Sangamon County, Illinois - Elected Offices http://tax.co.sangamon.il.us/SangamonCountyWeb/salesForParcelAction...

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Sales for a Parcel
Parcel Number: 14-34.0-176-015
No Class Sale Year Sale Date Sale Amount Sale Acres Township
1 95 2009 02/23/2009 109,750 0.00 CAPITAL Details
2 60 2003 04/23/2003 200,000 0.00 CAPITAL Details

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Sangamon County, Illinois - Elected Offices http://tax.co.sangamon.il.us/SangamonCountyWeb/billingHistoryList.do...
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Billing History for All Years
Parcel Number 14-34.0-176-015
NICHOLS SAMUEL D & LAURETTE H
No Year
Fair
Market
Value
Value After
Exemptions
Billed
Amt
1 2008 Payable 2009 0 0 0.00 N N N N N N N N N
2 2007 Payable 2008 0 0 0.00 N N N N N N N N N
3 2006 Payable 2007 0 0 0.00 N N N N N N N N N
4 2005 Payable 2006 0 0 0.00 N N N N N N N N N
5 2004 Payable 2005 0 0 0.00 N N N N N N N N N
6 2003 Payable 2004 134,757 44,919 3,421.94 N N N N N N N N N
7 2002 Payable 2003 125,070 41,690 3,142.44 N N N N N N N N N
8 2001 Payable 2002 122,628 40,876 3,086.76 N N N N N N N N N
9 2000 Payable 2001 119,685 39,895 3,003.86 N N N N N N N N N
10 1999 Payable 2000 119,685 39,895 2,988.94 N N N N N N N N N
11 1998 Payable 1999 85,296 28,432 2,142.50 N N N N N N N N N
12 1997 Payable 1998 83,946 27,982 2,111.22 N N N N N N N N N

Current Billing Details Payment History for All Years Assessment Details
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Billing History Details 2003 Payable 2004
Name and Mailing Address
SAVE A LIFE FOUNDATION &
HICKOX LEE & HARRIS BUILDING
CORP
9950 W LAWRENCE AVE STE 300
SCHILLER PARK IL 60176
Property Information
Parcel Number 14-34.0-176-015
Property Location520 E CAPITOL
SPRINGFIELD IL 62701
Name SAVE A LIFE
FOUNDATION &
Tax Code 098
Township CAPITAL
Status Active
Acreage 0.00
Legal Description N 67.50' E 41' LOT 2 BLK 2
P P ENOS ADDN
Messages
Payment History Year 2003 Payable 2004
No Date Amount Penalty
Other
Costs Transaction Type
1 04/27/2004 3,421.94 0.00 0.00 Current 2003 Billed Amt
2 09/30/2004 -3,421.94 -128.31 -10.00 Current 2003 Payment
3 01/25/2005 -2,326.92 0.00 0.00 Current 2003 Cert/Error
4 01/26/2005 2,326.92 0.00 0.00 Current 2003 Refund
ASSESSMENT INFORMATION BILL INFORMATION
Assessment Year 2003-2004
Fair Market Value 134,757
Assessed Value 44,465
Township Multiplier 1.0102
Value Aft TWP Mult 44,919
County Multiplier 1.0000
Equalized Value 44,919
Value After Exempt 44,919
Tax Year 2003-2004
Value After Exempt 44,919
Tax Rate 7.6180
Tax Billed 3,421.94
Prepayment Credit 0.00
Billed Amount 3,421.94
1st Installment Billed 1,710.97
2nd Installment Billed 1,710.97
Assessment Details Current Billing Details Payment History For All Years
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Billing History Details 2004 Payable 2005
Name and Mailing Address
SAVE A LIFE FOUNDATION
9950 LAWRENCE AVE STE 300
SCHILLER PARK IL 60176-1216
Property Information
Parcel Number 14-34.0-176-015
Property Location520 E CAPITOL
SPRINGFIELD IL 62701
Name SAVE A LIFE
FOUNDATION
Tax Code 098
Township CAPITAL
Status Active
Acreage 0.00
Legal Description N 67.50' E 41' LOT 2 BLK 2
P P ENOS ADDN
Messages
Payment History Year 2004 Payable 2005
No Date Amount Penalty
Other
Costs Transaction Type
No Payments for this Tax Year
ASSESSMENT INFORMATION BILL INFORMATION
Assessment Year 2004-2005
Fair Market Value 0
Assessed Value 0
Township Multiplier 1.0297
Value Aft TWP Mult 0
County Multiplier 1.0000
Equalized Value 0
Value After Exempt 0
Tax Year 2004-2005
Value After Exempt 0
Tax Rate 7.7656
Tax Billed 0.00
Prepayment Credit 0.00
Billed Amount 0.00
1st Installment Billed 0.00
2nd Installment Billed 0.00
Assessment Details Current Billing Details Payment History For All Years
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Billing History Details 2005 Payable 2006
Name and Mailing Address
SAVE A LIFE FOUNDATION
9950 LAWRENCE AVE STE 300
SCHILLER PARK IL 60176-1216
Property Information
Parcel Number 14-34.0-176-015
Property Location520 E CAPITOL
SPRINGFIELD IL 62701
Name SAVE A LIFE
FOUNDATION
Tax Code 098
Township CAPITAL
Status Active
Acreage 0.00
Legal Description N 67.50' E 41' LOT 2 BLK 2
P P ENOS ADDN
Messages
Payment History Year 2005 Payable 2006
No Date Amount Penalty
Other
Costs Transaction Type
No Payments for this Tax Year
ASSESSMENT INFORMATION BILL INFORMATION
Assessment Year 2005-2006
Fair Market Value 0
Assessed Value 0
Township Multiplier 1.0252
Value Aft TWP Mult 0
County Multiplier 1.0000
Equalized Value 0
Value After Exempt 0
Tax Year 2005-2006
Value After Exempt 0
Tax Rate 7.8102
Tax Billed 0.00
Prepayment Credit 0.00
Billed Amount 0.00
1st Installment Billed 0.00
2nd Installment Billed 0.00
Assessment Details Current Billing Details Payment History For All Years
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Name and Mailing Address
SAVE A LIFE FOUNDATION
9950 LAWRENCE AVE STE 300
SCHILLER PARK IL 60176-1216
Property Information
Parcel Number 14-34.0-176-015
Property Location520 E CAPITOL
SPRINGFIELD IL 62701
Name SAVE A LIFE
FOUNDATION
Tax Code 098
Township CAPITAL
Status Active
Acreage 0.00
Legal Description N 67.50' E 41' LOT 2 BLK 2
P P ENOS ADDN
Messages
Payment History Year 2006 Payable 2007
No Date Amount Penalty
Other
Costs Transaction Type
No Payments for this Tax Year
ASSESSMENT INFORMATION BILL INFORMATION
Assessment Year 2006-2007
Fair Market Value 0
Assessed Value 0
Township Multiplier 1.0381
Value Aft TWP Mult 0
County Multiplier 1.0000
Equalized Value 0
Value After Exempt 0
Tax Year 2006-2007
Value After Exempt 0
Tax Rate 7.6427
Tax Billed 0.00
Prepayment Credit 0.00
Billed Amount 0.00
1st Installment Billed 0.00
2nd Installment Billed 0.00
Assessment Details Current Billing Details Payment History For All Years
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Billing History Details 2007 Payable 2008
Name and Mailing Address
SAVE A LIFE FOUNDATION
9950 LAWRENCE AVE STE 300
SCHILLER PARK IL 60176-1216
Property Information
Parcel Number 14-34.0-176-015
Property Location520 E CAPITOL
SPRINGFIELD IL 62701
Name SAVE A LIFE
FOUNDATION
Tax Code 098
Township CAPITAL
Status Active
Acreage 0.00
Legal Description N 67.50' E 41' LOT 2 BLK 2
P P ENOS ADDN
Messages
Payment History Year 2007 Payable 2008
No Date Amount Penalty
Other
Costs Transaction Type
No Payments for this Tax Year
ASSESSMENT INFORMATION BILL INFORMATION
Assessment Year 2007-2008
Fair Market Value 0
Assessed Value 0
Township Multiplier 1.0121
Value Aft TWP Mult 0
County Multiplier 1.0000
Equalized Value 0
Value After Exempt 0
Tax Year 2007-2008
Value After Exempt 0
Tax Rate 7.3841
Tax Billed 0.00
Prepayment Credit 0.00
Billed Amount 0.00
1st Installment Billed 0.00
2nd Installment Billed 0.00
Assessment Details Current Billing Details Payment History For All Years
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Billing History Details 2008 Payable 2009
Name and Mailing Address
NICHOLS SAMUEL D & LAURETTE H
4754 CURTIS ROTH LN
PLEASANT PLAINS IL 62677-3939
Property Information
Parcel Number 14-34.0-176-015
Property Location520 E CAPITOL
SPRINGFIELD IL 62701
Name NICHOLS SAMUEL D &
LAURETTE H
Tax Code 098
Township CAPITAL
Status Active
Acreage 0.00
Legal Description N 67.50' E 41' LOT 2 BLK 2
P P ENOS ADDN
Messages
Payment History Year 2008 Payable 2009
No Date Amount Penalty
Other
Costs Transaction Type
No Payments for this Tax Year
ASSESSMENT INFORMATION BILL INFORMATION
Assessment Year 2008-2009
Fair Market Value 0
Assessed Value 0
Township Multiplier 1.0209
Value Aft TWP Mult 0
County Multiplier 1.0000
Equalized Value 0
Value After Exempt 0
Tax Year 2008-2009
Value After Exempt 0
Tax Rate 7.5556
Tax Billed 0.00
Prepayment Credit 0.00
Billed Amount 0.00
1st Installment Billed 0.00
2nd Installment Billed 0.00
Assessment Details Current Billing Details Payment History For All Years
Back to Billing History List
DIVIDER

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• ■ •

DIVIDER
02:3BPH FrotHlllnois Stata Sanafa
i
ILLINOIS STATE SENATE
MAJORITY STAFF
STATE CAPITOL
SPRINGFIELD. ILLINOIS 62706
July 16.2002
Mr. John Glazier
Director of Legislative Affairs
Department of Commerce and Community Affairs
620 E. Adams
Springfield, IL 62701
RE: FY03 Legislative Initiative Letter of Intent
Dear Mr. Glazier
On behalf of the State Senator Walter Dudycz, I am writing to request the release of $100,000 of the
Build Illinois Bond Fundmonies reappropriated in HB 6061, Article 3, Division FY0O, Section 3-2
■ This funding will be granted to Save A Life Foundation, inc. for all costs associated with the purchase
of a building.
The primary contact for this project is the following:
Carol Sptndrrl, President
Save A Life Foundation, Inc.
9950 W. Lawrence Ave., Suite 300, Schiller Park, IL 60176
847/928-9683 847/928-9684 (fax)
In addition to your office's normal process. J would appreciate that the details regarding the release of the
funds be communicated to the Senator's Springfield office, as wed as my office, if any problems exist
regarding this release, please contact me as soon as possible.
Thank you for your consideration and assistance in securing the expeditious release of funds for this
critical project
Sincerely,
Tim Nudlng, Director
Illinois Senate Republican Appropriations Staff
cc: Steve Schnorf
Mike Madigan
217 782 0068 T-462 P.0I5/0I9 H7i
ty
AeevaxD M K R . SOTBSMN owes
Illinois Department of Commerce and Communitv Affairs
George H. Ryan
Governor
TO: Carol Spizzirri
Save a Life Foundation, Inc.
FROM: Susan Boggs, Illinois FIRST Grant Management Unit
DATE: August 5, 2002
RE: Grant Appropriation
Project No.: SR30011
Amount: $100,000
Purpose: all costs associated with the purchase of a
building
Legislative Sponsor: Dudycz
Funding Source: Bond Fund
Please be advised that the Department of Commerce and Community Affairs
has been given the responsibility of administering the above mentioned grant. In order for us to
begin the process, you are being asked to complete the enclosed survey form. The information
supplied on this form will allow us to develop a formal Grant Agreement (legal document).
Once the Grant Agreement process is completed and all documents are in order.
we will begin the payment process. Be aware that there is no set timeline for grant
recipients to receive their funds; however, processing time is largely determined by the
accuracy of the information contained in the survey response. Also, please be aware that
if the Grantee has failed to comply with the requirements of any prior grant issued to it by the
State, the Department may require that the Grantee cure such deficiencies before the current
grant request may be finalized.
Please note that the first page of the survey provides some important points to
keep in mind while filling out the survey. If you have questions, feel free to contact me at
217-782-5346.
Completed surveys may be mailed to: DCCA
Susan Boggs
620 East Adams
Springfield, Illinois 62701
Fax: 217/557-9883
Interne! Address http://wwYv.commerce.siate.il.us
620 Eau Adanu Sneer Jaroei R Thompwn Center 607 E»»t Adami Street 2J09 West Main, Suite 118
Sprin^ieM. Illinoil 62701 100 West Rudolph Street. Suite J-J00 Sprumfield. lllinoi. 62701 Marion. Ilttnon 6J9J9
Chicago. lllinoii 60601
:i7/7s:.7<oo SI ; / 8I J-?I 79 :i?7sv:sou I.IS*<7.JWJ
Ft . : i 7 5M. | 6I 7. TDD S00/7S5-O055 Fax JI2/SU-67J2 eTDD 800/419-0667 Fix 2I7/78*.26I8 «TDD :i7,7S5-02ll Fix 618/947-1825 ■ TOD Relay 800VS26-O844
am
Pam McDonouah
Director
Primed on Recycled and Recyclable Paper
-lilfll
' ^I gg^ Member Initiative Grant Survey
5^€ 3 06/I
1) GRANTEE/ PROJECT I NFORMATI ON Project No.:
•d on survey cover memo.)
Legal Name of Grantee: _
Name and Tide of Person Authorized to Sign Legal Documents for Grantee (see Appendix 2):
Address: tf £0 W- LA\A/^&4CP > 4 V £ -
;
^ T g 3(TO
City:<£frr>U*£#- PAW£- State: ( u ZI P- M: *W7£ -l^( L
f O lL-1 /2 c £i / &■ * {Mandatory)
County: O CTT>p~ Business Phone: f M / ) °12X - 1 (a Y3
gxt
.
Fa*:f fmrftf-We?**- E-mail address: CtW0 I &^O.If\ Q ^
Web site Address: W\^W'. S^-lf: 0 ^
Name of Project Contact/Administrator of Grant {.if other than listed above):
__,. ( tteJ J ~ S>p.^^>^io >
Tide: iA.^ygn-kr'* Contact's Phone: C ext
Address: 1 4 £ 0 (A/- L&IA/^^A/C^ AV&
f
^ T B S<TO
City: Sc4tUL€rt- ^>AYL,lp~ State: / <- - ZIP + 4 : 6 g / 7 ^ - l ^ ( ^
Heifni^ftrt E-man address: J W ' P * ^ - &*?
FEIN:fHIH^H^IH^^^IflH^9il^7(?dip*federaltaxpayeridentification number)
Legal Name of Owner of FEIN: SAx/Fr J\ LWf ^g f^tTU A7 t>A 77 OAJ (MO-
(NOTE: You must provide the FEIN number of the entity mat will directly receive the grant funds from DCCA. Do not use the FEIN number of any
Subgrantee or affiliate of the Grantee, Providing an incorrect FEIN will cause a delay in grant processing.)
CERTI FI CATI ON: As of this submittal date, the information provided herein is accurate, and the individual
signing below is authorized to submit this document
— \ \ >U I V"l>u„,A-i,
Title \
SMoX
Date
Carol J. Sp.l -:'zirri Pres / Founder
Typed Name
page 2
J
FIRST
W Member Initiative Grant Survey
Ol S
TYPE OF ORGANIZATION (CAecion/^one):
O Individual
Q Sole Proprietor
D Partnership/Legal Corporation
D Tax-exempt
D Corporation providing or billing medical and/or health
care services
D Corporation NOT providing or billing medical and/or
health care services
D Governmental
D Nonresident alien
D Estate or legal trust
D Pharmacy (Non-Corp.)
D Pharmacy/Funeral Home/Cemetery (Corp.)
^S^Othej. :
>§^Not-for-profit Corporation
Charitable/Not-for-profit entity
D Tax exempt entity
O If your organization or entity is not named above,
please identify or describe the type of
organization/entity that will be receiving grant
funds:
Entities that are not governmental entities MUST provide the following information:
Indicate the year that the organization was legally established:
Attach documentation of Good Standing Status:
X
Entities that are incorporated as a not-for-profit corporation under the General Not For Profit Corporation Act of
1986 (805 ILCS 105/101.01 etseq.) are required to submit a certificate of good standing from the Illinois Secretary
of State's Office, Department of Business Services, 217/782-7880 or 217/782-6961 (TDD: 800/252-2904).
D Entities that are organized as a Charitable/Not-For-Profit entity, which includes any person, individual, group of
individuals, association, not-for-profit corporation, or other legal entity under the Charitable Trust Act (760 ILCS
55/1 etseq.) are required to submit a letter of good standing from the Charitable Trust Bureau, Office of the Illinois
Attorney General, 100 W. Randolph Street, 3-400, Chicago, Illinois 60601,312/814-2595 (TTY: 312/814-3374).
D Entities that are neither of the above, but are exempt from paying sales/use tax under Use Tax Act (35 ILCS 105/1
etseq.) are required to submit a copy of the tax exemption certificate issued by the Illinois Department of Revenue,
Central Registration, P.O. Box 19030, Springfield, Illinois 62794-9030,217/785-3707 (TDD: 800/544-5304).
page 3
^^^liiinQis FIRST
1
Member Initiative Grant Survey
2) SCOPE OF WORK: Please use the space below to describe what you intend to do with the funding. This must include a
detailed narrative description of the activities which will be funded by the grant {e.g., land, property, easement, right-of-
way acquisition; construction/renovation activities; equipment, development/delivery of programs and services (including
administrative activities]; or other activities). This information will be included in the Grant Agreement as the Scope of Work.
i W Aintut&K?
a) Provide details to identify the items that will be included in each line of the budget {attach information as needed).
b) If the grant activities involve purchase of land/structure and/or construction activities, provide the address of the
location(s) being purchased or improved.
&&& />aJcnrotfr&-&
c) If the grant-funded activities are a component of a larger project {that is being funded through other sources), please
provide a general description of the overall project
" / <
A-
page! J 1
Uinois FIRST-
Member Initiative Grant Survey
If your organization is a non-governmental entity, please provide the answers to questions 3 through 5 as an attachment to this
survey. * If not, please skip to question 6.
3) YOUR ORGANIZATION: a) What is your organization's mission statement? b) What are the primary goals of your
organization? (Attach pamphlets or flyers explaining your organization and its programs/services, if necessary.)
4) YOUR PROGRAMS/SERVICES: a) Provide a detailed description of the goals of your programs {if additional information
can be provided beyond the response to 3b, above), and state how long each program has been in existence, b) Describe
the services provided to eligible participants, c) If there are different levels of eligibility (such as ranges of income, or
membership or other affiliation), please describe the services provided to each level if they are not identical, d) State the
cost to participants for these programs and services, and specify whether a sliding scale (i.e., cost for services is reduced
or waived, based on income orabitity to pay) is enacted, e) Describe the manner in which services are advertised or
made available to the public. 0 If the services are available at reduced cost and/or are free to those who are unable to
pay, describe the manner in which the public is notified. If services are not available in such a manner, explain why not.
g) Detail any assistance your organization receives from other state agencies to support these programs/services.
£&&- /4rrrXrtZ4t-e~i?
5) YOUR PARTICIPANTS: a) Describe any eligibility criteria for participation in your program(s) (Le., income level age,
employment status, etc.). b) Describe how participants are identified or recruited, or describe who refers participants to
your organization for services, c) If services cannot be provided to all that apply, describe the manner in which
participants are selected (Le., standardized testing; first-come, first served).
6) PUBLIC PURPOSE What is the public purpose? Why is this project necessary? What is the expected benefit of this
project (Le., city will no longer be on IEPA restricted status list; unemployed persons will receive job training, etc.)?
7) PUBLIC BENEFIT: Estimate the number of persons to benefit or be served by the proposed project: _. State the
percentage of current or projected participants who are disadvantaged or low-income: £*, State the
percentage of participants who receive (or will receive) services at no cost or a reduced fee:
' Note If your program is viewed to be consistent with the goals of the Federal Personal Responsibility and Work Opportunity Reconciliation Act of 1996
(PRWORA). further information may be requested.
^ P ^ 5
WteW
ilinois FlRST-
K
^SB$ Member Initiative Grant Survey
8) LOCAL SUPPORT: Attach copies of any public hearings, newspaper articles, or other documents that would evidence locai
support for this project (if available).
9) LOCAL OPPOSITION: DO you anticipate any opposition to this project? DYe s J ^ No If yes, please describe:
10) ESTIMATED TIMETABLE FOR COMPLETION: Stan Date:. i l i 3! , 0 2 Completion Date:
If you are providing a program or service, please be specific about the length of the program or service delivery,
whether it is a one-time offering or an ongoing program/service, how many times it will be provided, etc.
(NOTE: Grant-funded activities must be competed within a two-year time frame. The start date should reflect die date the Grantee
anticipates incurring costs against this grant award, or, if costs have already been incurred, the date that the Grantee actually started to
incur costs. The grant manager will work with the Grantee to establish the appropriate grant term).
ONLY for capital projects (Le., real property purchase/acquisition, construction or renovation), please complete
questions 10a through lOg.
a) Provide an estimated monthly expenditure of grant funds once the project starts fNOTE: BOND-FUNDED PROIECTS ONLY h
Month 1: $
Month 2:
Month 3:
Month 4:
Month 5:
Month 6:
Month 7:
Month 8:
Month 9:
Month 10:
Month 11:
Month 12:
/crv . <?xro
Month 13
Month 14
Month 15:
Month 16
Month 17:
Month 18:
Month 19:
Month 20:
Month 21
Month 22:
Month 23:
Month 24:
(NOTE: Include gsixgrantfunds in this estimated monthly cashflow. Do not include funds from other sources.)
page 6
ois FIRST
Member Initiative Grant Survey
b) If applicable, describe any actions/approvals that must be completed prior to the start of this project, with corresponding
time frames for completion. Examples of such actions/approvals may include: hiring staff to implement the project,
securing a location from which to operate the program, approval by your organization's board of directors, etc.
A//*-
c) Has your organization secured all necessary federal, state and local permits and approvals to proceed with this project?
f* V If not, please identify permits/approvals to be obtained and provide a reasonable,
estimated timetable to secure such permits/approvals.
d) If grant funds are to be utilized to make capital improvements to real property {structures/land) that your
organization does not own, please provide a copy of the lease or other agreement (i.e., easements, rights-of-way, etc.)
between your organization and the property owner that will allow your organization to continue to use the improved
premises, for an appropriate length of time, consistent with applicable state law and rules.
If the project involves the purchase of land or building(s), you must answer questions lOe-lOg and attach
supplementary explanatory materials as needed.
e) Does your organization have an executed contract for the purchase/acquisition of the land/building in question?
N ^ If not, when do you expect to have an executed contract? 0* 9*i\— / bgJ i A. T"
f) If your organization is a governmental entity, is it acquiring the land/building through an outright purchase, or
through eminent domain/condemnation proceedings?
you realistically expect to finalize the acquisition?.
If acquiring through eminent domain/condemnation, when do
g) Is your organization aware of any existing (or reasonably anticipated) legal proceedings such as zoning issues,
objections of nearby property owners, etc., relating to the proposed use of the land/building being purchased with grant
funds? pJO If yes, please attach a detailed explanation.
^ page!
ois FIRST
1
Member Initiative Grant Survey
1 l a) BUDGET FOR NON- CONSTRUCTI ON PROJECTS
GRANT AMOUNT *
1. Personnel»»
2. Fringe Benefits
3. Travel
4. Equipment (must itemize in 82, Scope of mirk)
5. Commodities/Printing/Postage
6. Rent/Utilities (list address in #2, Scope of Work)
7. Contractual/Consultant (including service contracts)^
8. Audit/Accounting
9. Training/Conferencestt
10. Marketing/Advertising/Web Site
11. Other (please specify)
* Grant amount column must total the grant amount to be received from DCCA. Please be as accurate as possible when specifying
line item amounts. If actual spending varies by more than 10 percent, a grant modification will be required.
** For all personnel being paid in-full or in-part with Illinois FIRST Grant Funds, a complete job description must be included.
Please also include details on the number of persons to be hired in each job tide, and specify the number of months each person
is expected to be paid with grant funds.
t Provide details in #2, Scope of Work, regarding the type of contractor/consultant and the services to be provided by each.
t t Provide details in #2, Scope of Work, regarding how many events are planned, how many people will participate in each,
location(s),etc.
page 8
LOIS
■ v
Member Initiative Grant Survey
11b) BUDGET FOR CONSTRUCTI ON PROJECTS
(NOTE: BOND FUNDED PROJECTS MUST COMPLY WITH APPENDIX I: BONDABIUTY GUIDELINES.)
ACTIVITY LINE ITEM GRANT AMOUNT »
1. Plans & Specs
2. Architectural/Engineering Fees
3. Printing (Construction Documents)
4. Equipment [must itemize in #2, Scope of Work)
5. Land Purchase
6. Labor
7. Excavation
8. Wiring/Electrical
9. Materials
10. Paving/Concrete/Masonry
11. Construction Management and Oversight
12. Mechanical System
13. Site Preparation/Demolition
14. Building/Structure Purchase
15. Plumbing
16. New Construction "Bid as a Whole"**
17. Other Construction Expenses
18. Contingency
joo oo0
TOTAL S
/(P^crvo
* Grant amount column must total the grant amount to be received from DCCA. Please be as accurate as possible when specifying
line item amounts. If actual spending varies by more than 10 percent, a grant modification will be required.
' * No line item detail must be provided if 1) the project is bid as a whole, and 2) the grant is for construction of a new structure (i.e.,
this line item cannot be used for renovation).
_ 1
page
g
FIRST-
Member Initiative Grant Survey
Ol S
12) OTHER FUNDING:
a) Are other funds, necessary to complete the grant scope of work (i.e., the activities for which this grant is being used) ?
b) Are other funds necessary to complete the overall project (of which this grant is just one component)?
J 0 Yes > " No
Wyes" to either question above, please indicate the source, status and amount of those funds below. This information
Mt'ST correlate with your answers to 2a) through 2c) on page 4.
SOURCES OF FUNDING
I 1
i
Activities in Grant Scope
of Work — see page 4 of
survey, questions 2a)
and 2b)
Overall Project — see
page 4 of survey,
question 2c)
Federal Funds (list:)
mm;
• 'fr''V&rS<§ mz&A
1
$
$
Other State Funds (list funds
from any state source/program:)
m
' 3*
?'-* -V'
m^i;rt:^g[:-~
r/E3flO10
y
$
/QP.nnft
jtoo
;
cnC
Other Funds (list your
organization's funds, bank and
other loans, fundraising,
donations, etc.:)
&&&&?
wl £3l f
%5
* h .
11.. -
TOTALS
ADO. C 0
13) PREVIOUS (Non-Illinois FIRST) GRANTS: In order to be eligible to receive the anticipated grant(s), Grantee must
be in compliance with requirements of all grants previously received from DCCA. List any other grants this Grantee
received from DCCA (other than Illinois FIRST) within the last three years (i.e., CDAP, Tourism Attraction Program;
etc.). Provide DCCA Grant Number: (\***\ U. Qq. I I M ^ K a n Port - O^tnxA H ffMjQ,3?fl
L
H.< QCf) - (ft,y J -ft ft/- / Wl W ttefiOD
See rttfufL-i.
page 10
ILLINOIS FIRST MEMBER INITIATIVE GRANT SURVEY
SAVE A LIFE FOUNDATION- SR30011 (DUDYCZ)
AUGUST 26, 2002
2.) Scope of Work
The Save A Life Foundation (SALF) is dedicated to the training of children and adults
in basic life supporting first aid skills for emergency situations. By ensuring each and
every person in communities across the country they can be ready to provide aid those
injured or ill thus creating a stronger, compassionate and emergency prepared society.
To coordinate its efforts, SALF has begun creating SALF Regional Branch offices in
communities across the country. Working side-by-side with emergency medical service
providers and local mayors nationally, it will not be long before SALF offices are
functioning throughout the United States.
Illinois is the first state to have fully embraces SALF and its mission since 1993 and
has already developed an increasing number of SALF Branch sites statewide. By
establishing a SALF Capital City Office in Springfield, all SALF Branches have a means
of fully accomplishing their work with a centralized focus. This move again sets the
pace for the rest of the country to follow and ensure all citizens, especially our children,
have the right to learn how to be emergency preparedness. As a member of Illinois'
Homeland Security Team, SALF leads the efforts of educating all Illinois citizens, adults
and children, through its "Community Response Systems Initiative" (CRSI) by working
with mayors to implementing a Community Emergency Response Team (CERT) and
include Pre-EMS.
SALF Capital City Office will be located at 520 E. Capitol, Springfield, IL 62701. It will
serve to coordinate the relationships it has with hospitals, community colleges,
Emergency Medical Services (EMS), corporate partners and other agencies across the
state, such as St. John's Medical System. The Capital City Office will provide a
centralized training and support center, distribute supplies, networking, etc. for all its
Branches and affiliates to better service Illinois citizens systematically. SALF offers
free training to school age children. SALF created corporate training programs to help
employers ensure their employees are ready to act in an emergency while providing
funds to offset the cost for children to be trained for free.
The Capital City Office will serve as a "Train the Trainer Training Center" for EMS
personnel who work as SALF Instructors. The building has ample space for training
workshops and seminars to keep SALF Instructors up-to-date on the most current
education practices and ways of working with local leaders to develop a CERT and
handle issues resulting in establishing their Pre-EMS component. Additionally, the
Capital City Office will provide space to evaluate individual SALF Branch operations,
programs, instructors, compile valuable data including the effectiveness of its programs
and projects. In a short time, the Capital City Office will serve as the base of
PAGE l OF 4
operations for all of Illinois and serve as a link with SALF Capital City offices in other
states as they begin to open.
a.) SALF's Capital City Branch Office Project includes several components to assist
the foundation in continuing its mission:
> Acquisition costs of real property, including appraisal fees, title opinions,
surveying fees, real estate fees, title transfer fees and related legal expenses;
> Interior work to new property;
> Acquisition and installation of office equipment and furniture.
TOTAL $200,000
The SALF Capital City Office costs proposed by Save A Life Foundation are:
> Not recurring expenses;
> Durable in nature;
> Not subject to inherent risk of failure, rapid technological obsolescence;
> Represent permanent needs;
> Enhance the interest of the State of Illinois by improving the emergency
preparedness of all Illinois school children and adults, and
Working in partnership with the State of Illinois, SALF will continue its leadership role in
providing Life Supporting First Aid/emergency preparedness learning experiences to
ensure the health and safety of all Illinois residents.
b.) The address of the location being purchased is:
520 E. Capitol, Springfield, IL 62701
c.)n/a
3) Save A Life Foundation's Organizational Background
After the tragic death of her daughter in 1992, Carol Spizzirri discovered that there
were no uniform training requirements for police, firefighters, 911 dispatchers, school
teachers, and other public servants in the area of basic life saving skills. The first
responders to the scene of Christina's fatal car accident were police officers who were
not trained in these basic first aid skills. Despite Christina's injuries, her life may have
been saved if these officers, or bystanders at the scene, had administered basic first
aid. As a result of this tragedy, Carol started the Save A Life Foundation.
SALF is a community-based organization in Illinois whose mission is spreading across
the nation. Save A Life Foundation's mission is:
> To reduce death and disabling injuries by teaching young people and
adults Life Supporting First Aid Skills;
PAOE 2 OF 4
> To advance awareness of the Good Samaritan Laws, and
> To assist communities in promoting emergency preparedness by and for
their citizens.
To advance its mission, SALF established an on-going partnership with two key
medical professionals: Dr. Peter Safar, the father of cardiopulmonary resuscitation
(CPR), and Dr. Henry Heimlich, the father of the Heimlich Maneuver. Building on
these two medical techniques, SALF created age-appropriate, educational curricula for
children and adults focusing on Basic Life Supporting First Aid Skills. By utilizing
Emergency Medical Service (EMS) personnel as instructors, SALF developed
educational programs that are exciting, motivational, and successful in empowering
people of all ages to save lives.
The U.S. Department of Health and Human Service (HHS), Maternal and Child Health
Bureau recently used SALF's educational programs as a guide in developing national
framework to reduce child mortality and morbidity rates sustained by illness and injury
occurring at school. The resulting curricula, Basic Emergency Lifesaving Skills (BELS),
creates benchmarks for our nation's schools in selecting school safety courses,
including the provision of Basic Life Supporting First Aid. SALF is working closely with
HHS/Centers for Disease Control in the implementation of these important guidelines
nationally.
4) Save A Life Foundation's Programs and Services
Injury remains one of the primary killers of children and adults across the State of
Illinois and throughout the nation. In Illinois alone, over 200,000 people die each year
as a result of injury or illness. Research has shown that approximately 50% of these
lives could be saved if prompt Basic Life Supporting First Aid were administered prior
to the arrival of Emergency Medical Services. With the resent tragedy of 9/11 our
country witnessed first hand the need to emergency prepared all citizens should we
again be faced with natural or terrorist disasters.
SALF's programs cost approximately $20 per program including the costs for training
materials, equipment, administration and evaluation.
Save A Life for Kids Ctass Description
Through the use of cartoon characters named Perry Medic and EMy Tech,
trained SALF Instructors teach children, in one hour or less, through interactive
classroom components skills to use in the case of an emergency. Classroom
curricula utilize a spiral curricula concept, each class refreshing skills and
building on the lessons learned in previous classes. Age appropriate skills are
taught to young people K-8, including:
> Grades K-2 Scene Safety, Contacting EMS, Bleed Control
> Grades 3-5 Scene Safety, Contacting EMS, Bleed Control, Opening an
Airway, Heimlich Maneuver for Infants, Children, and Adults
PAGE 3 OF 4
> Grades 6-8 Scene Safety, Contacting EMS, Bleed Control, Opening an
Airway, Heimlich Maneuver for Infants, Children, and Adults, Early Heart
Attack Care, and Rescue Breathing
BYSTANDER BASICS CLASS DESCRIPTION
Bystander Basics is a two-hour classroom program created for young people
and adults, ages 13 years and older. For high school students, this program
serves as a refresher course for skills learned early on with additional one-hour
cardiopulmonary resuscitation (CPR) training. For adults, Bystander Basics is a
stand alone training for Basic Life Supporting First Aid skills suitable for
community-based organizations, employee training, or government agencies.
This class teaches Scene Safety, Contacting EMS, Bleed Control, Opening an
Airway, Heimlich Maneuver for Infants, Children, and Adults, Early Heart Attack
Care, and Rescue Breathing, and CPR training.
5) Save A Life Foundation Participants
Since its inception, SALF has provided educational experiences for over 600,000
Illinois school age children free of charge. Recently, SALF started a corporate training
program to train adults and to support their work with schools.
6) Save A Life Foundation Capital City Office Project Public Purpose
The primary public purpose of SALF's Capital City Office Project is the enhancement of
Life Supporting First Aid education for Illinois children and adults. At SALF we
continually strive to address the same problem that inspired our work in the beginning:
the fact that many people are not prepared to respond to an emergency situation.
SALF's Capital City Office will provide a base of operations for its Life Supporting First
Aid education mission throughout Illinois and offer SALF Instructor classes to local
EMS providers across the state. In addition, this office will serve as a source of
information for state government agencies, community leaders, legislators, and other
organizations eager to learn more about life supporting first aid and emergency
preparedness for the "Pre-EMS" responder the "bystander".
The Capital City Office Project serves as a model for other states in various phases of
developing a SALF Branch to serve their citizens. Through strategic planning, SALF
will continue to provide leadership in creating opportunities for normal citizens to learn
life supporting first aid skills and assist in times of crisis to prevent injury and death and
save lives.
The philosophy at SALF is to cultivate the spirit of the surrounding communities by
bringing people together to learn basic life supporting first aid skills and to help each
other who might face an emergency situation. At school, at work, or through community
organizations, the SALF reaches out to people with age appropriate classroom
instruction taught by professional Emergency Medical Services personnel.
PAGE 4 OF 4
File Number
5717-789-6
To all to whom these Presents Shall Come, Greeting:
I, Jesse White, Secretary of State of the State of Illinois, do
hereby certify mat
SAVE A LIFE F0UNDATI0N/
I NC. , A DOMESTIC
CORPORATION, INCORPORATED UNDER THE LAWS OF THIS STATE FEBRUARY 9,
1993, APPEARS TO HAVE COMPLIED WITH ALL THE PROVISIONS OF THE
GENERAL NOT FOR PROFIT CORPORATION ACT OF THIS STATE, AND AS OF
THIS DATE, IS A DOMESTIC CORPORATION IN GOOD STANDING IN THE STATE
Qp ILLINOIS********************************************************
In Testimony Whereof, l, hereto set
my hand and cause to be affixed the Great Seal of
':^Mi "ff^?&, the State of Illinois, this 2OTH
!a7 ^ - - ■ '••-. \
y
, iCi: rf
a
y
0
f JULY
'••jay:
v J
" "
1st •*■ «><.■ - -
A.D.
2000
fe^^^toc^e>
SECRETARY OF STATE
C-260.1
INTERNAL REVENUE SERVICE
DISTRICT DIRECTOR
P. O. BOX 2508
CINCINNATI, OH 4S201
Date: MAY 1 9 1998
SAVE A LIFE FOUNDATION INC
C/O CAROL JEAN SPIZZIRRI
17479 W DARTMOOR DR
GRAYSLAKE, IL 60030-3014
DEPARTMENT OF THE TREASURY
Employer Identification Number:
DLN:
Contact Person:
D. A. DONNING
Contact Telephone Number:
(513) 241-S199
Our Letter Dated:
August 1993
Addendum Applies:
No
Dear Applicant:
This modifies our letter of the above date in which we stated that you
would be treated as an organization that is not a private foundation until the
expiration of your advance ruling period.
Your exempt status under section 501(a) of the Internal Revenue Code as an
organization described in section 501(c)(3) is still in effect. Based on the
information you submitted, we have determined that you are not a private
foundation within the meaning of section 509(a) of the Code because you are an
organization of the type described in section 509(a) (1) and 170(b) (1) (A) (vi) .
Grantors and contributors may rely on this determination unless the
Internal Revenue Service publishes notice to the contrary. However, if you
lose your section 509(a) (1) status, a grantor or contributor may not rely on
this determination if he or she was in part responsible for, or was aware of,
the act or failure to act, or the substantial or material change on the part of
the organization that resulted in your loss of such status, or if he or she
acquired knowledge that the Internal Revenue Service had given notice that you
would no longer be classified as a section 509(a) (1) organization.
If we have indicated in the heading of this letter that an addendum
applies, the addendum enclosed is an integral part of this letter.
Because this letter could help resolve any questions about your private
foundation status, please keep it in your permanent records.
If you have any questions, please contact the person whose name and
telephone number are shown above.
Sincerely yours,
DistriciPuirector
Letter 1050 (DO/CG)
Honorary Chairman
David HasselhorT
Bay watch Productions
Bo a r d of Di rect ors
Carol J. Spizzirri, President/Founder
Hon. Sam Amirante, Vice Pres.
Hon Martin Sandoval, Sec.
Daniel A. Caravello, Treas.
Carlos Azcotia
Scott Betzelos, MD
Deloris M. Burnam
Robert Conroy
Michael Lavelle, Esq.
Stanley Zydlo, MD
National Advisory Committee
Pe nns yl vani a Advi s or y Boar d
Stephanie Bryn, RN
Marilyn J. Bull. MD
Tim Davis, MD
Mary Jean Erschen, RN
Ralph W. Hale, MD
Chris Hanna
Hon. Rita Mullins
Bill Nolan, VP
Judy Robinson, PhD
Ellen Schmidt, RN
Jeffrey Schwartz, MD
Bob Stanbary, NREMT
US Maternal and Child Health Bureau
American Academy of Pediatrics
Centers for Disease Control
Wisconsin Department of Public
Health—EMSC
American College of Obstetricians and
Gynecologists
Children's Safety Network Rural
Injury Prevention
Dr. Deborah Mulligan- Smith Emergency Medical Services for
Children
U.S. Conference of Mayors
Nat'l Fraternal Order of Police
National Association of School Nurses
School Health Association
ECI Regional Director
Medtronic Physio-Control
Tllinnig Advisory Board
Mark Mitchell, DO
State Chairman
Kenneth A. Alderson
William A. Bell
Greg Cowell
Edward Crews
Allen Davis
Paula Willoughby, DO
Hon. Frank Meredith
Evelyn Lyons
William Bell
Mary Ellen Madden
Jan Kelley, RN
Jennifer Martin
Beverly Mercer
Hon. Judy Yeager
Steve Newman
Nancy Krier, RN MSN
Brain D. Schwartz
Darrell Patterson
Scott Ruyle
Modell "Sonney" Renken
Carmen Halsey
Roy Mayficld
Robin Mazzuca
Steven L. Orebaughm, MD
Robert W. Hickey, MD
John McAfee, NREMT
Health Moss, NREMT
Mary Ann Scott, RN
Patrick Kockanek, MD
Edmund Ricci, PhD
Thomas A. Brabson MD
Phillip Stoner, NREMT
Kevin Parrish. RN
John Schaefer, Hickey
Tammy Janney, EMT
Ann Walton,
Vincent Mossesso, MD
Me di c al Advi s or s
Peter Safar, MD, Director.
Henry Heimlich, MD,
Ernesto Pretto, Jr. MD,
Steve L. Orebaugh, MD.
Mark Mitchell. DO, IL PMD
UPMC South Side Hospital
Children's Hosp., Pittsburgh
Guardian Angel Ambulance
Millcreek Paramedic Service
EMS South Hills
UPMC
UPMC School of Public
Health
Albert Einstein Hospital
EMSInstforSWPA
Laerdal
Montefiore Univ. Hospital
Homestead/Guardian Angel
Ambulance
American Red Cross
Nat'l Center for Early
Defibrillation
Safar Resuscitation
Research Center, Pitts., PA
Heimlich Institute, Ohio
World Health Org.—
Disaster &. Emergency
Medicine, Past Pres.)
UPMC South Side Hospital
EMS Director St John's
Hospital, IL
T-egai CO""s<*>
Robert M. Motta. Esq. Illinois
Lavelle, Motta. Klopfenstein & Saletta LTD
Robert Motta Jr. Esq.
Auditor
Dehise Urban, CPA
Ahlbeck & Company
Pennsylvania
T>irtctor &$&
ILLINOIS DEPARTMENT OF COMMERCE AND COMMUNITY AFFAIRS
GEORGE H. RYAN
GOVERNOR
JOSEPH P. HANNON
ACTING DIRECTOR
January 14, 2003
Ms. Carol Spizzirri
Pres/Founder
Save A Life Foundation
9950 LAWRENCE AVE STE 300
Schiller Park, IL 60176-1216
Re: Grant No. 03-120016
Dear Ms. Spizzirri:
Enclosed is your fully executed copy of the grant agreement
between your agency and the Department of Commerce and Community
Affairs (DCCA). Please retain this copy in your files for reference
during the administration of the grant and for future audit and
monitoring purposes.
If you have any questions regarding your grant agreement,
please contact your DCCA Grant Manager.
Sincerely,
KjO^t^^- hf(XS*S*.0^
Joseph P. Hannon
Acting Director
Enclosure
cc: DCCA Grant Manager
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STATE OF ILLINOIS
DEPARTMENT OF COMMERCE AND COMMUNITY AFFAIRS
Notice of Grant Award No. 03-120016
LEGISLATIVE ADD ONS
This Grant Agreement (hereinafter referred to as the "Agreement")
is entered into between the Illinois Department of Commerce and
Community Affairs (hereinafter referred to as the "Department") and
Save A Life Foundation
(hereinafter referred to as the "Grantee)". Subject to terms and
conditions of this Agreement, the Department agrees to provide a
Grant in an amount not to exceed $100,000.00 to the Grantee.
Subject to the execution of this Agreement by both parties,
the Grantee is hereby authorized to incur costs against this
Agreement from the beginning date of 12/01/2 002 through the ending
date of 06/30/2003. The Grantee hereby agrees to use the funds
provided under the Agreement for the purposes set forth herein and
agrees to comply with all terms of this Agreement.
This Agreement includes the following sections, all of which are
incorporated into and made part of this Agreement:
Part:
I. Budget
II. Special Grant Conditions
III. Scope of Work
IV. Program Terms and Conditions
V. General Provisions
VI. Required Certifications
Under penalties of perjury, the undersigned certifies that the name,
taxpayer information number and legal status listed below are correct.
If you are an individual, enter your name and SSN as it appears on your
Social Security Card. If completing this certification for a sole
proprietorship, enter the owner's name followed by the name of the
business and the owner's SSN. For all other entities, enter the name
of the entity (as used to apply for the entity's EIN) and the EIN.
Name: Save A Life Foundation
Taxpayer Iden^f i cat ion Number:
SSN/EIN: flBHHHI
01/02/2003 12:30:04 - 1 -
01/03/2003 10:01 SflUE A LIFE FOUNDATION •> 12175579883
Jan-OZ-2003 02:070m Fron-DCCA IL FIRST 217-567-9883
NO.497 P03
T-0B6 P 006/037 F-375
Legal Status {check one) :
Individual
Owner of sole proprietorship
_
a
Partnership
Tax-exempt hospital or
extended care facility
Corporation providing or
billing medical and/or
health care services .,
Corporation NOT providing or Other:
billing medical and/or
health care services
Government entity
Nonresident alien individual
Eetate or legal crust
__ .Foreign corporation
X
partnership estate or trust
Other - not-for-profit
organization: ,
The Grantee acknowledges that the individual signing below is authorized
cc execute this Agreement and that such signature coMCitutas the
acceptance of this Agreement.
GRANTEE: ■
Save A Li f e Foundation
*srA^kx&\%
■ Signature)!
-*— 1- V
g^_ \,rteo l
M
Print or Type]
STATE OF ILLINOIS DEPARTMENT OF COMMERCE AND COMMUNITY AFFAIRS
By: \Jo'*s-ej&^~ rhs*st^*^ A.7'"
0
^
Joseph P. Harmon, Acting Di rect or
Date
Grantee Address:
5950 LAWRENCE AVE STE 300
Schiller Park, IL 60176-1216
Please indicate any changes below
Auch Signator: Carol Spizzirri
Phone: (847) 928 - 9683
The following is designated as administrator for the Grantee:
Auth Signacor:
Phone:
01/02/2003 12:30:04
2 -
PARTI
BUDGET
Save A Life Foundation, Inc.
Activity Line Item Grant No. Grant No. Grant No. Grant No.
03-120016 03-120106 01-120390 01-124154
Building/Structure Purchase $100,000 $100,000
1
Training Equip: (43) Mannequin Sets $4,300 $4,300
Director Salary
$335 $335
Accounting Clerk Salary $575 $575
Project and Research Director Salary $1,050 $1,050
Service Coordinator Salary $750 $750 j
Scheduler Salary $540 j $540
MIS Salary !' $650 j $650
Unemployment Insurance $1,287 j $1,287 '
30 Manuals $1,500 j $1, 500;
412 Student Books $824 $824 :
400 Completion Cards L $40 $40 j
400 Certificates $280 $280 j
30 Completion Cards for Instructors $30 $30 !
30 Certificates for Instructors $30 $30 '
30 Instructor ID'S $150 $150
30 Instructor Shirts $600 $600
430 Pins $860 $860
SALF Instructor and Senior Police
Instructor Fees
$8,286 $8,286
Emergency Kits
$2,000 $2,000
Rent and Insurance $913 $913 i
Total $100,000 $100,000 $25,000 i $25,000 !
NOTE:
IN THE EVENT THIS BUDGET REFLECTS EXPENDITURES FOR THE PROJECT DESCRIBED IN
PART III WHICH THE GRANTEE HAS ADVISED THE DEPARTMENT ARE ANTICIPATED TO BE
PROVIDED THROUGH ADDITIONAL GRANT AWARDS, GRANTEE ACKNOWLEDGES (i) THAT THE
AMOUNT OF FUNDS TO BE DISBURSED UNDER THIS GRANT WILL NOT EXCEED THE AMOUNT
STATED IN THE NOTICE OF GRANT AWARD FOR THIS GRANT: AND (ii) THAT THE
DEPARTMENT'S OBLIGATION TO DISBURSE SUCH OTHER FUNDS IS CONTINGENT UPON
FINALIZATION QF A GRANT AWARD AND EXECUTION OF A GRANT AGREEMENT FOR THE
ADDITIONAL FUNDS.
PART l l - Bl
SPECIAL GRANT CONDITIONS
(NON-GOVERNMENTAL ENTITIES)
(Advanced)
2. 1 AUDIT REQUIREMENTS.
The Grantee is required to have an audit conducted as provided in Part V,
Section 5.4C, Audit Requirements. The audit must include a Revenue
(Receipt) and Expenditure Statement comparing budgeted amounts with
actual for this grant. The audit must also include a compliance component
which covers, at a minimum, the following items:
• did the Grantee complete the activities described in the Scope of Work
(Part III) within the Grant Term
• di d the Grantee obtain prior wri tten approvals from the Department for
material changes from the performance of the activities described in the
Scope of Work (Part III)
• did the Grantee expend grant funds within the grant period specified in the
Notice of Grant Award
• di d the Grantee adhere to the grant Budget (Part I); if not, variances
should be identified
• did the Grantee obtain prior written approvals from the Department for any
material variances in its expenditure of grant funds
• di d the Grantee adequately account for receipts and expenditures of grant
funds
• if applicable, did the Grantee return grant funds to the Department in
accordance wi th the provisions of the Grant Agreement
• are amounts reported in the Grantee's close-out package traceable to its
general ledger
The Grantee is not required to have an audit conducted as a condition of this
Grant Agreement; however, if the Grantee receives during the term of this
Grant Agreement (or has previously received), additional grants from the State
of Illinois for the project described in Part III hereof, the Grantee shall be
requi/ed to have an audit conducted as provided in Part V, Section 5.4C(a)(iv)
hereof.
If the Grantee is required to conduct or be the subject of an audit pursuant to
any statute, regulation or other legal requirement applicable to the Grantee.
then Grantee must provide theDepartment with a copy of said audit within the
timeframes set forth in Section 5.4C(a)('v) hereof.
2.2 PROJECTS REQUIRING EXTERNAL SIGN-OFFS.
(a) Pursuant to applicable statute(s), this grant requires sign-off by the following
State agency(ies). The status of the sign-off is indicated as of the date the grant is
sent to the Grantee for execution:
AGENCY
X Illinois Historic Preservation Agency
Illinois Dept. of Agriculture
Illinois Dept. of Natural Resources
NONE APPLICABLE
While any external sign-off is outstanding, the provisions of Exhibit 1 apply with respect
to the disbursement of funds under this grant.
NOTE: The fact that a sign-off has been received in no way relieves the Grantee of its
obligation to comply with any conditions or requirements conveyed by the applicable
agency(ies) in conjunction with the issuance of the sign-off for the project funded
under this Agreement.
(b) For projects subject to review by the Illinois Environmental Protection Agency, the
Grantee must, prior to construction, obtain a construction permit or "authorization to
construct" from the IEPA pursuant to the provisions of the Environmental Protection Act,
415 ILCS 5/1 et seq.
2.3 PAYMENT PROVISIONS: PRIOR INCURRED COSTS. The Department shall
authorize the State Comptroller's Office to disburse payment of the grant funds as
follows:
I Off .percent ( IQo %) of the grant award will be authorized for disbursement upon
the Department's execution of this Agreement. If the amount set forth herein is less
than 100% of the grant award, the disbursement schedule for the balance of the grant
award is attached hereto as Exhibit-3.
If external sign-offs are indicated in Section 2.2. above, disbursement of grant funds
(whether advance or scheduled) are subject to the restrictions set forth in Exhibit 1.
Upon receipt of all required sign-offs, the Department's Accounting Division will be
notified to disburse grant funds in accordance with the disbursement method indicated
herein.
SIGN-OFF SIGN-OFF
RECEIVED OUTSTANDING
X
Note: The Department reserves the right to adjust the disbursement schedule set forth
above. Reimbursement of costs incurred by the Grantee prior to the Beginning Date
specified in the Notice of Grant Award requires the approval of the Department. Such
costs must be clearly identified in Part I hereof.
2.4 PROJECT COMPLETION DATE: FUNDING LIMITATION. The Project Completion
Date for this Grant is the end date stated in the Notice of Grant Award.
The grant awarded pursuant to this Agreement is a one-time award. The State is not
obligated to provide funding in subsequent State of Illinois fiscal years for the project
funded by this grant.
2.5 REPORTING REQUIREMENTS. In addition to any other documents specified in
this Agreement, the Grantee must submit the following reports and information in
accordance with the provisions hereof.
(a) Authenticating Documents. The Grantee must submi t authenticating documents
if required by the Department as a condition of receiving this grant. The Department
reserves the right to exercise its sole discretion in determi ni ng whether a potential
conflict of interest, or the appearance thereof, is indicated in the Grantee's
authenticating documents or through other information the Department obtains. If the
Department determines a potential conflict of interest, or the appearance thereof, exists
in connection with the issuance of the proposed grant to the Grantee,' the Department
reserves the right to accept a cure of the potential conflict of interest or to cease any
further consideration of the proposed grant. . Additionally, the Department reserves the
right to make its execution of this grant agreement contingent upon the Grantee's
submittal to the Department of authenticating documents that relate to the Grantee's
legal/business status, including, but not l i mi ted to, a certificate of registration and a
certificate of good standing issued by the applicable state authority.
(b) Status/Expense Reports. Grantee shall submit status/expense reports as
indicated below.
Quarterly Reports: The Grantee shall submit a Quarterly Status Report
and a Quarterly Expense Report in the format provided by the Department.
Reports shall be submi tted quarterly through the stated Grant end date,
except where Grantee is directed otherwise in the Close-out Package
instructions.
(c) Close-out Package. The Close-out Package described in Section 5.4 hereof is due
45 days following the end date stated in the Notice of Grant Award. Grantee shall
submit the Close-out Package (consisting of a Final Status Report, a Final Expense
Report, and a Close-out Report) in the format provided by the Department. This
package shall summarize expenditure of the grant funds and activities completed duri ng
the grant term. The Grantee's failure to comply with the Close-out requirements set
forth herein and in Section 5.4 shall be considered a material breach of the performance
required by this Agreement and may be the basis to initiate proceedings to recover all
funds disbursed to the Grantee.
A
(<0 Additional Information. Upon request by the Department, the Grantee shall.
within 10 business days of its receipt of such a request, submit additional written
reports regarding the Project, including, but not limited to, materials sufficient to
document information provided by the Grantee.
(e) Submittal of Reports. Submittal of reports and documentation required under
Section 2.5 should be submitted to the individual identified in Exhibit 2 hereto.
2.6 FUNDING RESTRICTIONS. For purposes of this Section 2.6, the term -principal"
means a partner, officer, director, board member, agent, registered agent or
shareholder of. the Grantee, who currently holds such position or acts in such capacity or
who formerly held such a position or acted in such capacity within the 18-month period
preceding the commencement date of the grant term that is specified in the Notice of
Grant Award. The term "family member" means the spouse, mother, father, sister,
brother, son, daughter, son-in-law or daughter-in-law of anv principal of the Grantee.
By executing this Agreement, the Grantee hereby certifies its compliance with the
following conditions:
(a) Grantee shall not use grant funds to perform or to further the performance of
sectarian activities.
(b) Grantee shall not disburse grant funds to any principal or family member, except as
provided in Section 2.6(e) below.
(c) Grantee shall not convey property purchased with grant funds to any principal or
family member. Further, during the term of the grant agreement specified in the Notice
of Grant Award, Grantee shall use property purchased with grant funds solely for the
purpose of accomplishing the Project described in Part III.
(d) Grantee shall not enter into contracts for services or for the acquisition of personal
or real property to be paid from grant funds with any principal or family member, except
as provided in Section 2.6(e) below.
(e) Grantee shall expend grant funds for payment only to employees or independent
contractors performing services for Grantee where the services to be performed and/or
the use of property are specifically identified in the Project Budget (Part I) and are
directly related to the activities described in the Scope of Work (set forth in Part III
hereof).
(f) Grantee shall not, without the express written consent of the Department, disburse
any grant funds or convey any property purchased with grant funds, to, on behalf of, or
for the benefit of, any registered lobbyist or family member of such lobbyist, as the term
is defined in the Lobbyist Registration Act (25 ILCS 170/1 etseq.).
(g) Grantee has read and shall comply with the conflict of interest provisions and other
prohibitions set forth in Section 5.9 of this Agreement.
2.7 OPPORTUNITIES FOR MINORITY. FEMALE AND DISABLED PERSONS. Grantee
shall use good faith efforts to recruit, develop and extend employment and contracting
opportunities to women, minorities, and disabled persons from funds received under
this grant. Nothing herein shall be deemed to modify or negate any requirement of the
Business Enterprise for Minorities, Females and Persons with Disabilities Act (30 ILCS
575/1) or any other provision of this Grant Agreement.
2.8 MULTIPLE GRANT AWARDS. If the Grantee was previously awarded a grant by
the Department to fund the project described in Part III hereof, the Department may.
pursuant to Section 5.7(c), unilaterally revise Parts I and III of the previously executed
Grant Agreement to accurately reflect all project activities and the multiple funding
sources therefor. If the Grantee receives additional grants to fund the project
described in Part III hereof subsequent to the execution of this Agreement, Parts I and
III for said grant(s) will be developed to reflect all project activities and the multiple
funding sources therefor.
2.9 FUNDING ACKNOWLEDGMENT. If requested by the Department, the Grantee
shall post signs at the project site or affix signs/decals to equipment purchased with
grant funds, which acknowledge the State as providing funds for the project. Signs not
provided by the Department must be approved by the Department prior to posting.
2.10 TERMINATION FOR CAUSE. Grantee's failure to comply with any of the terms
set forth in this Grant Agreement, shall be a sufficient basis to suspend or terminate this
Agreement and seek recovery of all grant funds disbursed to the Grantee. A failure to
comply with the terms of this Grant Agreement shall also be a sufficient basis to
suspend or terminate any other grant(s) issued to the Grantee by the Department and
to reject future grant requests for the Grantee.
2.11 FEDERAL. STATE AND LOCAL LAWS: TAX LIABILITIES; STATE AGENCY
DELINQUENCIES. The Grantee is required to comply with all federal, state and local
laws, including but not limited to the filing of any and all applicable tax returns. In the
event that a Grantee is delinquent in filing and/or paying any federal, state and/or local
taxes, the Department shall disburse grant funds only if the Grantee enters into an
installment payment agreement with said tax authority and remains in good standing
therewith. Grantee is required to tender a copy of any such installment payment
agreement to the Department. In no event may Grantee utilize grant funds to discharge
outstanding tax liabilities or other debts owed to any governmental unit. The execution
of this Grant Agreement by the Grantee is its certification that (i) it is current as to the
filing and payment of any federal, state and/or local taxes applicable to Grantee; and
(ii) it is not delinquent in its payment of moneys owed to any federal, state, or local
unit of government.
01/ 03/ 2003 10: 01 SflUE ft LI FE FOUNDftTION + 12175579883
Jan-O?-2003 02:U9pa Frgn-DCCA IL FIRST ?1r-557-9933
NO.497 004
T-085 P 013/037 F-875
THE UNDERSIGNED IS AUTHORIZED ON BEHALF OF GRANTE.E TO, AND HEREBY DOES.
SPECIFICALLY ACKNOWLEDGE AND AGREE TO COMPLY WITH ALL SPECIAL GRANT
CONDITIONS REFERENCED HEREIN.
BY:
TITLE:
DATE:
I\*U
PART III
SCOPE OF WORK
03-120016
Section 1. Public Benefit
The Grantee is a nonprofit corporation dedicated to the training of children and adults in
basic life supporting first aid skills for emergency situations. The Grantee's goal is to
educate every person in communities across the country so they can be ready to provide
aid to those who are injured or ill creating a stronger, more compassionate and
emergency prepared society. By utilizing Emergency Medical Service (EMS) personnel as
instructors, the Grantee has developed educational programs that are exciting,
motivational, and successful in empowering people of all ages to save lives. The U.S.
Department of Health and Human Services (HHS), Maternal and Child Health Bureau
recently used the Grantee's educational programs as a guide in developing national
framework to reduce child mortality and morbidity rates sustained by illness and injury
occurring at school. The resulting curricula, Basic Emergency Lifesaving Skills, creates
benchmarks for our nation's schools in selecting school safety courses, including the
provision of Basic Life Supporting First Aid. The Grantee is working closely with
HHS/Centers for Disease Control in the implementation of these important guidelines
nationally. As a member of the Homeland Security Team, the Grantee leads the effort of
educating all Illinois citizens, adults and children, through its "Community Response
Systems Initiative" and by working with mayors to implement a Community Emergency
Response Team (CERT) including Pre-EMS education. Since its inception, the Grantee
has provided educational experiences for over 600,000 Illinois school age children free
of charge. Recently, the Grantee created a corporate training program to help employers
ensure their employees are ready to act in an emergency while providing funds to offset
the cost for children to be trained for free. The cost of the programs is approximately
$20 per person including expenses for training materials, equipment, administration
and evaluation.
To coordinate its efforts, the Grantee has begun creating Regional Branch offices in
communities across the country. Working side-by-side with emergency medical service
providers and local mayors nationally, it is anticipated that soon the Grantee will have
offices functioning throughout the United States. To that end, the Grantee will use grant
funds to purchase a building located at 520 East Capitol Avenue in Springfield. This
location will serve to coordinate the relationships the Grantee has with hospitals,
community colleges, Emergency Medical Services, corporate partners and other
agencies across the state. The office will provide a centralized training and support
center, a distribution site for supplies, and the basic network for all its branches and
affiliates to better serve Illinois citizens systematically. It will also serve as a "Train the
Trainer Training Center" for EMS personnel who work as the Grantee's instructors. The
building has ample space for training workshops and seminars to keep instructors
up-to-date on the most current education practices and information of working with local
leaders to develop a CERT. Finally, the office will serve as the base of operations for all
of Illinois and serve as a link with the Grantee's capital city offices in other states as they
begin to open.
Section 2. Grant Tasks
2.1 The Grantee shall utilize property acquired, constructed or improved with funds
provided under this Agreement solely to provide the programs and services specified in
Section 1, above, for at least the term of the Grant Agreement. Any sale, transfer,
assignment or other conveyance of property acquired, constructed or improved shall
provide that the property must continue to be used to accomplish or facilitate the public
purpose described in Section 1, above.
2.2 The Grantee shall continue to provide the programs and services specified in
Section 1, above, for the term of the Grant Agreement.
2.3 The Grantee agrees to comply with the following:
(a) The Grantee shall utilize grant funds in accordance with Part I (Budget) for
bondable expenditures necessary to complete the activities/performance
described in Section 1, above. The Grantee shall provide any additional funds, or
secure commitments "therefor, which are necessary to complete the specified
activities/performance during the grant term set forth in the Notice of Grant
Award.
(b) The Grantee shall execute all agreements necessary to complete the
activities/performance described in Section 1, above, including, but not limited
to, purchase/sales contracts for real and/or personal property, leases,
easements, loans, financing agreements, grant agreements, operating
agreements, etc., during the grant term specified in the Notice of Grant Award.
(c) The Grantee shall obtain all authorization necessary to complete the
activities/performance described in Section 1, above, including, but not limited
to, municipal ordinances, permits, variances, other approvals, etc., during the
grant term specified in the Notice of Grant Award.
(d) The Grantee shall notify the Departmental grant manager in writing no
later than 10 days after it becomes aware of any events/circumstances that will
result in substantial delays or may substantially impair the Grantee's ability to
complete the activities/performance described in Section 1, above, during the
grant term specified in the Notice of Grant Award.
(e) The Grantee shall provide to the Department additional information
relative to its compliance with the provisions set forth in subsections (a) through
(d), above, pursuant to Part II, "Additional Information."
(f) In addition to the requirements of Part V, Section 5.4(A), the Grantee shall
maintain in its file, and make available to the Department upon request therefor,
copies of documentation, correspondence, agreements, etc., evidencing
compliance with the requirements of subsections (a) through (d), above.
EXHIBIT 1
The Project described in Part III and funded under this Grant Agreement, is subject to
review by the external agency(ies) indicated in Section 2.2 hereof. Grantee must comply
with requirements established by said agency(ies) relative to their respective reviews.
Any requirements communicated to the Department shall be incorporated into this
Agreement as follows: (i) as an attachment to this Exhibit 1 at the time of grant
execution; or (ii) if received from the applicable agency(ies) subsequent to execution,
as an addendum to this Agreement. The Grantee is contractuaJly obligated to comply
with such requirements.
Grantee is responsible for coordinating directly with the applicable external agency(ies)
relative to said reviews. Except as specifically provided below, the Department's
obligation to disburse funds under this Grant Agreement is contingent upon notification
by the applicable agency(ies) that all requirements applicable to the Project have been
satisfied. Upon receipt of said notification, disbursement of the grant funds shall be
authorized in accordance with the provisions of Section 2.3 hereof.
Prior to notification of compliance by the applicable external agency(ies), the Grantee
may request disbursement of funds only for the following purposes: administrative,
contractual, legal, engineering, or architectural costs incurred which are necessary to
allow for compliance by the Grantee of requirements established by the external
agency(ies). FUNDS WILL NOT BE DISBURSED FOR LAND ACQUISITION OR ANY
TYPE OF CONSTRUCTION OR OTHER ACTIVITY WHICH PHYSICALLY IMPACTS THE
PROJECT SITE PRIOR TO RECEIPT BY THE DEPARTMENT OF THE REQUIRED
NOTIFICATION FROM ALL APPLICABLE AGENCIES.
EXHIBIT 2 - REPORT SUBMITTAL
Please submit your documents to:
3 Crystal Bigelow
[tKbusan Boggs
3 Duane Brusnighan
3 Ruth Ann Day
□ Ti m Guinan
3 Kirk Kumerow
3 Teresa Meyer
3 Carla Needham
3 Melissa Pantier
3 David Parr
3 Jim Reed
3 Kathy Rudolph
3 Paula Vehovic
3 Kurt Verduin
3 Blake Wood
At the following address:
Illinois Department of Commerce and Community Affairs
Illinois FIRST Grant Unit
620 East Adams Street. 5th Floor
Springfield. IL 62701-1696
Retain this page and all reporting forms for submittal for the appropriate reporting
period.
PART IV
TERMS AND CONDITIONS GOVERNING GRANT
(Non-governmental Entities)
4.1 APPLICABLE TIME LIMITATIONS.
(I) Completion of Performance. All activities described in Part III hereof, which are
chargeable to grant funds provided by this Agreement, must be completed by the grant
period end date set forth in the Notice of Grant Award.
(II) Expenditure of Grant Funds. All grant funds provided under this Agreement must
be expended or legally obligated by the grant end date set forth in the Notice of Grant
Award. Grant funds not expended by the grant end date must be returned to the
Department in accordance with directions provided by the Department.
4.2 INTEREST ON GRANT FUNDS. Any interest earned on grant funds provided under
this Agreement must be accounted for and returned to the Department in accordance
with the directions provided by the Department.
4.3 REFUNDS TO THE DEPARTMENT. Any refunds (unliquidated grant balance.
interest earned on grant funds, or ineligible/improper grant expenditures) due the
Department shall be remitted by the Grantee upon demand and pursuant to instructions
issued by the Department.
4.4 BUDGET/SCOPE OF WORK MODIFICATIONS.
(i) Grant Budget (Part I). The Grantee must obtain prior written approval from the
Department for any expenditures which materially vary from the expenditures set forth in
Part I hereof. For purposes of this Agreement, "materially vary" means any variance
within the line items set forth in Part I which exceeds 10% of the amount established
for that line item or any line item added or substituted for a line item in Part I hereof.
(ii) Scope of Work (Part III). The Grantee must obtain prior written approval from the
Department before changing any of the activities specified in Part Ml which are
chargeable to this grant. Any revision to Part III which results in the performance of
activities by the Grantee which are inconsistent with the purpose set forth in the
Appropriation authorizing the grant awarded under this Agreement are not permissible.
4.5 FISCAL RECORDING/REPORTING REQUIREMENTS. The Grantee is accountable
for all funds disbursed under this Grant. The Grantee's financial management system
shall be structured to provide for accurate, current, and complete disclosure of the
expenditure of all funds provided under this Agreement. The Grantee shall maintain
effective control and accountability over all funds disbursed and, equipment, property,
or other assets acquired with grant funds. The Grantee shall keep records sufficient to
permit the tracing of funds to a level of expenditure adequate to insure that funds have
been expended'in accordance with the terms of this Agreement.
4.6 GRANT DELIVERABLES. The Grantee will submit the following Grant deliverables
in accordance with the Grant Agreement provisions referenced herein:
(i) Project Status and Expenditure Reports, if applicable (Section 2.5)
(il) Financial Close-out Package (Section 5.4B); and
(Iij) Audit (if applicable) (Section 2.1 and Section 5.4C)
4.7 PROCUREMENT OF CONSTRUCTION AND PROFESSIONAL SERVICES:
ACQUISITION OF EQUIPMENT OR LAND The Grantee shall procure all construction
and professional services, and acquire land, equipment and materials financed in whole
or in part with grant funds provided hereunder, through written, contractual
agreement(s), which specify the rights and obligations of both parties relevant to the
specified transaction
4.8 DUE DILIGENCE IN EXPENDITURE OF FUNDS. Grantee shall ensure that grant
funds are expended in accordance with the following principles:
(I) Grant expenditures should be made in accordance with generally accepted sound
business practices, arms length bargaining, applicable federal and State laws and
regulations, and the terms and conditions of this Agreement;
(ii) Grant expenditures should not exceed the amount which would be incurred by a
prudent person under the circumstances prevailing at the time the decision is made to
incur the costs; and
(Mi) Grant expenditures should be consistent with generally accepted accounting
principles.
PART V
GENERAL PROVISIONS
5.1 GRANTEE AUTHORITY: INDEPENDENCE OF GRANTEE PERSONNEL: GRANTOR
AUTHORITY: GOVERNING LAW.
A. Grantee Authority. The Grantee warrants that it is the real party in interest to this
Agreement, that it is not acting for or on behalf of an undisclosed party, and that it possesses
legal authority to apply for this grant and to execute the proposed program or project
described in Part III hereof. Grantee's execution of this Agreement shall serve as its
attestation that Grantee has read, understands and agrees to all provisions of this Agreement
and to be bound thereby. Grantee further acknowledges that the individual executing this
agreement is authorized to do so on Grantee's behalf.
B. Independence of Grantee Personnel. All technical, clerical, and other personnel
necessary for the performance required by this Agreement shall be employed, or contracted
with, by Grantee, and shall in all respects be subject to the rules and regulations of Grantee
governing its employees. Neither Grantee nor its personnel shall be considered to be the
agents or employees of the Department.
C. Grantor Authority. The Department and its payroll employees, when acting pursuant to
this Agreement, are acting as State officials in their official capacity and not personally or as
the agents of others.
D. Governing Law. This Grant is awarded in the State of Illinois for execution within the
State of Illinois. This Agreement shall be governed by and construed according to Illinois law
as that law would be interpreted by an Illinois Court. Where there is no Illinois law on a
particular subject or issue, then the applicable law will be applied as it would be if interpreted
and applied by an Illinois court.
5.2 SCOPE OF WORK. In consideration for the grant funds to be provided by the
Department, the Grantee agrees to perform the project described in Part III hereof and to
prepare and submit to the Department the reports and other deliverables described in this
Agreement.
5.3 FISCAL RESPONSIBILITIES.
A. Non Appropriation Clause. Payments pursuant to this Agreement are subject to the
availability of applicable Federal and State funding from the Department and their
appropriation and authorized expenditure under state law. Obligations of the State will cease
immediately without penalty or liability of further payment being required if in any fiscal year
that this Agreement is in effect the Illinois General Assembly or Federal funding source fails to
appropriate or otherwise make available sufficient funds for this grant.
The Grantee hereby is given actual knowledge of the fact that pursuant to the State Finance
Act, 30 ILCS 105/30, payments under this grant are contingent upon there existing a valid
appropriation therefor and that no officer shall contract any indebtedness on behalf of the
State, or assume to bind the State in an amount in excess of the money appropriated, unless
expressly authorized by law. If this is a multi-year grant, it is void by operation of law if the
Department fails to obtain the requisite appropriation to pay the grant in any year in which
this Agreement is in effect.
B. Total Amount of Grant Limited. The Grantee expressly understands and agrees that the
total financial obligation of the Department under this Agreement shall not exceed the total
grant amount set forth on the Notice of Grant Award and the Grantee agrees expressly to fully
complete the Scope of Work specified in this Agreement and all other obligations under this
Agreement within the stated total consideration.
C. Delivery of Grantee Payments. Payment to the Grantee under this Agreement shall be
made payable in the name of the Grantee and sent to the person and place specified in the
Notice of Grant Award. The Grantee may change the person to whom payments are sent, or
the place to which payments are sent by written notice to the Department signed by the
Grantee. No such change or payment notice shall be binding upon the Department until ten
(10) business days after actual receipt.
5.4 RECORDS RETENTION AND ACCESS TO RECORDS: PROJECT CLOSEOUT:
ACCOUNTING: AND AUDIT REQUIREMENTS.
A. Records Retention. The Grantee is accountable for all funds received under this
Agreement and shall maintain, for a minimum of three (3) years following the later of the
expiration or termination of this Agreement, adequate books, records, and supporting
documents to verify the amount, recipients and uses of all disbursements of funds passing in
conjunction with this Agreement. This Agreement and all books, records and supporting
documents related hereto shall be available for inspection and audit by the Department, the
Auditor General of the State of Illinois, or any of their duly authorized representatives, and the
Grantee agrees to cooperate fully with any audit conducted by the Auditor General or the
Department. Grantee agrees to provide full access to all relevant materials and to provide
copies of same upon request. Failure to maintain books, records and supporting documents
required by this Section 5.4 shall establish a presumption in favor of the Department for the
recovery of any funds paid by the Department under this Agreement for which adequate
books, records and supporting documentation are not available to support their purported
disbursement.
If any of the services to be performed under this Agreement are subcontracted, the Grantee
shall include in all subcontracts covering such services, a provision that the Department and
the Auditor General of the State of Illinois, or any of their duly authorized representatives, will
have full access to and the right to examine any pertinent books, documents, papers and
records of any such subcontractor involving transactions related to this Agreement for a
period of three (3) years from the later of the expiration or termination of this Agreement.
B. Grant Closeout. In addition to any other reporting requirements specified in. this
Agreement, the Grantee shall complete and submit a final Grant Closeout Package on forms
provided by the Department, within time limits established by the Department, after the
expiration or termination of this Agreement. The Grantee must report on the expenditure of
grant funds provided by the State, and if applicable, the Grantee's required matching funds.
The Grantee is responsible for taking the necessary steps to correct any deficiencies disclosed
by such Grant Closeout Package, including such action as the Department, based on its review
of the Grant Closeout Package, may direct.
In accordance with the Illinois Grant Funds Recovery Act, 30 ILCS 705/1 et seq., the Grantee
must, within 45 days of the expiration or termination of this Agreement, refund to the
Department, any balance of funds which is unobligated at the end of the Grant term specified
in the Notice of Grant Award. For purposes of preparation of grant closeout forms, the
determination of allowable expenditures and excess grant funds shall be based on the premise
that the total Grantee compensation under this Agreement shall not exceed the amount
specified in the Notice of Grant Award.
C. Audit Requirements. If required by Part II of this Grant Agreement, the Grantee shall be
required to have an audit conducted in accordance with the following terms:
a. State Audit Requirements!
(i) The audit shall be conducted by a certified public accountant who is licensed by
the State of Illinois to conduct an audit in accordance with Generally Accepted
Auditing Standards.
(ii) Grant funds shall be included in the Grantee's annual audit, unless the
Department authorizes the Grantee to have a grant-specific audit conducted.
(iii) Upon completion of an audit, an audit report shall be issued and the Grantee
shall provide the Department with a copy of such audit report.
(iv) The Grantee shall provide the Department with a copy of an audit report within 30
days of the Grantee's receipt of such audit report, but in no event later than nine
months following the end of the period for which the audit was performed. The
Grantee shall send the audit report to the Department at the following address:
Illinois Department of Commerce and Community Affairs
Division of Audits
620 East Adams
Springfield, IL 62701
D. Worker's Compensation Insurance. Social Security. Retirement and Health Insurance
Benefits, and Taxes. The Grantee shall provide Worker's Compensation insurance where the
same is required and shall accept full responsibility for the payment of unemployment
insurance, premiums for Workers' Compensation, Social Security and retirement and health
insurance benefits, as well as all income tax deduction and any other taxes or payroll
deductions required by law for its employees who are performing services specified by this
Agreement.
5.5 TERMINATION; SUSPENSION.
A. This Agreement may be terminated as follows:
1. Due to Loss of Funding. Obligations of the State will cease immediately without
penalty of further payment being required if in any fiscal year the Illinois General Assembly or
Federal funding source fails to appropriate or otherwise make available sufficient funds for this
Agreement. In the event the Department suffers such a loss of funding in full or in part, the
Department shall give the Grantee written notice which shall set forth the effective date of full
or partial termination, or if a change in funding is required, setting forth the change in funding
and the changes in the approved budget.
2. For Cause. If the Department determines that the Grantee has failed to comply with
any of the terms, conditions or provisions of this Agreement, or any other Agreement executed
by the Department and the Grantee, including any applicable rules or regulations, the
Department may terminate this Agreement in whole or in part at any time before the
expiration date of this Agreement. The Department shall notify the Grantee in writing of the
reasons for the termination and the effective date of the termination. Grantee shall not incur
any costs after the effective date of the termination. Payments made to the Grantee or
recovery by the Department shall be in accord with the legal rights and liabilities of the
parties.
In the event of termination for cause, Grantee shall also be subject to any other applicable
provisions specified elsewhere in this Agreement.
Termination for cause may render the Grantee ineligible for consideration for future grants
from the Department.
3. For Convenience. The Department or the Grantee may terminate this Agreement in
whole or in part when the Department and the Grantee agree that continuation of the program
objectives would not produce beneficial results commensurate with the further expenditure of
funds. The Department and the Grantee shall agree upon termination conditions including the
effective date and, in the case of partial termination, the portion to be terminated. The
Grantee shall not incur new obligations for the terminated portion after the effective date, and
shall cancel as many outstanding obligations as possible. The Department shall allow full
credit to the Grantee for the Department's share of the non-cancelled obligations, if properly
incurred by the Grantee prior to termination.
B. Suspension. If the Grantee fails to comply with the specific conditions and/or general
terms and conditions of this Agreement, the Department may, after written notice to the
Grantee, suspend this Agreement, withhold further payments and prohibit the Grantee from
incurring additional obligations of grant funds, pending corrective action by the Grantee or a
decision to terminate this Agreement. Department may determine to allow such necessary
and proper costs which the Grantee could not reasonably avoid during the period of
suspension provided that the Department agrees that such costs were necessary and
reasonable and incurred in accordance with the provisions of this Agreement.
Section 5.6 INDEMNIFICATION.
A. Non-governmental entities. The Grantee agrees to indemnify and hold the Department
and/or the State of Illinois, and its officers, agents, or employees harmless from and against
any and all claims, and actions, including but not limited to, attorneys' fees, costs and
interest, based upon and arising out of.any services performed under this Agreement by the
Grantee and its officers, employees, agents, independent contractors, subcontractors.
subrecipients, volunteers, or other associates. The Grantee shall further indemnify and hold
the Department and/or the State of Illinois and/or its officers, agents and employees
harmless from and against any and all liabilities, demands, claims, damages, suits costs, fees
and expenses incident thereto, for injuries or death to persons and for loss or damage to or
destruction of property because of negligence, intentional acts or omissions on the part of
Grantee, its officers, employees, agents, independent contractors, subcontractors.
subrecipients, volunteers or other associates, arising out of any services performed under this
Agreement.
The Grantee further agrees to indemnify, save and hold harmless the Department, its officers.
agents and employees against any liability, including costs and expenses associated with the
violation of general, proprietary rights, copyrights or rights of privacy of third parties arising
out of the publication, translation, reproduction, delivery, performance, use or disposition of
any data developed or furnished under this Agreement or any libelous or any unlawful matter
contained therein.
B. Governmental Entities. In the event that the Grantee is a Governmental Entity, it will
indemnify and hold harmless the Department as set out herein to the extent authorized by
Federal and/or State constitutions(s) and/or laws.
C. Notice. In the event that any demand or claim relating to the transactions or activities
pursuant to this Agreement is made known to either party, the Department and/or the
Grantee will notify the other party to this Agreement in writing in an expedient manner.
5.7 MODIFICATION BY OPERATION OF LAW: DISCRETIONARY MODIFICATIONS: BUDGET
MODIFICATIONS.
A. Modifications by Operation of Law. This Agreement is subject to such modifications as
the Department determines may be required by changes in Federal or State law or regulations
applicable to this Agreement. Any such required modification shall be incorporated into and
be part of this Agreement as if fully set forth herein. The Department shall timely notify the
Grantee of any pending implementation of or proposed amendment to such regulations of
which it has notice.
B. Budget Modifications. Budget modifications shall be made in accordance with any
applicable provisions as specified elsewhere in this Agreement.
C. Discretionary Modifications. If either the Department or the Grantee wishes to modify
the terms of this Agreement other than as set forth in Sections A and B above, written notice
of the proposed modification must be given to the other party. No modification will take effect
until it is agreed to in writing by both the Department and the Grantee, except that if the
Department notifies the Grantee in writing of a proposed modification without the prior written
approval of the Grantee, failure of the Grantee to object in writing, specifying the reasons for
the objections, w'ithin thirty (30) calendar days from the date of the Department's notice to the
Grantee of such proposed modification, the modification will be deemed to be approved by the
Grantee. The Department's notice to the Grantee shall contain the Grantee name, Grant
number, modification number, purpose of the revision and signature of the Department s
director.
5.8 CONFLICT OF INTEREST: INTEREST OF PUBLIC OFFICIALS/EMPLOYEES:
BONUS/COMMISSION PROHIBITED: HIRING OF STATE EMPLOYEES PROHIBITED.
A. Conflict of Interest. The Grantee shall establish safeguards to prohibit officers, directors,
agents, employees and family members from using positions of employment for a purpose
that is, or gives the appearance of, being motivated by a desire for a private gain for
themselves or others, particularly those with whom they have family business or other ties.
Safeguards, evidenced by rules or bylaws, shall be established to prohibit persons from
engaging in actions which create or which appear to create a conflict of interest as described
herein or in Section 2.6 of this Agreement.
B. Interest of Public Officials/Employees
(i) Governmental Entity. If the Grantee is a governmental entity, the Grantee certifies
that no officer or employee of the Grantee and no member of its governing body and no other
public official of the locality in which the program objectives will be carried out who exercises
any functions or responsibilities in the review or approval of the undertaking or carrying out of
such objectives shall participate in any decision relating to any contract negotiated under a
program grant which affects his/her personal interest or the interest of any corporation,
partnership or association in which he/she is directly or indirectly interested, or has any
financial interest, direct or indirect, in such contract or in the work to be performed under
such contract.
(ii) Nongovernmental Entity. If the Grantee is a nongovernmental entity, it shall comply
with the provisions of Section 2.6 hereof relative to conflict of interest.
Violations of this Section 5.8 (and 2.6 for non-governmental entities) may result in suspension
or termination of this Agreement, and recovery of grant funds provided hereunder. Violators
may also be criminally liable under other applicable State laws arid subject to actions up to
and including felony prosecution.
C. Bonus or Commission Prohibited. The Grantee shall not pay any bonus or commission
for the purpose of obtaining the grant awarded under this Agreement.
D. Hiring State Employees Prohibited. No State officer or employee may be hired to
perform services under this Agreement, or be paid with funds derived directly or indirectly
through this grant without the written approval of the Department.
5.9 APPLICABLE STATUTES.
A. Grantee Responsibility. All applicable Federal, State and local laws, rules and
regulations governing the performance required by Grantee shall apply to this Agreement and
will be deemed to be included in this Agreement the same as though written herein in full.
Grantee is responsible for ensuring compliance with all applicable laws, rules and regulations,
including, but not limited to those specifically referenced herein. Except where expressly
required by applicable laws and regulations, the Department shall not be responsible for
moni tori ng Grantee's compl i ance.
B. Land Trust/Beneficial Disclosure Act ( 765 ILCS 405/ 2. 1) . No grant award funds shall
be paid to any trustee of a land trust, or any beneficiary or beneficiaries of a land trust, for any
purpose relating to the land which is the subject of such trust, any interest in such l and,
improvements to such l and or use of such land unless an affidavit is first filed wi th the
Department identifying each beneficiary of the land trust by name and address and defi ni ng
such interest therein.
C. Historic Preservation Act ( 20 ILCS 3420/ 1 et sea.). The Grantee will not expend funds
under this Agreement which result in the destruction, al terati on, renovation, transfer or sale,
or utilization of a historic property, structure or structures, or in the introduction of visual,
audible or atmospheric elements to a historic property, structure or structures, which wi l l
result in the change in the character or use of any historic property.
D. State of Illinois Discrimination Laws (775 ILCS 5/ 1- 101. et seq.). In carrying out the
performance required under this Agreement, the Grantee shall compl y with all applicable
provisions of the Illinois Human Rights Act, and rules and regulations promulgated by the
Illinois Department of Human Rights, prohi bi ti ng unlawful di scri mi nati on in empl oyment.
Grantee's failure to compl y with all applicable provisions of the Illinois Human Rights Act, or
applicable rules and regulations promulgated thereunder, may result in a determination that
Grantee is ineligible for future contracts or subcontracts wi th the State of Illinois or any of its
political subdivisions or muni ci pal corporations, and this Agreement may be canceled or
voided in whole or in part, and such other sanctions or penalties may be imposed or remedies
invoked as provided by statute or regulation.
E. Drugfree Workplace Act (30 ILCS 580/ 1. et seq.). Grantee will make the certification
required in this Agreement and wi l l compl y with all of the provisions of the Drugfree Workplace
Act that are applicable to the Grantee. False certification or violation of the requirements of
the Drugfree Workplace Act may result in sanctions including, but not l i mi ted to, suspension
of grant payments, termi nati on of this Agreement and debarment of contracting or grant
opportunities with the State for at least one (1) year but not more than five (5) years.
F. Freedom of Information Act (5 ILCS 140/ 1 et seq.). Applications, programmatic reports
and other information obtained by the Department under this Agreement shall be
administered pursuant to the Freedom.of Information Act. The Department shall give Grantee
ti mel y notice in the event it receives a request for i nformati on submi tted by Grantee relative
to this Agreement.
G. Prevailing Wage Act ( 820 ILCS 130/ 0. 01 et seq.). All projects for the constructi on of
fixed works which are financed in whole or in part with funds provided by thi s Grant
Agreement shall be subject to the Prevailing Wage Act (820 ILCS 130/ 0. 01 et seq.) unless the
provisions of that Act exempt its appl i cati on. In the constructi on of the project, the Grantee
shall comply with the requirements of the Prevailing Wage Act. i ncl udi ng, but not l i mi ted to,
inserting into all contracts for such construction a sti pul ati on to the effect that not less than
the prevailing rate of wages as applicable to the project shall be paid to all laborers, workers,
and mechanics performi ng work under the contract and requi ri ng all bonds of contractors to
include a provision as will guarantee the faithful performance of such prevailing wage clause
as provided by contract.
5.10 MISCELLANEOUS PROVISIONS.
A. Waivers. A waiver of any condition of this Agreement must be requested in writing. No
waiver of any condition of this Agreement may be effective unless in writing from the Director
of the Department.
B. Assignment. The benefits of this Agreement and the rights, duties and responsibilities of
the Grantee under this Agreement may not be assigned (in whole or in part) except with the
express written approval of the Department acting through its Director. Any assignment by
the Grantee in violation of this provision renders this Agreement voidable by the Department.
C. Severabilitv Clause. If any provision under this Agreement or its application to any
person or circumstances is held invalid by any court of competent jurisdiction, this invalidity
does not affect any other provision or its application of this Agreement which can be given
effect without the invalid provision or application.
D. Integration Clause. This Agreement, with attachments, as written, is the full and
complete agreement between the parties and there are no oral agreements or understandings
between the parties other than what has been reduced to writing herein.
E. Comptroller Filing Notice. The Grantee expressly understands that whenever applicable,
a copy of this Agreement and any modification, cancellation or renewal is required to be filed
by the Department with the State Comptroller.
F. Subcontract and Grants. The Grantee's services, duties and responsibilities specified
herein shall not be subcontracted or subgranted by the Grantee without prior written approval
of the Department, unless such subcontracts or subgrants are provided for elsewhere in this
Agreement. Any subcontracts or subgrants shall be subject to, and conform with, all
applicable State and Federal laws, and shall specifically provide that subcontractors or
subgrantees are subject to all of the terms and conditions of this Agreement.
01/03/2003 10:01 SflUE fl LIFE FOUNDATION ■» 12175579B83 NO.49?
Jan-O2-2O03 OMioi Froo-OCCA II FIRST 2I7-S57-9B83 T-0B5 P.028/037 F-375
PART VI
STATE OF ILLINOIS REQUIRED
CERTIFICATIONS
The Grantee makes the following certifications as a condition of this Agreement These
certifications are required by State statute and are in addition to any certifications required
by any Federal funding source as set forth in this Agreement Grantee's execution of this
Agreement shall serve as Its attestation that the certifications made herein are true and
correct
6.1 COMPLIANCE WITH APPLICABLE LAW. The Grantee certifies that it shall comply with air
applicable provisions of Federal, State and local law in the performance of its obligations
pursuant to this Agreement.
6.2 CONFLICT or INTEREST. The Grantee certifies that it has no public or private interest
direct or indirect and snail not acquire directly or indirectly ;wy such interest which does or
may conflict in any manner with the performance of Grantee's services and obligations under
this Agreement.
6.3 p|p.RlGGIM,<n/P»P»gQTATINS. The Grantee certifies that it nas not been barred from
contracting with a unit of State or local government as a result of a violation of Section 33E-3
or 33E-4 of the Criminal Code of 1961 (720 ILCS 5/33 E-3 ano 5/3,3 E-4).
6.4 DEFAULT ON EDUCATIONAL LOAN. The Grantee certifies thnt this Agreement is not in
violation of the Educational Loan Default Act (5 ILCS 385/3) prohibiting certain contracts to
individuals who are in default on an educational loan.
6.5 AMERICANS WITH DISABILITIES ACT. The Americans with Disabilities Act (ADA) (42
U.S.C. 12101 et. seq.) and the regulations thereunder (2?J CFR 35.130) prohibit
discrimination against persons with disabilities by the State, whether directly or through
contractual arrangements, in the provision of any aid, benefit or service. As a condition of
receiving this grant, the Grantee certifies that services, programs and activities provided
under this Agreement are. and will continue to be, in compliance wiih the ADA.
6.6 DRUGFREE WORKPLACE ACT The Grantee certifies that:
A) A It is a Corporation. Partnership, or other entity (otner tl.an an individual) with 24
or fewer employees at the time of execution of this Agreement.
0) That the purpose of this grant is to fund solid waste reouction.
O It is a Corporation. Partnership, or other entity (otner than an individual) with 25
or more employees at the time of execution of this Agreement, or
D) _
mmmm
That it is an individual.
If Option *A" or *B* is checked this Agreement is not subject to the requirements of the Act.
If Option "C" or "D" is checked and the amount of this grant is five thousand dollars
($5,000.00) or more, the Grantee is notified that the Drugfree Workplace Act (30 ILCS 580/1
et seq.) is applicable to this Agreement, and the Grantee must comply with the terms of said
Act, as set forth below:
Grantee will provide a drugfree workplace by:
(a) Publishing a statement:
(i) Notifying employees that the unlawful manufacture, distribution, dispensing,
possession or use of a controlled substance, including cannabis, is prohibited in the
Grantee's workplace.
(ii) Specifying the actions that will be taken against employees for violations of such
prohibition.
(iii)Notifying the employee that, as a condition of employment on such grant, the
employee will:
(A) abide by the terms of the statement; and
(B) notify the employer of any criminal drug statute conviction for a violation
occurring in the workplace no later than five (5) days after such conviction.
(b) Establishing a drug free awareness program to inform employees about:
(i) the dangers of drug abuse in the workplace;
(ii) the Grantee's policy of maintaining a drug free workplace;
(iii)any available drug counseling, rehabilitation and employee assistance programs; and
(iv)the penalties that may be imposed upon an employee for drug violations.
(c) Providing a copy of the statement required by subparagraph (a) to each employee
engaged in the performance of the grant and to post the statement in a prominent place
in the workplace.
(d) Notifying the granting agency within ten (10) days after receiving notice, under part (B) of
paragraph (iii) of subsection (a) above, from an employee or otherwise receiving actual
notice of such conviction.
(e) Imposing a sanction on, or requiring the satisfactory participation in, a drug abuse
assistance or rehabilitation program by any employee who is so convicted, as required by
Section 5 of the Drugfree Workplace Act, 30 ILCS 580/5.
(f) Assisting employees in selecting, a course of action in the event drug counseling.
treatment and rehabilitation are required and indicating that a trained referral team is in
place.
(g) Making a good faith effort to continue to maintain a drugfree workplace through
implementation of the Drugfree Workplace Act, 30 ILCS 580/5.
If Grantee is an individual, it certifies that it will not engage in the unlawful manufacture.
distribution, dispensation, possession, or use of a controlled substance in the performance of
this Agreement.
6.7 ANTUBRIBERY. The Grantee certifies that neither it nor its employees have been
convicted of bribing or attempting to bribe an officer or employee of the State of Illinois, nor
has Grantee or any of its employees made an admission of guilt of such conduct which is a
matter of record as defined in the Illinois Procurement Code (30 ILCS 500/50-5).
6.8 DISCRIMINATION/ILLINOIS HUMAN RIGHTS ACT. The Grantee certifies (i) that it will
not commit unlawful discrimination in employment in Illinois as that term is defined in Article
2 of said Act; (ii) that it will comply with the provisions of Article 5 of the Act regarding equal
employment opportunities and affirmative action; and, (iii) that it will comply with policies and
procedures established by the Department of Human Rights under Article 7 of the Act
regarding equal employment opportunities and affirmative action.
The Grantee further certifies that, if applicable, it will comply with "An Act to prohibit
discrimination and intimidation on account of race, creed, color, sex, religion, physical or
mental handicap unrelated to ability or national origin in employment under contracts for
public buildings or public works." (775 ILCS 10/0.01 et. seq.)
6.9 SEXUAL HARASSMENT. The Grantee certifies that it has written sexual harassment
policies that shall include, at a minimum, the following information: (i) the illegality of sexual
harassment; (ii) the definition of sexual harassment under State law; (iii) a description of
sexual harassment, utilizing examples; (iv) the Grantee's internal complaint process including
penalties; (v) the legal recourse, investigative and complaint process available through the
Department of Human Rights and the Human Rights Commission; (vi) directions on how to
contact the Department and Commission; and (vii) protection against retaliation as provided
by Section 6-101 of the Illinois Human Rights Act (775 ILCS 5/2-105 (B)(5). A copy of the
policies shall be provided to the Department upon request.
6.10 INTERNATIONAL ANTI-BOYCOTT CERTIFICATION. The Grantee hereby certifies that
neither the Grantee nor any substantially owned affiliate company of the Grantee is
participating or will participate in an international boycott, as defined by the provisions of the
U.S. Export Administration Act of 1979, or as defined by the regulations of the U.S.
Department of Commerce, promulgated pursuant to that Act (30 ILCS 582/1 et seq.).
56
ILLINOIS DEPARTMENT OF COMMERCE AND ECONOMIC OPPORTUNITY
ROD R. BLAGOJEVICH
GOVERNOR
JACK LAVIN
DIRECTOR
July 1, 2003
Ms. Carol Spizzirri
Pres/Founder
Save A Life Foundation
9950 LAWRENCE AVE STE 300
Schiller Park, IL 60176-1216
Re: Grant No. 03-120016
Dear Ms. Spizzirri:
Enclosed is your fully executed copy of the modification/waiver to the
above referenced grant agreement (the "Agreement"). Please retain
this copy in your files for reference during the administration of
the grant and for future audit and monitoring purposes.
Please be advised that the requested modification/waiver was
approved based on information provided by your agency/organization.
Pursuant to Section 5.4A of the Agreement, you are hereby reminded
that during the time period specified in Section 5.4A: (i) the
Grantee is required to maintain books, records and supporting
documents related to all disbursements of funds provided under the
Agreement, including those which are the subject of the
modification/waiver; and (ii) the Grantee's failure to maintain and
provide such records during a subsequent monitoring or audit
conducted in accordance with Section 5.4A or other applicable
provisions of the Agreement, shall establish a presumption in favor
of the Department for the recovery of funds for which adequate
'documentation is not available.
Should you have any questions regarding the modification/waiver,
please contact your DCEO Grant Manager.
Sincerely,
c^
Scott Harry
Acting Chief .Financial Officer
cc: DCEO Grant Manager
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GRANT AGREEMENT MODIFICATION "^
M 2 6 2033
1. Grant Recipient:
Save A Life Foundation
2. Grant Agreement: 03-120016 3. Modification No: 001
4. Current Grant Period: 12/01/2002 to 06/30/2003
5. Funding Source: COMM. ASSIST. - LEGISLATIVE
6. Purpose of Modification:
Change Date of Agreement from 12/01/2002 06/30/2003
to 12/01/2002 06/30/2004
TO CHANGE THE FOLLOWING: GRANT PERIOD,
Except as modified herein, the basic Agreement remains unchanged,
including all prior modifications as agreed to by the parties.
7. This modification has the following effect on the total amount
of the Grant:
No Change
8. Signature:
Grantee:
Save A Life Foundation
By: Jtz Aft^^U?£-^
Authorized Signature for Grantee
Name and Title
State of Illinois Department of Commerce and Economic Opportunity
By: ^ScJ Q&lpifrkftft Cjpl it-cD-CfZ
Jack Lavin, Director * Date
06/26/2003 13:58:06
WRITTEN DETERMINATION
Pursuant to
Section 33E-9
Criminal Code of 1961
In Compliance with Section 5/33E-9 of the Criminal Code of 1961,
720 ILCS 5/33E-9 1996 (STATE BAR EDITION), the undersigned
Jack Lavin, Director, on behalf of the
Illinois Department of Commerce and Economic Opportunity, hereinafter
referred to as "DCEO" hereby declares that the attached
amendment to Agreement # 03-120016 between DCEO and
Save A Life Foundation
is necessary and statutorily authorized for one or more of the
following reasons.
\S
The circumstances necessitating the change in performance
were not reasonably forseeable at the time the contract
was executed.
The change is germane to the original contract as signed.
The change, as authorized under law, is in the best interest
of DCEO for the following reason(s):
ILLINOIS DEPARTMENT OF COMMERCE AND ECONOMIC OPPORTUNITY
By: ^yV*^ ^yUglS^ U/Z 7'/*£
Of Kce of t he Gener al Counsel Datfe '
06/ 26/ 2003
13: 58: 06
Transmittal Cover Sheet for
Illinois FIRST
Request for Modification/Waiver
DCCA GRANT #: OZ'/XOO/L
GRANT EXPIRATION DATE: 06 / 3ff / ff 3
Grant Manager Certification
The Illinois FIRST grant manager or bureau coordinator responsible for this project hereDv
certifies the following (check ALL that apply to the modification or waiver):
p( The grant has not yet expired as of this submittal.
□ The Grantee is requesting a change to the scope of work. I certify that the ongma: s-op°o-
work referenced in the attached Request for Modification/Waiver form is identical to the scone
of work that was included in the grant agreement or subsequent modification(s).
□ The Grantee is requesting a change to the budget. I certify that the onginal budget incluriPd
on the attached Request for Modification/Waiver form is identical to the budget that w«
/
included in the grant agreement or subsequent modification(s).
The Grantee is requesting a date extension.
3 The Grantee is requesting a change other than those enumerated above, which reou.res Lea*.
review.
M
>-=B<»I
3 The Grantee is request i ng a wai ver f r om t he audi t provi si ons i n t he Grant Agreement
(Di vi si on of Audi t s" Approval of t hi s Waiver: .
3 This request was i ni t i at ed by DCCA Account i ng.
□ This request was initiated as a result of a DCCA Monitoring finding.
3 The proposed mod/waiver will affect a building, land or location other than that originally
submitted for environmental review.
3 The D/oposed changes are within bond guidelines (this is applicable to bond-funded projects
onh
ant Manager or 3ureatT Coordinator signature
DCCA Legal Action
^^Modi f i cat i on Approved • Grant manager is authorized to enter the modification into GRS and
^ transmit modification package to Accounting.
3 Modification Denied (see attached)
3 Approved as a Waiver ■ Grant manager is responsible to transmit a copy of this approved
waiver to Accounting.
06/18^2003 13:24 SAVE R LIFE FOUNDATION * 12175571663
NO. 054
06*08-2003 07:18 Froo-DCCA 217-667-1663 TH84 P. 002/002 F-361
Illinois Deportment of Commerce and Community Affairs
Illinois FIRST Program
REQUEST FOR MODIFICATION/WAIVER*
GRANTEE NAME: differ 4 l^&.pAfJkJA ATia A /
DCCAGRANTS: 0*-~}* <oo/& <thc«Agreement^
GRANT EXPIRATION DATE: b I $6 I A*
Q A. §COPE; OF WORK Please briefly detail why the modification to tha scopti of work is necessary, (A
copy of the original scope showing all proposed revisions must he attached to this request). Note: Revisions
will not be considered if they are inconsistent with the legislation authorizing the grant.
D 8. BUDGET Using the form on the reverse, please list the original budget items And the requested revised
budget. Note: Requests Tor an Increase in the total grant amount will be denied.
)<£ C. DATE EXTENSION Grantee requires additional time to complete the performance described in Port 111
of tha agreement for which grant funds are provided, and requests that It be allowed until U^O . 2002, to
complete such performance. Grantee acknowledges that it has expended/legally obligated grant funds in the
performance required by the grant during the original grant term and that if granted, the extension of time cannot
exceed two (2) yeors, 4sfe2eV/ P/toJ&TFAC2&iQV4fafiM0tW£fiQmnfWT
m
Afj*
O O. OTHER Please attach a separate p4g«^ntirywg the provision(s) that grantee wishes to modify and a
written explanation supporting the request for change.
Authorittd^&otonjnbr Qrantfe Printed Name
PFrFABTTVlF.NT ACTON;
^p^Approved as a Modification, subject to the following conditions, Oft
O Approved as a Waiver, subject to the following conditions:
(1) All terms and conditions of the gram agreement remain in "full force and effect until all performance
required by the terms of the agreement are completed.
(2) If the period for performance has been extended, the close-out package referenced in Suction 5.4B or the
Agreement must be submitted no later than 45 days following any extended performance date.
(3) This request is limited to the provisions described herein and in no way Impairs the Department's ability to
sack legal recourse agamsi the Grantee for non-compliance with either the provisions stated herein or any ether
provisions ef the Agreement.
O Denie,
Date:
NOTE: Due to the Time Limit on Expenditure of Grant Funds Imposed by the Grant Funds Recovery Act
(30 ILCS/70S/1' ct seq.), the extended grant term granted horein shall be deemed to lake effect on
cc:Oft£/W &g, ~)Q£C$ (Grant Manager); Keith Burklow (Accounting)
* Waivers will only be approved when the Department determines that it is in the hew intaran of tha Suu of Illinois.
ILLINOIS DEPARTMENT OF COMMERCE AND ECONOMIC OPPORTUNITY
ROD R. BLAGOJEVICH
GOVERNOR
JACK LAVIN
DIRECTOR
June 14, 2004
Ms. Carol Spizzirri
Pres/Founder
Save A Life Foundation
9950 LAWRENCE AVE STE 300
Schiller Park, IL 60176-1216
Re: Grant No. 03-120016
Dear Ms. Spizzirri:
Enclosed is your fully executed copy of the modification/waiver to the
above referenced grant agreement (the "Agreement"). Please retain
this copy in your files for reference during the administration of
the grant and for future audit and monitoring purposes.
Please be advised that the requested modification/waiver was
approved based on information provided by your agency/organization.
Pursuant to Section 5.4A of the Agreement, you are hereby reminded
that during the time period specified in Section 5.4A: (i) the
Grantee is required to maintain, books, records and supporting
documents related to all disbursements of funds provided under the
Agreement, including those which are the subject of the
modification/waiver; and (ii) the Grantee's failure to maintain and
provide such records during a subsequent monitoring or audit
conducted in accordance with Section 5.4A or other applicable
provisions of the Agreement, shall establish a presumption in favor
of the Department for the recovery of funds for which adequate
documentation is not available.
Should you have any questions regarding the modification/waiver,
please contact your DCEO Grant Manager.
Si ncerel y,
Scot t Harry .
Chief Fi nanci al Of f i cer
cc: DCEO Grant Manager
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Transmittal Cover Sheet for
Illinois FIRST
Request for Modification/Waiver
GRANTEE NAME: .,2H/E d. Lfo. fvatjdg-fiff* A/£.
DCEO GRANT #: O3-/240/L
GRANT EXPIRATION DATE: 0fr/3d fay
Grant Manager Certification
The Illinois FIRST grant manager or bureau coordinator responsible for this project hereby
certifies the following (check ALL that apply to the modification or waiver):
fiC The grant has not yet expired as of this submittal.
Q The Grantee is requesting a change to the scope of work. I certify that the original scope of
work referenced in the attached Request for Modification/Waiver form is identical to the scope
of work that was included in the grant agreement or subsequent modification(s).
□ The Grantee is requesting a change to the budget. I certify that the original budget included
on the attached Request for Modification/Waiver form is identical to the budget that was
included in the grant agreement or subsequent modification(s).
y&l The Grantee is requesting a date extension.
Q The Grantee is requesting a change other than those enumerated above, which requires Legal
review.
□ The Grantee is requesting a waiver from the audit provisions in the Grant Agreement.
(Division of Audits' Approval of this Waiver: )
Q This request was initiated by DCEO Accounting.
□ This request was initiated as a result of a DCEO Monitoring finding.
□ The proposed mod/waiver will affect a building, land or location other than that originally
submitted for environmental review.
□ The proposed changes are within bond guidelines (this is applicable to bond-funded projects,
onlv
r&Jbi
&M-
Gr/nt Manager or Burtfatf£oordinator signature Da
DCEO Legal Action
^D Modification Approved • Grant manager is authorized to enter the modification into GRS and
transmit modification package to Accounting.
□ Modification Denied (see attached)
Q Approved as a Waiver - Grant manager is responsible to transmit a copy of this approved
waivec^o the Grantee and to DCEO Accounting.
Legal/Signature Date
04/ 14/ 2004 17: 55 SfiUE fl LIFE FOUNDATION * 12175579883 NO.241 002
04-12-2004 13:40 Protn-OCCA IL FIRST 2W-557-0B83 T-3S2 P.002/002 F-632
Illinois Department of Commerce and Economic Opportunity / b'$'
0
^
Illinois FIRST Program 1*
b
.
REQUEST FOR MODTPTCATIOWAVAIVFP*
GRANTEE NAME: S&VI fi. OA fouAldaAfiA/h/t. *™
DCEO GRANT *: M.&aAtL fthe "Agreement
GBANT EXPIRATION DATE: 0£, I 30 I P</
D A SCOpE OF WORK Please briefly detail why die modification to the scojte of work is necessary. (A
copy of the original scope showing all proposed revisions must be attached to this request). Note: Revisions
will not be considered if they are inconsistent with the legislation authorizing the gr.uit.
y& Zttf GfAAJTtir MAS ruZCMSM 7WA,;iy,A)£ A*r ?bT*zr v ^ w r
' Aetavtti GA/iMr f*A/±4.
0 B. BUDGET Using (lie form on the reverse, please list the original budget items and the requested revised
budget. Note: Requests for an increase in the total grant amount will be denied.
yL C. DATE EXTENSION Grantee requires additional time to complete the performance described in Part III
' of the agreement for which grant funds are provided, and requests that it be allowed until 3/3/ . 2 0 0 £ to
i complete such performance. Grantee acknowledges that it has expended/legally obligated grant funds in the
performance required by the grant during the original grant term and that if granted, the extension of time cannot
exceed two (2) years.
D D. OTHER Please attach a separate page identifying the provlsion(s) that grantee wishes to modify and a
v
written explanation supporting the request for change.
Authorized!
Or ^k^dto/S/tszw IL;f / «/ g/
fljre fty Grantee/ Printed Name Daw '
DEPARTMENT ACTtONi
& Approved as a Modification, subject to the following conditions, OR
Q Approved as a Waiver, subject to the following conditions:
(1) All terms and conditions of the grant agreement remain in full force and effect until all performance
required by the terms of die agreement are completed.
(2) If the period for performance has been extended, the close«out package refenmeed in Section S.4B of the
Agreement must be submitted no later than 45 days following any extended performance date.
(3) This request is limited to the provisions described herein and in no way impairs the Department's ability to
seek legal recourse against the Grantee for non-compliance with either the provisions stated herein or any other
provisions of the Agreement.
Data.- (*/<{/c1
NOTE: Due to the Time Limit on Eipendinire of Grant Funds imposed by the Urant Funds Recovery Act
(30 U.CS 705/1 et seq.), the extended grant term granted herein shall be ileemcd to take effect on
(Grant Manager); Keith Burklow (Accounting)
• Waivers will only bn approved when the Department determines that it is in the best interest of the State of Illinois.
PARTI
BUDGET
Save A Life Foundation, Inc.
Activity Line item Grant No. Grant No. Grant No. Grant No.
03-120016 03-120106 01-120390 01-124154
Building/Structure Purchase $100,000 $100,000
j
i
Training Equip: (43) Mannequin Sets
$4,300 $4,300
Director Salary
$335 $335
Accounting Clerk Salary $575 $575
Project and Research Director Salary $1,050 $1,050 !
Service Coordinator Salary $750 $750
Scheduler Salary $540 $540 '
MIS Salary $650 | $650 •
Unemployment Insurance $1,287 | $1,287
30 Manuals 1 $1, 500! $1, 500!
412 Student Books $824 $824 j
400 Completion Cards $40 $40
400 Certificates $280 $280 i
30 Completion Cards for Instructors $30 $30!
30 Certificates for Instructors $30 $30 ;
30 Instructor ID's $150 $150 !
30 Instructor Shirts $600 $600
430 Pins $860 $860
SALF Instructor and Senior Police
Instructor Fees
$8,286 $8,286
Emergency Kits $2,000 $2,000
Rent and Insurance $913 $913 i
! i
Total $100,000 $100,000 $25,000 | $25,000 \
NOTE:
IN THE EVENT THIS BUDGET REFLECTS EXPENDITURES FOR THE PROJECT DESCRIBED IN
PART III WHICH THE GRANTEE HAS ADVISED THE DEPARTMENT ARE ANTICIPATED TO BE
PROVIDED THROUGH ADDITIONAL GRANT AWARDS. GRANTEE ACKNOWLEDGES (i) THAT THE
AMOUNT OF FUNDS TO BE DISBURSED UNDER THIS GRANT WILL NOT EXCEED THE AMOUNT
STATED IN THE NOTICE OF GRANT AWARD FOR THIS GRANT: AND (ii) THAT THE
DEPARTMENT'S OBLIGATION TO DISBURSE SUCH OTHER FUNDS IS CONTINGENT UPON
FINALIZATION OF A GRANT AWARD AND EXECUTION OF A GRANT AGREEMENT FOR THE
ADDITIONAL FUNDS.
PART III
SCOPE OF WORK
03-120016
Section 1. Public Benefit
The Grantee is a nonprofit corporation dedicated to the training of children and adults in
basic life supporting first aid skills for emergency situations. The Grantee's goal is to
educate every person in communities across the country so they can be ready to provide
aid to those who are injured or ill creating a stronger, more compassionate and
emergency prepared society. By utilizing Emergency Medical Service (EMS) personnel as
instructors, the Grantee has developed educational programs that are exciting.
motivational, and successful in empowering people of all ages to save lives. The U.S.
Department of Health and Human Services (HHS), Maternal and Child Health Bureau
recently used the Grantee's educational programs as a guide in developing national
framework to reduce child mortality and morbidity rates sustained by illness and injury
occurring at school. The resulting curricula, Basic Emergency Lifesaving Skills, creates
benchmarks for our nation's schools in selecting school safety courses, including the
provision of Basic Life Supporting First Aid. The Grantee is working closely with
HHS/Centers for Disease Control in the implementation of these important guidelines
nationally. As a member of the Homeland Security Team, the Grantee leads the effort of
educating all Illinois citizens, adults and children, through its "Community Response
Systems Initiative" and by working with mayors to implement a Community Emergency
Response Team (CERT) including Pre-EMS education. Since its inception, the Grantee
has provided educational experiences for over 600,000 Illinois school age children free
of charge. Recently, the Grantee created a corporate training program to help employers
ensure their employees are ready to act in an emergency while providing funds to offset
the cost for children to be trained for free. The cost of the programs is approximately
$20 per person including expenses for training materials, equipment, administration
and evaluation.
To coordinate its efforts, the Grantee has begun creating Regional Branch offices in
communities across the country. Working side-by-side with emergency medical service
providers and local mayors nationally, it is anticipated that soon the Grantee will have
offices functioning throughout the United States. To that end, the Grantee will use grant
funds to purchase a building located at 520 East Capitol Avenue in Springfield. This
location will serve to coordinate the relationships the Grantee has with hospitals,
community colleges, Emergency Medical Services, corporate partners and other
agencies across the state. The office will provide a centralized training and support
center, a distribution site for supplies, and the basic network for all its branches and
affiliates to better serve Illinois citizens systematically. It will also serve as a "Train the
Trainer Training Center" for EMS personnel who work as the Grantee's instructors. The
building has ample space for training workshops and seminars to keep instructors
up-to-date on the most current education practices and information of working with local
leaders to develop a CERT. Finally, the office will serve as the base of operations for all
of Illinois and serve as a link with the Grantee's capital city offices in other states as they
begin to open.
Section 2. Grant Tasks
2.1 The Grantee shall utilize property acquired, constructed or improved with funds
provided under this Agreement solely to provide the programs and services specified in
Section 1, above, for at least the term of the Grant Agreement. Any sale, transfer.
assignment or other conveyance of property acquired, constructed or improved shall
provide that the property must continue to be used to accomplish or facilitate the public
purpose described in Section 1, above.
2.2 The Grantee shall continue to provide the programs and services specified in
Section 1, above, for the term of the Grant Agreement.
2.3 The Grantee agrees to comply with the following:
(a) The Grantee shall utilize grant funds in accordance with Part I (Budget) for
bondable expenditures necessary to complete the activities/performance
described in Section 1, above. The Grantee shall provide any additional funds, or
secure commitments therefor, which are necessary to complete the specified
activities/performance during the grant term set forth in the Notice of Grant
Award.
(b) The Grantee shall execute all agreements necessary to complete the
activities/performance described in Section 1, above, including, but not limited
to, purchase/sales contracts for real and/or personal property, leases,
easements, loans, financing agreements, grant agreements, operating
agreements, etc., during the grant term specified in the Notice of Grant Award.
(c) The Grantee shall obtain all authorization necessary to complete the
activities/performance described in Section 1, above, including, but not limited
to, municipal ordinances, permits, variances, other approvals, etc., during the
grant term specified in the Notice of Grant Award.
(d) The Grantee shall notify the Departmental grant manager in writing no
later than 10 days after it becomes aware of any events/circumstances that will
result in substantial delays or may substantially impair the Grantee's ability to
complete the activities/performance described in Section 1, above, during the
grant term specified in the Notice of Grant Award.
(e) The Grantee shall provide to the Department additional information
relative to its compliance with the provisions set forth in subsections (a) through
(d), above, pursuant to Part II, "Additional Information."
(f) In addition to the requirements of Part V, Section 5.4(A), the Grantee shall
maintain in its file, and make available to the Department upon request therefor,
copies of documentation, correspondence, agreements, etc., evidencing
compliance with the requirements of subsections (a) through (d), above.
( Illinois Historic
L—__J Preservation Agency
1 Old State Capitol Plaza • Springfield. Illinois 62701-1507 • (217) 7R2-4R3B • TTY (?17) ^OA.TIO*
Sangamon County
Spri ngf i el d
SAve a Li f e Foundation, I nc . , Acqui s i t i on and Rehabi l i t at i on
520 E. Capi tol
DCCA - HR30010
DCCA1 - SR30011
IHPA LOG #0301130051CSG
February 11, 2003
Cathy Hauger
IL Department of Commerce and. Community Affairs
620 East Adams
Springfield, IL 62701
Dear Ms. Hauger:
This letter is to inform you that we have reviewed the information provided
concerning the referenced project.
Our review of the records indicates that no historic, architectural or
archaeological sites exist within the project area.
Please retain this letter in your files as evidence of compliance with Section 4 of
the Illinois State Agency Historic Resources Preservation Act (20 ILCS 3420/1 et.
seq.). This clearance remains in effect for two years from date of issuance. It
does not pertain to any discovery during construction, nor is it a clearance for
purposes of the Illinois Human Skeletal Remains Protection Act (20 ILCS 3440) .
If you have any further questions, please contact Andrew Heckenkamp, Manager, 1 Old
State Capitol Plaza, Springfield, IL 62701, 217/782-8168.
Sincerely,
Anne B. Haaker
Deputy State Historic
Preservation Officer
AEH:ACH:ly
IISII
Cc: Carol Spizzirri, Save a Life Foundation, Inc.
\ 1% Illinois Department of Commerce and Community Affairs
Kntl K. 1)1 Jgiijcv ich JdM.-pli I'. I Ijiinnit
(iuwntnr ■ Iclwa Dircilor
January 15, 2003
Ms. Anne Haaker Additional Materials
Illinois Historic Preservation Agency
Regulatory Programs
500 East Madison
Springfield, Illinois 62701-1028
RE: Add-On for Save A Life Foundation, Inc. Projects #HR30010 and SR30011
51 / 3-23
$100,000/$100,000
property acquisition
Poe / Dudycz
Dear Anne:
Enclosed is additional information we received from Save a Life Foundation, Inc. Please let me
know if you require additional information from the grantee, whether further review is required,
or whether you have no continuing interest in the project.
Thank you for your assistance.
Sincerely,
Cathy Hauger
Office of the General Counsel
cc: Susan Boggs
Internet Aiklrcv* http: .'■ «»» coni i i KrcoUtci l UN
tO> l.a«l AJj i mSt i cvl Jaii«> K lh,inH»wiCViiitft «"»* lla»l AJj i m Mr a l Z.'""* VVcM \ | j m. Suite I IS
Siiii.flicld. Illuk-r, i : 7l l l I ' M WC M KonJ.>!|di Sltcct. Suuc . <- * ■ ' Sr*n>|.'l'ivU. l l tmm»<0""l Marion. Illui.<n I . M5
-
'
OI KJ ^ . V l l tnxn I X I NM
: i : 'fi-ifm .>i:iii4.7i7>> : I T "*«.:*« <.IK'W7.4.I'M
i.i\ : i " <: 4no' •i nn KI«>7S5MI».< i.n >i:si4.n7.t:«ii)i> >.«i4i'M«,«,7 \-n : I ""S. «: MN»I I >I > ;r?s5-iK>5.< t*\ (. I »' W7. I »;« • M>DKCIJ> • »IO-J:«..I»U4
PmtlcJ t<n Ki vt t k' J JiKl Kcv>«.Uhl« I'-ipc*
Illinois Department of Commerce and Community Affairs
George H. Ryan Joseph P. Harmon
Governor Acting Director
January 10, 2003
Ms. Anne Haaker
Illinois Historic Preservation Agency
Regulatory Programs
500 East Madison
Springfield, Illinois 62701-1028
RE: Add-On for Save a Life Foundation, Inc. Project #HR30010 and SR30011
51 / 3-2
$100,000/$100,000
property acquisition
Poe / Dudycz
Dear Anne:
Enclosed is information we received from Save a Life Foundation, Inc. in response to
our request to complete a general and IHPA survey. I am sending it to you for your
review. Please let me know if you require additional information from the grantee,
whether further review is required, or whether you have no continuing interest in the
project.
Thank you for your assistance.
Sincerely,
Cathy Hauger
Office of the General Counsel
cc: Susan Boggs
Internet Address http://www.commeree.state.il.us
620 Easi Adams Street James R Thompson Center 607 Ew Adam Siren 2309 West Main. Suite 118
Springfield. Illinois 62701 100 Wen Randolph Sircci. Suhe 3-400 Springfield. Illmoa 62701 Marion. Illinois 62959
Chicago. Illinois 60601
2I7782-750O 312/814.7179 217/7832800 618/997-4394
Fa» 217/5:4-1627 »TDD 800/785-6055 Fax 312/814-6732 »TDD 800/419-0667 Fax 217/785-2618 aTDD 217/7B5-6055 Fax 618/997-1825 • TDD Relay 800/526-0B44
Printed on Recycled and Recyclable Paper
C o n f i r ma t i o n R e p o r t - Me mo r y Se nd
Time
Tel l i ne
Name
Jan-03-2003 01:06pm
217-557-9883
DCCA IL FIRST
Job number
Date
To
Document pases
Start time
End tine
Pages sent
Status
Job number 937
937
Jan-03 12:55pm
918479289684
002
Jan-03 01:05pm
Jan-03 01:06pm
002
OK
* * * SEND SUCCESSFUL * * *
Otfora* I I . tlynn
T O :
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DAT E :
me:
I l l i n o i s D e p a r t m e n t o f C o m m e r c e ana* C o r n m u n i t y A f f a i r s
M E M O R A N D U M
Ca r ol Spi z z i r r i
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We d n e s d a y , N o v e mb e r 1 3 , 2 0 0 2
Pr oj e c t : S R 3 0 0 1 1 —- fSMJt&otc?
Ap p r o p r i a t i o n Se c t i on No : 3 - 2
A mo u n t : $ 1 0 0 , 0 0 0
Pu r p o s e : Sa v e a Li f e F o u n d a t i o n . I nc. •
pur chase! of a bui l di ng
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wor n f or t hi s p r o j e c t , i t ha s Pe e n d e t e r mi n e d t h a t c e r t a i n i n f o r ma t i o n wi l l n o o d t o b e
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JBf I l l i noi s Hi s t or i c Pr e s e r v a t i o n Agone y
O I l l i noi s Oa p a r t ma n t of Na t u r a l Ros our e e s
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bel ow. I wi l l f o r wa r d t h e i n f o r ma t i o n t o t he a p p r o p r i a t e pa r t i e s ir. e a c h a g o n e y on your
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r ovi ew. T h e r e f o r e , if mo r e t h a n one a g e n c y a s k s f or t he s o me m * p . p h o t o , e t c . . p l e a s e
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cal l i ng 2 1 7 / 3 3 3 - 4 7 4 7 .
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am
Illinois Department of Commerce and Community Affair
George 11 R>an
Governor
I'.llll \Ul)i>HOll^!l
M E M O R A N D U M
TO: Carol Spizzirri
FROM: Cathy Hauger
DATE:
RE:
Wednesday, November 13, 2002
Project: S R30011 + W£30OiO
Appropriation Section No: 3-2
Amount: $100,000
Purpose: Save a Life Foundation, Inc.
purchase of a building
Legislative Sponsor: Dudycz
all costs associated with the
Based on the information the Department received concerning your proposed scope of
work for this project, it has been determined that certain information will need to be
provided for environmental review. Attached are information requests from:
j8f Illinois Historic Preservation Agency
□ Illinois Department of Natural Resources
□ Illinois Department of Agriculture
Please provide responses to the attached and return them to me at the address listed
below. I will forward the information to the appropriate parties in each agency on your
behalf.
Department of Commerce and Community Affairs
620 East Adams Street, 1st Floor
Springfield, IL 62701
Please note that each agency requires its own materials in order to complete their
review. Therefore, if more than one agency asks for the same map. photo, etc., please
provide an original for each. The Illinois State Geological Survey can be contacted by
calling 217/ 333-4747.
If you need to contact me,
assistance.
can be reached at 217/ 785-0550. Thank you for your
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ILLINOIS FIRST PROGRAM
EXPENSE REPORT
03-120016
Grantee Name Save A Lav Foundation DepL of Commerce and Community Affairs
Grantee Address: B950 W. LawmceAva Ste. 300 620 East Adams. Springfield. IL 62701
SchlUarPark.IL 60176-1216 Report Period
From: I To: Grant fta 03-120016
FEiN:HflttflH
Report Period
From: I To:
Prepared By: Linda Post, Acctp. ~
alM/a~*k/03 Phone: 847-928-8883 Date:4OSJ03 alM/a~*k/03 Rnal?(WN) No I
1 2 3 4 5
Btidoel Line Items or
Activities (Grantee must
cmv (ram Giant
AoiBamertPAKTIfv
subaewsotmodiSeaian)
Approved Bodge)
(As in PART lot
GoalAgrEementcr
4
uudihstton
Pdsr Period
Yearto-Qale
ExpewHines
(Bewl Funds Only)
Expenses Pail Sis
RSIMUI Period
(Gram Plants Only)
YeaHo-Oate
Expeotftnras
(2*3)
(Gram Fowls Only)
Funds Pmvioualy
Received
{Gsanl Funds Only)
BuidingfSrjructure Purchase $100,000.60 90.00 $0.00 $0.0.0 $0.00
.
TOTAL $100,000.00 50.00 $0.00 50.00 S0.00
Grantee Certification
All expenditures from these project funds are for approved project costs only.
Further, I -certify that supporting documentation on actual expenditures is on
fife in our office, and that I have full signature authority to sign on behalf of
IWs agency.
By WfrufrV
Authorized OHifoal - SignMufeand Title
faffltiuetee ^Jjff/**
DCCA Certification
Authorized Payment:
GrantPeriqd: fa-lp?- 'jf'JQ^
Project ffyAiager. //
RFJ
Manager of Grant Unit
or Bureau Coordinati
S^
(date)
f//*fi?
sr Bureau CooraaBtarf "N .
-TUeJjUU*) U^ctUS} ( d a t e ) 3 7 ^ 3
Accounting: (dale)
ILLINOIS FIRST PROGRAM 03-120016
QUARTERLY STATUS REPORT
Grantee Name: Save A Life Foundation
Grantee Address: S9S0W. Lawrence Awe. Ste. 300
Sector Part, a. 60176-1216
Grant No: C3-1Z0Q16 FHM
Prepared By: Unite Post, Accfaj.
Phone: 847-826-9603 Date: 42903
of Commerce orul ConrmunSy Affairs
620 East Adams
Spijnafietl IL 62701
Report
Period:
From: To:
Describe Significant Activities (from Part in, Scope of Work) Undertaken with Grant Funds during the Quarter:
No Giant Fund adh/fly to report
Grantee Certification OCCA Certification
IheretycertityrjialthsmfonTia&majdaatato
and correct to ths best of the Grantee's (and Oie authorized representative^)
e and beOeL
!
(date)
Manager of Grant Unit
or Bureau Coordinator: —•>. .
(dale) X7J&/03
ILLINOIS FIRST PROGRAM 03-120016
EXPENSE REPORT
Grantee Name: Save A Life Foundation Oept. of Commerce and Community Affairs
Grantee Address: 9950 W. Lawrence Ave. Ste. 300 620 East Adams, Springfield, IL 62701
Schiller Park, IL 60176-1216 ^ ^ ^ ^ ^ ^ Report Period
From: | To: Grant No: 03-120016
FEIrT^^^HI
Report Period
From: | To:
Prepared By: Linda Post, Acctg.
V
3/1/03-5/31/03 Phone: 847-928-9683 Date: 7/3/03 3/1/03-5/31/03 Final? (Y/N) No |
1 2 3 4 5
Budaet Line Items or
Activities (Grantee must
CODV from Grant
Aareement PART I or
subseauent modification)
Approved Budget
(As in PART I of
Grant Agreement or
subsequent
modification
Prior Period
Year-to-Date
Expenditures
(Grant Funds Only)
Expenses Paid this
Report Period
(Grant Funds Only)
Year-to-Date
Expenditures
(2 + 3)
(Grant Funds Only)
Funds Previously
Received
(Grant Funds Only)
Building/Structure Purchase $100,000.00 $0.00 $100,000.00 $100,000.00 $0.00
TOTAL $100,000.00 $0.00 $100,000.00 $100,000.00 $0.00
Grantee Certification
All expenditures from these project funds are for approved project costs only.
Further, I certify that supporting documentation on actual expenditures is on
file in our office, and that I have full signature authority to sign on behalf of
this agency.
Pres/F'ounder 7/3/03
nature and Title (date)
OCCA Certification
Authorized Payment: $ 5Q flflp
i**'// receive*
Grant Period:/? . / »&? -£.&>'&Y FIF/goncL?
Project Manager:
sL^^^^^ (date) y7/t?3
r nf ri rant I Init Fr * *
^!fe
Manage*? of Grant Unit
or Bureau CoordindtorPN
Accounting:
(date) ^A/g.^
(date)
ILLINOIS FIRST PROGRAM 03-120016
QUARTERLY STATUS REPORT
Grantee Name: Save A Life Foundation Dept. of Commerce and Community Affairs
Grantee Address: 9950 W. Lawrence Ave. Ste. 300 620 East Adams
Springfield. IL 62701 Schiller Park, IL 60176-1216 *
620 East Adams
Springfield. IL 62701
Grant No: 03-120016
FEI NHHH^I
Prepared By: Linda Post, Acctg. Report
Period:
From: To:
3/1/03 - 5/28/03 Phone: 847-928-9683 Date: 7/3/03
Report
Period:
From: To:
3/1/03 - 5/28/03
Describe Significant Activities (from Part III, Scope of Work) Undertaken with Grant Funds during the Quarter:
Purchase of building at 520 E. Capitol, Springfield. IL for foundation's centralized training and support center,
distribution site for supplies, and basic network for branches and affiliates. Grantee is a nonprofit corporation
dedicated to the training of children and adults in basic life supporting first aid skills for emergency situations.
Grantee Certification DCCA Certification
I hereby certify that the information and data in this Program Status Report are true
and correct to the best of the Grantee's (and the authorized representative's)
knowledge and belief.
" ' ' ^ ■ I * - ! ,
\ frlli /U/..4,^
r es
'
dent / Foi i nder
7/3/03
B
y\J.\fr)
nager:
4*?<?'
(date)
Authorized Official! - S
T
Ignatun e and Title (date)
Manager of Grant Unit *^ '
or Bureau Coordinator^ "N __ / ,
TTYI^L^A > t-a^u^_ (date) y f A 3
ILLINOIS FIRST PROGRAM 03-120016
EXPENSE REPORT
Grantee Name: Save A Life Foundation DepL of Commerce and Community Affairs
Grantee Address: 9950 W. Lawrence Ave. Ste. 300 620 East Adams. Springfield. IL 62701
SchaierParlc.IL 60176-1216 Report Period
From: | To: Grant No: 03-120016
FEIN:a^^^^H
Report Period
From: | To:
Prepared By: Linda Post, Acctg.
6/1/03-8/31/03
Phone: B47-92B-G6B3 Date. 9/29/03 6/1/03-8/31/03 Final? (Y/N) No |
1 2 3 4 5
Budoal Line Items or
Activities fGrantee musl
CDDV from Giant
Aamemant PART lor
suhseauent modification)
Approved Budget
(As in PART 1 of
Grant Agreement or
subsequent
modification
Prior Period
YeaHo-Oale
Expenditures
(Grant Funds Only)
Expenses Paid Oils
Report Period
(Grant Funds Only)
YeaMo-Date
Expenditures
( 2*3)
(Grant Funds Only)
Funds Previously
Received
(Grant Funds Only)
Building/Structure Purchase $100,000.00 $100,000.00 $0.00 $100,000.00 $0.00
$100,000.00 was $100,000.00 was
paid from funds of paid from funds of
Foundation. No grant Foundation. No grant
grant funds have been grant funds have been
received for this grant received for this grant
TOTAL $100,000.00 $0.00 $0.00 $0.00 $0.00
Grantee Certification
All eKpenditures from these project funds are for approved project costs only.
Further. I certify that supporting documentation on actual expenditures is on
file in our office, and that I have full signature authority lo sign on behalf of
this agency.
President/Fa under 9/29/03
OCCA Certification
Authorized Payment $ *y"*
GrantPeafld: /j/ •<??- -£ \2frW
Project Jftanagen
Manager of Grant Uni r^
or Bureau Coordinator^
Accounting:
^2<ai
TOJLL *J{1/1
Sifihature and Title (date)
ILLINOIS FIRST PROGRAM 03-120016
QUARTERLY STATUS REPORT
Grantee Name: Save A Life Foundation Dept. of Commerce and Community Affairs
Grantee Address: 9950 W. Lawrence Ave. Ste. 300 620 East Adams
Springfield, IL 62701 Schiller Park, IL 60176-1216
620 East Adams
Springfield, IL 62701
Grant No: 03-120016
FEIN:iHHBf
Prepared By: Linda Post, Acctg. Report
Period:
From: To:
6/1/03-8/31/03 Phone: 847-928-9683 Date: 9/29/03
Report
Period:
From: To:
6/1/03-8/31/03
Describe Significant Activities (from Part III, Scope of Work) Undertaken with Grant Funds during the Quarter:
No Grant Fund activity to report.
This grant has NOT been received.
Grant is for purchase of building at 520 E. Capitol. Springfield, IL for Foundation's centralized training and support center.
distribution site for supplies, and basic network for branches and affiliates. Grantee is a nonprofit corporation
dedicated to the training of children and adults in basic life supporting first aid skills for emergency situations.
Grantee Certification DCCA Certification
I hereby certify that the information and data in this Program Status Report are true
and correct to the best of the Grantee's (and the authorized representative's)
knowledge and belief.
President/Founder 9/29/03
anager of Grant Unit
or Bureau Coordin
r
J&-
(date)
/f/i^,
2.
ignature and Title (date)
inalorP^N
TH/IeJ^Q^O i^Ztuiyi
T-7
(date) /6>/4^
ILLINOIS FIRST PROGRAM 03-120016
EXPENSE REPORT
Grantee Name: Save A Life Foundation
Grantee Address: 8950 W. Lawrence Aye. Ste.300
ScJilllerParlc.IL 60176-1216
Grant No: 03-120016 FEINl
Prepared By: Linda Post, Acctg.
Phone: 847-928-0683 Date: 12/15/03
Oept of Commerce and Community Affairs
620 East Adams. Springfield, 1L 62701
Report Period
From: I To:
09/01/03-11/30/03 Final? (Y/N) No 1
1 2 3 4 5
BudaelLlna Items or
Acthsilias (Grantee must
oonv from Grant
Aareamenl PART 1 or
subseoiient modification!
Approved Budget
(As in PART lot
Giant Agreement or
subsequent
modification
Prior Period
Year-to-Date
Expenditures
(Grant Funds Only)
Expenses Paid this
Report Period
(Grant Funds Only)
Year-to-Oate
Expenditures
(2*3)
(Grant Funds Only)
Fund6 Previously
Received
(Grant Funds Only)
Building/Structure Purchase $100,000.00 S100.000.00 $0.00 $100,000.00 $0.00
$100,000.00 was $100,000.00 was
paid from funds of paid from funds of
Foundation. No grant Foundation. No grant -
grant funds have been grant funds have been
received for this grant received for this grant
TOTAL $100,000.00 $0.00 $0.00 $0.00 $0.00
Grantee Certification
All expenditures from these project funds are for approved project costs only.
Further. I certify that supporting documentatibn on actual expenditures is on
file in our office, and that I have full signature authority to sign on behalf of
this agency.
President/Founder 12/15/03
- Signature and Title (date)
DCCA Certification
Authorized Payment: $ -pr
Grant Period: $-lQ> - £ ' 3 ^ ' 0 ¥
Project Mana
Fl
Manager of Grant Unit
or Bureau Coordinator:
(date) Jj/?/f/
Ld.
(date)
ILLINOIS FIRST PROGRAM 03-120106
QUARTERLY STATUS REPORT
Grantee Name: Save A Life Foundation Dept of Commerce and Community Affairs
Grantee Address: 9950 W. Lawrence Ave. Ste. 300 620 East Adams
Sprinqfield. IL 62701 SchlHer Park. IL 60176-1216 __
620 East Adams
Sprinqfield. IL 62701
Grant No: 03-120106
FEI N/ ^^HHi
Prepared By: .Linda Post Acctg. Report
Period:
From: To:
09/01/03-11/30/03 Phone: 847-3Z8-9BB3 Date: 12/15103
Report
Period:
From: To:
09/01/03-11/30/03
Describe Significant Activities (from Part III, Scope of Work) Undertaken with Grant Funds during the Quarter
Received $100.000 balance of $100.000 grant for 50% the purchase cost for building at 520 E. Capitol, Springfield. IL for Foundation's
cenlrafized training and support center, distribution ste for supplies, and basic network for branches and affifiates. Grantee is a
nonprofit corporation dedicated to the training of children and adults in basic life supporting first aid skills for emergency situations-
Grantee Certification DCCA Certification
I hereby certify Oat the information and data in this Program Status Report are true
and correct to the best or the Grantee's (and the authorized representative's)
knowledge and belief.
President/Founder 12/15/03
Project
Manager
or Bureau Cpoi
,- Signature and Tills (date)
Bureau Coordinator, y,
Vy
7 ^
(date) ' / " /
ILLINOIS FI RST PROGRAM 03-120016
EXPENSE REPORT
Grantee Name: Save A Life Foundation Dept of Commerce and Community Affairs
Grantee Address: 99S0 W. Lawrence Awe. Ste. 300 62Q East Adams. Springfield, IL 62701
Schiller Park. IL 60176-1216 Report Period
From: | To: Grant No: 03-120016
Report Period
From: | To:
Prepared By. Linda Post, Acctg.
3
12/1/04-2/29/04 Phone: 847-920-9683 Date: 2/29/04
3
12/1/04-2/29/04 Final? (Y/N) No I
1 2 3 4 5
Budoet Line Items or
Activities (Grantee must
coov from Grant
Agreement PART I or
Approved Budget
(As In PARTI of
Giant Agreement or
subsequent
modification
Prior Period
Year-to-Oate
Expenditures
(Grant Funds Only)
Expenses Paid this
Report Period
(Grant Funds Only)
YeaMo-Date
Expenditures
(2 + 3)
(Grant Funds Only)
Funds Previously
Received
(Grant Funds Only)
Building/Structure Purchase $100,000.00 $100,000.00 $0.00 $100,000.00 $0.00
$100,000.00 was $100,000.00 was
paid from funds of paid from funds of
Foundation. No grant Foundation. No grant
grant funds have been grant funds have been
received for this grant received for this grant
TOTAL $100,000.00 $0.00 $0.00 $0.00 $0.00
Grantee Certification
All expenditures from these project funds are for approved project costs only.
Further, I certify that supporting documentation on actual expenditures is on
file in our office, and that I have full signature authority to sign on behalf of
this agency.
3/31/04
President/Founder
Signature and Title (date)
DCCA Certification
Authorized Payment *>#- # * " * aA**^ M^AAA
Grant Period? / £ • / '0? '0'3*'M RFfBond)
Project Mjspager.
Manager of Grant Un«
or BurqaUrCoordinator i .
. _ . .. 4 * 3 * , 27A fdate)
Acoou/tling:// /) <3- (date)
(date)^V£^fr
y^/of
CM
§
ILLINOIS FIRST PROGRAM
QUARTERLY STATUS REPORT
03-120016
Grantee Name: Save A Life Foundation Dept. of Commerce and Community Affairs
iranlee Address: 9350 W. Lawrence Ave. Ste. 300 620 East Adams
Springfield. IL 62701 SchllterPark.IL 60176-1216
620 East Adams
Springfield. IL 62701
Grant No: 03-120016
~FEJN?i^b^Hb^B~
Prepared By: Linda Post, Acctg. Report
Period:
From: a To:
12/01/tiI - 2/29/04 Phone: 847-928-96B3 Date: 2/29/04
Report
Period:
From: a To:
12/01/tiI - 2/29/04
Describe Significant Activities (from Part III, Scope of Work) Undertaken with Grant Funds during the Quarter
Purchase of building at 520 E. Capitol. Springfield, IL for foundation's centralized training and support center.
distribution site for supplies, and basic network for branches and affiliates. Grantee is a nonprofit corporation
dedicated to the training of children and adults in basic life supporting first aid skills far emergency situations.
Grantee Certification OCCA Certification
I hereby certify (fiat lha information and data in this Program Status Rerj Project
and correct to the best of the Grantee's (and the authorized representative's)
knowledge and befief.
w
nager.
President/Founder 3/31/04
Signature and Title (date)
Manager of Grant
or Byisau Coordinafc
(date) yy&'QY
^yCS^C^Ui^CL/i (date)
?/#/*?
ILLINOIS FIRST PROGRAM 03-120016
EXPENSE REPORT
Grantee Name: Save A Life Foundation
Grantee Address: 9950 W- Lawrence Ave. Ste. 300
Schiller Park, IL 60176-1216
Grant Mo: 03-120016 FEIN:
Prepared By: Donna M. Achs, Acctg.
Phone: 847.928-9683 Date: 501/04
Dept of Commerce and Community Affairs
620 East Adams. Springfield, IL 62701
Report Period
From: | To:
3/1/04-6/31/04 Final? (Y/N) No I
1 2 3 4 5
Budget Line Items or
Activities (Grantee must
conv from Grant
Aareemant PART 10/
subseauent modification)
Approved Budget
(As bi PARTI of
Grant Agreement or
subsequent
modification
Prior Period
Year-to-Oate
Expenditures
(Grant Funds Only)
Expenses Paid this
Report Period
(Grant Funds Only)
Year-to-Oate
Expenditures .
(2»3)
(Grant Funds Only)
Funds Previously
Received
(Grant Funds Only)
Building/Structure Purchase $100,000.00 $100,000.00 $0.00 $100,000.00 $0.00
$100,000.00 was $100,000.00 was
paid from funds of paid from funds of
Foundation. No grant Foundation. No grant
grant funds have been grant funds have been
received far this grant received for this grant
TOTAL $100,000.00 $0.00 $0.00 $0.00 $0.00
Grantee Certification
All expenditures from these project funds are for approved project costs only.
Further. I certify that supporting documentation on actual expenditures is on
file in our office, and that I have fuD signature authority to sign on behalf of
this agency.
Byj\ President/Founder 7/6/04
DCCA Certification
Authorized Payment: %4"
Grant Peri od?^«/ Q } * £ -3° • 05""
Manager of Grant Unit
or Bureau Coordinator,
"Jfo>jrfiA , urn 1/lM
O-— (date) ature and Title (date)
ILLINOIS FIRST PROGRAM
QUARTERLY STATUS REPORT
03-120016
Grantee Name: Save A Life Foundation
irantee Address: 9950 W. Lawrence Ave. Ste. 300
Schiller Park, IL 60176-1216
Grant No: 03-120016 FEIN:
Prepared By: Donna M. Achs, Acctg.
Phone: 847-928^683 Date: 5/31/04
Dept of Commerce and Community Affairs
620 East Adams
Springfield, IL 62701
Report
Period:
From: To:
3(01/04 - 5/31/04
Describe Significant Activities (from Part 111, Scope of Work) Undertaken with Grant Funds during the Quarter
Purchase of building at 520 E. Capitol. Springfield, IL for foundation's centralized training and support center,
distribution site for supplies, and basic network for branches and affiliates. Grantee is a nonprofit corporation
dedicated to the training of children and adults in basic life supporting first aid skills for emergency situations.
Grantee Certification OCCA Certification
I hereby certify dial the information and data in this Program Status Ref) Project
and correct to the best of the Grantee's (and the authorized
ledge and belief.
I representative's)
< »
President/Founder 7/6/04
Signature and Title (date)
Manager of Grant Or
or Bureau Coordinator.- .
(date)'?'7-M
( dat e) 7/ 7/ <9/
ILLINOIS FI RST PROGRAM
EXPENSE REPORT
03-120016
Grantee Name: Save A Life Foundation Dept. of Commerce and Community Affairs
Grantee Address: 9950 W. Lawrence Ave. Sle. 300 620 East Adams. Springfield, IL 62701
Schiller Park, IL 60176-1216 ^ ^ ^ ^ ^ ^ _ Report Period
From: I To: Grant No: 03-120016
FEIN?^LHL^HI
Report Period
From: I To:
Prepared By: Donna M. Achs, Acclg.
6/1/04-8/31/04 Phone: 847-928-9683 Date: 8/31/2004 6/1/04-8/31/04 Final? (Y/N) No I
1 2 3 4 5
Budaet Line Items or
Activities (Grantee must
OODV from Grant
Aoieement PART I or
subseouent modification)
Approved Budget
(As in PART I of
Grant Agreement or
subsequent
modification
Prior Period
Year-to-Oate
Expenditures
(Grant Funds Only)
Expenses Paid this
Report Period
(Grant Funds Only)
Year-to-Oate
Expenditures
(2 + 3)
(Grant Funds Only)
Funds Previously
Received
(Grant Funds Only)
Building/Structure Purchase $100,000.00 $100,000.00 $0.00 $100,000.00 $100,000.00
TOTAL $100,000.00 $100,000.00 $0.00 $100,000.00 $100,000.00
Grantee Certification
All expenditures from these project funds are for approved project costs only.
Further, I certify that supporting documentation on actual expenditures is on
file in our office, and that I have full signature authority to sign on behalf of
this agency.
President/Founder 10/4/2004
nature and Title (date)
OCCA Certification
Authorized Payment: * # ^
Grant Period: flf3*l-03 -
£~i
Manager of Grant Unit
at Bureau Coordinator.
VkJ
FlrtKSonq)
m^f^y
( d a t e / / ^ /
(date)
ILLINOIS FI RST PROGRAM
QUARTERLY STATUS REPORT
03-120016
Grantee Name: Save A Life Foundation Dept. of Commerce and Community Affairs
rantee Address: 9950 W. Lawrence Ave. Ste. 300 620 East Adams
Springfield, IL 62701 Schiller Park. IL 60176-1216 _ _ _ — ^ _
620 East Adams
Springfield, IL 62701
Grant No: 03-120016
FEIIM:i^l^l^H
Prepared By. Donna M. Achs, Acctg. Report
Period:
From: To:
6/01/04 - 8/31/04 Phone: 847-928-9683 Date: 8/31/2004
Report
Period:
From: To:
6/01/04 - 8/31/04
Describe Significant Activities (from Part III, Scope off Work) Undertaken with Grant Funds during the Quarter
Purchase of building at 520 E. Capitol. Springfield, IL for foundation's centralized training and support center.
distribution site far supplies, and basic network for branches and affiliates. Grantee is a nonprofit corporation
dedicated to the training of children and adults in basic life supporting first aid skills for emergency situations.
Grantee Certification DCCA Certification
I hereby certify that the information and data in this Program Status Req Project Mai
and correct to the best of the Grantee's (and the authorized representative's)
ledge and belief.
Bi President/Founder 10/4/2004
Signature and Title (dale)
Manager of Grant Unit
or Bureau Coordinator
ILLINOIS FIRST PROGRAM 03-120016
EXPENSE REPORT
Grantee Name: Save A Life Foundation
Grantee Address: 9950 W. Lawrence Ave. Ste. 300
Schiller Park, IL 60176-1216
Grant No: 03-120016 FEIN:
Prepared By: Donna M. Achs, Acctg.
Phone: 847-928-9683 Date: 1277/2004
Dept of Commerce and Community Affairs
620 East Adams, Springfield. IL 62701
Report Period
From: I To:
9/1/04-11/30/04 Final? (Y/N) No
1 2 3 4 5
BurJaal Una Kerns 01
AcBvflfes (Grantee must
oosv from Grant
Aweement PART I or
subeeauent modification)
Approved Budget
(As in PART 1 of
Grant Agreement or
subsequent
modification
Prior Period
Year-to-Date
Expenditures
(Grant Funds Onry)
Expenses Paid this
Report Period
(Grant Funds Only)
Yeai-to-Dale
Expenditures
(2 + 3)
(Giant Funds Onry)
Funds Previously
Received
(Grant Funds Only)
Building/Structure Purchase $100,000.00 $100,000.00
so.oo
$100,000.00 $100,000.00
TOTAL 3100,000.00 9100.000.00 $0.00 $100,000.00 $100,000.00
Grantee Certification
AD expenditures from these project funds are for approved project costs only.
Further, I certify that supporting documentation on actual expenditures is on
file in our offfce, and that I have full signature authority to sign on behalf of
the agency.
President/Founder 12/7/2004
(date)
DCCA Certification
Authorized Payment: $
Jf
Grant Peri od/ ^ /Q9 ~ -?• ,5/-d£~ FIF/BoftO
Project Ms
Manager of Grant Unit
or.Bureau Coordinator:
A
w*-
(date) / ■
>r\Bureau coordinator: .,
z
(dale)
(date)
ILLINOIS FIRST PROGRAM
QUARTERLY STATUS REPORT
03-120016
Grantee Name: Save A Life Foundation
iiantee Address: 9050 W. Lawrence Ave. Ste. 300
SchttlerPark.IL 60176-1216
Grant No: 03-120016 FEIN:
Prepared By. Donna M. Actis, Acctg.
Phone* 847-928-9683 Date: 12/7/2004
OepL of Commerce and Community Affairs
620 East Adams
Springfield. IL 62701
Report
Period:
From: To:
9/01/04 - 11/30/04
Describe Significant Activities (from Part Hi, Scope of Work) Undertaken with Grant Funds during the Quarter:
Purchase of buflding at 520 E. Capitol. Springfield. IL for foundation's centralized training and support center.
distribution site for supplies, and basic network for branches and affiliates. Grantee is a nonprofit corporation
dedicated to the training of children and adults in basic life supporting first aid skills for emergency situations.
Grantee Certification DCCA Certification
I hereby certify that the Information and data in this Program Status Rep; Project
andcoired to the best of the Grantee's (and the authorized representatiw
leand
President/Founder 12/7/2004
signature and Title (date)
Maoager of Grant Ut
or Bureau Coordinator: . .
(date)
(date)
I LLI NOI S FI RST PROGRAM 03-120016
EXPENSE REPORT
Grantee Name: Save A Life Foundation Dept of Commerce and Community Affairs
Grantee Address: 99S0 W. Lawrence Ave. Ste. 300 620 East Adams. Springfield. IL 62701
Schiller Park, IL 60176-1216 Report Period
From: | To: Grant No: 03-120016
FEIN: I ^ ^ ^ ^ H
Report Period
From: | To:
Prepared By: Donna M. Acha, Acctg.
12/1/04-2/28/05 Phone: 847-928-9683 Date: 4/S/20D5 12/1/04-2/28/05 Final7(Y/N) Yes
1 2 3 4 5
Budoet Line Hems or
Activities (Grantee musj
popvftOTiPras!
Aaroemant PART lor
subseauent modification)
Approved Budget
(AsfnPARTIof
Grant Agreement or
subsequent
modification
Prior Period
Year-to-Oate
Expenditures
(Grant Funds Only)
Expenses Paid this
Report Period
(Grant Funds Only)
Year-to-Oate
Expenditures
( 2* 3)
(Grant Funds Only)
Funds Previously
Received
(Grant Funds Only)
Building/Structure Purchase $100,000.00 $100,000.00 $0.00 $100,000.00 $100,000.00
TOTAL $100,000.00 $100,000.00 SO 00 $100,000.00 $100,000.00
Grantee Certification
AH expenditures from these project funds are for approved project costs only.
Further, I certify that supporting documentation on actual expenditures is on
file in our office, and that I have AJII signature authority to sign on behalf of
this agency.
onzeBt
an
President/Founder 4/5/2005
mature and Title
\
(date)
OCCA Certification
Authorized Payment: $
Grant Period: /l.^'Pl'" 3'& t f
ProjectjGfanager &
FIF/Bond
far
& .
Manager of Grant Unit
ocBureau Coordinator: ;
VcoundnA ^
s==
^
(date)
* %
(date)
(date)
Wo*\
ILLINOIS FI RST PROGRAM 03-120016
QUARTERLY STATUS REPORT
Grantee Name: Save A Life Foundation
*
Depl. of Commerce and Community Affairs
irantee Address: 99S0 W. Lawrence Ave. Ste. 300 620 East Adams
Sprinofiefd. IL 82701 Schiller Park. IL 60176-1216 _ _ _ _ _ _ _ _
620 East Adams
Sprinofiefd. IL 82701
Grant No: 03-120016
FEIN!^______I
Prepared By: Donna M. Achs, Acctg. Report
Period:
From: To:
12/01/04 - 2/28/05 Phone: 847-928-8683 Date: 4/5/2005
Report
Period:
From: To:
12/01/04 - 2/28/05
Describe Significant Activities (from Part HI, Scope of Work) Undertaken with Grant Funds during the Quarter:
Purchase of building at 520 E. Capitol, Springfield. IL for foundation's centralized training and support center,
distribution site for supplies, and basic network for branches and affiliates. Grantee is a nonprofit corporation
dedicated to the training of children and adults in basic fife supporting first aid skills for emergency situations.
B^F
Grantee Certification DCCA Certification
I hereby certify that the information and data in this Program Status RepjPrqje
and correct to the best of (he Grantee's (and the authorized representative's^
knqwtedaeand belief.
Jdent/Founder 4/5/2005
mature and Title (date)
flanagen
^ ^ —
Manager of Grant Unit
or Bureau Cocrdin;
(date)
&
*5
(date)
v/y^
C o n f i r ma t i o n R e p o r t — Memor y Send
Tine
Tel l i ne
Name
06-09-2003 07:19
217-557-1663
DCCA
Job number
Date
To
Document pages
Start ti ne
End time
Pages sent
Status
Job number 361
DGGPl
361
06-09 07:18
918479289684
002
06-09 07:18
06-09 07:19
002
OK
* * * SEND SUCCESSFUL * * *
I l l i n o i s
D e p a r t m e n t o f C o m m e r c e a n d C o m m u n i t y / Vf f a i r s
T E L E F A X C O V E R S H E E T
D A T E : 0 8 / 0 8 / 0 3
T O : Ms . L i n d a P o s t
T E L E F A X N U M B E R : 8 4 7 - 8 2 8 - 9 6 8 4
F r o m: S u s a n B o g g s , G r a n t M a n a g e r
F a x n u mb e r : 2 1 7 - 6 5 7 - 1 8 8 3
R h o n e n u mb o r : 2 1 7 - 7 8 2 - S 3 4 6
E- ma i l a d d r e s s : s u s a n b o g g s @c o mmo r o e . s t a t e .
C O M M E N T S
N U M B E R O F P A G E S T O F O L L O W: 1
0 3 - 1 2 0 0 1 8
O u r r e c o r d s r ef l ect t h a t t h e a b o v e g r a n t i s goi ng t o e x p i r e o n 0 8 / 3 0 / 0 3 , Al l
e n v i r o n me n t a l s i gn- of f s h a v e b e e n s e c u r e d h o we v e r , t hi s p r o j e c t remains f r o z e n a n d
a d a t e e x t e n s i o n lo n e c e s s a r y . P l e a s e c o mp l e t e t h e f o l l o wi n g Mo d i f i c a t i o n F o r m t o
r e q u e s t a d a t e e x t e n s i o n . L e g a l r e q u i r e s a j ust i f i cat i on f o r t h e d a t e e x t e n s i o n
r e q u e s t . Y o u m a y r e q u e s t u p t o a 1 2 mo n t h e x t e n s i o n . I f g r a n t e d , q u a r t e r l y r e p o r t s
wi l l b e d u e f o r t h e e nt i r e g r a n t p e r i o d .
P l e a s e r et ur n t h e f o r m vi a f a x A S A P .
P l e a s e cal l wi t h q u e s t i o n s , S u s a n
I nnnwi /MHJfQM hrn>://ww%».< nrr%GT<*.»tMtm.il.nm
k W«*« iMmltlpJ* ■ „•«•. **»••• »-«IM»
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SUSAN BOGGS
02/19/03 11:19 AM
To: "Carol" < carol@salf.org >
cc:
Subject: RE: Grant Agreements for Save A Life Foundation
I received the notification that the Historic Preservation Agency signed off on your grant. So, once the
freeze is lifted, I'll be able to release the money. I hope that is encouraging news to you. sb
Forwarded by SUSAN BOGGS/ILDCCA on 02/19/03 11:18 AM
J>
SUSAN BOGGS
02/14/03 08:54 AM
To: "Carol" <carol@salf.org>
cc:
Subject: RE: Grant Agreements for Save A Life FoundationQ
As you know, funds are still frozen. However, for your two particular grants we are still waiting on the
Historical Preservation Agency sign-off. So, I couldn't release the funds to you anyway. I'll check with
legal but she puts the releases in as soon as she gets them. I'm sorry. Thanks, sb
"Carol" <carol@salf.org>
"Carol"
<carol@salf.org>
02/13/03 11:16 PM
To: <sboggs@commerce.state.il.us>
cc:
Subject: RE: Grant Agreements for Save A Life Foundation
WELL dear, heard anything? We are really in need. If we don't get this
funding fast we will have to get a loan or lose the building. Do you have
any idea what we/I can do?
Thanks Carol
Original Message
From: sboggsdcommerce.state.il.us [mailto:sboggs@commerce.state.il.us]
Sent: Wednesday, January 08, 2003 7:16 AM
To: carol@salf.org
Subject: RE: Grant Agreements for Save A Life Foundation
she called - she was going to drop off yesterday or today.
"Carol"
<carol@salf. , O To:
<sboggs@commerce. . state.il.us>
rg> cc:
Subject:
for Save A Life
01/07/03 Foundation
07:19 PM
RE: Grant Agreements
I had a realitor stop by your office to drop off the pictures..did she? Do
you have everything you need now? Carol
Original Message
From: sboggs0commerce.state.il.us [mailto:sboggs@commerce.state.il.us]
I have sent your grants to accounting for processing.
Thanks, sb
"Carol"
<carol@salf.o To:
<sboggs@commerce.state.il.us>
rg> cc:
Subject: RE: Grant Agreements
for Save A Life
01/03/03 Foundation
10:14 AM
Susie: NO, everything is great...building only. We need not do anything
more. The Mayor of Springfield has offered to give us 515,000 to
historicalize (new word) the building as part of the city's beautifdcation.
Isn't that wonderful? God is good.
You have been so wonderful. I'm blessed to have had your help now and over
the years. Please let us never loss our relationship. As the new year
unfolds, may you and yours, be blessed in all God's love.
Thank you for everything.
Carol
Original Message
From: sboggsGcommerce.state.il.us [mailto:sboggs@commerce.state.il.us]
Sent: Friday, January 03, 2003 9:39 AM
To: accounting@salf.org
Cc: Carol Spizzirri
Subject: Re: Grant Agreements for Save A Life Foundation
Sorry, I just now got this email - apparently, we have email problems
yesterday.
I rec'd your fax - what you sent was fine. Actually, there is no need to
mail the originals unless you made some change to any part of it.
Both of these grants are only for the purchase of the property - no
infrastructure improvements. If you would like to change something on
either one of these - I need to know now before legal signs it. We will
need to revise the scope and budget and have it re-approved by our budget
office, legal, the Governor's office and the Bureau of the Budget. At this
late date, I would not recommend such a change. But please advise this
morning.
Thanks, Susan 217-782-5346
"Accounting"
<-accounting@s To: "Susan Boggs"
alf.org> <sboggs@commerce.state.il.us>
cc: "Carol Spizzirri"
01/02/03 Subject: Grant Agreements for
J
SUSAN BOGGS
01/21/03 09:25 AM
To: <accounting@salf.org>
cc:
Subject: Re: Save A Life FoundationQ
Status of funds: We are waiting for the Historic Preservation Agency to sign-off on your .building
purchase. We sent the materials your agent dropped off to HPA on 01/12/03.
There is a freeze on all bond funded projects. We are not to move anything forward at this time. (Your
grants have been executed - which is a good status to be in.)
Once we get the HPA sign-off - DCCA will voucher your grants and send them on a tape to the
Comptroller. We have no control over how fast things are processed over there.
I know you have concerns but I am in no position to guarantee anything. We simply do not know.
Thanks, sb
"Accounting" <accounting@salf.org>
"Accounting"
<accounting@salf.or
9>
01/20/03 09:35 AM
Please respond to
accounting
To: "Susan Boggs" <sboggs@commerce.state.il.us>
cc:
Subject: Save A Life Foundation
Susan,
Carol heard that the new Gov may put a freeze on some grant disbursements.
Since we will soon be closing on our Springfield building, we are concerned
about a delay on receiving the funding. Do you know the status of our
disbursement? is there a freeze? might we be affected? If there is a
delay, we need to know asap so that we have time to search alternative
temporary funding.
We appreciate your help. Let us know our timeline. Thanks.
Linda Post
Visit http://www.salf.org
D
winmail.dat
C o n f i r ma t i o n R e p o r t — Memor y Se nd
Tine : Jan-02-2003 02:28pm
Tel l i ne : 217-557-9883
Name : DCCA IL FIRST
Job number
Date
To
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End time
Pages sent
■ Status
Job nuober
875
875
Jan-02 02:06pn
918479289684
037
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Jan-02 02:17pm
037
OK
* * * SEND SUCCESSFUL * * *
I l l i n o i s
D e p a r t m e n t o f C o m m e r c e a n d C o m m u n i t y Af f a i r s
T E L E F A X C O V E R S H E E T
C I A T E : 0 1 / 0 2 / 0 3
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T E L E F A X N U M B E R : 8 4 7 - 9 2 8 - 9 6 8 4
F r o m: S u s a n B o g g s , O r a n t M a n a g e r
F a x n u mb e r : 2 1 7 - 6 6 7 - 8 6 8 3
P h o n e n u mb e r : 2 1 7 - 7 8 2 - S 3 4 6
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C O M M E N T S
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Fol l owi ng, p l e a s e f i nd t h e O r a n t A g r e e me n t f or O r a n t 0 3 - 1 2 0 0 1 6 . P l e a s e r e v i e w,
s i gn a n d ma d e a s i n d i c a t e d . I f a n y c h a n g e s a r e r e q u i r e d - p l e a s e cal l m o pr i or t o
a i g n i n g . P l n a n n f a x t h a p a q o a t h a t a r m n l ? n « d a n d m i i r V n d to rw«* n t t n n t l p n at « H a
numhnr j »f a«w— ».» « o u r n a r l l o n t c i a r w g n l T i p — .
Un l e s s r e q u e s t e d , a h a r d c o p y wi l l not f ol l ow.
Ca l l wi t h q u e s t i o n s .
T h a n k y o u ,
S u s a n B o g g s
Internet ^*t4rc«e hunvAanww. emni mi Tuq. Ei mo. l l . ua
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DGORL
Illinois Department of Commerce and Community Affairs
George H. Ryan Joseph P. Harmon
Governor Acting Director
January 02, 2003
Ms. Carol Spizzirri
President/Founder
Save A Life Foundation, Inc.
9950 W. Lawrence Ave., Ste 300
Schiller Park, IL 60176-1216
Dear Ms. Spizzirri:
Enclosed please find Grant Agreement Number 03-120016 between your organization
("Grantee") and the Illinois Department of Commerce and Community Affairs
("Department"). Please review the Agreement carefully to ensure that the Grantee's
rights and responsibilities are clearly understood. You are encouraged to have the
Agreement reviewed by an attorney. In particular, please note the following:
Beginning Date (Notice of Grant Award). Costs incurred prior to the specified
beginning date are not eligible for reimbursement, unless such costs have been
identified in the Project Budget and approved by the Department.
End Date (Notice of Grant Award). The Project must be completed by the stated
end date. Modifications for scope of work changes or date extensions must be approved
in writing by the Department and processed prior to the stated end date.
Part II • Special Conditions. Part II requires specific acknowledgment by and
acceptance of the Grantee of all obligations set forth therein. The Grantee is expected to
be thoroughly familiar with the provisions of Part II, including requirements regarding
the submittal of reports, authenticating documents, etc.
If the terms of the Agreement are acceptable, please complete the following steps in
order to properly execute the Agreement:
• verify the Grantee's correct federal taxpayer identification number (FEIN) and
correct legal/business status in the appropriate blanks on pages 1-2;
• have an authorized official of the Grantee execute page 2 of the Notice of Grant
Award and the acknowledgment set forth in Part II;
Internet Address http://www commerce.statc.il.us
620 East Adami Street June* R. TbooipionCenter 607Eart Adann Street 2309 West Main. Suite I I I
Springfield. lUmoil 62701 100 Wen Randolph Street. Suite 3-400 Springfield. Klinrai 62701 Marion. Illinoil 62939
Chicago. Illinoil 60601
217/782-7300 312/114-7179 217/713-2100 618/997-4394
Fa* 217/324-1627 aTDD 800/783-6033 Fa* JI MH-67J2 aTDD S00/4I9.O667 Fa* 217/783-2618 «TDD 217/783-0211 Fa« 618/997-1823 • TDD Relay 800/326-0844
Pnnted on Recycled and Recyclable Paper
SUSAN BOGGS
11/15/02 09:26 AM
To: "carol" <carol@salf.org>
cc:
Subject: RE: The Proposal was approved^
They are both over at the Governor's Office under review. They are moving along just fine. I cannot give
you a date when they will move from the Governor's Officel From there they will go to the Bureau of the
Budgetfor bond release. I can't tell you how long that will take. What I can tell you is that I would be
happy to fax the Grant Agreements to you once they are finally released. Hope that helps. Susan
"carol" <carol@saIf.org> ^
"carol"
<carol@salf.brg>
11/14/02 05:04 PM
To: <sboggs@commerce.state.il.us>
' cc:
Subject: RE: The Proposal was approved
Have you heard anything? I heard from the atty, and they ar<-
days closing? Will that do? Thanks Carol
Original Me.ssage
From: sboggs@commerce.state.il.us [mailto:sboggs@commerce.
Sent: Thursday,"October 24, 2002 3:41 PM
To: carol@salf.org
Cc: irv@salf.org
Subject: RE: The Proposal was approved
.60
"%
^
I'll move it today. Thanks, sb
"carol"
<carol@salf.o
<sboggs@commerce.state.il.us>
rg>
approved
To:
cc: <irv@salf.org>
Subject: RE: The Proposal was
10/24/02
03:37 PM
Both SR30011 and HR30010 grants will be used for the full purchase of the
property and nothing else. The total cost of the building is $200,000 all
closing fees will be handled pro-bono, surveys will be part of the purchase
price. /
Is that easy? Thanks - we'll have a cup of coffee together when we open the
doors. Thanks much Carol
Original Message
From:'sboggs@commerceEstate.il.us [mailto:sboggs@commerce.state.il.us]
Sent: Thursday, October 24, 2002 7:44 AM
To: carol@salf.org
Subject: Re: The Proposal was approved
SUSAN BOGGS
10/03/02 11:21 AM
To: "Irv" <irv@salf.org>
cc:
Subject: Re: Building in SpringfleldQ
Thank you very much. Susan
"Irv" <iry@salf.6rg>
*Irv" <irv@salf.org>
* 10/03/02 11:33 AM
To: <sboggs@commerce.state.il.us>
cc: .
Subject: Building in Springfield
Dear Ms. Boggs
I have been in' touch with the trust that is handeling this matter. We
currently are working our way through the paperwork abd our lawyer is in
touch with the Bank. The Bank representative will be out till the 7th of Oct
at which time I will call again. I will keep you informed as I get more
Information.
Thanks,
Irv Bock
V.P. Operationas
SALF
Visit: http://www.salf.org
To: "carol" <carol@salf.org>
cc:
Subject: RE: DCCAIL FIRST GrantsD ^
To: <sboggs@commerce.state.il.us>, <irv@salf.org>
cc:
Subject: RE: DCCA IL FIRST Grants
Dear Susan: I've been out of town on business and have forwarded your email
to Irv Bock who. has been handling the transaction...He will update you asap.
Thanks Carol
Original Message
From: sboggs@commerce.state.il.us [mailto:sboggs@commerce.state.il.us]
Sent: Thursday, October 03, 2002 9:47 AM
To: carol@salf.org
Subject: DCCA IL FIRST Grants
How are you coming on this? Thanks, sb
Forwarded by SUSAN BOGGS/ILDCCA on 10/03/02 09:46 AM
SUSAN BOGGS " .
To: carol@salf.org
09/10/02 cc:
07:57 AM Subject: DCCA IL FIRST Grants
Ms. Spizzirri,
Thank you so much for the surveys for the purchase of property in
Springfield. I am nearly ready to send this to legal for its review. I just
need to clarify the use of the funds. What is the total purchase price of
the building? In
1
the Scope you indicate that the funds will be used for the
acquisition and related expenses as well as interior work to the' property
and the acquisition and installation of office equipment and furniture.
Both of these grants are funded by bond funds. We have been given very
specific guidelines on what can be done/purchased with these funds. Some of
the items listed in the scope may not be bondable. Can you clarify the use
of the funds? I will then be able to run this past our budget office for
their opinion.
I am truly impressed with your organization. You are doing wonderful
things. It will be great to have your organization in Springfield.
Please email me as soon as possible so that I may continue moving this
forward.
Thanks,
Susan
217-782-5346
£
SUSAN BOGGS
\ ^ flV 10/03/02 10:30 AM
Thank you very much, sb
"carol" <carol@salf.org>
"carol"
<carol@salf.org>
10/03/02 10:23 AM
y
dCGO
Rod Bbgojevich
Illinois Department of Commerce and Economic Opportunity
Jack Lavin
Director
August 05,2005
Ms. Carol Spizzirri
President/Founder
Save A Life Foundation, Inc.
9950 W. Lawrence Ave., Ste. 300
Schiller Park, IL 60176-1216
Re: DCEO Grant # 03-120016 / $100,000
Dear Ms. Spizzirri:
This letter summarizes the results of the monitoring review conducted in relation to the above-referenced Illinois
FIRST grant The purpose of this review was to provide an independent monitoring of your Illinois FIRST grant
to ensure compliance with the requirements of the grant agreement and to review your fiscal management of
grant funds.
As a result of the monitoring review, and by reviewing the report submitted by the monitor, Save A Life
Foundation, Inc. appears to be in compliance with the terms and conditions of the DCEO Grant # 03-120016.
this time, no further action on your part is deemed necessary.
At
Please continue to comply with Part V of the grant agreement as the Department has reserved access to all
relevant materials and reserves the right to request copies of relevant materials for a period of three years
following expiration of the grant. This letter does not waive any future monitoring reviews by the Department,
and does not reflect any determinations regarding other grants your organization may have had with the
Department
Thank you for your cooperation during the monitoring process. If you should have any questions, please
contact David Parr of our office at 217-785-6132 or Susan Boggs at 217-782-5346.
Sincerely,
Chris Meister
Director of Legislative Affairs/Associate General Counsel
cc: Christi DeGroot, Assistant Manager, Office of Accounting
Donna Achs.Save A Life Foundation, Inc.
Internet Address http.7rwww.commerce4tate.il.us
620 East Adams Street
SprmfGstd, Illinois 6270M6I 5
217/782-7500
TDD: 800/785-4055
James R. Thompson Center
100 West Randolph Street. Suite 3-400
Chicajo. Illinois 60401-3219
312/814-7179
TDD: 800/785-60S5
2309 West Main. Suite 118
Marion. Illinois 62959-1180
618/997-4394
TDD: 800/785-6055
Prtnx*d on tocyckd utd RMycttbl* ftp«r
SALF
SaveALifeFoundaggi,,
?Rf
3 , , . ^ 5
CarolJ. Spizzirri
Founder / President
National Headquarters
99J0 W. Lawrence Ave Ste 300
Schiller Park. Illinois 60176-1216
Ph: (847) 928-968?
Fax: (847)928-9684
Website: wu-w.salf.org
Wednesday, April 06, 2005
Christ!DeGroot.
DCCA Illinois Department of Commerce and Economic Opportunity
Accounting Office.
620 East Adams Street • 2nd Floor
Springfield, IL 62701
Re: Subgrant No. 03-120016 Save A Life Foundation
Dear Ms. DeGroot:
Enclosed please find the "close-out" documents/package for the above noted grant. If
you have any questions please contact me at (847)928-9683.
Sincerely,
U-<
JS
Donna M. Achs
Accounting Director
end.
• a£gb.226
C o n f i r ma t i o n R e p o r t — Memor y Send
Tine : 04-05-2005 09:42
Tel line : 217-557-1663
: DCCA
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End time
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Status
Job number
316
318
04-05 09:41
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04-05 09:41
04-05 09:42
001
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* * * SEND SUCCESSFUL * * *
MM Bla«o|avlch
I l l i noi s D e p a r t me n t of Commer ces a n d Ec o n o mi c Op p o r t u n i t y
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i ndi c a t e t h a t t r i e f ol l ovvi ns qua r t e r l y . r e por t <s ) f or y o u r g r a n t h a s / h a v a n o t b e e n r e c e i v e d:
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r epor t Cs) t o m y a t t e n t i o n wi t h i n I S bus i ne s s d a y s of t h e d a t e bf ~t ri TsTof l er. " I f ' y ou ha v e -
a n y que s t i ons r o s a r d l n g y our g r a n t ; pl e a s e cal l m e a t 2 1 7 - 7 8 2 - 8 3 4 6 .
Sinejaff-ely.
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Illinois Department of Commerce and Economic Opportunity
Rod Blagojevich
Governor
Jack Lavin
' Director
April 05,2005
Ms. Carol Spizzirri
President/Founder
Save A Life Foundation, Inc.
9950 W. Lawrence Ave.,Ste 300
Schiller Park, IL 60176-1216
>A7»^^
Dear Ms. Spizzirri:
Your executed grant agreement for Illinois FIRST grant 03-120016 requires that your
organization submit quarterly reports as a condition of receiving the grant. Our records
indicate that the following quarterly report(s) for your grant has/have not been received:
Reporting Period Quarterly Status Report Quarterly Expense Report Year
12/0172004 • 02/28/2005 X X 2005
In order to ensure compliance with the grant agreement, please mail the quarterly
report(s) to my attention within 15 business days of the date of this letter. If you have
any questions regarding your grant, please call me at 217-782/5346.
Sincerely,
Susan Bogg:
Grants Manager
Illinois FiRST-Unit
cc: DCEO Program File
Internet Address httcc//www.eommerce.state.il.us
620 Eut Adams Street James ft. Thompson Center 2309 West Main. Suite MB
Springfield. Illinois 62701-1615 100 West Randolph Street. Suite 3-400
Chicago. Illinois 60601-3219
Marion. Illinois 629S9-1180
2I7/782-7S00 312/814-7179 618/997.4394
TDD: 800/785-6055 TDD: 800/78S-6O55 TDD: 800/78S-60S5
rVinted on fteqrdtd and fUcyctebte Paper
Illinois Department of Commerce and Economic Opportunity
Rod R, Blagqjevich
Governor
Jack Lavin
Director
October.01, 2004
Ms. Carol Spizzirri
President/Founder
Save A Life Foundation, Inc.
9950 W. Lawrence Ave., Ste 300
Schiller Park, IL 60176-1216
Dear Ms. Spizzirri:
o
Your executed grant agreement for Illinois FIRST grant 03-120016 requires that your
organization submit quarterly reports :as a condition of receiving the grant. Our records
indicate that the follpwing quarterly report(s) for yourgrant has/have not been received:
Reporting Period Quarterly Status Report
\ -. J ■ : ' > '
Quarterly Expense Report Year
^06/01/2004 - 08/31/2004
■ . ' i .
X x 2004
In order to ensure compliance with the grant agreement, please mail the quarterly
report(s) to my attention within 15 business days of the date of thisjetter. If you[have
a T . y q w s t i o n s ~ r e g a r W n ^ - - - - - - - - ---
>usan Boggs
Grants Manager
Illinois FIRST Unit
cc: File
Internet Address http://www.cominerce.sUte.il.iis
620 East Adams Street
Springfield. Illinois 62701
211/782-7500
Fax: 217/524-1627 xTDD:80O/78S-6OS5
Jama R. Thompson Center
100 West Randolph Street, Suite 3-400
Chicago. Illinois 60601
112/814-7179
Fax: 312/814-6732 xTDD: 800/419-0667
607 East Adams Strati
Springfield, Illinois 62701
217/782-7500
Fax: 217/785-2618 xTDD: 2I7/7BS-60S5
2309 West Main. Suite I It
Marian, Illinois. 62959
618/997-4394
Fax: 618/997-1B2S x TDD Relay: 800/526-0844
Printed on Recycled and Recyclable Paper
C o n f i r ma t i o n R e p o r t — Memor y Se nd
Ti ne : 10-01-2004 11:49
Tel l i ne : 217-557-1663
Name : DCCA
Job number
Date
To
Docunent pages
Start tine
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Pages sent
Status
Job number 243
243
10-01 11:48
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001
10-01 11:4B
10-01 11:49
001
OK
* * * SEND SUCCESSFUL * * *
I l l i noi s De p a r t me n t o f Co mme r c e a n d E c o n o mi c Op p o r t u n i t y .
Rod B. OhMtOievieta T JMKUVM
O c t o b e r OX , 2 0 0 4
Ms . Car ol Spl z z i r r l
Pr o o l d o n t / F o u n d o r
Sa v e A l_tfe F o u n d a t i o n . I nc.
9 9 S O W- L a wr e n c e Av e . , S t e 3 0 0
S c h i l l e r P a r k . IU 6 0 1 7 6 - 1 2 1 6
De a r Ms . Sp l z z l r r l :
Your e x e c u t e d s r a n t a g r o e me n t f or I l l i noi s F I RST Br a nt 0 3 - 1 2 0 0 1 6 r o q u i r o e t h a t y o u r
o r g a n i z a t i o n s u b mi t Qua r t e r l y r e p o r t s a s a c o n d i t i o n of r a c o l v l n a t h o s r a n t . Ou r r a e o r d s
i ndi c a t e t h a t t h a f o l l o wl n g q u a r t e r l y r e p o r t ' s ) f or y o u r s r a n t h a s / h a v e n o t b o o n r e c e i v e d:
Repor t i ng Pe r i od Quar t er l y St at u« Repor t I Qua r t e r I v B i n wi t o Repor t Y OM
06/01/2004 . 0S/31/Z004 X _ 2004
I n or de r t o e n s u r e c o mp l l a n c o wi t h t h e s r a n t a s r e o me n t , p l e a s e ma i l t h e q u a r t e r l y
reportCaO t o my a t t e n t i o n wi t h i n 1 5 bus i ne s s d a y s of t h o d a t e of t hi s l e t t e r . I f y o u have
a n y q u e s t i o n s r e e a r d i n g y our g r a n t , p l e a s e cal l m e a t 2 1 7 - 7 8 2 - 5 3 4 6 .
Susan Bo g g s
Gr a n t s Ma n a g e r
l l l l noi o F I RS T Un i t
c c : F i l e
4i«l W-l MJK I _U. I tr
a?^^ S Mi ^ a i a a ae^v^^a_ ^--~~
9S k T D O l
Illinois Department of Commerce and Economic Opportunity
Rod R. Blagojevich
Governor
Jack Lavin
Director
July 01, 2004
Ms. Carol Spizzirri
President/Founder"
Save A Life Foundation, Inc.
9950 W. Lawrence Ave., Ste 300
Schiller Park, IL 60176-1216
C/i Lifid** Ad*
Dear Ms. Spizzirri:
Your executed grant agreement for Illinois FIRST grant 03120016 requires that your
organization submit quarterly reports as a condition of receiving the grant. Our records
indicate that the following quarterly report(s) for your grant has/have not been received:
Reporting Period
Quarterly Status Report Quarterly Expense Report Year
03/01 /2004 - 05/31/2004 2004
In order to ensure compliance with the grant agreement, please mail the quarterly
report(s) to my attention within 15 business days of the date of this letter. If you have
any questions regarding your grant, please call me at 217-782-5346.
Susan Bogga
Grants Manager
Illinois FIRST Unit
cc: File
Internet Address http://www.commerce.state.il.us
620 East Adams Street
Springfield. tllmou 62701
James R. Thompson Ccuer
100 Wen Randolph Street Suite J - W
Chicago. Illinois 60601
607 East Adams Street
Springfield. Uineit 63701
2109 Wen Main, Suite l i t
Marion, Illinois 62959
217/782-7500
Fax: 217/524-1627 iTDD: 800/7SS-6055
312/814-7179
Fax: 312/814-6732 .TDD SOO/419-0667
217/7J5-2S0O
Fax: 217/735-2618 .TDD 217/735-0211
618/997-4394
Fax: 618/997-1825 • TOD Relay: BOO/526-0944
Printed on Recycled and Recyclable Paper
C o n f i r ma t i o n R e p o r t — Memor y Send
Tine
Tel l i ne
Name
07-01-2004 07:
217-557-9883
DCCA IL FIRST
: 093
093
07-01 07:08
918479289684
001
07-01 07:08
07-01 07:09
001
OK
* * * SEND SUCCESSFUL * * *
\j
I l l i n o i s D e p a r t m e n t o f C o m m e r c e a n d E c o n o m i c O p p o r t u n i t y
Rod R. Blaectfovlett
<?/* ^/^ssSo- 'Z't'
* JMlc L«vin
Jul y Ol . 2 0 0 4
Ms . Ca r ol Spt z z i r r l
P r a a i d e n t / F o u n d o r
Sa v e A Li f e F o u n d a t i o n , I nc.
9 9 S O W. L a wr e n c e Av o. , St o 3 0 0
Schi l l er Pa r k , I L 6 0 1 7 6 - 1 2 1 6
De a r Ms . Sp l z z l r r l :
Vo u r e x e c u t e d s r a n t a g r a s mo n t f or I l l i noi s F I RS T g r a n t 0 3 - 1 2 0 0 1 6 r e q u i r e s t h a t y o u r
o r g a n i z a t i o n s u b mi t q u a r t e r l y r e p o r t s a s a c o n d i t i o n of r oc ol v i ns t h e s r a n t . Ou r r e c o r d s
i ndi c a t e t h a t t h e f o l l o wl n s q u a r t e r l y r e p o r t ' s ) f or y o u r s r a n t h a s / h a v o n o t b e e n r e c e i v e d :
0 3 / f l i y g a t w- " s / 3 i " a o o «
OMar t nr l v St »t u« Ronor t I Quar t er l y B« n » mn Wo o r t
•#Hw
I n or de r t o e n s u r e c o mp l i a n c e wi t h t h e s r a n t a g r o o mo n t , p l e a s e rrt al I t h e q u a r t e r l y
r opor t Cpi t o m y a t t e n t i o n wi t h i n 1 S bus l nos s d a y s o j t h e d a t e of t hi s l a t t e r . I f . y ou hov e
any' que s t i ons r o g n r d l n s y o u r s r a n t , p l e a s e cal l m e a t 2 1 7 - 7 8 2 . 5 3 4 € . .
Si noeVel y
Su s a n B o t
Gr a n t s Ma n a g e r
I l l i noi s F I RS T Un i t
c e : File
IntMTTio ^^dg»— hln»://www.gomm«re».»fi«.II.M»
C M M M I M M M M M I
•o» K M A* I «W •»«*•
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Illinois Department of Commerce and Economic Opportunity
Rod R. Bla^ojevich
Governor
Jack Lavin
Director
April 01, 2004
Ms. Carol Spizzirri
President/Founder
Save A Life Foundation, Inc.
9950 W. Lawrence Ave., Ste 300
Schiller Park, IL 60176-1216
& £W* &■ £-
Dear Ms. Spizzirri:
Your executed grant agreement for Illinois FIRST grant 03-120016 requires that your
organization submit quarterly reports as a condition of receiving the grant. Our records
indicate that the following quarterly report(s) for your grant has/have not been received:
Reporting Period Quarterly Status Report Quarterly Expense Report
Year
12/01/2003 ■ 02/29/2004 2004
In order to ensure compliance with the grant agreement, please mail the quarterly
report(s) to my attention within 15 business days of the date of this letter. If you have
any questions regarding your grant, please call me at 217-782-5346.
ioggs dTr
0
Grants Manager
Illinois FIRST Unit
cc: File
Internet Address http://www.commerce.staie.il.us
620 Eul Adams Street
Springfield. IHinois 62701
Junes R Thompson Center
100 Wen Rudolph Street. Suite 3-400
Chicago. Illincx, 60601
607 Eul Aduns Street
Springfield. Illinois 62701
2309 West Main. Suite 118
Marion. Illinois 62959
217/782-7500
Fax 217/524-1627 tTDD 800/785-6055
JI2/SI4-7I79
Fax 312/814-6732 aTDD 800/419-0667
217/785-2800
Fax 217/785-2618 .TDD 217/785-0211
618/997-4394
Fax 618/997-1825 • TOD Relay: 800/526-0844
Printed on Recycled and Recyclable Paper
C o n f i r ma t i o n R e p o r t — Memor y Se nd
Tine
Tel l i ne
04-01-2004 09:3B
217-557-9883
DCCA IL FIRST
Job number
Date
To
Document pages
Start time
End ti ne
Pages sent
Status
Job number : 379
379
04-01 09:37
918479289684
001
04-01 09:37
04-01 09:37
001
OK
* * * SEND SUCCESSFUL * * *
I l l i n o i s D e p a r t m e n t o f C o m m e r c e a n d E c o n o m i c O p p o r t u n i t y
I R.. BM«i t| «vl eh
Apr i l O l . 2 0 0 4
Ms . Ca r ol Spi z z i r r i
P r e s i d a n t / F e u n d o r
Sa v e A Li f e F o u n d a t i o n . I nc .
9 9 5 0 W. L a wr e n c e Av e . . St e 3 0 0
Schi l l er Pa r k . I L 6 0 1 7 G 1 2 1 6
JMl c Umvin
e>x
De a r Ms . Spi z z i r r i :
Your e x e c u t e d g r a n t a g r e e me n t f or I l l i noi s F I RS T g r a n t o a - i a o o i s r e q u i r e s t h a t y o u r
o r g a n i z a t i o n s u b mi t q u a r t e r l y r e p o r t s a s a c o n d i t i o n of r a c e i v l n g t h u g r a n t . Ou r r e c o r d s
I ndi c a t e t h a t t ho f o l l o wi n g q u a r t o r l y r opor t ( o) f or y o u r g r a n t h a s / h a v o n o t b e e n r e c e i v e d :
i a / o
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Quar t er l y 3t ot un Raoi Qua r t e r l y E K p i w e Ropor t
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I n o r d e r t o e n s u r e c o mp l i a n c e wi t h t h e g r a n t a g r e e me n t , p l e a s e ma i l t h e q u a r t e r l y
r a poc Us Uo. r j ny a t t e n t i o n wjLJhJjxJ
1
S_J»uslixe«s_day_* of t h e d a t e of t h l i l et t er . I f y o u h a v e
a n y q u e s t i o n s r e g a r d i n g y o u r g r a n t , pl e a s e cai i m e a t 2 l " ? ^
:
7 Sf i ' a 3 4 6 .
Si r
Jrely.
san Bo g g s
Gr a n t s Ma n a g e r
I l l i noi s F I RS T Un i t
Fi l e
I rnwi w Addww hwp!//www.flomimw.iw».t>.ui
■ —*3S5S2KSr •—
' •** Mt M, t wi t i i a
•M. HIV**?* **»*•>
Illinois Department of Commerce and Economic Opportunity
1 M
1
Rod R. Blagojevtch
Governor .
Jack Lavin
Director
January 07, 2004
C/c /-tA/t(* fssf"
Ms. Carol Spjzzirri
President/Founder
Save A Life Foundation, Inc.
9950 W.Lawrence Ave., Ste 300
Schiller Park, IL 60176-1216
Dear Ms. Spizzirri:
Your executed grant agreement for Illinois FIRST grant 03-120016 requires that your
organization submit quarterly reports as a condition of receiving the grant. Our records
indicate that the following quarterly report(s) for your grant has/have not been received:
Reporting. Period Quarterly Status Report Quarterly Expense Report Year
09/01/2003 - 11/30/2003 2003
In order to ensure compliance with the grant agreement, please mail the quarterly
report(s) to my attention within 15 business^days of the date of this letter. If you have
any questions regarding your grant, please call me at 217-782-5346.
Since/ely,
,' Sj/san Boggs *-
Grants Manager
Illinois FIRST Unit
cc: File
Internet Address http://www.commerce.state.il.us
620 Easl Adams Sired
Springfield, Illinois 6Z70I
James R Thompson Center
100 Wen Randolph Street. Suite 3-400
Chictgo. Illinois 60601
607 East Adams Street
Springfield. Illinois 62701
2109 Wen Main. Suite 118
Marion. Illinois 62959
217/782.7500
Fan. 2I7/S24-I627 . TDD JOO/7856055
JI2/3U-7179
Fi . )l2/al4-67)2«TDD 800/419-0667
217/785-2800
Fai 217/785-2618 «TDD 2I7/78S-0211
6I8/997-1194
Fax 618/997-1825 ■ TDD Relay 800/526-0844
Primed on Recycled and Recyclable Paper
C o n f i r ma t i o n R e p o r t - Memor y Se nd
Tine
Tel l i ne
01-07-2004
217-557-1663
DCCA
1:54
658
658
01-07 09:53
918479289684
001
01-07 09:54
01-07 09:54
001
' OK
* * * SEND SUCCESSFUL * * *
I l l i n o i s D e p a r t m e n t o f C o m m e r c e a n d E c o n o m i c O p p o r t u n i t y
SUMS K. BtftsotJwfete Jack Uavi n
J a nua r y 0 7 , 2 0 0 4
(Vis. Ca r ol Spi z z l r r l
P r a a i d a n t / F o u n d e r
Sa v e A Li f e F o u n d a t i o n , I nc .
9 9 8 0 W. L a wr e n c e Av a . , S t e 3 0 0
Schi l l er Pa r k , I L 6 0 1 7 6 - 1 2 1 6
De a r Ms . Spi z z l r r l :
Yo u r e x e c u t e d er r ant a s r a e r p e n t f or I l l i noi s F I RS T ar r ant 0 3 - 1 2 0 0 1 6 r e q u i r e s t h a t y o u r
o r g a n i z a t i o n s u b mi t q u a r t e r l y r e p o r t s as a c o n d i t i o n of r e c e i v i n g t h e g r a n t . Ou r r e c o r d s
I n d i c a t e t h a t t he f o l l o wi n g q u a r t e r l y r epbr t Ca) f or y o u r s r a n t h a a / h a v o not b e e n r e c e i v e d:
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I n o r d e r t o e n s u r e c o mp l i a n c e wi t h t h « g r a n t a g r s a ma n t , p l e a s e ma l l t h e q u a r t e r l y
roppr-tCs) t o m y a t t e n t i o n wi t h i n I S b u s i n e s s d a y s of t h e d a t e of t hi s l et t or . I f y o u h a v a '
o n y - q u e s t l o n s - r e g o r d l n g y o u r gr a nt , - pl eoso c a l r m e a t 2 1 7 - 7 8 a r - B 3 4 6 , " ——-
Wa n Bo g g s
Gr a n t s Ma n a g e r
I l l i noi s F I RS T Un i t
cc: Fi l e
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P M> i i wa 3 « . i Mf f
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* * - • • « • • n o i w v l omm ••■ ■
Illinois Department of Commerce and Economic Opportunity
Rod R. Blagojevich JackLavin
Governor . . f - Director
July 01, 2003
Ms. Carol Spizzirri
President/Founder.
Save A Life Foundation, Inc.
9950 W. Lawrence Ave., Ste 300
Schiller Park, IL 60176-1216
Dear Ms. Spizzirri:
Your executed grant agreement for Illinois FIRST grant 03-120016 requires that your
organization submit quarterly reports as a condition of receiving the grant. Our records
indicate that the following quarterly report(s) for your grant has/have not been received:
Reporting Period Quarterly Status Report 1 Quarterly Expense Report Year
03/01/2003 - 05/31/2003 X | x 2003
In order to ensure compliance; with the grant agreement, please mail the quarterly
report(s) to my attention within 15 business days of the date of this letter. Rnpttrting
forms and instr-uctiono aro ottachcd for yuui ubb. If you have any questions regarding
your grant, please call me at 217-782-5346.
>usan Boggs
Grants Manager
lllinois-FIHST-Unit
Attachments
cc: File
Internet Address http://www.commerce.state.il.us
620 Etsi Adinu Street James R Thompson Center 607 East Adams Street 2309 Wen Main. Suite 118
Springfield. Illinois 62701 100 West Randolph Street. Suite 3-400 Springfield. Illinois 62701 Mirioa Illinois 62959
Chicago. Illinois 60601
217/782-7500 312/814-7179 217/785-2800 618/997-4394
F«. 217/524-1627 ■ TDDSOO/785-&OS5 Fax 312/814-67)2 i TDD 800/419-0667 Fax 217/785-2618 .TDD 217/785-0211 Fax: 618/997-1825 ■ TDD Relay 800/5264844
Primed on Recycled and Recyclable Paper
Co n f i r ma t i o n Re por t — Memory Send
Tiae : 07-01-2003
Tel line : 217-557-1663
Name : DCCA
10:56
523
523
07-01 10:55
918479289684
001
07-01 10:55
07-01 10:56
001
OK
* * * SEND SUCCESSFUL * * *
I l l i noi s De p a r t me n t o f Commerce a n d E c o n o mi c Op p o r t u n i t y
Rod R. BIwotfsvteH
Jul y Ol , 2 0 0 3
Ms . Ca r ol Spi z z l r r l
P r a s l d o n t / F o u n d e r
Sa v e A Li f e F o u n d a t i o n , I nc .
9 9 S O W. L a wr a n e a Av s . , St o 3 0 0
Sehi l l or Pa r k . I I - 6 Q 1 7 6 - I 2 1 6
Da a r Ms . Spi z z i r r l :
Your o x a e u t a d s r a n t a g r o o me n t f or I l l i noi s F I RS T s r a n t 0 3 - 1 2 0 0 1 6 r s q u l r o s t h a t y o u r
o r g a n i z a t i o n s u b mi t q u a r t e r l y r e p o r t s a s a c o n d i t i o n of r a e a l v l n g t h a s r a n t . Ou r r o e d r d s
i ndt eat o t h a t t h e r o l l o wl n s q u a r t e r l y r opor t ( a ) f or y o u r g r a n t h a s / h o v s n o t b e e n r e c e i v e d :
Repor t i ng Por l od aT' JU*LUi ' 4mj WMi
ooor t I Quar t er l y mmaonmo Ra a or t
8gQg
I n or de r t o e n s u r e c o mp l i a n c e wi t h t h e g r a n t a g r a o ms n t , p l e a s e ma l l t h e q u a r t e r l y -
r e por t ' s ) t o m y a t t e n t i o n wi t h i n I B bus i ne s s d a y s of t h e dot o_of J h I s Jot t or . B n n a r H t f l
*fraTiniYn~Tifl«T I nal Bi ct l ana" ar o" aBTodBaa l ui J I UUI uut*. ft y o u Ha v e a' ny; queat Jons r a g a r d l n g
y our s r a n t , pl oa s e cal l m o a t 2 1 7 - 7 8 2 - 5 3 4 6 .
l uson Bogga
Gr a nt s Ma n a g e r
I l l i noi s F I RS T Uni t
At t a c h me n t s
c e : Fi l e
ttit+m*i A 4 < i » „ t»wp://www.commtf«'C».*l«
■ |i»ifliii, rat—i, «avoi fM*a4. «V?«l
1 I M W M , k MK ■ ■ ,!>■ 1 1 *
Illinois Department of Commerce and Community Affairs
Rod R. Blagojevich
Governor
Jack l.avin
Acting fhrvcior
April 01, 2003
Ms. Carol Spizzirri
President/Founder
Save A Life Foundation, lac.
9950 W. Lawrence Ave., Ste 300
Schiller Park, IL 60176-1216
Dear Ms. Spizzirri:
Your executed grant agreement for Illinois FIRST grant 03-120016 requires that your
organization submit quarterly reports as a condition of receiving the grant. Our records
indicate that the following quarterly report(s) for your grant has/have not been received:
Reporting Period Quarterly Status Report Quarterly Expense Report i Year
12/01/2002 ■ 02/28/2003 X X i 2003 ;
In-order to ensure compliance with the grant agreement, please mail the quarterly
report(s) to my attention within 15 business days of the date of this letter. Reporting
forms and instructions are attached for your use. If you have any questions regarding
your grant, please call me at 217-782-5346.
Sinoe*rely,
Susan Boggs
Grants Manager
Illinois FIRST Unit
Attachments
cc: File
I nl and Address Imp :/Avw\v commerce <laie il us
620 East Adams Street
Springfield. Illinois 62701
James R Thompson Center
100 West Randolph Street. Suite )-400
Chicauo. Illinois 60601
607 Cast Adams Street
Springfield. Illinois 63701
1VT> West Main. Suite 118
Marion Illinois 62959
2I7/782-750O
Fax 217/524-1627 »TDD SO0'7S5.6O.« Fav
112/814-7179
512/814-67.1: «TOD 8(10/419.0667 Fav
217/785-2800
: f >' 78<. ?6| 8 . TOD 2l
7 r
»»5. i i ; i I
hlS.'997.4!'>4
I j y f . | SW1. l 52= • T l i n «,•!«
Printed on Recycled and Recvctable Paper
Confirmation Report — Memory Send
Tine
Tel line
Name
Apr-01-2003 09:1 Is
217-557-9883
OCCA IL FIRST
Job number
Date
To
Document .pages
Start time
End tine
Pages sent
Status
Job number
106
106
Apr-01 09:06an
918479289684
003
Apr-01 09:09ara
Apr-01 09:10am
003
OK
* * * SEND SUCCESSFUL * * *
■ *C
Rod R. BlftOCUvWoh
On
I l l i n o i s D e p a r t m e n t o f C o m m e r c e mn.A C o m m u n i t y Af f a i r s
Jnttk L.avln
Apr i l p i . 2 0 0 3
Ms . Car ol Spl z z l r r i
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Sa v e A Li f e F o u n d a t i o n , I nc.
9 9 S O W. L a wr e n c e Av e . . S t e 3 0 0
Schi l l er Pa r k . I L 6 0 1 7 6 - 1 2 1 6
Doa r Ma . Spi z z i r r i :
Your e x e c ut e d g r a n t a g r o a mo n t f or I l l i noi s F I RST g r a n t 0 3 - 1 2 0 0 1 6 i - equi r es t h a t y our
o r g a n i z a t i o n s u b mi t q u a r t e r l y r e p o r t s a s a c o n d i t i o n of r e c e i v i n g th. » g r a n t . Ou r r e c or ds
I ndi c a t e t h a t t r i o f o l l o wi n g q u a r t e r l y r epor t Cs) f or y o u r . s r a n t h a s / h o v e not b o o n r e c e i v e d :
\Httoi'1\<
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I n or de r t o e n s u r e c o mp l i a n c e wi t h, t he, g r a n t a g r e e me n t , p l o a a e m«. il t he q u a r t e r l y
r epor t Cs) t o my a t t e n t i o n wi t h i n 1 5 bus i ne s s d a y s of t h e d a t e of t hl t i l e t t e r . Re p o r t i n g
f o r ms a n d i ns t r uc t i ons a r e a t t a c h e d f or y our u s e . I f y ou h a v e a n y q u e s t i o n s r e g a r d i n g
y our Hr a n t r P l o a a o c a l l - r n o a t 2 1 7 ^ 7 8 2 - S 3 4 6 . 1.............. . . . . . . '_ _v ..-. .
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I. I I KH* . , »a»oi l *«Bt. I « h * >-4«W»
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Illinois Department of Commerce and Economic Opportunity
Rod Bl agojevi ch
Governor
Jack Lavin
Director
March 22. 2005 r '
Ms. Carol Splzzirri, Pres/Founder
Save A Life Foundation
C/0 Save A L1fe Foundat1on
99BO LAWRENCE AVE STE 300
Schiller Park, IL 80178-1216
Re: Subgrant No. 03-120018 Save A Life Foundation
Dear Ms. Splzzirrt:
The Illinois Department of Commerce and Economic Opportunity is
currently in the process of closing out the above referenced grant. To
facilitate this process we are enclosing a close-out package and
applicable Instructions. Please complete the information requested and
return by May IB, 2005 to:
Department of Commerce and Economic Opportunity
Accounting Office
:
820 E. Adams Street'■- 2nd Floor
Springfield, Illinois 82701
If your grant agreement, under Part II, Section 2.5, requires a final
expense and status report; the submlttal of the enclosed close-out
package will serve to satisfy the reporting requirements, once your
package Is approved by the Department.
If your grant agreement, under Part II, Section 2.B, requires quarterly
status and/or expense reports, you may elect not to submit the reports
for the last period of your.grant agreement provided vou have already
received the full amount of the grant funds as stated In your grant '
atee
735"
agreement. In other words, if you have net received al1 of' your grant
funds; you must submit an expense report to request the remaining funds
prior to the completion and submlttal of the enclosed close-out package.
You must continue to meet the requirements of proper cash management for
the remaining term of your grant by limiting cash to an amount necessary
to meet Immediate cash needs. Excess cash should be returned tp the
Department \ mmed i ateiv^ i Jipfin, final,subml salon _o£-Vour-&losBrctti.-any
remaining unexpended cash should be refunded as defined in the enclosed
procedures.
Should you have questions about the close-out package or Instructions
please contact Dave Nelson at (217) 524-025B.
Sincerely,
Christ1 DeQroot
Assistant Manager
Accounting Office
CC: Patty Hughes
/
Close-out File
Intaraal Addrass ht1p://www.commarca.ttata.ilus
620 Eail Adama S U M I
Springfiald, Illinoii 62701- 1615
Jamai R. Thompson Caniar
100 Wait Randolph Straat. Suila 3- 400
Chicago. Illinoii 60601- 3219
2309 Wan Main, Suit* 118
Marion, Dluioit 62959- 1160
217/782-7500
TOO: 800/785-6055
312/ 814- 7179
TD0: 800/ 785- 6065
Prinlad on Rscyelad and RacyclabJi Papor
618/ 997- 4394
TDD 800/ 785- 605S
"Carol Spizzirri"
<carol@salf.org>
10/05/2004 08:29 PM
To: <sboggs@commerce.state.il.us>
cc:
Subject: RE: State Legislators Join Ronald McDonald to Save Lives
October 5, 2004
Roberts
For Immediate Release
Life Foundation
www.salf.org
{847)-928-9683
Josh
Save A
Phone:
State Legislators Join Ronald McDonald to Save Lives
Chicago, IL - October 6, 2004 - Burnside Elementary School will be honored
by_
State Senator Donne Trotter, State Representative Constance Howard and
McDonald's icon, Ronald McDonald, who will witness the children learning
life supporting first aid (LSFA) skills by SALF instructors, who are
Emergency Medical Service providers. Senator Trotter, who has been
persistently advocating to keep SALF in the state budget since 1997, in
order to bring these life saving skills to school children free of charge.
This year, Trotter will be joined in support, morally and financially, by
Ronald McDonald House Charities, both Global and Chicago and Indiana
Regional, and Chicago Public Schools, in an effort to expand this training
to more Chicago area school children.
Ronald McDonald himself recognizes the need to emergency prepare our
children, should they be faced with a life threatening emergency, and will
witness these skills being exercised to Burnside 4th graders tomorrow,
October 6, 2004, starting at 9:30 a.m.
Where: Burnside Elementary School, 650 East 91st Place, Chicago, Illinois
60619
09/21/2004 16:25 SPWE A LIFE FOUNDATION * 12175579883
dVf bSY 16fa3
0M7-2054 11:57 Frou-OCCA
Zl7-557-1863
NO. 523 P01
T-767 P Q0I/O02 F-BJB
Department of Commerce &
Economic Opportunity
ML
Rod R Bfagojevich, Governor
JackLavin, Director
Fax Cover if you do not receive the number of pages indicated, please call
217/782-5346. Thank you.
Susan Boggs /
September /(, 2004
Job Creation/Retention Numbers
03*/2>*0/& f/00,00» J&uJyez
$f
Fax No.
< a
Jpafh
Dace
Subject
Grant
Comments;
The Department of Commerce and Economic Opportunity, which
administers the grant specified above, is hereby requesting information
regarding the job crestion and job retention that have resulted, or will
result, from your Illinois FIRST grant-funded project. The terms of your
grant agreement (Part II, Section 2.6) require that you submit this
information.
As accurately as possible, please provide figures in the following three
categories (see the attached page for instructions/explanation of these
terms):
1. Number of Permanent Jobs (or FTE's) Created by this Project:
r//A
2. Number of Temporary Jobs Created by this Project A//*
3. Number of Permanent Jobs Retained by this Project r///
Illinois Department of
Commerce and Economic
Opportunity
€20 east Adams Street
Springfield. IL 62701
607 East Adams Street
Springfield. I I 62701
James R. Thompson Center
100 West Randolph Street
Suite 3-400
Chicago, IL 60601
2309 West Main Street
Marion, IL 62959
This form was prepared by:
Signature ot Authorized Official: Mr Date 9 - a / W
Please complete and FAX this completed page back NO LATER THAN CLOSE
OF BUSINESS, Tuesday, September 21, 2004 (217/697*9883, alternate
217/5S7/1663). Thank you!
"Carol Spizzirri" To: <sboggs@commerce.state.il.us>
<carol@salf.org> cc:
„„,„„ . „ . . , „ . . . Subject: RE: GREAT NEWS III Check on the way for 03-120016 Dudycz grant!!
08/11/200410:49 AM
S
b ' *
WOWOWOWOOWOWOW! Love you girl
—Or i gi nal Message-—
From: sboggs@rommerce.state.il.us [mailto:sboggs@commeros.state.il.us]
Sent: Wednesday, August 11,200410:57 AM
To: carol@salf.org
Subject: GREAT NEWS !!! Check on the yvay for 03-120016 Dudycz grant ! ! sb
Susan Boggs
07/20/2004 01:51 PM
To: "Carol" <carol@salf.ftig>@CMS
cc: ".:'• -
:
.•
Subject: RE: Release of funds©
Nothing. As you know, we do not yet have a budget and until that happens, we cannot even begin the
fiscal year-end reconciliation of our financial records with the Comptroller. Nothing is moving at the
moment I would keep the pressure on from your end so when things come back up, we will be allowed to
payi Vsb . ..- v ■ ..■ >■ .:■ -."■ ■ '■ .-:.
"Carol" <carol@saif.org> v
^•Carol"
<carol@salf.org>
07/20/2004 01:26 PM
. To: <sboggs@commerce.state.il.us>
" ' ' cc: ' ' ■ ■ ' ■ " . '
Subject: RE: Release of funds
thanks susan! Got it pulled together - will be in your hands soon. Have you
heard ANYTHING? Hugs Carol
—Original Message
From: sboggs@commerce.state.il.us [mailto:sboggs6commerce.state.il.us]
Sent: Monday, July 19, 2004 7:38 AM
To: carol@salf.org
Subject: RE: Release of funds
We are all set. I spoke with someone from your office Thursday, you can go
ahead and close-out the Poe grant - it has nothing to do with the
outstanding grant funds. Hang in there, sb
"Carol"
<carol@salf.org>
<sboggs@commerce.state.il.us>
funds
07/16/2004 11:27
PM
To:
cc:
Subject: RE: Release of
FYI!
Are we all set for a while?
Want to keep you happy...wish I was...won't be until this matter is put to
rest.
Carol
—-—Original Message
From: sboggs@commerce.state.il.us [mailto:sboggsOcommerce.state.il.us]
Sent: Monday, June 14, 2004 8:55 AM
f 0(rer~ J
— Original Message—
From: sbpggs@commerce.state.il.us [mailto:sboggs@commerce.state.il.us]
Sent: Wednesday, June 02, 2004 7:05 AM
To:carol@saif.org
Subject: Release of funds - . -
That information has not made its way to me yet. I just emaiied my boss to
track it down. When we get the ok, it is just a couple key strokes for me
to release the money, sb
"Carol" ^-
<carol@salf.or To: ..
<sboggs@commerce.state.il.us>
g> cc:
Subject: RE: Report
06/01/04 02:22
PM
Dear Susan: received call from Sen DeLeo yesterday....Gov agreed to release
our $100,000 Sat. - said funds would be available today how or who do I-
contact to verify and get those funds through to you?
Carol Spizzirri
C o n f i r ma t i o n R e p o r t — Memor y Send
Tine
Tel line
Naae
07-20-2004 14:49
217-557-9883
DCCA IL FIRST
535
07-20 14:47
918479289684
004 ' ' ■ " . ' , " L
07-20 14:47
07-20 14:49
004
OK
* * * SEND SUCCESSFUL * * *
I l l i noi s De p a r t me n t o f Co mme r c e a n d Ec o n o mi c Op p o r t u n i t y
Rod R. aiwtivvtaft Jack Lavln
F A X C O V B R S H E E T
T O :
r
Z7
P A ' f g : •?'-&S>-0*'
<2*v*.
F AX . N U M B E R : ty"?- ^g. 7 ' ■ ?£&$/'
F r a m : 8 u M n B o g |
F a x n u m b e r 2 1 7 *
P h o n o n u m b e r 2 1 7
E ma i l ; s u o a n . b o
a . G r a n t M a n a g e r
i i S 7 - 1 S 6 3 o r 2 1 7 - S 6 7 - S 8 B 3
- 7 8 2 - 5 3 4 9
b c o mma r e « ^ t a t o . l l . u m
C O M M E N T S :
i 4 U M B E R O F P A G E S T O F O L L O W :
I f mny p a g e s
t r anaml t t al hoi
o d t o bi
■ an ooi
o.
m( l at el y
int. pt oaao cal l t ho sendar .
r ocoi vod. T h a n k you.
»_tl«S£
Ot nai
rwl t t a,
w e wi l l a r a u mo tti l a
atwvi ^Ti v*
■ ■ ^ ■ l l l l I I I I » l | I)
r M ! * I M « M H a • V f l f t M H i i i
Susan Boggs
06/14/04 08:54 AM
thank you. Good luck, sb
"Carol" <carol@salf.org>
To: "Carol" <carol@salf.org>@CMS
cc:
Subject: RE: Release of fundsll)
"Carol"
<carol@salf.org>
06/14/04 08:45 AM
To: <sboggs@commerce.state.il.us>
cc:
Subject: RE: Release of funds
Thanks - I wil contact Sen Deleo and see why there is a delay. You^are
wonderful Carol '. ', •
Original Message
1
From: sboggs@commerce.state.il.us [mailto:sboggs@commerce.state. il. us]
Sent: Monday, June 14, 2004 8:23 AM
To: carol@salf.org
Subject: RE: Release of funds
T :have not heard anything I mentioned your last email to my boss and he
forwarded it up to our legislative office but we have hot been authorized
to pay this yet. Sorry, sb
"Carol"
<carol@salf.or To:
<sboggs@~commerce.state.il ,us>
g> cc:
Subj ect
06/13/04 12:43
AM
RE: Release of funds
I met Roxanne Nava from IDCEO - DCCA for ever....mentioned your name and
how
wonderful ycu are.
Also mentioned about Sen Deleo speaking with Gov and his agreement to
release our 5100,000- have you heard anything?
If not, will go back to Deleo...Deleo's sec told me that she checked and we
should have heard already.
Warmest
Original Message
From: sboggsGcommerce.state.il.us [mailto:sboggs@commerce.state.il.us]
Sent: Wednesday, June 02, 2004 7:05 AM
To: carol@salf.org
Subject: Release of funds
/ ffvf/
Susan Boggs
06/02/0407:04 AM
To: "Carol" <carol@salf.org>@CMS
Subject: Release of fundsH)
That information has not made its way to me yet. I just emailed my boss to track it down. When we get
thepk, it is just a couple key strokes for me to release the money, sb
"Carol" <carol@salf.org>
"Carol"
<carol@salf.org>
06/01/04 02:22 PM
To: <sboggs@commerce.state.il.us>
cc:
Subject: RE: Report
Dear Susan: received call from Sen DeLeo yesterday....Gov agreed to release
our $100,000 Sat. - said funds would be available today....how or who do I
contact to verify and get those funds through to you?
Carol Spizzirri
C o n f i r ma t i o n R e p o r t - Memor y Se nd
Time
Tel l i ne
Name
04-12-2004 13:40
217-557-9883
DCCA IL FIRST
632
04-12 13:39
918479289684
002
04-12 13:39
04-12 13:40
002
OK
* * * SEND SUCCESSFUL * * *
I l l i noi s De p a r t me n t o f C o mme r c e a n d Kc o n o mi c Op p o r t u n i t y
F A X C O V E R S H E E T
D A T E ;
- y-
FAX NUMBER: S^^<^ - <?&7~- 'P^&f
j ^ C g **/
#3 -/2 <?*/<i.
F r o m : S u a a n B o g g a , G r a n t M a n a g o r
F a x n u m b o r 2 1 7 - 6 6 7 - 1 8 6 3 o r 2 1 7 - 6 6 7 - 0 8 8 3
P h o n e n u mb a r : 2 1 7 - 7 8 2 - 5 3 4 6
E ma i l : o u s o n b a a s * @ c o n i m « r o a . a t a t « . l l . u «
C O M M E N T S :
N U M B E R O R P A G E S T O F o d o W : _j£.
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J
If a ny P Q Q O S n o a d t o torn r asont , pl a a s o ool l t ho «ond»r .
t r ansmt t t o! n a * b o a n compl ot ol y r ocal vod. T h a n k y ou.
Ot har wi ^t i , wo will y s a u mo trtla
Interne* ^4ttUmm» ttnoif/******.eammmrom.nt».II.urn
■ aw*— n m . n—m■ «*>to—.>»»>
U O * «V«M M M . ataaM* < * •
Susan Boggs To: "Carol" <carol@salf.org>@CMS
02/17/04 10:49 AM Subject RE: Save A Lifell
Received them, thank you very much. There may be hope. Please make sure that your.sponsor and all
other Reps, and Senators from your area are aware that you are waiting on the money for 03-120016.
Our records reflect that the current, sponsor of this grant is Senator Don Harmon. Take care, sb
"Carol** <carol@salf.org> '
"Carol" To: <sboggs@commerce.state.il.us>
<carol@>salf.org> cc:
02/13/0405:41 PM Subject: RE: Save A Life
Did you recieve audits? I noticed there was only one # listed and that was
for the money we received...thought it was typO so I sent both, OK? Any
word yet about other $? Will they release sometime?...Levine sent an
extention letter until June 04, is there hope?
Hope you had a great Valentine's Day...lots of hugs and kisses!
Carol
Original Message
From? sboggsGcommerce. state. il .us [mailto: sboggs@commerce. state. il. us']
Sent: Tuesday, January 13, 2004 1:28 PM
To: carol@salf.org
Subject: RE: Save A Life
Thank you. It's a treat to work with a Grantee that responds to mailings,
faxes and emails in a timely manner - so I'm the lucky one !! Which form
are you referring to? What does it say at the top? Thanks, sb
)
"Carol"
<carol@salf.or To:
<sbp.ggs.@cpmmerce.state. il.-usx - —
g> cc:
01/13/04 09:59
AM
Subject: RE: Save A Life
Susan, I am so fortunate to have you as my. go to person...YOU'RE so kind!
No
problem just blowing steam. The form I received has no Grant # on it.
Should I disregard than and wait for next...which I will be glad to fill
out
JUST FOR YOU! smile!
Original Message
I hope your-Dudycz project gets funded, sb
"Carol"
<carol@salf.or To:
<sboggs@commerce.state.il.us>
g> cc:
Subject:
11/05/03 09:11
AM
New location is working - with a limp...since We didn't get the other 100.
But I am hopeful that will come by end of Nov now that they are back. It
was
dead at that Capitol yesterday...did hear enough from floor discussion that
things weren't very smooth...Never heard Rep and Dem's agreeing as much as
what was going on yesterday.
Carol
Original Message '
From: sboggsScommerce.state.il.us [mailto:sboggs@commerce.state.il. us]
Sent: Wednesday, November 05, 2003 8:54 AM
To: carol@salf.org
Subject: RE: Job Creation Form .. .
(
Hey, great to hear from you. I'll bet you were as busy yesterday as we
were. Things are getting stirred up with the General Assembly back in
session. Hope your new location is working out. Take'care, sb
"Carol"
<carol@salf.or To:
<sboggs@commerce.state.il.us>
.... _.g> • .cc.:, „. .....
7
Subject: RE: Job Creation Form
11/05/03 08:45
AM
Just a HI for the day! Hope all is well there and you are too! Was in
Springfield yesterday, no time to stop by to see you, sorry, had to get
back
last night. But I was thinking of you
Carol
Original Message
From: sboggs@commerce.state.il.us [mailto:sboggsScommerce.state.il.us]
Sent: Thursday, August 07, 2003 8:11 AM
To: carol@salf.org
RE: Job Creation Form
I
C o n f i r ma t i o n R e p o r t — Memor y Send
Tine : 10-02-2003 10:53
Tel line : 217-557-1663
: DCCA
196
10-02 10:52
918479289684
003
10-02 10:52
10-02 10:53
003
OK
* * * SEND SUCCESSFUL * * *
I l l i noi s De p a r t me n t off C o mme r c e a n d E c o n o mi c Op p o r t u n i t y
j Mk I mft-im
F A X C O V E R S H B B T
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F a x n u mb e r : 2 1 7 - S S 7 - 1 8 B 3 o f 2 1 7 - 8 6 7 - 0 8 8 3
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En t a i l : a u s « n . b e a g B O
e
a m m a r e « « t t | t a . N . u a
C O M M E N T S :
N U M B E R O F P A Q B 8 T O P O U . O W : _ ;
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If mrty p a g a * r\mmd t o bo r s t ont , pl ooso oel l t ho oondor .
t ronamf t t al ha s b o o n c ompl e t e l y r oc»i v«d. THonl c you*.
Ot hor wi oo, wi l l a ooumo tnio
I n wwm A>ddre<« hnp: / / ww»» . oommere». Mf. ie. . H. m
P M »tYST»».ma>l»
• n w n * 4 i i i r«* * I « > WT . I M»
ILLINOIS FIRST PROGRAM
EXPENSE REPORT
03-120016
Grantee Name: Save A Life Foundation Dept. of Commerce and Community Affairs
rantee Address: 9950 W. Lawrence Ave-Ste. 300 620Ea.st-AtiamSrSpringfiekUL 62701
Sctiiller Parkilli ?60#6V1216
• a*- . \ t
x ReportPeHod :
From; [ -To:
' • ' ■ "
Grant No: 03-120016 ;
FEIN' flHHHI
ReportPeHod :
From; [ -To:
Prepared By: Linda Post, Acctg. "-> ~
,r
7~' 7
6/1/03-8/31/03 Phone: 847^28^9683 Date: 9729703 6/1/03-8/31/03 Final? (Y/N) No |
' 1 ' " ■ ■ ' - .
2 3 ,. 4 5
Budaet Line Items or
Activities (Grantee must
CODV from Grant
Ac-reement PART I or
subseauent modification)
Approved Budget
(As in PART I of
Grant Agreement or
subsequent
modification
--. Prior Period
Year-to-Date
Expenditures
(Grant Funds Only)
Expenses Paid this
■ Report Period
(Grant Funds Only)
Year-to-Date
Expenditures
(2 + 3)
(Grant Funds Only)
„ Funds Previously
Received
(Grant Funds Only)
/ ,
Building/Structure Purchase $100,000,00 $0.00 $0.00 $0.00 . $0.00
1
$100,000.00 was $100,000:00 was ,-
paid from funds of

paid from funds of
Foundation. No grant
• i
Foundation.. No grant
grant funds have beerr grant funds^haye been
> received for this grant received for this grant
i
_ - . ■
/
,
TOTAL $100,000.00 $0.00 $0.00 $0.00 $0:00
Grantee Certification
All expenditures from these project funds are for approved project costs only.
Further, I certify that supporting documentation on actual.expenditures is on
file in our office, and that I have full signature authority tosign on behalf of
this agency.
President/Founder 9/29/03
ignature and Title (date)
DCCA Certification
Authorized Payment: $
Grant Period:
Project Manager:
Manager of Grant Unit
or Bureau Coordinator:
Accounting:
FIF/Bpnd
(date)
(date)
(date)
ILLINOIS FIRST PROGRAM
EXPENSE REPORT
03-120016
Grantee Name: Save A Life Foundation
- , ~ . ■
Dept. of Commerce and Community Affairs
Grantee Address: 9950 W. Lawrence Ave
r
Ste. 300 620 Eas^a^aiiiS/Spririgfjelcj;JL62701 -
Schiller Park, IL 60176-1216 •
:
' . : ; , : ^^^^^^. . Report P%Ficwl< .
From: | ; To:.
' *' ->*
GrantNo: 03-120016
Report P%Ficwl< .
From: | ; To:.
Prepared By: Linda Post, Acctg.
r '* * " ■ ' ■ '
3/1/03-5/34/03' Phone: 847-928-9683 Date: 7/3/03 3/1/03-5/34/03' Final?.(Y/Nj No I
_^
1 2 3
■ '■ ■ 4 . - ■ ■ " ■ ■ ■ . . ' ■ . ' ,
■ ..■ .-.■ ;■ 5 v .
Budaet Line Hems or
Activities (Grantee must
CODV from Grant
Aareement PART I or
subseauent modification)
Approved Budget
(As in PARTI of
Grant Agreement or
subsequent
modification
Prior Period
Year-lo-Date
Expenditures
(Grant Funds Only)
Expenses Paid this
Report Period .
(Grant Funds Only)
Year-to-Date
Expenditures
(2 + 3)
(Grant Funds Only)
Funds Previously
Received
(Grant Funds Only) .
Building/Structure Purchase $100,000.00 $0.00 $100,000.00 $100,000.00 $fi;0Q
. ■ : - ■
- . . ■ ' • ; • • . . ; ■ ' • '
- > ■ • ■ ■ - ' ' - "
■ - - " • . " . ' ■ ■ _
• • /
- -\
; " • - ": -
. **
' , ' ■ : ' . , -
TOTAL $100,000.00 . . $0. 00 $100,000,00 $?K)0,O00j00 : ; $0*00
Grantee Certification
All expenditures from these project funds are for approved, project costs only.
Further, I certify that supporting documentation on actual expenditures is on
file in our office, and that I have full signature authority to sign on behalf of
this agency.
By: \ fofeX \V_;
\u,i
tifficialYsibi
XtoMW
Pres/Founder 7/3/03
Aulhorized (Official V Signature and Title (date)
DCCA Certification
Authorized Payment: $ SO OflO,
Grant Period: Z? ./•&? -&„S4*QY
Manager of Grant Unit
orgureau Coo/dinalon
Accounting:
t » r
(date)
"Carol" To: <sboggs@commerce.state.il.us>
<carol@salf.org> cc:
Subject: RE: Hello again
08/19/03 08:35 AM
Your right! - Poe is complete - but I heard that the'other 100,000 was going
through, if not, I am meeting with Emil Jones today and will ask for his
help. THAT'S the reason I asked you, so I could get the correct story. Too
much talk, not by those who really know, like you do. Thanks much, again.
Carol V
Original Message
From: sboggsScommerce.state.il.us [mailto:sboggs@commerce.state.il.us]
Sent: Tuesday, August. 19, 2003.8:34 AM
To: carol@salf.org >
Subject: RE: Hello again
I think you have all the money for the Poe grant. We have not been
authorized to release the other $100,000. Sorry, sb
"Carol"
<carol@salf.or To:
<sboggs@commerce.state.il.us>
g> cc:
Subject:
08/18/03 08:36
PM
RE: Hello again
Hello Dear Susan:
Guess what I am emailing you about? You're correct! Read in paper
additional
money was released. Than I heard SALF was in it so we can close this
200,000
issue. Did I hear correct? Did you hear same?
Please advise. (
Carol
Original Message
From: sboggsScommerce.state.il.us [mailto:sboggs@commerce.state.il.us]
Sent: Thursday, August 07, 2003 8:11 AM
To: carol@salf.org
Subject: RE: Job Creation Form
Got the fax - thanks. Where is the Fire Marshall's tent? Near the fire
trucks? We are taking the kids to the Fair tomorrow night (any many more
times, I suspect). I'll make a point to stop by. Travel safely, sb
0\rtr )
/
Susan Boggs To: "Linda" <linda@salf.org>@ILDCCA
' 07/22/03 11:37 AM Subject Re:'Save A Ufe Foundation^
Send them to Alyce Beggs, I'm not sure how many copies she needs - you may want to call her
217-524-4847. '
We are know called OCEO - Dept. of Commerce and Economic Opportunity.
Thanks, sp.
"Linda" <linda@salf.org>
"Linda" To: "Susan Boggs" <sboggs@commenM.state.il.us>
<linda@>salf.org> cc:
07/22/0310:57 AM Subject: Save A Life Foundation
Hi Susan,
Grants 03-120016 and 03-120106
I .finally received our_2002 audit reports from auditor.and I am not sure who
to send a copy^to at DCCA. In March, I got a letter'from Alyce Beggs,
Regional Audit.Manager, inquiring about the audit. Do I send Alyce'or you t
or both a copy of pur audit? And since there,are two grants, should I send
one for each grant (two copies of audit report')?
!
Also, I read somewhere about DCCA being DCEO. What's that?
Hope things are going well for you. Hopefully transition time for new state
officers is ending and things are getting on an even keel.
(
Linda Post
Accounting -
Save A Life Foundation
)
Susan Boggs
07/21/03 08:38 AM
To: "Carol" <carol@salf.org>@ILDCCA
cc:
Subject: RE: Grant Agreements for Save A Life FoundationD
Good luck, sb
}
^
,,
<^fQK<carol@saff.org>,
org>
' 07/21/03 08:01 AM
-, Tq: <sboggsjgcommerce.state
5
HjU5^
,
-^..
)i
^ . - ^
cc:
v
x ■ . , ' '" , >i'< ' ,"j -, < '
Subject: RE: Grant Agreements for Save* ALife- Foundation
Thanks Susan your a real friend updating me like this. I> will make a call
today to a person who said he was assured that the balance wwoxild be paid. I
will be will Filan tomorrow in Springfield...have meeting with him and
IEMA - Dir Burke and IDPH Wilkenson. Say a prayer!
Carol ■ ■. •«;. .... ■
--^—Original Message
From: sboggsOcommerce.state.il.us [mailto:sboggs@commerce.state.il.us]
Sent: Monday, July 21, 2003 7:06 AM
To: carol@salf.org
Subject: RE:- Grant Agreements for Save A Life Foundation
HR30010 from Rep.'-Poe the request for the balance was sent by DCEO
(formerly DCCA) on May 1, 2003. It has not been paid by the Comptroller. It
is my understanding that there is no money in the fund from which the
payment will be drawn but that there will be in August. That one is fine.
SR30011 from Senator Dudycz is still subject to the freeze and we have not
been authorized to move it.
Hope that helps. Susan-;'•'* '-••.-'■'-'•
"Carol"
"■ . "' • <caroJ.@salf .or
<sbbggs@commerce.state;xl.us>
V
for Save A Life
g>
07/18/03 07:53
PM
•To: : ...;■•. , ;r
r
■:..' • '
cc:
/Subject: RE: Grant Agreements
Foundation
Anything New?
!U— Cc II.
Wilkenson.
Jpiinjfield xuesday
any suggestions?
.have meeting with Filan, Burke and Dr.
Thanks Carol
"Carol"
<carpl@salf .o
<sboggs@commerce.state. il.us>
,rg>
for Save A Life!
01/07/03
07r19 EM
To:
cc: .
Subj ect : RE: Grant Agreements
Foundat i on
J
i I had a realitor stop by your office to drop off the pictures..did she' Do
you have everything you n'eed now? Carol sverything you
Original Message
From: sboggs@commerce.state.il.us [mailto:sboggsdcommerce.state.il.us]
Sent: Monday, January 06, 2003 9:53 AM ^
To: carol@salf.org -
Subject: RE: Grant Agreements for Save A Life Foundation
0k - please send it to Cathy Hauger's attention. Same address, sb
' V
"Carol"
' V
<carol@salf.o To:
<sboggs@commerce. . state.il.us>
rg>, cc:
Subject:
for Save A Life
01/04/03 Foundation
12:09 AM
RE: Grant Agreements
I received your fax...Have all info..building not historical, picture/map
will be furnished by a local realitor. THanks much for informing me.
Carol
•—Original Message
From: sboggs@commerce.state.il.us [mailto:sboggs@commerce.state.il.us]
Sent: Friday, January 03, 2003 11:28 AM
To: carol@salf.org
Subject: RE: Grant Agreements for Save A Life Foundation
please get the IHPA in as soon as possible- we must have their approval
to release the money. Thanks, sb
— Original Message
From: sboggs@commerce.state.il.us [maiito:sboggs@commerce.state.il.us]
Sent: Friday, January 03, 2003 9:39 AM
To: accounting@salf.org
Cc: Carol Spizzirri
Subject: Re: Grant Agreements for Save A Life Foundation •
Sorry, I just now got this email - apparently, we have email problems
yesterday*
I rec'd your fax - what you sent was fine. Actually, there is no need to
mail the originals unless you made some change to any part of it.
Both of these grants are only for the purchase of the property - no
infrastructure improvements. If you would like to change something on
either one of these - I need to know now before legal signs it. We will
need to revise the scope and budget and have it re-approved by our budget
office, legal, the Governor's office and the Bureau of the Budget. At this
late date, I would not recommend such a change. But please advise this
morning.
Thanks, Susan 217-782-5346
"Accounting"
<accounting@s To: "Susan Boggs"
alf.org> <sboggs@commerce.state.ilyus>
cc: "Carol Spizzirri"
<carol@salf.org>
01/02/03 Subject: Grant Agreements for
Save A Life
04:16 PM Foundation
Please
respond to
accounting
Susan,
In a DCCA Memorandum 11/13/02, the purpose of the Poe grant states "all
costs associated with the purchase and any infrastructure improvements to
the building....:
Does the Grant Agreement allow for infrastructure improvements in the
budgeted line item - $100,000 Building/Structure Purchase {each grant)? If
so, how do we know which grant number is Poe and which is Dudycz?
Your fax message said to fax you the pages that are signed and marked. Is
that all you need? My concern is that the Checklist says to return signed
Notice of Grant Award and Parts I through VI and Exhibit I.
Also, the Checklist says, "If the Grantee is not a government entity, the
Reporting Requirements in Part II, Section 2.5a require that you provide
'authenticating documentation.' What (if anything) do you need for that?
C o n f i r ma t i o n R e p o r t — Memor y Send
Tine
Tel line
Name
: Jan-02-2003 02:28pm
: 217^-557-9883
: OCCA IL FIRST
Job nunber
Date
To
Document pages
Start ti ne
End tine
Pages sent
Status
Job nunber 875
i'i-
•' : ' 875 ■ '-
: Jan-02 02:06pn,
: 918479289684
(
:.' 037 ■ ' ' ' ' • . ' , . ■'
: Jan-02 02:Q6pn
: Jan-02 02:17pm
: 037
: OK ■
* * * SEND SUCCESSFUL ***
■ " " - ' . , . ■ ■ v
Illinois,-., .'.-....
JD^pal - t me nt o f C o m m e r c e a n d C o mi n u n i t y Af f a i r e
T E L E F A X C O V E R S H E E T
C1ATE: 0 1 / 0 2 / 0 3
T O: Ma . Spi zzl rrl
T E L E F AX NUMBE R: 8 4 7 - 3 2 8 - 9 8 8 4
Fr om: 3 u a a n BoagAi Gr ant Ma na ge r
Fax number : .217«e7er7Ve8.83. •
Phono nuhri bor. a- t T- raa^ea^o
E- mal l addr aaa; sboggs(E& corn rnorGo.atato.il.ua
COMMENT S
NUMBER OF PAQE8 T O FOLLOW: \& fr \
Fol l owi ng, pl ease fi nd trio ©r a nt Agr e e me nt for Or ant 0 3 - 1 2 0 0 1 8 . Pl ease revi ew,
si gn and ma r i e a s I ndi cat ed. If a n y changes ar e r equi r ed ^ pl ease cal l mo pri or t o
a i gnl ng. *»l ^aa«» *«»-■ * h . p a n . , t h a t a r a a i n n a r t »r i «l mu r Wa d *±
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y n t t o n t l p n a t *»■ «
" » " " » " t t » « w » ♦ »"■ "■ a a r i l a a t a a n v a n k i n B a :
Unl ess r equest od. a har d copy wi l l not fol l ow.
Cal l wi t h quest i ons.
Tha nk you,
Sus a n Bogga
hmwwi ^rfdr— hmK/Amww.c
* —t U l i W M U * ■ T P O » » I W| M 1
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Illinois Department of Commerce and Community Affairs
George H. Ryan
v
Joseph P. Harmon'
Governor . . Acting Director
January 02, 2003
Ms. Caror Spizzirri -
President/Founder
Save A Life foundation, Inc.
9950 W. Lawrence Ave., Ste 300
Schiller Park, IL 60176-1216
Dear Ms. Spizzirri:
Enclosed please find Grant Agreement Number 03120016 between your organization
("Grantee") and the Illinois Department of Commerce and Community Affairs
("Department"). Please review the Agreement carefully to ensure that the Grantee's
rights and responsibilities are clearly understood. You are encouraged to have the
Agreement reviewed.by an attorney. In particular, please note the following:
Beginning Date (Notice of Grant Award). Costs incurred prior to the specified
beginning date are not eligible for reirnbursement, unless such costs have been
identified in the Project Budget and approved by the Department.
End Date (Notice of Grant Award). The Project must be completed by the stated
end date. Modifications for scope of work changes or date extensions must be approved
in writing by the Department and processed pri brto the stated end date. ,
Part II - Special Conditions. Part II requires specific acknowledgment by and
acceptance of the Grantee of all obligations set forth therein. The Grantee is expected to
be thoroughly familiar with the provisions of Part II, including requirements regarding.
the submittal of reports, authenticating documents, etc.
If the terms of the Agreement are acceptable, please complete the following steps in
order to properly execute the Agreement:
• verify the Grantee's correct federal taxpayer identification number (FEIN) and
correct legal/business status in the appropriate blanks on pages 1-2;
• have an authorized official of the Grantee execute page 2 of the Notice of Grant
Award and. the acknowledgment set forth in Part II;
Intemel Address http://www.commerce.slate.il.us
620 E M Adam Street Jamca 11 Thompeon Center 607 Em Adama Street 2J0» wen Main. Suite I I I
Spriofficld. ISaou 62701 100 wea Randolph Street. Suite 3-100 Springfield. IIEnoca 62701 MuioA ntmeii 624S9 '
CtxagB. IBnoii 60601
217/7I2.7J0O JI2/II4.7179 ZI7/7»S-2MO 6II/997.4J94
Fn: 2l7/J24-l627eTOO:IOuOtS40S] F«: ) l 24l 44712aTD0: S0O/4I44667 Fi»: 2I7/7J3.26II »TBD: I I 7nj 5^l 2l l Fix: 6IBVW7-IB5 eTDDReUy: S0O/J26-0M4
am
primed on Recycled end Hreycltbl. Peper
To: "carol" <carol@salf.org>
" cc::
Subject: RE: The Proposal was approved!!)
They arejboth over at the Governor's Office under review. They are moving along just fine. I cannot give
you a date when they will move from the Governor's Office. From there they will go to the Bureau of the
Budget for. bond release. I can't tell you.how long that will take. What I can tell you is that I would be
happyfe^rax tfie Grant Agreements to you once they are finally released. Hope that helps. Susan
"arar<carbl@saif.org> , >
To: <sboggs@commerce.state.il.us>
cc:
Subject: RE: The Proposal was approved
Have you heard anything? I heard from the atty, and they ar'
days closing? Will that do? Thanks Carol
Original Message
From: sboggs@commerce.state.il.us [mailto:sboggs@commerce.
Sent: Thursday, October 24, 2002 3:41 PM
To: carol@saif.org
Cc: irv@salf.org
Subject: RE: The Proposal was approved
I'll move it today. Thanks, sb
"carol"
<carol@salf.o To:
<sboggs@commerce.state.il.us>
rg> cc: <irv@salf.org>
Subject: RE: The Proposal was
approved
10/24/02
03:37 PM
Both SR30011 and HR30010 grants will be used for the full purchase of the
property and nothing else. The total cost of the building is $200,000 all
closing fees will be handled pro-bono, surveys will be part of the purchase
price.
Is that easy? Thanks - we'll have a cup of coffee together when we open the
doors. Thanks much Carol
Original Message
From: sboggs@commerce.state.il.us [mailto:sboggs@commerce.state.il.us]
Sent: Thursday, October 24, 2002 7:44 AM
To: carol@salf.org
Subject: Re: The Proposal was approved
SUSAN BOGGS
11/15/02 09:26 AM
"carol"
<carol@salf.org>
11/14/02 05:04 PM
.60
■ %
^
/
SUSAM BbGGS To: "Irv" <irv@salf.org>
10/03/02 11:21 AN subjects Re: Building in SpnngfiefdQ
ThahKypii.vwSry m^ch. Susan '
"Jtv" <:irv@salf.org>
?'%&&&&*$&&> * -To: «sboggs@conime'r€e:state.ii.us>
li/03/02U:33AM- '
cc:
« . , ' ^
Subject: Building in Springfield •
Dear Ms. Boggs
I have been in touch with the trust that is hahdeling this matter. We
currently are working our way through the paperwork abd our lawyer is in
touch with the Bank. The Bank representative will be out till the 7th of Oct
at which time I will call again. I will, keep you informed, as I get more
Information.
Thanks, .... \ . . . • '
Irv. Bock
V.P. Operationas
SALT .
Visit http://www.salf.org
SUSAN BOGGS
10/03/02 10:30 AM
Thank you very much, sb
"carol'!. <carol@Salf.org>
To: "carol" <carol@salf.org>
cc:
Subject;- RE: DCCAIL FIRST GrantsQ
"carol" ,
<carql@salf.org>
10/03/02 10:23 AM
To: <sboggs@commerce.state.il.us>, <irv@salf.org>
cc:
l
Subject: RE: DCCA IbFIRST Grants
Dear Susan: I've been out of town on business and have forwarded your email
to Irv Bock who has been handling the -transaction...He will update you asap.
Thanks Carol x
-—-Original Message—• . -■
From: sboggs@commerce.state.il.us [mailto:sboggs@commerce.state.il.us]
Sent: Thursday, October 03, 2002 9:47 AM
To: carol@salf.org
Subject: DCCA IL' FIRST Grants
How are you coming oh this? Thanks, sb
Forwarded by SUSAN BOGGS/ILDCCA on 10/03/02 09:46 AM \
SUSAN BOGGS
To: carol@salf.org
09/10/02 cc:
07:57 AM Subject: ' DCCA IL FIRST Grants
Ms. SpAzzirri, ■'■-'*
Thank you so much for the surveys for the purchase of property in
Springfield. I am nearly ready to send this to legal for its. review. I just
need to clarify the use of the funds. What is the. total purchase price of
the building? In the Scope you indicate that the funds will be used for the
acquisition and related expenses as well as interior work to the property
and the acquisition and installation of office equipment and furniture.
Both of these grants are funded by bond funds. We have been given very
specific guidelines on what can be done/purchased with these funds. Some of
the items listed in the scope may not be bondable. Can you clarify the use
of the funds? I will then be able to run this past our budget office for
their opinion.
I am truly impressed with your organization. You are doing wonderful
things. It will be great to have your organization in Springfield.
Please email me as soon as possible so that I may continue moving this
forward.
Thanks,
Susan
217-782-5346
Illinois Department of Commerce and Economic Opportunity
Rod Blagojevich
Gbranor
Jack Lavin
Director
August 05,2005
Ms. Carol Spizzirri.
President/Founder
Save Ai i f e Foundation, Inc.
9950 W. Lawrence Ave., Ste. 300
Schiller Park, IL 60176-1216
Dear Ms. Spizzirri:
Re: DCEO Grant #03-120016 / $100,000
This letter summarizes the results of the monitoring review conducted in relation to the above-referenced Illinois
FIRST grant The purpose of this review was to provide an independent monitoring of your Illinois FIRST grant
to ensure compliance with the requirements of the grant agreement and to review your fiscal management of
grant funds.
Asa result of the monitoring review,and by reviewing the report submitted by the monitor. Save A Life
Foundation; Inc. appears to be in compliance with the terms and conditions of the DCEO Grant #03-120016. At
tfj/s tfmeVnb f w^ ^
Please continue to comply with Part V of the grant agreement as the Department has reserved access to all
relevant materials and reserves the right to request copies of relevant materials for a period of three years
following expiration of the grant This letter does not waive any future monitoring reviews by the Department,
and does not reflect any determinations regarding other grants your organization may have had with the
Department:
Thank you for your cooperation during the.mohjtpring propess- If you should have any questions, please ,
cohtect David Parr of our office at 217-785^6132 or Susan Boggs at 217-782-5346. ...
Sincerely,
(2M^ y%^&^
Chris Meister
Director of Legislative Affairs/Associate General Counsel
cc: Christj DeGroot, Assistant Manager, Office of Accounting
Donna Achs, Save A Life Foundation, Inc.
Internet Address httpy/www.cominercejatft.U.ui
620 Eut Adams Street
Springfield. OGnois 62701-1615
217/782-7500
TDD: BOO/7854055
Jiinei R. Thompson Center
100 West Randolph Street. Suite WOO
ChJcapj. Illinois 6060I-J2I9
312/814-7179
TDD: 800/7854055
PMnt«d o« R»qrcM ind Kiryrtihti Hpt
2309 West Main. Suite 118
Marion. Illinois 62959-1180
618/997-4394
TDD: 600/785-6055
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;
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i
f^?-*
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anil
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HP
Rfr
■ ■ -•:■ - •,. ■ •&■ ■ . . «■ - ■ w ' - / I
Eighteen year Cild'ChriMlna Jeaf
motorisl on Labor Day|lp92. B}
first at the scene werepsrt trains
before EMS arrived.
Carol Spizzirri, ChristinSfe mothj
such as, dispatchers, spool tej
were not required to hafe trainir
,ra?^
spizzirri was struc
inders and law eij
Ho rendePeid to
|by a hit and run
)rcemerit officers
ip the bleeding
7
X
soon discoveredjthat public servants
lers, coaches, firefighters arid police
in life supporting'first aid skills.
To prevent future tragefies, Carl founded the Save A Life Foundation
and helped pass an llli#is state
to complete training in l | | suppc
from their academies, peanwhl
Richard Durbin who spdisored
landate requirip police and firefighters
ting first aid skiljl before they graduate
| , Carol approached US Senator
iis bM for training nationwide.
Dr. Peter §afar
Medical Advisor
Father of Cardiopulmonary Resuscitation
(CPR)
and Director of
the Safar Resuscitation
Research Center, Pittsburgh, PA
Carol J. Spizzirri (BSN, RN)
Founder and President
"In order to keep our
Homeland Secure, we must
all be trained Bystanders"
- Carol J. Spi zzi rri
Dr. Hetiry ttejqciliph
Medfca)A^v]§6r
/Father of the Heimlich Maneuver
and the
Director of the
Heimlich Institute in
Cincinnati, OH
E BYSTANDER
^NYco^^o
wse
■ igttai
3
?^,
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The role of the Bystander is a vital link in
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i o*' £i - - 22B
Save A Life Foundation's View of
: Qiiizm\~Qms&Cmittctf
Neigfiftor^
Survival Training / Hood \ Bystander Training
Basic Bystanders Emergency Preparedness using the local community emergency personnel as instructors
to teach procedures for immediate emergency room control of a scene pending the arrival of advanced help.
Advanced Emergency Preparedness teaches techniques that keep survivors of an emergency existing during
longer periods of time when emergency help might be delayed in reaching the victims.
Emergency Preparedness for the Work Environment creates a safer and more secure workplace with a
customized delivery.
Professional Emergency Crisis Team Continuing education and training of a specialized team of off-duty or retired
firefighters, EMPs, police officers, nurses and doctors who could be activated by the municipality to respond to major trauma
situations.
Basic Bystanders Emergency Preparedness using the local community emergency personnel as instructors
to teach procedures for immediate emergency room control of a scene pending the arrival of advanced help.
Advanced Emergency Preparedness teaches techniques that keep survivors of an emergency existing during
longer periods of time when emergency help might be delayed in reaching the victims.
Emergency Preparedness for the Work Environment creates a safer and more secure workplace with a
customized delivery.
Professional Emergency Cri si s Team Continuing education and training of a specialized team of off-duty or retired
firefighters, EMTs, police officers, nurses and doctors who could be activated by the municipality to respond to major trauma
situations.
Save A Life Foundation's Answer to.
Homeland Security for the Bystander
Community Response System Initiative©
CRSI is designed to initiate knowledge of J3OJ7C Bystander Emergency
Preparedness, CRSI instructs ^citizens who happen to be Bystanders at .a perilous
situation^ how to cope with the immediate emergency care of the injured or ill until
professional help arrives. BystantierEmergency Preparedness deals with the need for
every person/to know how to survive an emergency situation, from the time of it's
inception until the first professional help arrives, which in certain situations could be
hours. CRSI is designed to help communities:
• by organizing community leaders to initiate the program.
• by outreaching the local emergency medical departments as a centralized unit to recruit
and orientate firefighters, police (with EMS credentials), private ambulance and other
medical personnel as paid SALF instructors
• by distributing all training materials, equipment, testing forms, intranet data collection
and alike at the centralized unit. . ; ,
• bytraining the: cenrralized unit facilitator to recniit school districts, to coordinate K-
grade, classrooms instruction with a SALF instructor and to encourage school personnel
to participate in this emergency preparedness while me'instnictb^
• through the cehWalized unit, developing a cobperatiop between local leaders, unions,
business, to sponsor the educational training by SALF Instructors for each citizen to
survive if circumstances are such that emergency providers are not readily available.
• by recruiting neighborhood security watch programs as the forerunners in the distribution
of the emergency message to their community and act as the catalyst should a
catastrophic disaster occur within their boundaries until professional care arrives.
• by developing a cooperative effort between fire, police, EMS, an^ local medical
personnel to bring a better understanding to their citizensoftrie emergency system and
the vital role they play as a trained Bystander. .
• by developing community awareness and incentive programs through local
organizational gatherings, media « ^
discounts, and alike to encourage public Servants, parents, workforce, etc., to be trained
for immediate emergency control
CRSI TRAINS THE COMMtMTV
• Basic Bystanders Emergency Preparedness using the local community emergency
personnel as instructors to teach procedures for immediate emergency control of a scene
pending the arrival of advanced help.. .
• Advanced Emergency Preparedness, which teaches techniques that keep survivors of an
emergency existing during longer periods of time when emergency help m ight be
delayed in reaching the victims.
• Emergency Preparedness for the Work Environment, which creates a safer and more
secure workplace with a customized delivery.
• Professional Emergency Crisis Team . Continuing education and training of a
specialized team of off-duty or retired firefighters, EMTs, police officers, nurses and
doctors who could be activated by the municipality to respond to major trauma
situations.
9950 West Lawrence Ave., Suite 300, Schiller Park, IL 60176
Phone: (847) 928-9683 (888) 892-0606 Fax: (847) 928-9684
e-mail: s;iltkiu~w/<;tll'.uri: Website: www.salf.org
Lake County Health Department "You have a wonderful vision ofhow to enhance all of our lives. If the
Lake County Health Department can use it's resources to assist, we will sincerely attempt to do so". Dale
• W.Galassfe,nlA
n
nt&, Executive Director
Stonp Scholastic AcadenYy ''When we at Stone Scholastic Academy considered having SALF come into
our School, we did not know what to expect After our sixth grade classes were trained by SALF instructors
oh June; ijtWl'sawt facfihy LSC and PTA members were so impressed wiut the content and creative
< presentation tjiatwe were eager to include the "Save A Life For Kids" program into our curriculum''.
. Denije Winter Principal \
y
Orbufti Fire Protection District "Oh behalf of the Orland Fire Protection JJistript, I wish ta compliment
the international AssoCiattohtof Fire Fighters' for moving toward a parmershlp wim the Save A Life
Fof«h{^>n in ydur efforts to educate school children iri life-saving techniquife/This e^crt will allow
children throughout me United States to leant Save A Life skills". John P. McCastland Chief of
Department
University of Pittsburgh School of Medicine "This letter is in support of the "Save A Life For Kids" and
"Bystander Basics" programs developed by the Save A Life Foundation (SALF). Currently, there are very
few programs targeting elementary and high school age children for Life Supporting First Aid (LSFA)
training. We have also proven through scientific research that LSFA can be effectively taught with good
retention in short exposure programs such as the ones developed by SALF which is based on NHTSA* s
National Standard Curriculum for Bystander Care. Our Center was also involved in the development of
this curriculum". Ernesto Pretto, M.D., M.P.H. Associate Professor
Round Lake Area Schools Community Unit District #116 "District 116 was fortunate to be asked to
pilot the Save A Life program at our Magee Middle School (grades 7&8). We believe students greatly
benefited from toe progran^We woujd;like to be able to continue- and even expand- offering the program,
if financially feasible". Dr. .Hlyii['Zimmerman
N
FConjpany 232D. Medical Baftfflidn, Ft Sam Houston in Texas."! feel this is an excellent opportunity
forus to provide needed life-saving skills to our communities most valuable asset; The Children, the
program would also continue to<strengtrien public relations efforts between the military and local
community". SFC Richard Lrvinstoo US Army
Illinois Department of Public Health."As a member of the Coalition on EMSC, your participation in this
project will provide the direction and leadership essential to the development and achievement of an
Emergency Medical Services for Children system?.
Ron W. Lee, MD Medical Director Leslee Stein Spencer, RN, MS Chief. EMS and Highway Safety
Congress of the United States, House of Representative, Washington, DC "Save A Life For Kids
program is simple to implement, and SALF mtends to run the program through schools and local Fire/EMS
Departments, The benefit of training children kindergarten through eighth grade will have a significant
effect on reducing death and disabling injuries, I strongly support a concept of this nature and I hope you
- will feel the same", John Edward Porter Member of Congress
Lake County "Because this type of training could be very useful to your students, I suggested to Dr.
Betzelos that he contact you and/or your Board of Education regarding making these programs available to
your students." Sincerely, Edward J. Gonwa Regional Superintendent of Schools Lake County,
Illinois
Illinois Maternal & Child Health Coalition "The Illinois Maternal and Child Health Coalition (IMCHC)
is pleased to offer our encouragement to the IAPF's investigation of project with the Save A Life
Foundation to expand CPR education through the public school system." Sincerely, Rrobyn Gabel
Executive Director
St John's Hospital "Dr. Mitchell and I have arranged a meeting with the COO of our institution as well
as our Community Relations Director to discuss establishing a Save A Life unit at St John's Hospital. We
feel a great responsibility to be good stewards to our community, and how better than to teach children and
others how to save lives through the very people they will be contacting for help." Sincerely, Brian
Churchill, EMT-P EMS Facilitator
• si
9950 W Lawrence Ave Syj
Honorary rhflirmfiTi
David HasselhofT
Baywatch Productions
Board of Di rectors
Carol J. SpizzirrL President/Founder
Hon. Sam Amirante, Vice Pres.
Hon Martin Sandoval, Sec.
Daniel A. Caravello, Treas.
Carlos Azcotia
Scott Betzelos, MD
Deloris M. Burnam'
Robert Conroy
Michael Lavelle, Esq.
Stanley Zydlo, MD
Pe n n s y l v a n i a Adv i s o r y Bo a r d
Na t i o na l Advi s or y Co mmi t t e e
Stephanie Bryn, RN
Marilyn J. Bull, MD
Tim Davis, MD
Mary Jean Erschen, RN
Ralph W. Hale, MD
Chris Henna
Dr. Deborah Mulligan-
Hon. Rita Mullins
Bill Nolan, VP
Judy Robinson, PhD
Ellen Schmidt, RN
Jeffrey Schwartz, MD
Bob Stanbary, NREMT
US Maternal and Child Health Bureau
American Academy of Pediatrics
Centers for Disease Control -
Wisconsin Department of Public
Health—EMSC
American College of Obstetricians and
Gynecologists
Children's Safety Network Rural
Injury Prevention
Smith Emergency Medical Services for
Children
U.S. Conference of Mayors
Nat'l Fraternal Order of Police
National Association of School Nurses
School Health Association
ECI Regional Director
Medtronic Physio-Control
Steven L. Orebaughm, MD
Robert W. Hickey, MD
John McAfee, NREMT
Health Moss, NREMT
Mary Ann Scott, RN
Patrick Kockanck, MD
Edmund Ricci, PhD
Thomas A. Branson MD
Phillip Stoner, NREMT
Kevin Parrish, RN
John Schaefer, Hickey
Tammy Janney, EMT
Ann Walton,
Vincent Mossesso, MD
Me d i c a l Adv i s o r s
Peter Safer, MD, Director.
Henry Heimlich, MD,
Ernesto Pretto, Jr. MD,
Steve L. Orebaugh, MD,
Mark Mitchell. DO, IL PMD
UPMC South Side Hospital
Children's Hosp., Pittsburgh
Guardian Angel Ambulance
Millcreek Paramedic Service
EMS South Hills
UPMC
UPMC School of Public
Health
Albeit Einstein Hospital
EMSInstforSWPA
Laerdal
Montefiore Univ. Hospital
Homestead/Guardian Angel
Ambulance
American Red Cross
Nat'l Center for Early
Dcfibrillation
Safer Resuscitation'
Research Center, Pitts., PA
Heimlich Institute, Ohio
World Health Org.—
Disaster & Emergency
Medicine, Past Pres.)
UPMC South Side Hospital
EMS Director St John's
Hospital, IL
Le g a l Co u n s e l
Robert M. Motta, Esq. Illinois
Lavelle. Motta. Klopfenstein & Saletta LTD
Robert Motta Jr. Esq.
Auditor
Pennsylvania
Illinois Advisory Board
Mark Mitchell, DO
State Chairman
Kenneth A. Alderson
William A. Bell
Greg Cowed-
Edward Crews
Allen Davis
Paula Willoughby, DO
Hon. Frank Meredith
Evelyn Lyons
William Bell
Mary Ellen Madden
Jan Kelley, RN
Jennifer Martin
Beverly Mercer
Hon. Judy Yeager
Steve Newman
Nancy Krier, RN MSN
Brain D. Schwartz
Darrell Patterson
Scon Ruyle
Model! "Sonney" Renken
Carmen Halsey
Roy Mayfleld
Robin Mazzuca
Denise Urban, CPA
Ahlbeck & Company
Ledeor Communications. INC "Being able to hold the attention of such' class is superb. I have taught
many crews in this construction company and the definitely taught myself a thing or two. I am currently
setting up future date(s) and will recommend mem to the other companies around. You have a great
program and best of luck in your quest to make this world a better and safer community." Sincerely
Nathan Peterson Environmental, Health and Safety Coordinator
Village of Posen Ftre Department "Carol Spizzirri certainly convinced me and all those present that Save
A Life for Kids was an excellent program that is needed and will Work. Just for the record I am not easily
swayed into supporting new programs. However, I do believe that I can judge me effectiveness of a
program of thisicaliber. I have thirty-two years in the Fire Service and I have been a paramedic since 1975,
and afire Chief since 1983. From what I observed and implemented, I can assure you that this program, if
properly supported, will be responsible for saving hundreds of lives each year". Chief John Krfcdlt, Posen
Fire Department
x
StanleyM. Zydlo. JR.. M.D.. FACEPJ*I have been involved with the Save A Life Foundation for the past
two years, and can only comment about what a practical program it is. I strongly urge that the IAFF
endorse the Save A Life Foundation so it and the fire service can extend needed education and aid to those
in need". Stan Zydlo MD
Illinois Firefighters Associ ati on lnc.."The Illinois Firefighters Association would like to extend then-
support for the Save A Life For Kids Program which has been developed by your organization. It is
through programs such as these that children across the nation will be provided with valuable training and
information which could one day save the life of our most valuable asset -a child"..
International Association of Fire Fighters "The IAFF is currently preparing legislative language for
our state affiliates to encourage the passage of laws requiring all high school seniors to be
trained in basic CPR prior to graduation and Save A Life Program will fit into this project". Lori
Moore Director
PTA "The Save A Life Foundation is a cooperation agency for Illinois PTA and as such is a valuable
partner in programs, and resources provided for children and families. We strongly believe and support the
, concept that first aid training for children and youth can be a valuable asset in giving youth tools to
increase the quality of life for themselves and others. As a cooperating agency we support the programs
and. activities offered by SALF and commend them for the work they do on behalf of children". Judi
Keippel President
Chicago Public Schools
"We will continue our partnership with Save A Life Foundation and the Chicago Public Schools. I know
that so many of our schools continue to request your services.
We will follow-up on all the items we discussed". Paul G. Vallas Cozzette Buckney
Pennsylvania Emergency Services for Children
"We will encourage our EMS providers to utilize your program at their community schools. Years ago,
PEHSC recommended that the Department of Health mandate that CPR be a part of all high school
curriculums. As you suggested, we contacted Debbie Peterson, the Pennsylvania representative of Save IA
Life Foundation. We believe that our joint efforts will make a difference in saving children's lives"
Yijing Zhang PA EMSC Project Manager
The Jesse White Tumbling Team
"The members are raving about their newfound ability to save someone' s life".! Please convey our
gratitude to the instructors for helping to make a difference". Jesse White Coach and Founder
In 1995 Save A Life Foundation (SALF) began training
children in Life Supporting First Aid (LSFA) skills at local
schools for free through private grants and fundraising
events. By 1998. Illinois State Senator Walter Dudycz
saw the effects'this training was having on school age
children and sponsored an appropriations bill to expand
SALFs training.
That year SALF took its first big step and challenged the
Chicago Public Schools system. By the end of that
school year nearly 80,000 K-12th graders had received
our training with a 97% skills retention level after three
months, and a 57% increase in confidence by these same
students. The Chicago Board of Education was
immediately notified by hundreds of teachers, principles
and school nurses of the benefit SALF's programs had on
their children This awareness prompted the
Chicago Board of Education to pass a resolution for
SALFs children's programs to be included as part of their
school curriculum.
1999 to date SALF is a line-item in the Illinois Department
of Public Health's budget and continues increasing
its training to students, for free, with supplemental
funding it receives from training adult students for a fee.
This parallel funding system has resulted in a steadily
expanding enrollment of nearly 400,000 Illinois children at
the end of 2001.
2001 was the year Pennsylvania's Governor Ridge called
upon SALF to meet with his Board of Education and
Health Department Directors to welcome SALF into his
state. We anticipate a great opportunity to mirror Illinois'
success with the children of Pennsylvania and - '
demonstrate to other states that this system can work
anywhere SALF is invited.
Growth in Students Taught
Over 400,000 Taught To Date 2001
2000
II L. 1 1 1 , 1 I I I I
1998
j &j j 40K
Starling at -f 0.000 in 199'
Pilot Program, grew la
over 400.000 today
Programs for
Children
' Grades
Bystander
Basics
Bystander
A F 0
Basics
•K?2 3-6
7-AdultS.
Tlfr*
Ad'tilts
Recognizing an X X X X
Emergency
Contacting EMS X X X X
Opening an Airway X X X
Heimlich Maneuver-'~_ '
For infants, children
and adults
Early Heart Attack Care
Rescue Breathing
for infants, children
and adults
CPR
For infants, children
anci adults
AED Training
30 mts 1 hr
i$MkM$&l
Growth in Students Taught
Over 400,000 Taught To Date 2001
2000 |
:' : 1998
I j j j j j l 40K
Saining at 40.000 in 199'
Pilot Program, grew to
orer-f00.000 today
Programs for
Children
..Grades ---J
Bystander
Basics
■ 7*Ad.ulte
Adtflte
Recognizing ar, X X X
Emergency
Contacting EMS X X X
Opening an Airway X X
Hefmlich Maneuver -
For infants, children
and adults
Early Heart Attack Care
. Rescue Breathing
for infants, children
and adults
CPR
For infants, children
and adults
AED Training
In 1995 Save A Life Foundation (SALF) began training
children in Life Supporting First Aid (LSFA) skills at local
schools for free through private grants and fundraising
' events. By 1998, Illinois State Senator Walter Dudycz
saw the effects' this training was having on school age
children and sponsored an appropriations bill to expand
SALFs training?
That year SALF took its first big step and challenged the
Chicago Public Schools system. By the end of thqt
school year nearly 80,000 K-I2th graders had received
our training with a 97% skills retention level after three
months, and a 57% increase in confidence by these same
students. The Chicago Board of Education was
immediately notified by hundreds of teachers, principles
and school nurses of the benefit SALFs programs had on
their children. This awareness prompted the
Chicago Board of Education to pass a resolution for
SALFs children's programs to be included as part of their
school curriculum.
1999 to date SALF is a line-item in the Illinois Department
-of Public Health'&budget and continues increasing
30 mts 1 hr 4 1/2 hrs
its training to students, for free, with supplemental
funding it receives from training adult students for a fee.
This parallel funding system has resulted in a steadily
expanding enrollment of nearly 400,000 Illinois children at
the end of 2001.
2001 was the year Pennsylvania's Governor Ridge called
upon SALF to meet with his Board of Education and
Health Department Directors to welcome SALF into his
state. We anticipate a great opportunity to mirror Hlinois'
success with the children of Pennsylvania and
demonstrate to other states that this system can work
anywhere SALF is invited.
CMil
First Aid and CPR Programs to Fit the Needs of Our Nation
Kids Can Save You
Dr. Peter Safar
Safar Institute
Pittsburgh, Pa.
Dr. Henry Heimlich
Heimlich Maneuver
ftnr-nJL
Perry Medic® and Emy Tech® have teamed up with Dr. Peter Safar (CPR) and Dr.
Henry Heimlich (Heimlich Maneuver) to train Illinois public school children and adults
in Life Supporting First Aid.
\/
SALF has trained nearly 500,000
children in life supporting skills
Typical
Classes
The U.S. Conference of Mayors
Illinois Mayors Support Life-Saving Organization
Palatine, Hanover Park Mayors Driving Force Behind Resource for LifeSaving Organization
' By Kolina Vortman, USCM Intern April 1, 2002
c
.-. -
Since the events of September 11th, security and survival techniques have become important issues in
the minds of Americans. An Illinois based organization that promotes education in important survival
techniques in many American communities is the Save A Life Foundation (SALF), an organization receiving
strong support from Illinois mayors including Palatine Mayor Rita L. Mullins, a Trustee of the Conference of
Mayors, and Hanover Park Mayor Irv Bock.
SALF was founded by director Carol Spizzirri after the tragic accident that caused the death of her daughter,
Christina Jean, on Labor Day, 1992. Christina might have survived the accident if those who were the first
responders to the accident had been educated in basic first aid. After the accident, Carol learned that public
servants, including police officers and firefighters, are not required to be educated in life saving techniques. Carol
then founded SALF in order to prevent unnecessary deaths due to lack of knowledge in first aid.
Being headquartered in Schiller Park (IL) SALF is very active in the communities across the state of Illinois.
Recently, the foundation has begun to expand to other states including Pennsylvania, Florida, Oklahoma,
California, and Wisconsin. SALF is very active in the city of Palatine, Illinois. Mayor Rita Mullins says, "Every
mayors responsibility is to maintain the safety and quality of life for their community. This program assists
' mayors in advocating this commission."
■ . ■ J
SALF has developed many different programs that inform people of all ages in a variety of life saving techniques.
One program, "Bystander Basics," is a two'hour life supporting first aid course for young adults. This course
teaches students internationally recognized first aid guidelines. The. objective of this program is to instill the basic
skills needed to maintain the life of an ill or injured person until professional help arrives at the scene. These
skills include recognizing scene safety, early heart attack care, cardiopulmonary resuscitation, rescue breathing,
control bleeding, and others. According to SALF staff member, "SALF bridges the gap between the bystander
— — and th^professionalmedjcal support upon arrival at the^scenei^hesaidr —————— -
Mayor Irv Bock fully supports SALF and ifs cause. Acting as the National Director of State Development for
SALF, Mayor Bock raises awareness for SALF and opens new sites for the organization all across the United
States. Due to recent catastrophic events, such as 9/11 and the Oklahoma City Bombing, Mayor Bock realizes the
importance of the Bystander. Mayor Bock explains, "During the time of crisis, there are not enough EMS
personnel to go around. Consequently, hurt individuals have to rely on family members, neighbors, strangers, or
even themselves for aid. The Bystander Basiccourse enables these individuals to assist in the effort of saving a
life."
"Participation in SALF programs is a tool for citizens to help themselves, their families, and their neighbors,"
explains Mayor Mullins. She describes the goal of the organization during the next ten years is to be for all
citizens to partake in SALF courses before they reach their sixteenth birthday. Mayor Mullins enthusiastically
says that SALF is an invaluable resource in crisis situations since many individuals have received Life-Saving
techniques instruction, preparing for any emergency that may occur.
Medical professionals, such as nurses and EMS personnel, teach all SALF courses. These
instructors are well versed in their courses, and must complete a four hour orientation on the skill of
teaching in order to convey their knowledge in terms everyone can understand them. Additionally,
instructors are required to attend an annual seminar in order to tell of their experiences, help
educate other instructors, express their viewpoints, and learn additional information from other well
disciplined speakers
The goals of the foundation include educating Life Supporting First Aid to all people, encourage
cooperation and amity between communities and their local emergency personnel, and to improve
emergency health awareness communities. Ultimately, through quick and competent intervention,
SALF hopes to increase the survival rate among victims.
Mayor Ralph W. Conner
(Maywood)
(LtoR)
Mayor Irv Bock (Hanover Park, IL)
Carol J. Spizzirri SALF Founder/President
Mayor Rita Mullins (Palatine, It)
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SAVE A-LIFE WEEK
Save A Lz/e Foundation Week
Proclaimed by Mayors and Governors Alike, Nationally
' ' 1
1
Governors and thousands of mayors from across the country have proclaimed May 19
th
- 25* as Save A Life Foundation Week in concert
with Emergency Medical Service Week. This focuses on the need for the "bystander" to administer Basic Life Saving techniques, it icluding
Cardiopulmonary Resuscitation (CPK) and Automatic External Detlbrillation (AED), to help maintain life until professionals arrive, thus
significantly reducing deaths and disabling injuries.
Save A Life Foundation was chosen by the American Trauma Foundation (ATF) as one of the top seven organizations molded from a
personal tragedy that has made a significant difference in America. Joining SALF's story that appeared in ATF's "Channeling Griei' Into
Policy Change", Injury Prevention Newsletter, Volume 13, were the Danny Foundation, Kids In Danger, Drowning Prevention Foundation.
Stop for Kids Safety. California for Safe Motorcycling, and Trunk Release Urgently Needed Coalition. This well presented newsletter has
reached over 50,000 medical and trauma professionals nationwide.
we're c^ol
Illinois
St John's Hospital
Springfield, Illinois
JanKelley, RN
Facilitator
Pennsylvania
Safar Research Center
University of Pittsburgh
Pittsburgh, Pennsylvania
Tammy Janney, EMT
Facilitator
Moving Forward
The effective and cost efficient programs,
so popular and widely requested in Illinois,
are moving into other states.
Save A Life Foundation *s Annual Awards Dinner Dance 2001 honored those in the public
service, EMS, medical fields and the everyday bystander for their contributions to the safety and well
being of children and their communities
Luis Espinosa, Phd.and Ruben Archilla, Cook
County Sheriffs Deputy, received awards for
saving little Elizabeth's life.
Over 600 people attended this year's festivities.
Awards v>i\A,\AM
January, 2001
• SALF participated in the Maine Township Senior Health Fair
• SALF attended the US President's Inauguration
February, 2001
• SALF participated in the Service Learning Conference through the Constitutional Rights Foundation in Chicago
March, 2001
• SALF selected staff members participated in Non Profit Leadership Day conference sponsored by Executive Service Corps
• SALF was a presenter and exhibitor at the Niles North H.S. Health Fair
AprU.2001
• SALF participated Prairie State "Partnerships" Job Fair
• SALF was present for the School Health Days Conference by the Catholic Charities
May, 2001
• SALF was a presenter and exhibitor at the St. John's Hospital EMS Conference
• SALF presented a workshop, gave out Life saving Awards to children, and exhibited at the Illinois State PTA Conference
• Save A Life Week, May 20-26,2001
• "Official Proclamations were received from 13 governors and over 200 municipalities.
• SALF was an educational presenter at the Chicago Fire Department's "Safety for Life Fair" for 500 school children at
Comiskey Park
• SALF held a special AED Training Secession for SALF instructors
• AED Program Created and implemented
June, 2001
• Expanded National Headquarters facilities in Schiller Park, Illinois
• Motivational Summit 2001, held at the Rosemont Theatre
• Developed Internet - Intranet sites
July, 2001
• Developed with AT&T Broadband -SALF Public Service Announcement (PSA)Basic Presentation
• SALF gave presentation to the Greater O'Hare Association business luncheon
• Began developing Pittsburgh Branch
• SALF gave a presentation at the Des Plaines Chamber of Commerce meeting
• IDPH Line item for 2002 (State Appropriations)
August, 2001
• Developed joint partnership with Alexian Brothers
• SALF was at the State Fair Fire Marshall's Tent with presentations
September. 2001
• CDC Grant awarded
• SALF was an exhibitor at the Northbrook Fire Department's Safety Fair at the Nbrthbfook Mall
• SALF AWARDS DINNER GALA at the Donald E. Stephens Convention Center
October, 2001
Redesigned and improved website
SALF participated in Columbus Day Parade
SALF attended the Women's Business Development Center's "Smart Women, Smart Money" Conference
SALF gave testimony at the Illinois Homeland Security conference
November, 2001
• SALF attended the Emergency Summit at U.S. Conference of Mayors.
• Established "The Bystander" radio show
December, 2001
• SALF presenter at Health and Wellness Field Trip - Urban Northwest Consortium (Kenwood, Hedricks,
Washbume, Parker, New Trier, Hope, and Bum High Schools) and Whitney Young Magnet School Field Trip
to Museum of Science and Industry.
• SALF participated in the Christmas Parade in Springfield, Illinois
• Radio show with WJJG
• Woman Achievement Award from Lt. Governor Corrine Wood
• Nominated for Hero of the Year award from United Airlines
Year 2001 Income and Expense
Statement of Financial Position - December 31.2001
Current Assets — ——
:
! $1,233,154
Fixed Assets-Net '■ S 38.639
total As s et s — -$ 1,271,793
Current Liabilities $ 9,042
Long Term Liabilities S 68.753
Total Liabilities $ 77,797
Unrestricted Net Assets $ 112,566
Temporarily Restricted Net Assets —$ 1.081.430
Total Net Assets $ 1,193,996
Total Liabilities and Net Assets ■ ; $ 1,271,793
Statement of Activities- Year Ended December 31.2001
Income By Program: %
Illinois State Grant $ 639,341 58%
National State Grant
:
$ 202,271 19%
Paid Training $ 61,435 6%
Fund Development ~$ 68,568 6%
General Administration S 122.656 11 %
Total Income—- $ 1,094,271
Expenses By Program: J
-Illinois-State Grant $—645,-364 - 68%
National Expansion Grant $ 202,816 21%
Paid Training $ 40,859 4%
Fund Development ■ $ 23,617 3%
General Administration -S 41.371 4%
Total Expense -$ 954.027
Operating Surplus (Deficit) $ 140,244
I
Thank You To the Many Who Support us:
ILL Dept. of Public Health
ILL Dept. of Child and Family Services
Members of the ILL State House and Senate
CDC/Health and Human Services
US Congressman Porter
US Congressman Kirk
US Congressman Henry Hyde
Chicago Board of Education
Abbott Research
Allstate Foundation
Ronald McDonald
Royal American Bank
Irwin Andrew Porter Foundation
Saint Xavier University
Alexian Brothers Medical Center
St Alexius Medical Center
Italian American War Veterans
Village of Rosemont
Cremation Services, Inc.
Lions Club of Rosemont
Italian American War Veterans.
Orange Crush
Rosemont Chamber of Commerce
Northwest Display Corp.
Competition Telecom, Inc_
Fraternal Order of Police
Senator Walter Dudycz
Laura Crane
Kintetsu Intl. Travel Consultants
Midwest Equipment Rentals
National Conference for Community and
Justice
Fireman's Assn. Of Chicago
Village of Broadview
Vahey Construction Co., Inc
Italian-American Police Association
US Conference of Mayors
National League of Cities
Illinois Municipal League
National Conference of Black Mayors
Rosemont Exposition Services
SBC Communications
Peter Rosenthal
Ryan & Ryan
Gurtz Electric
Parkway Bank and Trust
Michael Lavelle
Rosemont Suites
Walgreens
H&H Electric
Degen & Rosato Construction Co.
Air Quality Maintenance
Storino, Ramello &Durkin
Morgan Park H.S.PTA
Tom and Kathy Rivera
y
William Nolan
Gregg Horan
Illinois PTA District 25
R. Carrozza Plumbing Co., Inc
The Daily Herald
... and so many
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MfMHMV SNIMIT
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Donald E. Stephens
Convention Center
Rosemont, Illinois
October 11th & 12th
Bridging the gap between the emergency incident
and the arrival of EMS professionals
This Summit reflects upon President
Bush's CERT Program.
■ r
Honoring Dr. Peter Safar,
Father of Emergency, Preparedness
Save A Life Foundation
invites you...
Leadership
CommlHrw;
Hon* Trtftt LMt
U l l M M H M l r | U * d M
Chairman" Laaotuhtp Commltm
Hon. itmnftpn
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Ron Rod Br t ooj t vl ch
Hon Wt t t ar Dut t yci
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Hon. RoMt r pr y Kur t i
State MpMttflttU**
' Hon. L6 ul a . Ung
Hon. Mk h a t l Kt dt oan
sa j ot ayaMwut t — {8pfcr>
Hon. Carol Pankt i i
Ststt
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Hoi vRayf nond Poo
Sttta BaaraMwmht
Hof l , An0t l o SavUno
BUI Kurtis
Awar d- wi nni ng C B S anchor , Bit! Kurti s enr ol ed
T h e Ne w Expl or er s" a nd host s A&E a nd t he .
Di scover y Cha nne l . {VUou P r i n c e t o n ,
Hon. Ki t ht ot n Woj ci k
Hof f cAnnwZl cl un
Hon. Todt f c howl c z
Cook County CcmmlMloftff
Hon. 4 MsHoMor t no
CoohCbtfltyca-iwittttoflM
Ken. Pttt' r' si tvestri
Coolr CovftfrCommttilOMr
Hen. PtrrWla Attftoff
Hon. Ant hony Arradi a
Hen L MB t l l a h
Hon Garal d Bannatt
Hon Ni chol as Bl at *
Han tnwtn Bock
Hon Fredt ri c Bnr at on
Hon. Roger CUar
Hon Ratph Conner
Hon. Zt rt ovi a Evt na
Hon. Gar aM Fartsy
Hon. Rt y Forney
Hon Donal d Graon
Hon. St even Herrta
Hon. Loranz Ht r t wt g v
Hon. Al L J n o n
Hon Stanl ey Leach
Hon. DxRfel McLi ushUn
Hon. Aftn» Mont ana
Hon. Cbrral n* Mor t en
_ Hon. Ar t c n r Mu Ht r
Hon. Ri t a ( f u Nn *
Hon O t f l f ^ l j m
Hon. Dt nf cl Ptofco
He n. Ri chard Rock
Hon. flit Ite Rot h
Hon. Oof wW Scndkkj t
Korr. Ed Schecfe
Hon. Chi r l a * Senat e
Ha n. ' Doua t u Scot t
Hon. Torn Sht uet t nt t ay
Hen. Jeffrey Snenr f n
Horn Donal d St ephen*
■ Chief Chuck Lanza
Director of the Miami-Dade County (Florida)'*
Office* of Emergency Management (OEM).
, Chief Lanza headed the search and rescue -
' for residents caught in Hurricanes Andrew.
Floyd and Irene.
Dr. Ernesto A.
Pretto
P.i<il Pr esi dent of Wor l d Associ at i on of Di sast er
Emer gency Medi ci ne ( WADE M) . Co- aut hor on
7 st udi es e n Nat ur al a n d Ma nr ha de Di sast er s
i ncl udi ng -
• Hasl i i n. J a pa n ear t hquake
- Ci vi l Wa r i n Sar aj evo
B
Stephen L. Holl
Deputy Chief ol Police
Systems Management Division
Arlington County Police Department
Chief of VA PoBce department response to the
Pentagon attacfc on 9/11/01
Ht mE i Ma n i Z i Br o c M
Mr KtflfMCh Md ws o n
Donald E. Stephens Convention Center
555 N River Rd, Rosemont, IL 60018
COMING FROM 294 NORTH (Milwaukee and coming from 90 west Rockford)
Get off at the O'Hare 190 West exit. Pay toll. Exit at Mannheim road South, immediately
return to expressway which is 190 East Chicago for 1 mile only, to River Road South. We are
down the street on the left Parking is on the RIGHT behind the Rosemont Suites Hotel.
DIRECTIONS; FROM 294 SOUTH (INDIANA)
Take the O'Hare 190 West ExtL Pay Toll. Take River Road exit. At River Road, make a Right
Turn. The Convention Center is down the street on the left Parking
is on the RIGHT behind the Rosemont Suites Hotel.
FROM CHICAGO
Take the Kennedy (94) Exit at the O'Hare 190 West exit. Then exit at River Road. At River
Road make a Right Tum. We are down the street on the left. Parking is on the right behind
the Rosemont Suites Hotel.
FROM O'HARE AIRPORT
Watch for a sign which reads EAST TO CHICAGO (190) exit at River Road South.
FROM NORTHWEST TOLLWAY
Same directions as from Tri State (294) North.
TO RETURN TO TRI STATE NORTH
Take River Road South to Irving Park (about 1 mile). Make a right on Irving Park...about 1
mile to Tri State entrance.
TO RETURN TO TRI STATE SOUTH
Take River Road North to 190 West to Airport. Get in left lane for 294 South.
2002 EMERGENCY SUMMIT
Friday 10/11
07:00- 08:30 Registration / Vendor Set-Up
08:30 - 09:30 Check In / Vendor Viewing
09:30 - 09:45 Welcome arid Into
09:45 - 10:00 Guest Speaker Presentation
10:00-11:30 Corporate Emergency Response Partners Panel
11:30-12:30 Lunch / Vendor Viewing
12:30 • 12:45 Guest Speaker Presentation
12:45-02:15 Public Safety Panel
02:15 - 02:30 Guest Speaker Presentation
02:30 - 04:00 Mayors Panel (CERT, CERT cities, Citizen Corps)
04:00 - 04:45 Media Perspective Panel
04:45 - 05:00 Bill Kurtis Presentation
Saturday 10/12
07:15 - 08:15 Continental Breakfast / Vendor Viewing
08:15 - 08:30 Intro / Preview
08:30-09:45 Medical Panel.
09:45-10:15 Guest Speaker Presentation
10:15 -11:45 National & State Elected Officials
11:45 -12:00 Guest Speaker Presentation
12:00-01:00 Lunch / Vendor Viewing
.01:00-02:00 Emergency Management Panel
02:00 - 03:00 SALF Presentation and Testimonial
03:00 - 03:30 Closing Presentation
Medical Panel includes:
Notad'world renowned medical specialists in disaster and emergency preparedness
Emergency Management Panel includes:
Federal/State Office of Emergency Management experts.
National & State Elected Officials Panel includes:
Representatives from State and Federal elected offices
Corporate Emergency Response Partner Panel:
Major national and international corporate and utility leaders
Potlce/FtrefEMS Panel includes:
Representatives from Pclice/Fire/EMS System across Illinois and nationally.
Mayors Panel (CERT, Citizen Corps, CERT Cities) includes:
Mayors from registered cities across Illinois and other states
Media Perspective Panel includes:
Representatives from major media outlets, television, radio and print
ANNUAL
SAVE A LIFE FOUNDATION
AWARDS DINNER
Saturday 10/12
5:30pm - 6:15pm PRIVATE VIP RECEPTION
6:30pm -• 7:15pm GENERAL" COCKTAIL RECEPTION
7:15pm PRESENTATION OF THE COLORS
By ROTC Unit
Bill Kurtis Presentation
7:30pm- DINNER/AWARDS
8:45pm KEYNOTE SPEAKER
9:30pm SPECIAL RAFFLE
(Donated by United Airlines)
9:30pm -12:00pm DANCING / Entertainment Furnished By:
JIMMY DAMON and BAND
Dr. Heimlich, Father of the Heimlich maneuver, is
President of the Heimlich Institute in Cincinnati, Ohio.
The Heimlich maneuver has helped save countless
lives throughout the world. Dr. Heimlich has been on
the Save A Life Foundation's Medical Advisory Board
"since 1993.
R. David Paulison recently appointed U.S. Fire
Administrator by President Bush, will direct the U.S. Fire
Administration's (a division of FEMA) initiatives for emer­
gency readiness, as well as firefighter training and equip­
ment in response to terrorism. Paulison was formally Chief
of the the Miami-Dade Fire Rescue .Department.
Center for Disease Control is a major
supporter of the Save A Life Foundation
mc
APSH • HCALTMIIW • PCO»LC*
LODGING:
There are a' variety of wonderful hotels in the immediate area. Two connect directly to the
Donald Stephens Convention Center, via skybridge. and offer attendees reduced-Summit
rales.
HOTEL SOFITEL - 5550 N. RIVER RD.. ROSEMONT. I L. 60018
Reservation: 1-800-233-5959 Tel: 847-678-4488 Fax: 847-678-4244
S99. per night, includes breakfast and discounted parking.
DOUBLETREE HOTEL 0*HARE- 5460 N. RIVER RD.. ROSEMONT. I L. 60018
Reservations: 1-800 - 222-TREE / Tel: 847-292-9100
S75 per night (single). S85 per night (double)
10% discount on food and beverages in their restaurants
Illinois Department of Public Hoalth EMS Continuing Education Crodite Have Been applied for.
Clip and relum we completed form below with your check to tho Save A lite Foundation
Burner THE CAP a
M.EASE PRINT OR TVPE - THIS INFORMATION WIU. BE USED FOR THE SUMMIT I O BADGES
Name
Address
City State Zip_
Tel. No ( ) FaicNo. ( )
E-mail
Company_
Tills
Department.
REGISTRATION AND FEE(S) MUST BE RECEIVED BY DEADLINE SEPTEMBER 24.2002
SUMMIT REGISTRATION $75 PER PERSON
SUMMIT REGISTRATION AND OWNER TICKET $150 PER PERSON
AWARTIS DINNER TICKETS (ONIY) $85 PER PERSON
TOTAL AMOUNT ENCLOSED
Checu payable to Save A Lite Foundation Visa and Mastercard accepted
Please ma3 the completed form wim your check of credit
cam mtormat«x> to C a r d N a m 0
SAVE A LIFE FOUNDATION
9950 W. LAWRENCE AVE..SUITE » 300
C a , d N u m b o r
SCHILLER PARK.IL 60176 C a r d ^
R47-Q?ft-QfiRl www «;alf rvrn
EXHIBITOR INFORMATION
one 6a skirted table* and 2 chairs
exhibitor l.D. badges
company signature at exhibit table
continental breakfast for two people, Oct. 12th
exhibitors'directory
Exhibitor Setup: Friday. Oct. 11th 7:00 to 8:30 am
Exhibit Hall Open: Friday, Oct. 11th 8:30 am to 5:30 pm 6 Saturday. Oct. 12th 7:15 am to 3:30 pm
Exhibitor Teardown: Saturday, Oct. 12th, 3:30 lo 4:30 p.m.
(Exhibits must be dismantled and packed tip by-4:30 p.m.)
Sales and Order Taxing may be-accepted for future sales only.
NO RETAIL SALES OR CASH SALES SHALL BE MADE ON THE PREMISES.
EXHIBITOR NEEDS
If you require special equipment or services, riot included wiuYlhe basic exhibit space.
such as electric, phone, audio-visual, displays, etc. you must contact:
MARY JABUREK at 847-692-6415 Rosembnl Catering
F-OR^XiUBftaB.USE
PLEASE TYPE OR CLEARLY PRINT
Company • ■
Address.
City _ State 23o
Tel. No t I Fax No. ( _ _ _ ) _
Website ; , E-mail •
• ; 1 ■ . • - '
Type of products/services lo be exhibited ' ■ -T - -' - '
Name(s) of person(s) manning the exhibit_
Name of person in charge of exhibit • '-
:
■ :'
Exhibitor's space will be on a first come first served.
Registration deadline Sept. 24,2002
Exhibitors (limit 2) are welcome lo attend the Awards Dinner «ri Sat. evening.
Additional tickets $75. per person (reg. price is $85.)
tt Exhibit booth $550 =$
* « 1 additional 6 a skirlod table $25 = $ V_ ;, .
TOTAL AMOUNT ENCLOSED $ ■ ■ ■ ■ "'-"
Checks payable to: Save A Life Foundation i n . - ■ _!rt u„t£,.~,r* , . - __. „ J
Pleevmrtthocomptolrtiomi^wclieckorcreo* ^SJmMm&&JiaCQep^
cart information to.
Card Name.
SAVE A LIFE FOUNDATION
9950 W. LAWRENCE AVE..SUITE # 300 ■ Card Number —
SCHILLER PARK.IL 60176
Ra7.Q7R.CKR') . . A«n. i »« ~rr.
C o r d
E»pirolion.
SAVE A ore
SAVEAUFE
SAVEAUFE
Current Active Slates
Projected Expansion
v
-;v.i,-y
:
vr
;
;:
^■ **kk^
..r^
l|
.^;^-^]UiiitIii61CS^LF Branch
To start a branch you must:
Be EMS related,
Send letter of intent to SALF National Headquarters, t.*r$5^
Demonstrate ability to recruit enough EMS professionals to meet teaching expectations,
Be willing to provide an in-house facilitator. i&Mip
The Save A Life Foundation welcomes.your interest in helping us achieve our goals..
W W i
.
Please contact SALF Headquarters at 888-892-0606 orwww.salf.org ' >'*' f ^ ^
• •^SSr.228
_>0#^
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FORM DCEO-C-0
ILLINOIS DEPARTMENT OF COMMERCE AND ECONOMIC OPPORTUNITY
OFFICE OF ACCOUNTING ,,.. ,_. ._ ...
20i5 APR 13 AK 10- 35
GRANTEES SUBMITTAL OF CLOSE-OUT DOCUMENTS
Grant No,: 03-120016 GrantPeriod: 12/01/2002 thru 03/31/2005
Name: Save A Life Foundation
Forms..
Required I dent i f i cat i on of Document
Document
Enclosed
z
z
z
7
z
z
sssssssBssassssssssssssBsssBSSsssssssssssBSESsssssssssssssBBBssBSSsssB
C-0-1 1. Reconciliation Statement
C-0-2 2. Final Expenditure Summary
C-0-3
J
3. Grantee's Release
C-0-4 4. Refund Check Breakout
C-0-5
5. Grantee's Assignment of
Refunds. Rebates a Credits
C-0-6 e. Status Report
Grant Close-Out Certification Statement
To the best of my knowledge and belief, the Financial Statements
contained in this close out package accurately represent the financial
position of this grant. The Statements are presented in conformity with
Generally Accepted Accounting Principles and there are no transactions
that have not been-properly recorded.
I certify that I have full signature authority to sign the attached
close-out report on behalf of this agency.
f^x
r i t l e ~~i
nJaiAjIfLUr 4-1-Of
1 Date -
(Directions on Reverse Side)
FORM DCEO-C-O-1
ILLINOIS DEPARTMENT OF COMMERCE AND ECONOMIC OPPORTUNTZY
OFFICE OF ACCOUNTING
RECONCILIATION STATEMENT
Grant No.r 03-120016 ' Grant Period: 12/01/2002 thru 03/31/200S
Name: Save A Life Foundation
'•', <' - - V - ^ CASH BALANCE • -. , •
:
1. Beginning Cash on Hand ^0-
2. Total Amount of Grant money received /oo,ooQ, QQ
3. Total Cash Available (line 1 + 2) joo OOP.OO
4. Less: Total Costs (Per Expenditure Summary Total foo.eoo.oC'
Form DCEO-C-0-2) '
5. Balance of Cash On Hand (line 3 - 4) •"*> *
8. Unexpended Amount^of Grant (11ne 6 - 7)
b. Total interest Earned b) +_
h. Balance of Interest Earned h) ♦ ~~
0
1. Total Unexpended Grant Amount
and Interest (g + h) = (1)
GRANT BALANCE
6. Total Grant Amount (Including all i'CQ.ocfQ.oO
modifications)
7. Total Grant Amount Received from D.C.E.O. /ooe?Q0,a&
— a
Report of Grant Principal
9. Grant Principal
a. Total Grant Amount
( I ncl udi ng a l l Modi f i cat i ons) a) + jOgooo*oo
c. Total Grant Amount pl us I nt er est (a + b) «..(C) toO ,000.00
Less: Costs I ncurred under Grant
d. Tot al Grant Amount Expended d) + lOO.OOO.ao
e. Tot al I nt er est Expended e) + " & ~
( I f grant agreement al l ows)
f . Total Costs I ncurred ' ( d + e) = Of) toQ^OOOtO
0
Equals: Unexpended Funds to be Returned to D.C.E.O.
g. Balance of Grant Amount g) + - <>—
(Directions on Reverse Side)
FORM DCEO-C-0-2
DEPARTMENT OF COMMERCE AND ECONOMIC OPPORTUNITY
STANDARD EXPENDITURE SUMMARY
GRANTEE NAME: Save A Life Foundation
GRANT, NO.: 03-120016 .REPORT PERIOD:/ FROM 12/01/2002 THRU 03/31/2005
PHONE: ■ ('8*l'%qa3-
t
t6S3\- . -.
PREPARED BY: DOAML. M. A~CMS __ J
— : — — —i
COST CATEGORY/BUDGET ITEM
APPROVED
BUDGET
YEAR-TO-DATE
EXPENDITURES
UNEXPENDED
BUDGET BALANCE
'Btot)***.. l&kuLh»teS?ufchtLsb too ooo JO0
t
6OO
••' —■ p "
0 1 ;T
1
'~~1
. • .
. • •
K
V • :■
■ ' ■ • ' , . . . . ■ ' •
.
TOTALS
/OO OOO yaa ooo
1 —-o —
1
FORM DCEO-C-O-3
ILLINOIS DEPARTMENT OF COMMERCE AND ECONOMIC OPPORTUNITY
OFFICE OF ACCOUNTING
Grantee Release
Grant No.: 03-120016, .- Grant Period: 12/01/2002 thru 03/31/2005 -
Name: Save A Life Foundation
■ Pursuant to. the terms of Grant No^ 03-120016-and in
consideration of the sum of */&> poo
(Expenditure Total - FORM DCEO C-0-2)
which has been or is to be paid under the grant to:
Save A Life Foundation
C/0 Save A Life Foundation
9950 LAWRENCE AVE STE 300
Schiller Park, IL 60178-1216
hereinafter palled the Grantee or to it's assignees, if any. the
Grantee, upon payment of the said sum the Department of Commerce and
Economic Opportunity hereinafter called the Grantor, does remiss,
release and discharge to Grantor, its officers, agents and employees
of and from all liabilities, obligations, claims and demands
whatsoever under or arising from the said grant, except:
1. Specified claims in stated amounts or In estimated amounts
where the amounts are not susceptible of exact statement by the
-Grantee as follows: ■' NONE »»
2. Claims, together with allowable expenses not to exceed grant
balance, based upon the liabilities of the Grantee to third parties
-arising out of the performance of the said grant, which are not
known to the Grantee on the date of execution of this release and of
which the Grantee gives notice in writing to the Grantor within the
period immediately following acknowledgement of said expenses.
It Is the sole responsibility of the Grantee to timely notify the
Department of Commerce and Economic Opportunity if it Is aware of
any Claims fitting this description.
(DIRECTIONS ON REVERSE SIDE)
FORM DCEO-C-0-4
ILLINOIS DEPARTMENT OF COMMERCE AND ECONOMIC OPPORTUNITY
OFFICE OF ACCOUNTING
1. Balance of DCEO Grant Amount
(Must equal Line No. 9g from the
Reconciliation Statement - Form
pcEo-c-Q-1) , ; *.
• > * ' • • • • . . ' . ' ■ . ■ ' ■ . - * ' '
2. Unexpended Interest or Interest
earned on funds received.
Must refer to your grant agreement $.
to determine-Interest requirements.
(Must equal line 9h as stated In the
Reconciliation Statement - Form
DCEO-C-OM).
3. Total Amount of Refund Cheek due DCEO $.
(Line 1 plus line 2. Must equal line'i
91 as stated in the Reeoncilaltlon
Statement - Form DCEO-C-0-1)
(DIRECTIONS ON REVERSE SIDE)
FORM DCEO-C-O-5
ILLINOIS DEPARTMENT OF COMMERCE AND ECONOMIC OPPORTUNITY
OFFICE OF ACCOUNTING
GRANTEE'S ASSIGNMENT OF REFUNDS AND CREDITS
Grant No.: 03-120016 Grant Period: 12/01/2002 thru 03/31/2005
Name: Save A Life Foundation ■ ■ >•
Pursuant to the terms of Grant Agreement No. 03-120016
and In consideration of the reimbursement of costs and payment of fee,
as provided in the said Grant and any assignment thereunder
Save A Life Foundation
C/0 Save A Life Foundation '
.9950 LAWRENCE AVE STE 300
Schiller Park, IL 60178-1216
hereinafter called the Grantee does hereby:
1. Assign, transfer, set over and release to the Department of
Commerce and Economic Opportunity all right, title and Interest to
all refunds and credits or other amounts (including any interest
thereon) due or which may become due, and forward promptly to the
Department of Commerce and Economic Opportunity checks (made payable
to the Department of Commerce and Economic Opportunity) for any
proceeds-so collected. The reasonable costs of any such action to
effect collection shall constitute allowable costs When approved by
the Grantor as stated in the said grant and may be applied to reduce
any amount's otherwise payable to the Department of Commerce and
Economic Opportunity under the terms hereof.
2. Agree to cooperate fully with the Department of Commerce and
Economic Opportunity.as to any claims or suit In connection with
such refunds and credits or other amounts due: to execute any
protest, pleading, application, power of attorney or. other papers in
connection therewith; and to permit the Department of Commerce
and Economic Opportunity to represent it in any hearing, trial or
other proceeding arising out of such claim or suit.
FORM DCEO-C-0-6
ILLINOIS DEPARTMENT OF COMMERCE AND ECONOMIC OPPORTUNITY
ILLINOIS FIRST PROGRAM
FINAL STATUS REPORT
i
03-1200*16 Grdnt Period: 12/01/2002 thru 03/31/2005
iye,A, Life/Foundation
f w""-
Describe Activities Completed or Services Delivered with Grant Funds:
(Activities defined in Part III. Scope of Work in the Grant Agreement)
/he Irunds. *iPte~ used -fe purchase. ~~tfte b-u ldi«c.
hcc sW a-t J*Zc
t£os 4- C^p,4ro
i A*?. SDn.videiJ
*L
I 1 i
' \
K ' . ' . . . - . . - ■
Number of Persons Directly Benefiting or Served by the Project:.fr.<309 <o
i
Ho
Number of New Permanent Jobs Created by the Project: *v"
Number of Temporary Jobs Created by the Project: **/&
Number of Permanent Jobs RETAINED by the Project: A / . M
Amount of Federal Match Funds Expended on the Project: S At/A
Amount of Local Match Funds Expended on the Project: S Af/A
Amount of State Funds Expended (not Including this
grant) on the Project: s IQO OOO
I hereby certify that the information and data 1n the Final Status
Report are true and correct to the best of the Grantee's (and the
authorized representative's) knowledge and belief.
-Care I 3. Sp,2jz,,ct Ti tl e riesidfi/ci- lfcit*^
r
iq of .-Authorized Representative (Print/Type) /
Huttdf/' Date Y~(* -OS
tutorized Representative
Illinois Department of Commerce and Economic Opportunity
Rod Bl agoj evi ch Jack Lavii
Governor Director
<v
j
,\'
Hay 03. 2005
Ms. Carol Spllzfrrl, Pres/Founder
Save A Life Foundation
C/0 Save A Life Foundation
9950 LAWRENCE AVE STE 300
Schiller Park. XL 80176-1218
Re: Subgrant No. 03-120018 Close-but Package
Dear Ms. Splzzlrrl:
The Department Is In receipt of the close-out package-you submitted in
connection with the above referenced grant. Based upon the information
provided In your close-out package, we have determined that you are in
compliance with the close-out requirements of your grant agreement.
Notwithstanding, it is Important for you to continue to comply with the
provisions of Part V of the agreement which require that.you (1) retain
all records' documenting the expenditure of grant funds for a period of
three years following expiration of-the grant term, arid (ii) cooperate
with any audit conducted by ,the Department, or the State Auditor General
during this.three year period.
..• > ■
Nothing in this letter should be construed as a waiver of the
Department's rights under the agreement to pursue any'and all legal
remedies available to it, including, but not limited to recovery of
grant funds, if. as the result of any programmatic or financial review
currently in process, any compliance or financial audit submitted after
the expiration date of the agreement, or any audit conducted during the
three-year records retention period we determine that:
* ineligible expenditures of funds provided under this grant were
made during the grant term;
* the information that you Included In your close-out package was
fraudulent or false when submitted; or -•— —:*.:...
* you have otherwise failed to comply with material provisions of
the grant agreement.
Thank you for your cooperation in this matter.
Sincerely,
Christ! DeGroot
Assistant Manager
Accounting Office
CC:
Patty Hughes''
Close-Out File
Intarrtat Addrais h1tp://www.commorca.stata.il.us
620 East Adams Strast
Springfiold, Illinois 62701- 1616
Jamas R. Thompson Canlar
100 W«»t Randolph Stf.ot, Suilo 3- 400
Chicago, Illinois 60601- 3219
2309 Wast Main. Suits I IB
Marion, Illinois 62959- 1180
2) 7/ 782- 7500
TOD BOO/785-6055
312/ BU- 7179
TODBOO/7B5-605S
Printad on Rocyclod and Racyclabla Papor
619/997-4394
T0D8O0/785-6O55

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