c) that are affiliated with the eligible organization
(ix) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to any other organization not included under items (vii) or (viii) above or 0 NA NA for beneficial or charitable purposes undertaken by the eligible organization
(x) The aggregate gross receipts from activities other than the operat ion of raffles
$766319 $1678005 $1706835
(xi) The aggregate costs incurred by the eligible organization from activities other than the operation of raffles
$193856 $475961 $453299
(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 $253686 $1259283 $1218953 organizations under Penal Code section 3205 subdivision (c)
(xiii)The aggregate distributions of funds other than proceeds from the operation of raffles for purposes other than those listed in items (xi) and (xii) above 0 0 0
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE3of4MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Year1 Year2 Year3 REGULATIONSTATUTE
711116 to 1213111 711115 to 613011 711114 to 613011(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 NIA See List See List (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 NIA NIA NIA charitable purposes undertaken by the eligible organization
6 I
6 5
NOTE The department shall make the reports required by this paragraph available to the public via the online search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code
CERTIFICATION
I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete
Fiducia~sSign ~ t~ ~~
DateFiduciarys Printed Name
AvCJ e_v i) 33gtt7~
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orfg 0112016) PAGE4o f 4 MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Privacy Notice As Required by Civil Code sect 179817
Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy
Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied
Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information )
Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes
The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant
Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov
ADF Inc Charitable Contributions
Fiscal Year Ending 63015
FY 2015 Event Date Amount
Youth Charities
Selanne Youth Sports Foundation Selanne Screening 22815 29052
Orangewood Childrens Foundation 1415 Jubilee (Casino Night) Net Proceeds 62515 72728
Orangewood Childrens Foundatlon Academy T-Shirt 61715 140
Jr Ducks Nationals - Team Support 32615 10000
Act II Anaheim 52815 111000
222920
Health Charities
CHOC Foundation for Children Lady Ducks Fashion Show 62515 212808
CHOC Foundation for Children Ducks CHOC Night 62515 39835
Movember Inc Movember Fundraising 22515 1012
Pancreatic Cancer Network Hockey Fights Cancer Skate 113014 2140
Loma Linda University Cancer Center Hockey Fights Cancer 21815 20000
275795
Community Charities
Defending the Blue Line Military Appreciation Night 62515 20136
County of Orange OC Animal Care Night 61715 3417
Veterans First Military appreciation Night 2014 61715 1500
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4815 3570
28623
Total for Fiscal Year 2015 5273381
FY 2015 Event Date ~
Youth Charities
Orangewood Foundation Casino Night 62216 117405
Act II Anaheim 51316 111000
228405
Health Charities bull
CHOC Foundation lor Children Lady Ducks Fashion Show 62116 211012
CHOC Foundation for Children Ducks CHOC Night 6n116 48422
Movember Inc Movember Fundraising 31016 8177
Pancreatic Cancer Network Hockey Fights Cancer Skate 31016 7449
Loma Linda University Cancer Center Hockey Fights Cancer 31016 12905
Hydrocephalus Association Pre-season Jersey Donation 111615 8852
CHOC Foundation for Children 1415 Lady Ducks Fashion Show 12121115 5467
City or Hope SD Gulls Hockey for Hope 68116 2757
University or Wisconsin Foundation SD Gulls Hockey lor Hope 618116 2757
307799
Community Charities
Defending the Blue Line Military Appreciation Night 3110116 14597
County or Orange DC Animal Care Night 61916 4194
Veterans First Military appreciation Night 2015 3110116 2000
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4115116 1290
Special Olympics or So Cal Pre-Season Jersey Donation 1116115 9920
Bum Institute SD Gulls First Responders 2516 5190
Angels Baseball LLP 2016 Angels Night Online Auction 62316 3164
40355
Total for Fiscal Year 2015 s1ssss1
ADF Inc Charitable Contributions
Fiscal Year Ending 63016
STATE OF CALIFORNIA middotoEPARTMENT OF JUSTICE BGC 204 (O~g 012016) PAGE2of4MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Year1 Year2 Year3 REGULATIONSTATUTE
7116 to 123116 7115 to 63016 7114 to 63015(vii) A schedule of distribut ions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 0 NA NA subdivision (c) that are not affiliated with the eligible organization
(viii) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to eligible recipient organizations under Penal Code section 3205 0 NA NA subdivision (c) that are affiliated with the eligible organization
(ix) A schedule of distributions of proceeds from the operation of raffles by individual raffle made to any other organization not included under items (vii) or (viii) above or 0 NA NA for beneficial or charitable purposes undertaken by the eligible organization
(x) The aggregate gross receipts from activities other than the operat ion of raffles
$766319 $1678005 $1706835
(xi) The aggregate costs incurred by the eligible organization from activities other than the operation of raffles
$193856 $475961 $453299
(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 $253686 $1259283 $1218953 organizations under Penal Code section 3205 subdivision (c)
(xiii)The aggregate distributions of funds other than proceeds from the operation of raffles for purposes other than those listed in items (xi) and (xii) above 0 0 0
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE3of4MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Year1 Year2 Year3 REGULATIONSTATUTE
711116 to 1213111 711115 to 613011 711114 to 613011(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 NIA See List See List (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 NIA NIA NIA charitable purposes undertaken by the eligible organization
6 I
6 5
NOTE The department shall make the reports required by this paragraph available to the public via the online search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code
CERTIFICATION
I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete
Fiducia~sSign ~ t~ ~~
DateFiduciarys Printed Name
AvCJ e_v i) 33gtt7~
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orfg 0112016) PAGE4o f 4 MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Privacy Notice As Required by Civil Code sect 179817
Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy
Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied
Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information )
Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes
The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant
Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov
ADF Inc Charitable Contributions
Fiscal Year Ending 63015
FY 2015 Event Date Amount
Youth Charities
Selanne Youth Sports Foundation Selanne Screening 22815 29052
Orangewood Childrens Foundation 1415 Jubilee (Casino Night) Net Proceeds 62515 72728
Orangewood Childrens Foundatlon Academy T-Shirt 61715 140
Jr Ducks Nationals - Team Support 32615 10000
Act II Anaheim 52815 111000
222920
Health Charities
CHOC Foundation for Children Lady Ducks Fashion Show 62515 212808
CHOC Foundation for Children Ducks CHOC Night 62515 39835
Movember Inc Movember Fundraising 22515 1012
Pancreatic Cancer Network Hockey Fights Cancer Skate 113014 2140
Loma Linda University Cancer Center Hockey Fights Cancer 21815 20000
275795
Community Charities
Defending the Blue Line Military Appreciation Night 62515 20136
County of Orange OC Animal Care Night 61715 3417
Veterans First Military appreciation Night 2014 61715 1500
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4815 3570
28623
Total for Fiscal Year 2015 5273381
FY 2015 Event Date ~
Youth Charities
Orangewood Foundation Casino Night 62216 117405
Act II Anaheim 51316 111000
228405
Health Charities bull
CHOC Foundation lor Children Lady Ducks Fashion Show 62116 211012
CHOC Foundation for Children Ducks CHOC Night 6n116 48422
Movember Inc Movember Fundraising 31016 8177
Pancreatic Cancer Network Hockey Fights Cancer Skate 31016 7449
Loma Linda University Cancer Center Hockey Fights Cancer 31016 12905
Hydrocephalus Association Pre-season Jersey Donation 111615 8852
CHOC Foundation for Children 1415 Lady Ducks Fashion Show 12121115 5467
City or Hope SD Gulls Hockey for Hope 68116 2757
University or Wisconsin Foundation SD Gulls Hockey lor Hope 618116 2757
307799
Community Charities
Defending the Blue Line Military Appreciation Night 3110116 14597
County or Orange DC Animal Care Night 61916 4194
Veterans First Military appreciation Night 2015 3110116 2000
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4115116 1290
Special Olympics or So Cal Pre-Season Jersey Donation 1116115 9920
Bum Institute SD Gulls First Responders 2516 5190
Angels Baseball LLP 2016 Angels Night Online Auction 62316 3164
40355
Total for Fiscal Year 2015 s1ssss1
ADF Inc Charitable Contributions
Fiscal Year Ending 63016
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orig 012016) PAGE3of4MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Year1 Year2 Year3 REGULATIONSTATUTE
711116 to 1213111 711115 to 613011 711114 to 613011(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 NIA See List See List (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 NIA NIA NIA charitable purposes undertaken by the eligible organization
6 I
6 5
NOTE The department shall make the reports required by this paragraph available to the public via the online search portal of the Attorney Generals Registry of Charitable Trusts maintained pursuant to Section 12584 of the Government Code
CERTIFICATION
I declare under penalty of perjury under the laws of the State of California that the foregoing information is true correct and complete
Fiducia~sSign ~ t~ ~~
DateFiduciarys Printed Name
AvCJ e_v i) 33gtt7~
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orfg 0112016) PAGE4o f 4 MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Privacy Notice As Required by Civil Code sect 179817
Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy
Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied
Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information )
Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes
The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant
Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov
ADF Inc Charitable Contributions
Fiscal Year Ending 63015
FY 2015 Event Date Amount
Youth Charities
Selanne Youth Sports Foundation Selanne Screening 22815 29052
Orangewood Childrens Foundation 1415 Jubilee (Casino Night) Net Proceeds 62515 72728
Orangewood Childrens Foundatlon Academy T-Shirt 61715 140
Jr Ducks Nationals - Team Support 32615 10000
Act II Anaheim 52815 111000
222920
Health Charities
CHOC Foundation for Children Lady Ducks Fashion Show 62515 212808
CHOC Foundation for Children Ducks CHOC Night 62515 39835
Movember Inc Movember Fundraising 22515 1012
Pancreatic Cancer Network Hockey Fights Cancer Skate 113014 2140
Loma Linda University Cancer Center Hockey Fights Cancer 21815 20000
275795
Community Charities
Defending the Blue Line Military Appreciation Night 62515 20136
County of Orange OC Animal Care Night 61715 3417
Veterans First Military appreciation Night 2014 61715 1500
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4815 3570
28623
Total for Fiscal Year 2015 5273381
FY 2015 Event Date ~
Youth Charities
Orangewood Foundation Casino Night 62216 117405
Act II Anaheim 51316 111000
228405
Health Charities bull
CHOC Foundation lor Children Lady Ducks Fashion Show 62116 211012
CHOC Foundation for Children Ducks CHOC Night 6n116 48422
Movember Inc Movember Fundraising 31016 8177
Pancreatic Cancer Network Hockey Fights Cancer Skate 31016 7449
Loma Linda University Cancer Center Hockey Fights Cancer 31016 12905
Hydrocephalus Association Pre-season Jersey Donation 111615 8852
CHOC Foundation for Children 1415 Lady Ducks Fashion Show 12121115 5467
City or Hope SD Gulls Hockey for Hope 68116 2757
University or Wisconsin Foundation SD Gulls Hockey lor Hope 618116 2757
307799
Community Charities
Defending the Blue Line Military Appreciation Night 3110116 14597
County or Orange DC Animal Care Night 61916 4194
Veterans First Military appreciation Night 2015 3110116 2000
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4115116 1290
Special Olympics or So Cal Pre-Season Jersey Donation 1116115 9920
Bum Institute SD Gulls First Responders 2516 5190
Angels Baseball LLP 2016 Angels Night Online Auction 62316 3164
40355
Total for Fiscal Year 2015 s1ssss1
ADF Inc Charitable Contributions
Fiscal Year Ending 63016
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BGC 204 (Orfg 0112016) PAGE4o f 4 MAJOR LEAGUE SPORTS RAFFLE
ELIGIBLE ORGANIZATION ANNUAL REPORT
Privacy Notice As Required by Civil Code sect 179817
Collection and Use of Personal Information The Bureau of Gambling Control in the Department of Justice collects the information requested on this form as authorized by Penal Code section 3206 The Bureau uses this information to establish grounds for the license permit or other approval indicated on this application form In addition any personal information collected by state agencies is subject to the limitations in the Information Practice Act and state policy The Department of Justice general privacy policy is available at httpoagcagovprivacy-policy
Providing Personal Information All the personal information requested in this form must be provided If you do not provide this information your application will be denied
Access to Your Information You may review the records maintained by the Bureau in the Department of Justice that contain your personal information as permitted by the Information Practices Act (See below for contact information )
Possible Disclosure of Personal Information In order to process your application we may need to share the information you give to us with law enforcement or regulatory agencies for investigation of unlawful activity or for licensing or regulatory purposes
The information you provide may also be disclosed in the following circumstances bull In response to a Public Records Act request as allowed by the Information Practices Act bull To another government agency as required by state or federal law or bull In response to a court or administrative order a subpoena or a search warrant
Contact Information For questions about this notice or access to your records you may contact the Department of Justice Bureau of Gambling Control at PO Box 168024 Sacramento CA 95816-8024 phone 916-227-3584 or e-mail at GamblingControldojcagov
ADF Inc Charitable Contributions
Fiscal Year Ending 63015
FY 2015 Event Date Amount
Youth Charities
Selanne Youth Sports Foundation Selanne Screening 22815 29052
Orangewood Childrens Foundation 1415 Jubilee (Casino Night) Net Proceeds 62515 72728
Orangewood Childrens Foundatlon Academy T-Shirt 61715 140
Jr Ducks Nationals - Team Support 32615 10000
Act II Anaheim 52815 111000
222920
Health Charities
CHOC Foundation for Children Lady Ducks Fashion Show 62515 212808
CHOC Foundation for Children Ducks CHOC Night 62515 39835
Movember Inc Movember Fundraising 22515 1012
Pancreatic Cancer Network Hockey Fights Cancer Skate 113014 2140
Loma Linda University Cancer Center Hockey Fights Cancer 21815 20000
275795
Community Charities
Defending the Blue Line Military Appreciation Night 62515 20136
County of Orange OC Animal Care Night 61715 3417
Veterans First Military appreciation Night 2014 61715 1500
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4815 3570
28623
Total for Fiscal Year 2015 5273381
FY 2015 Event Date ~
Youth Charities
Orangewood Foundation Casino Night 62216 117405
Act II Anaheim 51316 111000
228405
Health Charities bull
CHOC Foundation lor Children Lady Ducks Fashion Show 62116 211012
CHOC Foundation for Children Ducks CHOC Night 6n116 48422
Movember Inc Movember Fundraising 31016 8177
Pancreatic Cancer Network Hockey Fights Cancer Skate 31016 7449
Loma Linda University Cancer Center Hockey Fights Cancer 31016 12905
Hydrocephalus Association Pre-season Jersey Donation 111615 8852
CHOC Foundation for Children 1415 Lady Ducks Fashion Show 12121115 5467
City or Hope SD Gulls Hockey for Hope 68116 2757
University or Wisconsin Foundation SD Gulls Hockey lor Hope 618116 2757
307799
Community Charities
Defending the Blue Line Military Appreciation Night 3110116 14597
County or Orange DC Animal Care Night 61916 4194
Veterans First Military appreciation Night 2015 3110116 2000
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4115116 1290
Special Olympics or So Cal Pre-Season Jersey Donation 1116115 9920
Bum Institute SD Gulls First Responders 2516 5190
Angels Baseball LLP 2016 Angels Night Online Auction 62316 3164
40355
Total for Fiscal Year 2015 s1ssss1
ADF Inc Charitable Contributions
Fiscal Year Ending 63016
ADF Inc Charitable Contributions
Fiscal Year Ending 63015
FY 2015 Event Date Amount
Youth Charities
Selanne Youth Sports Foundation Selanne Screening 22815 29052
Orangewood Childrens Foundation 1415 Jubilee (Casino Night) Net Proceeds 62515 72728
Orangewood Childrens Foundatlon Academy T-Shirt 61715 140
Jr Ducks Nationals - Team Support 32615 10000
Act II Anaheim 52815 111000
222920
Health Charities
CHOC Foundation for Children Lady Ducks Fashion Show 62515 212808
CHOC Foundation for Children Ducks CHOC Night 62515 39835
Movember Inc Movember Fundraising 22515 1012
Pancreatic Cancer Network Hockey Fights Cancer Skate 113014 2140
Loma Linda University Cancer Center Hockey Fights Cancer 21815 20000
275795
Community Charities
Defending the Blue Line Military Appreciation Night 62515 20136
County of Orange OC Animal Care Night 61715 3417
Veterans First Military appreciation Night 2014 61715 1500
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4815 3570
28623
Total for Fiscal Year 2015 5273381
FY 2015 Event Date ~
Youth Charities
Orangewood Foundation Casino Night 62216 117405
Act II Anaheim 51316 111000
228405
Health Charities bull
CHOC Foundation lor Children Lady Ducks Fashion Show 62116 211012
CHOC Foundation for Children Ducks CHOC Night 6n116 48422
Movember Inc Movember Fundraising 31016 8177
Pancreatic Cancer Network Hockey Fights Cancer Skate 31016 7449
Loma Linda University Cancer Center Hockey Fights Cancer 31016 12905
Hydrocephalus Association Pre-season Jersey Donation 111615 8852
CHOC Foundation for Children 1415 Lady Ducks Fashion Show 12121115 5467
City or Hope SD Gulls Hockey for Hope 68116 2757
University or Wisconsin Foundation SD Gulls Hockey lor Hope 618116 2757
307799
Community Charities
Defending the Blue Line Military Appreciation Night 3110116 14597
County or Orange DC Animal Care Night 61916 4194
Veterans First Military appreciation Night 2015 3110116 2000
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4115116 1290
Special Olympics or So Cal Pre-Season Jersey Donation 1116115 9920
Bum Institute SD Gulls First Responders 2516 5190
Angels Baseball LLP 2016 Angels Night Online Auction 62316 3164
40355
Total for Fiscal Year 2015 s1ssss1
ADF Inc Charitable Contributions
Fiscal Year Ending 63016
FY 2015 Event Date ~
Youth Charities
Orangewood Foundation Casino Night 62216 117405
Act II Anaheim 51316 111000
228405
Health Charities bull
CHOC Foundation lor Children Lady Ducks Fashion Show 62116 211012
CHOC Foundation for Children Ducks CHOC Night 6n116 48422
Movember Inc Movember Fundraising 31016 8177
Pancreatic Cancer Network Hockey Fights Cancer Skate 31016 7449
Loma Linda University Cancer Center Hockey Fights Cancer 31016 12905
Hydrocephalus Association Pre-season Jersey Donation 111615 8852
CHOC Foundation for Children 1415 Lady Ducks Fashion Show 12121115 5467
City or Hope SD Gulls Hockey for Hope 68116 2757
University or Wisconsin Foundation SD Gulls Hockey lor Hope 618116 2757
307799
Community Charities
Defending the Blue Line Military Appreciation Night 3110116 14597
County or Orange DC Animal Care Night 61916 4194
Veterans First Military appreciation Night 2015 3110116 2000
Ben Carlson Memorial Scholarship Silent AuctionBeach Party 4115116 1290
Special Olympics or So Cal Pre-Season Jersey Donation 1116115 9920
Bum Institute SD Gulls First Responders 2516 5190
Angels Baseball LLP 2016 Angels Night Online Auction 62316 3164
40355
Total for Fiscal Year 2015 s1ssss1
ADF Inc Charitable Contributions
Fiscal Year Ending 63016