HomeMy WebLinkAbout2002 08 12 Regular E Use of Senior Citizen Center for Political Related Activites
081202 Regular E Senior Center Uses.doc
City Manager
COMMISSION AGENDA
ITEM E
~
AugUst~02
Meeting
Consent
Informational
Public Hcaring
Rcgular X
Mgr. It- / Dept.
Authorization
REQUEST: City Managcr ."cquesting Commission dircction relative to the use of the
Senior Citizcn Center fo." political activities.
PURPOSE: The purpose of this agenda item is for the Commission to provide direction to staff
relative to the use of the Senior Citizen Center for political related activities.
CONSIDERA TIONS:
Thursday, August 1, 2002 the Seminole County Democratic Party had a meeting at the Senior
Citizen Center to discuss party activities. The organization has been meeting there monthly for
approximately one year. The Republican Party used to meet at the center regularly but changed
their monthly meeting place to another location.
A question has been raised relative to staff authority to schedule political meetings at the Senior
Citizen Center. .
My interpretation of the departmental rules regarding scheduling of the facility is that political
organizations are allowed provided that they pay the fee and conform to all other rules.
Political organizations are strictly excluded from free utilization of the facility offered to
Community Based Organizations as defined in the regulations.
In this case the Democratic Party did not pay for the facility. Additionally, the Democratic nor
Republican parties have been charged fees in recent years. According to the Senior Center
Manager they have not been charged fees because they have been exempted under the
Community Based Organizations Exemption, again, a practice inconsistent with the established
rules.
Additionally, we cannot find any action of the Commission confirming the rules established by
the department. The rules should be adopted by resolution. However, before this is done we
would likc to rcview thc rules to determine if changes are recommcnded.
FUNDING: No Funding Required
08) 202 Rcgu lar E Senior Center Uses
City Manager
RECOMMENDATION:
I. Determine if the Commission desires the Senior Citizen Center:
a) To be utilized for political activities.
b) To require a fee for political organizations.
c) Provide any additional infonnation the Commission deems appropriate.
2. Direct staff to review the rules and return the mles with any recommended changes to the
Commission for adoption by resolution. '
ATTACHMENTS:
A. Seminole County Democrats Facility Application of 12/26/01
B. Senior Citizen Center Rules
COMMISSION ACTION:
SEN" I OR./ c. IV I C CEN'.L'.e.:J:-<. OPERA. T I ON
EVALUATION
TABLE OF CONTENTS
bJ.
Preface Memorandum
page(s)
1
lU
Existing Conditions
2-5
~
Proposals and Recommendations
6-8
Ql
Civic Center Rules & Regulations
9-12
1D_
Senior Center Rules & Regulations
13 - 18
tl
Summary
19
Ql
Items A-K
CITY OF WINTER SPRINGS
MULTI -USE FACILITY AGREEMENT
PARKS & RECREATION DEPARTMENT
1126 East S.R. 434
Winter Springs, Florida 32708-2799
Please complete sections I, II, and IV: You are required to sign and date your agreement.
may resu It in rescission of the Agreement or cancellation of the event/program.
I. APPLICATION
Applicant/Sponsor Name: s: Cl1llvOL& tT~ DEH(JC/<-A- /')
Address: Street .;( '7g' ~ LF\ C J( LJR- 11::..c .pC
Authorized Representative: Name. ~A I<. I f2illEF(~ L I
FACILITY REQUESTED: ~; ./ ri.A.{.1.A.-/
Event Hours: From 0? ~ To /0 fJhL{ Estimated: Participants
I Y
Name of EventSt:: 111 tV au::: C, Y ~F1tX 1'1t l]; -
f-1 (/IJTHl ,-{ LV 0/(1( s-w of S
Adminstration Section:
Office: (407)327-4761
Fax: (407) 327-4763
Falsification of the information provided herein
Phone: ,-/O? ~ J;2, l.JS 7 Fax: Lj (/) 31:( (p j II.c
'cityLDAJ[ru)t11)I) ST Fe zip3~)SD
Phone:(W)4 01331. ~ (P,S'j,H) ~~
Date(s) Requested: / g..itu.vv. 16 ~-CL
. tD Vehicles if C; Spectators -fL2.-
Description of Event: U ) (") /2...-KS.fi nf?'
Submit proposed schedule/agenda for event
II.
How will program/event be advertised/promoted?
Will any trucks be delivering or unloading equipment or sup
Is the event catered: Yes _ No-X-
List All special requestso Explain completely (concession, tents, bounce houses, water, power, classroom, parking, rehearsal, sound system,
- ___,_,u --. f>tc)
-'--r.------, --_OJ
Will Admission Fee be Charged? Yes_ NoL.
Ii s? Yes_~ill food, goods, or services be sold at event: Yes_ No..2(
~'~iiITY REQUESTED
(CITY OFFICE USE ONLY)
al $ per
al$ per
Sales Tax 7% ( )
=$
=$
Sub-total
/I ~:~SO~~1"~::L/ PREP
I nv Frpmp' #..
Cash
Payment:
Check
nu. "'. ~.: ~n:.O:~ (~. ~;..n~;'~:.~.:, if f~dlity left clean) $
. .=t;:.=~-, ;:-"y"tk t,}~ C!ty of Winter Springs.
Check #
_..___ I'~ __.&.____,..1" ____ _ _ _-_ . "-_ ____ _,,,_ _!I!,,-__
._~,,-.._ ~._.~~~ ,,-.._._~~ ~~~; ~~j~ :-.~ ~._.~ lU u~t:' UI UI\.:IIIlY
Balance due:
date
HOLD HARMLESS AND INDEMNIFICATIONIINSURANCE AGREEMENT
~;--.;-.~~.-;;.;".: .-.-: ;;::..~-: ~.=:.=~.;- ;=.:-.=.:::~::.=~ ~:.~ ~~-::-::::-:: ~~ :::~,=::::::.r; ~:~ ~:__.~~ to indemnify and hold hannless the City, from all damages, costs and
~i~ l)f Winter Springs, a city corporation, its officers, agents, expenses in law or equity for or on account of any patented, trademarked
. . ~ from and against any and all liability, claims damages, demands, or copyrighted materials. equipment, devices, processes or dramatic rights
-;- ..- -. f....". fin..". !""n"lti..". <:"it", !'ror......rIing". ""tinn" "nt! "n"t" nf furnished or used by applicant in connection with this Agreement and will
'. ind"t!ing Httnm"y's fees for trial and on appeal, of any kind and defend the City from any such suit or action. regardless of whether it be
... .~...~ !_H i;!!_H~g~~ 0!it -L!f i]o~ ~~ ~~y via] -cui-'ll\A;i~~ wilt L~.C groundless or fraudulent.
'_'~ ~~~'_ ~g~.=.=~~.=~~ ~h.=-~~.~_-: t.;- ~.=-~ .=.~ .=.~-~~::~~.=.~~ .=.f~~.= The undersigned agree to abide by the regulations governing and facilit)'
uu_ --. L.____ -- .L ;: ~~'== and is responsible for all donations and charges incurred. The
-~.;.~:. ;'..: ,:,;.:: ~..~.:,:: ~ "Certificate of Insurance" reflecting minimum Applicant/Sponsor agree to submit with their application a 25% deposit of
_ __ ~~~ ~.f ~5rn'Jyr"~"'} tx~~(~i!y !!!}ir-y [x::lJurref![t and $! {H),[',,~':J pfOptfiy the required minimum donation. Litter resulting from the use of this
City of Winter SDrin2s shall be named as an additional facility is to be picked up and deposited in refuse containers before
. ,.~, :~~. ~:;.:.:: :..~ ",:,~~,:: ,:,,, ;:;~ C~rt1fk~~~, The Certificate shall leaving the area of facility. Facility must be left in the same condition as
J' . ::.....: ::.. ;..;.;.::. ......;', ;1Ij,III":un-.r. :-II-J:~':~'y :j.:-.n:: .1I:.i :_~ 1:.~IH:.~:rt:_-J:r::.~ found.
"L'--:, ~:~= ;:::~: ..~;~~;. ;..:.~;.:.;:.." .:-'c City. The undersigned
FOR OFFICE USE ONL Y
- u ~ ~ ~--- c-_~_~_~_~ to; tho: !-=g~~~~~I=-~s gO:lv-:-~~~g ~h~ ~id f~cin~y ~f!d is
... ;.-.. ')~~~-i;'--~ ;~~(':.~~-~--:.j ~~~d ~-(IIY~-~ 5ij~lp:Y ~ UCertificate of
." to City Office no later than ten (10) calendar days prior to
Approved: Y or N
Date:
'0
1~""YKiGi-IT LA W: Applicant shall assumes all costs arising from the
_. ..; :.;,;.,.,;.-.,~. tr"t!em"rlced nr c.opyright~.d materials, equipment.
, '_. !,r""e"""". or dmm"tic ri&ht~ used on or incOl'jlor"'ed in the
_ _~..J ___ ..J~_..L ~ A. _______6. __.J ___t:___. ___~~~
"' _ ____ __ __ __ ______ n__ ~~~.-.-.~~.-~~~y !H!l.J ~VpH~1l i::l~11;:1;:~
By:
r;t~~~ L~
~AOI;licant/Soonso~ or AJdlOri7..ed R.~present~tive Signature
/ ..) {.:2 ~'} 1.::2 (}(') J
Date
MEMORANDUM
FEBRUARY 15, 1995
TO:
MAYOR/CITY COMMISSION
VIA:
JOHN GOVORUHK, CITY MANAGER
FROM:
DON WILSON, PARKS AND RECREATION DIRECTOR
SUBJ:
SENIOR/CIVIC CENTER OPERATION EVALUATION
Upon being employed, the writer was requested to review
Senior/Civic Center operation and respond with any
recommendations which may be deemed appropriate for enhancing the
Center and its daily operation. These recommendations were then
forwarded to the City Manager.
The evaluation process was performed by first becoming as
familiarized as possible with the history and existing operation
of the complex. Then, a meeting was scheduled on August 25, 1994
by the Center Advisory Board at which they voiced their opinions
and concerns relative to the operation and and the corporation
activities.
On October 21, 1994, Mrs. Beverly Darnell, President of the
Senior Corporation and Jack Bergman, Treasurer, met with the
Parks and Recreation Director to discuss future status of the
Center and the Corporation. The Senior and Civic Center history
were discussed along with operation alternatives available.
On December I, 1994, Mr. John Govoruhk, City Manager, and
the Parks and Recreation Director met with Mrs. Beverly Darnell
again and discussed the status of the Center and the activities
of the Senior Corporation.
The final evaluation phase involved discussion with other
Senior program operators and their program delivery systems.
This evaluation report is presented for review in three (3)
components. The first is "Existing Conditions" and the second is
"Proposals and Recommendations". The third is "Proposed Rules and
Regulations" for the Ci.vic Center and the Senior Center.
1
EXISTING CONDITIONS
The exiting conditions at Sunshine Park are as follows:
*Two (2) buildings are located ln the Park; civic
Center and Senior Center.
*Two (2) city of Winter Springs employees are assigned
to the Park; (1) Senior Center Manager and (1)
Maintenance Worker. Part-Time help is being considered
for "fill-in" purposes such as when full-time
employees are on vacation, sick, etc.
*YMCA presently conducts an after school and
intersession child care program in the Civic Center.
This agreement will terminate March 31, 1995 (City
Commission Meeting Minutes, September 26, 1994).
*Only Senior events are scheduled and hosted at the
Senior Center.
*Senior Manager schedules both the Civic Center and the
Senior Center and collects rental revenues on site.
There is a Senior Corporation which consists of patrons that
visit and participate at the Senior Center and has elected
officers. The Corporation collects membership dues from
anyone that participates in any of the programs offered at
the Senior Center. Membership dues are annual beginning
Janaury 1, and are $2.00 for Winter Springs residents and
$3.00 for non-residents. These dues are normally collected
by the Senior Center Manager and retained in the Center
office until the Senior Corporation Treasurer comes by and
picks them up from the Manager.
*The Senior Corporation has been successful
financially. Presently, they retain a +$5,300.00 bank
account and also own a $3,000.00 Certificate of
Deposit.
*The Senior Corporation has purchased and housed
several capital items at the Senior Center such as;
2
Bingo Machine
Television and VCR
Sofa
Stereo
Freezer
Clay Potters Wheel (for Ceramics)
*The Senior Corporation purchases all the coffee, tea
and paper products used and consumed at the Center.
Donations are deposited into a cup on the honor
system. The Senior Manager retains the revenue
collection until the Treasurer picks it up.
*The Senior Corporation hosts a weekly luncheon at the
Senior Center which is catered by a private vendor.
They charge $4.00 for each meal and keep a $.50 profit
from each which goes into the Corporation Treasury.
This money is collected by the Senior Corporation.
*A monthly calendar entitled "WINTER SPRINGS
MONTH, 1995 (See Item "A") is developed each
the Senior Center Manager for patrons of the
SENIORS-
month by
Center.
A monthly newsletter (See Item "B") entitled "Winter
Springs-Senior Times" is typed by the Senior Corporation
each month and submitted to the Senior Manager who places
the title on the newsletter and runs copies on the Center
copy machine. Newsletter was initiated four (4) months ago.
*Programs hosted at the Senior Center throughout each
month are hosted by and paid for as follows:
PROGRAM
CREATIVE CLAY
BEG. LINE DANCING
LINE DANCING
CANASTA/PINOCLE
BRIDGE
CERAMICS
BINGO
CRAFTS
YOGA
ORIGINATING HOST
CHARGE
CITY
CITY
SR. CORP.
SR. CORP.
SR. CORP.
CITY/OWNED
SR. CORP.
CITY
CITY
NONE
FREE
FREE
FREE
.25 PLAYER
KILN FREE
$3.50/$6.00
FURNISH OWN
$1. 00
3
FEES GO TO
INSTRUCTOR
N/A
N/A
N/A
SR. CORP.
INSTRUCTOR
SR. CORP.
NA
INSTRUCTOR
*The Senior Corporation/Winter Springs Senior Center,
Inc., consist of four Board of Directors and five
Advisory Board Members. The Board of Directors meets
the 2nd Monday of the month. Annual elections are held
in May with nine (9) positions on the ballot for
election.
A copy of the "Articles of Incorporation" for
Springs Center, Inc., dated January 22, 1988
December 6, 1989 are enclosed. See "Item C".
the Winter
and amended
A copy of the amended
By-Laws" proposed to
"Item D".
"Winter Springs Senior Center, Inc.,
be dated May, 1991 are enclosed. See
NOTE:
On Friday, October 21, 1994 the office of the
Secretary of State, Division of Corporations was
contacted by the Parks and Recreation Department
for the purpose of verifying the standing status
and current officers of the corporation.
The inquiry resulted with a response that the
Corporation was "current and in good standing" and
that existing officers were:
President:
Vice President:
Secretary:
Treasurer:
Beverly Darnell
Marion Dolin
Evelyn Carcara
Jack Bergman
*By-Laws Section 3-D state that "The office of the
Treasurer cannot be combined with any other office of
this association." These By-Laws have not been adopted
by a vote of the membership.
*Evening programs hosted at the Senior Center are:
Ceramics:
6:30pm to 9:30pm on Thursdays
Monthly Function: Once each month an event is held on
the weekend in the early evening for the Seniors. This
usually is a dinner, pot-luck; with bingo, etc. Senior
Corporation usually co-plans this function with the
Senior Manager.
4
*In conversing with the Seniors it was obvious that
they are all very pleased with how the Center Manager
operates the facility, but most important, they
appreciate the caring attitude and genuine concern
exhibited by the Manager.
*Existing revenue, membership fees, rental fees and
program fees collection practices result in
collections being made and retained on-site in the
Senior Center Manager's office until the Senior
Corporation Treasurer picks up the collections.
*The Civic Center floor was resurfaced 1n February,
1995 with a tile surface.
*The Civic Center is scheduled and rented during the
year by the public through the Senior Center Manager.
Fees and processing are:
-$35.00 per hour with
day/night, plus a
deposit (clean-up).
-Checks are accepted if
days prior to requested
-Cash 1S only payment
days of requested use.
$200.00 maximum fee for all
$50.00 check for security
received five (5) working
use.
accepted within
five (5)
The Senior Center Manager unlocks and locks the Civic Center
when the rental is scheduled for a one (1) to five (5) hour
use. The Manager does not remain on-site during the event.
A Civic Center facility key is signed out to the renter when
the use is scheduled to be over five (5) hours. Example:
signed out on Friday and returned on Monday.
5
PROPOSALS AND RECOMMENDATIONS
After thoroughly examlnlng the existing "Senior/Civic Center
operations and use the Parks and Recreation Director, along with
the Senior Center Manager, recommend that the following items be
considered for approval and implementation effective February 27,
1995:
1) Senior Center Manaqer- Is the sole "on-site authority"
for managing the Senior and Civic Centers facilities.
The manager is the employee of the City of Winter
Springs and receives direction per facility/program
operation through the City Manager/Parks and Recreation
Director only. See attached job description-"Item E",
2) Facility(s) Schedulinq- All scheduling, regardless of
the program and sponsor use tenure, will be requested
and approved through the Senior Manager. Advance
"Multi-Use Facility Agreement" guidelines and
submission deadline dates to be administered by
management through concurrence with City Manager. See
attached "Facility Use Request Form"-"Item F". Facility
Use Request Forms will be addressed on a first
received-first reviewed for approval basis.
3) Senior Center Use- Any community based organization
which is senior oriented in nature, formed for the
purpose of producing or sponsoring senior related
community activities, can schedule facility use in
advance and free of charge, durinq normal 1 y schedul e~___
Senior Center hours. This use would be contingent upon
the group qualifying as a "Community Based
Organization" as established in the outline of
"Community Based Organization Criterion", see
attachment- "Item G" and completing the "Community
Organization Verification" form then submitting same to
the Senior Manager and Parks and Recreation Director
for approval-*see attachment-"Item H".
*Any denial could be processed as an appeal to the City
Manager for review should the applicant request that
further review be made.
6
4) Non-Senior/Community Based Orqanization Use- Any non-
senior "Community Based Organization" w~l~h verifys-and___.
qualifies as "Community Based Organization" under the
- -.---------.--.-.---.----- --- -----
criterion could apply for free Civic Center use and
also be considered for free Senior Center use if the
.--.---.--.... ... ..... ----. ~
Civic Center was already scheduled, again, senior group
use and advanced senior use scheduling would take
___preference o'!_e~_,_~__._h_'.:~~:m-.Senior Communi ty Based
Organization" use. This "Non-Senior Community Based
Organization" facility use application would only be
accepted for review and consideration for use during
normally scheduled Senior Center hours.
Approval of this recommendation would not exempt any
sen~or related activity or function and would enhance
the use and exposure of the City's facilities for
worthy community serving organizations during non-
senior activity lulls in the normal weekly schedule.
5) Fee/Revenue Collections- Propose that only City of
Winter Springs Senior Center and Civic Center generated
fees, charges and rental revenues be collected,
received and receipted by City employees. No civic,
community organization or other fees are to be
collected, received, handled or housed by any City
employee at the Civic and Senior Centers, nor will the
City of winter Springs or any Civic/Senior Center
employee be responsible for any fees/revenues, other
than City generated, collected on site or their
security.
Recommend that all City revenue collected or received
at the facility(s) be hand delivered to the Finance
Director's office daily or "night deposited". Propose
that no funds be allowed to be retained on site
7
overnight.
6) Civic/Senior Center Keys- Recommend that no facility
keys be signed out to any renter or organization. That
any use or rental be staffed by a City employee** for
opening and closing and management of the facility.
**This recommendation is proposed due to the need to-
have an employee on duty who is familiar with the
facility and its physical operation and security such
as location of electrical breaker box, how to open, how
to secure facility and to execute Incident or Accident
Report forms. An on duty employee enhances property
inventory control also. Extra help/part-time employees
would be assigned duty for the weekend rentals. These
employees are employed at the rate of $5.25 per hour.
7) Monthly Senior News Publication- Propose that the
Senior Center staff be authorized to invite senior
related organizations, senior service groups, etc., to
submit monthly news worthy articles to be reviewed and
edited for a monthly produced senior serving
publication. The publication would be a City of Winter
Springs-Senior Center generated and produced product
and would have volunteer assisted review and
production.
One additional option, which might promote recognition
for the publication, would be to conduct a "Name the
Newsletter" contest.
SENIOR CENTER RULES AND REGULATIONS ATTACHED
CIVIC CENTER RULES AND REGULATIONS ATTACHED
8
CIVIC CENTER RULES AND REGULATIONS
400 North Edgemon Avenue
Winter Springs, Florida 32708
The Civic Center, located at 400 North Edgemon Avenue, within
Sunshine Park, is a public, City of Winter Springs owned and
managed facility. The Center is operated and maintained through
the Parks and Recreation department for use by the citizens of
Winter Springs. The facility is at times programmed by the Parks
and Recreation department and is also made available for rental
for private and community functions.
1) The general use or rental of the Civic Center is to be
considered the primary use/rental facility
under the Parks and Recreation Department's
management. This facility will be offered on
a "first come/first served" basis for non-city
use prior to any other facility being scheduled
for use/rental. The only exception being senior
activities at the Senior Center facility.
2) Any individual, group, association wishing to legally obtain
"exclusive use" of the center must obtain,
complete and submit to the senior center manage~-
a "Multi-Use Facility Agreement" form not less
than te~(16)'c~lendar 'd~~~prior to the desir~d
.__. .___.._____~~_E:!___~,~~~__:._~_~_,~___..!?_~!~=_~_~~~_':I~s ~~_~.~.~__a-r:o~g.. wI 'th- any--
required insurance certificates are due with'the
c:"-!ll,r.:>)..E7_t..~_~_ _t_'~_uJ_t..,~~Us_e .F.a..c::.~ 1..i tY,A9ree:.~~n t" f om
with checks payable to the City of Winter
. ---~ .._--_.~-_..._-~---_..__.--..-... --.-.---... ,.--- _..-.. .--. . ..... - -. .. ... -..
Springs.
*Note-No "Multi-Use Facility Agreement" is
considered valid unless the approval signature
of the Parks and Recreation Director or his/her
designee is executed on the form and the
insurance certificate received.
3) Rentals- are scheduled on an hourly basis normally with an 8
hour maximum continued use. This includes set-up
times also. Rentals/usage are limited to 12:00
midnight, excluding New Year's Eve and class
reunions only. No rentals are permitted beyond
1:00am under any circumstances.
4) Use Intervals- only short term use/rental requests will be
considered for approval by the Parks and Recreation
Department. "Short term" defined as a single
use/rental request for no more than once per week and
no longer than a three calendar month period of use.
This is necessary in order to make the facility
available to others who may wish to utilize it and to
assure that a continual exclusive use of the facility
does not develop.
5) Rental Deposit- A $25.00 Deposit will be collected with the
Multi-Use Facility Agreement submission prior to
processing the request. This $25.00 Will be applied
toward the rental fee balance.
6) Food and
Drink Deposit- A $50.00 Refundable deposit will be applied
on facility rentals where food and/or beverage is to
be served. This deposit will be collected by separate
receipt in the form of a certified check or money
order payable to "City of Winter Springs". The
purpose of this deposit will be to cover the clean-up
of the facility up and above the norm. This deposit
will be returned at the conclusion of the rental if
there are no discrepancies found which will be
identified and explained by the assigned staff on
site, if any._
7) Insurance Certificates- Must list the City of Winter Springs
as an additional insured and should be faxed to
(407/327-0018) or mailed to the City of Winter
Springs Parks and Recreation Department by the
insuring company.
8) Staffinq Assiqnments- A Parks and Recreation employee will
always be present at the facility when open.
Use/rentals that require additional staff assignments
will be itemized with hourly rates and documented on
the Multi-Use Facility Agreement. staff employees are
on site for the purpose of maintaining and
supervising the facility and the activities being
conducted on or in the premises of the Center.
Employees are not authorized to engage in the
activities of the facility user or provide services
relating to the activities being conducted. This
includes and is not limited to the collection of
tickets, passes, money, checks or fees/donations of
any sot"t.
9) Tax- 7% state sales tax will be levied on all rentals,
costs/chat"ges when applicable.
10) Tax Exemption- In order to obtain "tax exempt" facility
rental status, an organization must complete and
submit a "Blanket Certificate of Resale" card which
lists the purpose of the tax exemption and the tax
exempt i on number. See at tachmen t - I tern "I".
11) Cancellations- If fot"mal (in writing and s~gned)
cancellation notice is delivet"ed or received no later
than 14 calendar days prior to the requested use
date, an administrative charge of $10.00 Will be
applied and a refund processed within (7) calendar
days.
12) Alcoholic Beveraqes- It shall be unlawful for any person or
group to purchase, sell 01:' offer for sale, have in
his/their possession or consume any alcoholic
beverages as defined by the laws of Florida, in or on
any park, playground or recreation area, their public
parking lots within the corporate limits of the city
except as follows:
The sale, possession and consumptiom, serving of alcoholic
beverages shall be permitted -when specifically requested in
writing and authorized by the City Manager under such terms and
conditions as he/she may impose for the protection of the health
safety and welfare of the public. May require assignment of an
off duty police officer. An alcoholic beverage waiver is
available for this purpose. See attachment Item "J".
13) Parkinq- Is provided on site for facility guests utilizing
the facilities and its amenities. Use the specified
marked parking spaces as provided. In the event that
the parking lot is filled to capacity do not park, or
allow your guests to park along the entrance/exit
driveway. This is necessary to provide access for
emergency vehicles.
14) storaqe- No storage of any type or form is provided at the
facility for use. Refrigeratol:' is available dUl:'ing
use/rental hours only and all items placed in the
refrigerator or carried into the facility during use
hours are to be removed pr10r to vacating the
prem1ses.
15) Walls, Ceilinqs, Equip.- Facility guests are requested to
refrain from using thumb tacks, glue, tape or staples
to attach anything to the facility during their use.
The use of easels 1S recommended for displaying of
items in the facility.
16) Bulletin Boards & Public Display- All bulletin boards and
display areas are provided for placing of public and
employee notices. Any item or notice appearing on
these areas of display must first be reviewed and
approved by (initialed and dated) the Civic and
Senior Center Manager. The Manager will be
responsible for the placement of approved notice
items.
17) Facility Entrance Keys- Only Parks and Recreation
Department/City of Winter Springs employees will be
issued keys to the facility.
18) Smokina- All City of Winter Springs facilities are
designated "non-smoking" facilities. As a
courtesy to others, smoking is restricted
to the exterior of the facilities.
AUTHORIZATION:
CITY COMMISSION MINUTES-
ITEM#
/
/
1 ?
SENIOR CENTER RULES AND REGULATIONS
400 North Edgemon Avenue
winter Springs, Florida 32708
The Senior Center located at 400 North Edgemon Avenue, within
Sunshine Park, is a public, City of winter Springs owned and
managed facility. The Center was constructed and developed for
the purpose and use in providing senior services to the senior
citizenry of the City of Winter Springs. The facility is
programmed and scheduled by the Parks and Recreation Department
and through cooperative senior programming with senior, civic and
educational institutions and organizations. Senior programs and
use are first priority when considering facility scheduling and
operation hours.
During non-operational hours the Center may be offered for
scheduling by any individual, group or association legally
wishing to obtain "exclusive use" of the center. The center will
only be made available for non-senior use during non-operational
hours and when the Civic Center has been previously
scheduled/rented durinq the requested use hours.
Any individual, group or association wishing to schedule the
Senior Center must obtain, complete and submit to the Senior
Center Manager a "Multi-Use Facility Agreement" form not less
than ten (10) calendar days prior to the desired use date. All
required insurance certificates, are du~ with the completed
"Multi-Use Facility Agreement."
Note': No "Mul ti -Use Faci 1 i ty
unless the approval signature
Director or his/her designee is
insurance certificate received.
Agreement" is considered valid
of the Parks and Recreation
executed on the form and the
il SENIOR STATUS- In order to be recognized as a "Senior
Participant" you must be fifty-five (55) years of
age.
11 SENIOR PARTICIPANT- Only senior participants and invited
guests may partake in the senior programs, activities
and events offered during the Senior Center operational
hours.
3) OPERATIONAL HOURS- Normally the center operational hours
will be from 8:00am until 5:00pm, plus special event and
evening program hours. Operational hours are scheduled
11
on a "Program/Participant" needs basis
and are subject to change by management.
.1l
SCHEDULING- All
programs
uses are
office of
site.
activities, special events, dinners,
and any and all other facility
scheduled and confirmed through the
the Senior Center Manager located on
~ CENTER REGISTRATION CARD- All Senior Center participants
will obtain, complet~ and submit for filing a
Senior Center Registration Card which will be
maintained on file in the Manager's office. The
card will serve as a record of information in the
event that an emergency, such as injury or patron
incapacitation occurs. One time visiting guests
will not be requested to complete a Registration
Card. See attachment-Item "K".
~ USES- Are scheduled on an hourly basis normally with an
8 hour maximum continued use. This includes set-up
times also. Uses are limited to 12:00
midnight, excluding New Year's Eve and class
reunions only. No scheduling is permitted
beyond 1:00am under any circumstances.
11 COMMUNITY BASED USE-_ A~y community based Winter Spri~gs
organization which is community service oriented
in nature, formed for the purpose of producing or
--_._---*-~_._. .----.-.--.----....--. <-.--..- --. -..: .-..
sponsoring community activities, can schedule and
request use of the facility free.
durfnq normal scheduled facility hours. This use
14
would be contingent upon qualifying as a
"Conununity Based Organization" as established in
the Conununity Based Organization criterion. See
the Senior Manager for details.
~ INSURANCE CERTIFICATES- Must list the City of winter
Springs as an additional insured and should be
faxed to (407/327-0018) or mailed to the City of
Winter Springs Parks and Recreation Department by
the insuring company.
~ USE INTERVALS- Only short term Use requests will be
considered for approval by the Parks and
Recreation Department. "Short Term" defined as a
single Use request for no more than once
per week and no longer than a three calendar month
period of use. This is necessary in order to make
the facility available to others who may wish to
utilize it and to assure that a continual
exclusive use of the facility does not develop.
The exception to this rule is that Senior
activities, programs, events and general use are
excluded. Applies to non-senior use of facility.
l.Q.l STAFF ASSIGNMENTS- A Parks and Recreation employee will
always be present at the facility when open.
staff employees are on site for the purpose of
maintaining and supervising the facility and the
activities being conducted on or in the premises
of the center. Employees are not authorized to
engage in the activities of the facility user or
provide services relating to the activities being
conducted. This includes and is not limited to the
collection of tickets, passes, money, checks or
fees/donations of any sort.
111 SMOKING- All City of winter Springs facilities are
designated "non-smoking" facilities. As a courtesy
to others, smoking is restricted to the exterior
of the facilities.
15
121 ALCOHOLIC BEVERAGES- It shall be unlawful for any person or
group to purchase, sell or offer for sale, have
in his/her possession or consume any alcoholic
beverages as defined by the laws of the state of
Florida, in or on any park, playground or
recreation area, their public parking lots within
the corporate limits of the City except as
follows:
The sale, possession and consumption, serving of alcoholic
beverages shall be permitted when specifically requested in
writing and authorized by the City Manager under such terms and
conditions as he/she may impose for the protection of the health,
safety and welfare of the public. May require assignment of an
off duty police officer. An alcoholic beverage waIver IS
available for this purpose.
111 STORAGE- No storage of any type or form is provided at the
facility for use. Refrigerator is available during
Use hours only and all items placed In the
refrigerator or carried into the facility during
use hours are to be removed prior to vacating the
premises. In the rare instance that storage may be
required to facilitate an ongoing activity, an
organization may request permission to store an
item by writing and requesting storage use via the
Parks and Recreation Director to the City Manager.
lil
FACILITY
ENTRANCE KEYS- Only
Department employees will
to the facility.
Parks and Recreation
be issued entrance keys
~ PARKING- Is provided on site for facility guests utilizing
the facilties and its amenities. Use the specified
marked parking spaces as provided. In the event
that the parking area is filled to capacity, do
not park, or allow your guests to park along the
entrance/exit driveway. This is necessary to
provide access for emergency vehicles.
l6
~ WALLS, CEILINGS, EQUIP.- Facility guests are requested to
refrain from using thumb tacks, glue, tape or
staples to attach anything to the facility during
their use. The use of easels is recommended for
displaying of items in the facility.
121 TELEPHONE USE- Telephones are located in the following
areas:
Lobby/Reception
Kitchen
Card/Classroom
Managers Office
Exterior of Civic Center
(Public Pay Phone)
Manager's office phone is for City of Winter
Springs business only-please do not request use of
this phone. No long distance calls can be placed
from the Center telephones. A "Pay Public Phone"
is available on the exterior wall of the Civic
Center located adjacent to the Senior Center.
~ BULLETIN BOARDS AND PUBLIC DISPLAY- All bulletin boards and
display areas are provided for placing of public
and employee notices. Any item or notice appearing
on these areas of display must first be reviewed
and approved (initialed and dated) by the Civic
and Senior Center Manager. The Manager will be
responsible for the placement of approved notice
items.
AUTHORIZATION:
CITY COMMISSION MINUTES-
/
/
ITEM:
In summary, the Parks and Recreation Director requests the
City Manager, in conjunction with the Mayor/City Commission,
review the evaluation with its recommendations and the
proposed Rules and Regulations and consider each for
approval and implementation effective Monday,
1995 to include the attached proposed use forms, criterion,
etc.
Should a Commission/staff workshop be desired to discuss the
details and background of each recommendation prior to being
placed on Commission agenda, please advise.
18
1 2 3 4 5 (l 7
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PINOCHLE, 8. BRIDGE WI IfPM LUNCH $4.Dn B::?().9:3JPM CfRi.MIC.s I~M EXERctSf YOCvI. WI
71iEUI"I, 1:00 PM BINGO I.R.S. HElP EV.M-1PM DONN"I,
12:30 BRIDGE/CANASTA
PINOCHLE
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BEGINNERS LINE DANCE 71iELM"I, 1:00 PW BINGO I.R.S. HElP EV.1rf-1PW DONN"I,
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9:30 W/JEANE & MARGE MBlrTnio BRIDGE/ CANASTA
FREE LUNCH PIN 0CllJ..E
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9:30 W/JEANE & HARGE LEGAL ADVICE FOR BRIDGE/ CANASTA
SENIORS 11:00 A.M. PINOCIlLE
GRACE ANN GLAVIN
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9:30 W/JEANE & HARGE 7HElWl 1:DnPW BINGO /,R,6. HElP EV.1I4-1PW DONW,
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PINOCIILE
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7HELM"I,
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WINTER SPRINGS SENIORS
January 1995
NEED IIELP CALL SUSIE!, 327-4031
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WINTER SPRINGS
T~
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....\
SEPTEMBER ISSUE
VOL. 1, NO. 2
MESSAGE FROM THE BOARD:
~'
This iSlthe second issue of our Newsletter. We" tvould like to tha'Jjk}6ufor"
your.~elp and support. We have installed the suggestion box and ask that
you fill it with your suggestions or complaints. We have several people
inter'ested in helping with our activities. 'Let's have a great year and
make our Senior Center one of the.best in the State.
,--:.:....; '.' .'.~-'.
... : ~. :....
'EVENTS PLANNED FOR SEPTEHlJER,'
,September 11 th:
This will be our final Sunday Bingo and FJridge'for,-the"
year. Come and help us make 'it a great day. ,,'
September 12th:
Monthly board meeting at 2:00 P.M. in the classroom at
the Senior Center.
September 21st:
Attorney Grace Ann Glavin I-lill be a t the Senior center
(11 :00 A.M.) to help you tvi th any legaJ problems,
before lunch and Bingo.
/'
\
September 22nd:
Your reserva tion and paymen t are due for the St '.
Armands Arts & Crafts Festival. $20.00 and lunch ~s
on your own. In Sarasota Bay.
Computer Classes:
Susie has worked to get two computers and is t!orking on getting one more~'
Th~.I)oard has purchased ,three computer desks. Mr . 'HaroLd McBLerney-Land two
of., .his, "associa-tes, wilL gi vecomputer' lessons ',on Monday afternoons .'. Thr.ee
people:a.r. a ,:.time ~o.: ,J(,You are interested, pleD.se 'sign., up with:'s.usie'~,/ ' ;::.:
?:' ,''''"i'' ',-;',"" ..' ' ," ,..',.. ',.. ..~,.,' '."'.", ~',:::-, :.,.'
.-' , '; ~". -, ,." " -. . "..:' "
u
, .-'
._-!;:::-..-.:.-.:.
" Line"Dancinq:
Grace Mi;field has been't~ilChing. the advanced line dancin'g for about seven,
ye?rs. '.,:'"This c'lass. is held'"on .Thur~day at 10:00 /l.M.,.. Grace,>we::all say ': ':
thank :youJ" ,", ..,,-, , ,.', .., :' .', ,...~. '. '::-,:;',," -",'... :~, ..',....:, ';,:"",. -.~,
:'i.-'"
'. .' -
',line danc~~g<-c~!;ass .~oh -'.:,I'
. .' ..~. '.. ':...' . . ,..' . . . . .
Ma'rge Rub~nstein' ;;'nd Jean 5un':have '.' a beginning
Mon,c!ars. at 9:30.A.M.,-- Please 'come and join them.
A VERY SPECIAL TlI.ANK YOU ']'0:
. - - .;.
--;:::-."
-...........
. ". .?~-: . .': .
-.. .
RALPH HOSFORD. We. need more people.'like .[(alph. He calls:ningo:'ol}e>, ~;,.~~.-,
Wednesday a month and has very"graciously caJled Bif!g? ~,o.ri,l:J?tY'::~tlnd~tE>..ArI :.: '~:~';"f:
Ju 1 y a~d. Augu st ~nd .is aJ wa ys~iH~ng. to help. ... .0..., ....,,"
;;STER BERNES ...:. ':'t"~rks '~~ery 'week\to. bring you iJn enjoyable Dingo game.;.
GRACE CLARK is working very hard to get people tocal1, so if youciJn 'help;'
p~ease get in touch with her.
"
...
THELMA REDDICK - has a very busy week wj. th her Bridge on Tuesday, and
Thursday and now has started Advanced Bridge on Wednesday afternoon.
.
The following people worked really hard at the following: ':
.- . . ~ . "~.:;~~t
".-,(""
, '
. '"~,' ". ~.
BINGO CARD SELLERS:
KITCHEN ~,HALF-TIME
, _.
. :-J.
.Shirley Parzero
Ann.Kucewicz
Soph1.e Wiess.:'
Eva Zahler .
Evelyn Carcara
Ceramics: ,:
Anna Mae Evanek
Jean Sun
Esther Berne
Betty Buechler
Evelyn Carcara
;... .
We have ceramics on Thursday evening at 6: 30 P.M. Several people have
asked for ceramics during the day. We spoke wi th Sandy, our ceramics
"teacher, and if we have 8 or 10 people interested, she would have a class
Thursday afternoon. If you are interested, please tell Susie or Beverly
Darnell.
T-,:.
Volunteers Needed:
If you have an extra hour or two a week, think about volunteering at a
local school. All Seminole County Schools, are in need of volunteers.
There is a job to fit your experience and hours available. Contact'the
office of any school or Dividends Office at 322-1252, extension 482. '
/
i
"
COMING EVENTS:'
HALLOWEEN PARTY - Saturday, October 15, 1994. Costume optional. Prize ,for:
. best costume and best carved pumpkin ..' Other events' are beingplar:ned~"
MU$j.c by Sam Beerman. Come have a SPOOKTACULAR time L '. ' '. ,
.' -:; ..: '. .... '- ",' ,.:~. ::..
>and '< Charley'princiotta~ha;;'e '~greed .: to be,
float. "Please get ,in.. touch with them if:you:
'. .~.".'
"..- ..-
c:HRISTMAS ."'PARiDE' .'-, "Anita
':chairpers(:m~, .fo~: our senior
.: can h~lp .'. :.':~:;',:,,';":~::::~:' ,
":SEPTEMBER BIRTHDAYS:
. ~'.;: ~'.:.' :".\~<'::::_:"d";',::,;:,::.. ~>.. .'.,' . ....
4 th . ,,'-:.: Mary.~ ELI en ' Peterson,' ,
., 5th- Kenne"th, Joli tz ,.',',:,', '
11 th . -. Henneritta Chapma'n ~.-'
11th -,Ted,Brunelli
12th GladysZahand
21st Evelyn Caracara
28th Russ Mirfield
ShirleyParzero
Madeline.Van Sant
:'. . o. _' . . .'.:~"_ . -. . , . ..' ~.~'.
. .
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WINTER SPRINGS
T~
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~--'
NOVEMBER ISSUE
VOL. 1, NO. 4
FROM YOUR PRESIDENT
When I was asked to take on this job, I talked it over wi th my
daughters and then said yes. I took the nomination with the backing of
Susie and your former President, Ralph Hosford. I very much wanted to help
make the Senior Center a place where winter Springs and surrounding
community seniors could enjoy the facilities and activities. The only
activity that was not first approved by the Board, was the Sunday August
bingo and bridge. This went over so well that we were asked by a majority
of the players to do it again in September.
Now, after a meeting with Susie and her supervisor, Mr. Don wilson,
I have been told that a group of members have had a meeting wi th Mr. wilson
and stated that the Board has not been working for the betterment of the
Senior Center or its members.
I had a Suggestion Box made and paid for it myself, to try to get the
members to give the Board some ideas on what they would like to see at the
Center. The only suggestions received were to start Bingo at 1:00 P.M.
instead of 1:15 P.Mj and that mailing out the Newsletter was a waste of
money. I have asked several times at Wednesday Bingo for your ideas and
suggestions. Now this group states that the Board is not doing the wishes
of the members. I would like this group to make themselves known and what
they would like.
, Very few acti vi ties have been planned wi thout talking wi th Susie,
before they have been finalized. Right after the election she stated the
Creative Class had a good buy on a potter's wheel. Your treasurer, your
vice president and I, took it upon ourselves to put $50.00 down as a
deposit, until we could have a Board Meeting to bring it up for approval.
The Board approved the expendi ture and we purchased the wheel. Susie asked
for computer tables, and they were purchased. Susie also asked to have the
carpet cleaned, and we had that completed. Because Susie was doing all the
work last year at the social events, we have tried not to ask her to work
at the socials, but to come as a guest and enjoy the events.
It is my understanding, the other group would like the corporation
out. However, Mr. Wilson, informed me that right now he thinks the
corporation is needed to purchase things for the Center that the City will
not purchase. If we get rid of the Corporation, we would not be a non-
profit organization and would have to pay taxes on any monies we would take
in. We would not be able to have raffles or any money making projects
without going through the City first, which would take some time to get
approval. If anything was to be donated to the Center, we would have to
pay taxes on the value of .it, as it would be income.
For your information, the Board meetings are open to our membership.
'If you are unhappy about something, please attend and give us your ideas
about what you would like in your Center.
_:,""
November 4:
"--,,
Friday Bingo will begin again. Dingo callers are needed. L
If you are able to call bingo, please get in touch with
Grayce Clark, so she can schedule a day for you. We need
at least twenty people on Fridays to make Bingo worthwhile.
EVENTS PLANNED FOR NOVEMBER
November 8:
Election Day. Everyone please VOTE I
On the Ballot, ~s an item for a City owned
ambulance service, the cost of which would be
borne through a portion of the Ci ty Tax revenues.
Medicard Part B, covers ambulance service for
Seniors with the deductible paid for by Medigap
policies.
November 19:
We will be finishing up the Float in the morning.
evening we will have our Thanksgiving Social.
That
November 20:
winter Springs Parade. We will have a float in this
parade. Come out and show your support of the Center.
November 24:
Thanksgiving. The Center will be closed. Everyone have 'a
great holidayl
HOSPITALIZATIONS: please keep the following members in your prayers: John
Torcaso, Jack Kreeselman and Edna Koenig. (Edna now is in a nursing home.) \
NOVEMBER BIRTHDAYS:,
12th - Laura Hagen
13th - Farley J. Wilkerson
23rd - Kelly Hobbs
SENIOR CENTER BEGINNING
Our Center started on June 23, 1987, when 15 charter members
petitioned Mayor Torcaso and the City Commissioners. The officers then
appointed by Mayor Torcaso were: Kathern Case, Chairperson; Ruth Ann
Kulbes, Co-Chairperson; Merrill A. Peterson, Treasurer; Marge Mess,
Secretary; Ben Mess, Recording Secretary; .Maude Paulson, Programs; Mary
Ellen Peterson and Mildred Dahlin, Advisors; Phil Kulbes, Liaison Officer
between the City and the Center.
. The first meeting was held on July 9, 1987, at the Winter Springs-
Civic Center, which is the building next to-our Center. At that time, a
meeting was held with the City Manager, Richard Rozansky, and permission
was given for the Seniors to meet three days per week, at the Civic Center
from 10:00 A.M. until 3:00 P.M. Volunteers stayed at the building each day
to welcome and talk with new members who stopped by. It was decided that
admission to the activities would be by membership cards. Charter members
paid $5.00, and a membership fee of $2.00 was established. The first
Covered Dish Social was held on July 18, 1987, anQ an Open House was held
on August 30, 1987.
"
A group called Sertoma first donated $500.00, and the City of Winter
springs donated $205.40. We were on our way to opening the first Senior
Center in Winter Springs. The city agreed to maintain the building, but
we were to raise all other funds through the organization.
On September 15, 1987, our programs were started. Spanish lessons
followed by dancing and cards. Later on we held a brown bag lunch and free
ballroom dancing lessons, wi th the help of professional teachers. On
October 7, 1987, Kathern Case resigned and the following officers were
elecced by che appointed Board: Joe Genova, Chairperson; Mildred Dahlin,
Vice Chairperson; Merrill Peterson, Treasurer; Ruth Ann Kulbes, Secretary.
Joe Genova and the Board prepared the Corporation papers and Bylaws
for approval by Tallahassee. Our Center was incorporated on February 17,
1988. This enabled the Senior Center to become a 501C (]) Non-Profi t
Association.
On November 13, 1987, Attorney Grace Ann Glavin, donated $400.00 and
legal advice, if needed. Chuck Cashell, donated a flag and the pole.
To be continued in upcoming Newsletters.
Ben Mess, Historian
. . ):TEM @
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Articles of Alnendment, filed 011
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Incorporation for WINTEH SPHlNGS SENIOH CENTEn.
INC., () Flol id<:1
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corporation. as shown by the records of this orrice.
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AnTICLES OF INCOIll'OllATION'
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The undersigned, acling as incorpornLor(s) or [1 corporation pursuollL to ChapLer G17. Florida StatuLes,
odopt(s) the following arti~les of in cor porati Oil for such corporation.
__I
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A IlTICLE I
The name of tile corporation is:
Winter Springs Senior Center, Inc.
and the initial principal address of the corporaLion i~:__
400 N. Edgemon Avenue, \~inte(' Springs, FL 32708
, '
AllTlCLE 11
The period of duralion of this corporaLioll is
Perpetual
I unless dissolved ::lccordillr,
to law. Corporate existence sholl comll1ence upon
/I ~J(/Cfh"~ _'V )
The purpose or purposes fot whic]l the corporaLion is oq~olli7.ed are; , ( /IIi e;V b lIeN r)
To operate a mulli- service coumunity fDcili ty [or the .
provi.slon. of a bLoad Lange of hlUnao. services and
A ItTICLE III
activities. for"oldet:' <Klutts residing in the Win teL Springs
general area.
AltTICLE IV
The qualifications for members nnd the m:lI1J\cr o[lheir odmission arc:
To reside in the Willter Springs g,l::l1eral &ILea and be 55 YCi.l1:~
of age or' older. To sIgn the registration book and receive
a membershup card.
AltTlCLE.V
The street address and city of the initi::d rc~isLercd office orth,: corporntion is
, , '
400 N. Edgemon Avenue, Winter Springs, fL 32708
<1J1d lhe name oCthe registered Agent ~L such ndJress is
Joseph P. Genova, Ch;Jir.pe('son
,'~._)
Clt2EOOG (9.85)
f r the corporation is fouI:' (4)
I" serve as the initial directors ore:
AH.TICLE VI
cOll6tilutlng th~"iJlilinl Doard,o[ ^d'(:isOl:y, UODru
. nnd the names und uddrcsscs of thc perSUll:; who :lrc
)
.e number of the
members
. "OT LESS THAN 3)
\ME
ADDIl CSS
.hanne Kulbes
"rill A. Peterson
:dred J. Dahlin
;eph P. Genova
705 Glusgow Ct., Winter Springs, FL 32708
393 HClciencla Village, Winter Springs, FL 32708
475 lIc1cienda Village, Winter Springs, [01. 32708
715 ^didas Hoad, Winter. Springs, ..fL,J2708
ARTICLE VII
i ilis corporation is organized under a nOIl.stock basis,
\
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AHTICLE VIII
the event of dissolution, the residual assets of the organization will be turned over to olle or more
.. ~:...;i_~~i"..,:; which themselves are exempt os orp,anizations described in Sections 601 (c)(3) nnd 170
=.:{21of the Internal Revenuepode 9f 1954 or corresponding sections of any prior or futurc law, or
:.~~.:. Federal, State ol"loca) government [01" exclusive public purpose.
ARTICLE IX
lie name and address ofench incorporator is:
. r.
..ME
ADDHESS .
~ as 1n Article VI
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/8ted'the 22nd doyof JOIlUctcy ';'1 ~. 88
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IN WITNESS \VHEREOF, the unclc/'signcd ocin(~ thc illcorpor;llor(s) oftl;'is toi'PO~:.\lioll havc cxecuted
these Articles of Incorporation.
ACCEPTANCE BY REGISTERED AGENT
Ilaving been named to accept service of process for the above sUIted corporation, at the pbcc designated
ill this certificate, I hereby agree to oct in this capacity, Gnd I further agree to comply with the
provisions of all statutes relative to the proper and complete performance of my duties, :llld I accept
I.he duties and obligations of Section 607.325 Florida Statutes.
-5J7~ /' d:~"<-
0Registe/'ed Agent)
I "
:TATE OF FLORIDA
:!)UNTY OF ORANGE
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~ foregoing articles of incorporation and acknowledge before mc, according t.o Jaw, that. _he_
:;Ide and subscribed the same for the purposes therein
.' 'II EREOF, I have hereunto set Ill)' hand and
fore
nle,
the
undersigned
authority,
'oseph P.. Genova
mentioned and set forthLIN WITNESS
seal .this J);)/J\-U. day of
_ .:'aJluary
,19 DB
(
Nf1TAAY PUBLIC, STATE O~ flORIDA ^T
,. , MY COMMIS~IOtl EXPIRES MA Y 10. I(W
u, J commisswn e:\pires: 9ONUWll-IA()UOHl.lt.iIlOGI('.AtlHON.IIIO.
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Il2EOOO (9-85)
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ARTICLES OF AMENDMENT ' ' \,
. .., .<J.
. to " . i,:i.f.1 tIC' ,'.' "
ARTICLES OF INCORPORATION .J I J .~,\I :~): it'D
. ,SlCliUI\f,'O"" 'r--.'
'; :rsuant to the provision of Chapter 617, Florida Statutes, the uricler-Sltjf:leU:~o/g1J;~rJ;fion
:' 'llpts the followIng articles 0' amendment to Its articles of Incorporation. . -. ' '0'Mb'A
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1ST: The name of the corporation Is:
WINTER SPRINGS SENIOR CENTER. ItlC_.
COND: The following amendment(s) to tile articles, of Incorporation ~:(were) adoptod by
I corporation: in
The following E1mendments to the artj,cles of ~orr~?ration were uuoptcu by th<::
. cotpdr'ntJoti'~ .:i",' . ',.....,~.:.~.'" ',.. . '
A. The purpose of which the oq~allizl.ltion io oq~ani7.cu llL'C
exclusivly religious ,chlllt'it ablc, scientific ,literary, unu educational
within the meaning of section 501(C) ) of the internol revenue code of
1986 in the corresponding provision of nny future United States
Internal Revenue Law. '.
B. Not withstandinp, any other provisiolls of these'nrticle~
the organization shal.f.~ot carry out uny activities not permitteu
to be carried 00 by Om:! orgaoi.7.<1tion exempt from Federal income tax
under section 501 (C) 3 of the 'lnternal revenue code of 1986 or the
corresponding ~rovision of llny future United States Revenue Low.
. t.f
-'
::-.:. The amendme'nt(s) was (were) adopted by the Board ofDhecto['f()n the 6th day
_ October ,i98"L. . '
JURTH: The above amendment(s) was (were) approved by a majority of the members of
, _____~~'I~~ ~~ the 6th day olllecemhc[' 1909
J ,""VI PUI OILlVI , ""'" . . ,.... . .
,led December 6,
19 89
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C~~TER SPIUNGi:f'OlIIOIt
By ~ r.fi-'~' .
Pr ant or Vice President
Byj~~
Secretary or Assistant Secretary
CENTElt, HIe.
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ATE OF FLOlUDA
. :OUNTY OF SEMINOLE nO'
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' lafore me. the undersIgned autllorlty. personally appeared -l1\ClLJlI~RGrjMI ",. . .
rj me well known to by the person(s) who executed the foregoing articles of amendment to ar-
';c1es.of Incorporatlon and acknowledged before me, according to law, that he made and sub.
':crlbed the same for the purposes therein mentioned and set forth,
" ',;'
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IN WITNESS WHEREOF, I have hereunto set In
I g8...L.
nd seal this _6.tll_day of _l-':~<;--,_..,
,lAy commission expires: .~
!:! (N~Y PL'RLlC Sf A IT CF RooroA " ~'1~~
Cc.r-irlliiS((1.1 EX{.I, OCT.12.19Q2 ~
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SENIOR Cl TIZEN CENTER
400 N. Edgemon Ave.
Winter Springs. Florida 32708
PROPOSED AMENDMENT TO THE WINTER SPRINGS
SENIOR CENTER BY-LAWS
1. Delete old original by-laws of Winter Springs
Senior Center in its entirety.
2. Add new amended complete set of by-laws for
the Winter Springs Senior Center to be dated
May 1991.
\.JINTE~ SPRINGS SENIOR CENTER INCORPORATED
BY-LA\oJS
ARTICLE I:
Nfu~E OBJECTIVE & POLICIES.
SECTION 1. NAHE
SECTION 2.
SECTION 1.
A.
b.
c.
SECTION 1.
a.
This Association shall be known as The Winter Springs Senior
Center Incorporated, hereafter, known as the association.
OBJECTIVES & POLICIES
a.
The o~jectives of this Association is to provide religious,
chartlable, literary and educational activities within the
meaning of Section 501(C)3 of the Internal Revenue Code of
1986 and the corresponding provisions of any future United
States Internal Revenue Laws.
b.
Notwithstanding any other provision of these articles, the
Association shall not carry out any activities that are not
permitted under Internel Revenue codes set forth in Sub-Section'
a, Section 2, Article 1.
ARTICLE II:
MEHBERSHIP
,'IEHBERSHIP
Membership in the Association is open to all individuals, who
are Fifty-Five (55) years and older" who are residents of
\.Jinter Springs.
All members shall be enrolled by signing the Registeration Book
normally located at the Winter Springs Senior Center.
Members shall provide their name, address and date of birth
ARTICLE III:
VOTING & MEETINGS
GENERAL MEMBERSHIP MEETINGS.
a. Each member shall be entitled to one (1) vote. Members may vote
in person or by absentee ballot. Such ballots shall be filed with
the Secretary no later than one (1) day prior to an issue that is
being voted on.
b. An annual meeting of the General Membership shall be held on the
third (3rd) Tuesday in the month of May for the purpose of electing
a Board of Directors. A majority of those voting shall determine.who
has been elected. Such meeting may also be combined with any other
business as listed on the agenda. Additional general membership
meetings shall be held on the third (Jrd) Monday in the months of
January and October.
SECTION 2.
ELECTION OF OFFICERS
a.
The officers of the Association shall be: (i) President: (2)
Vice President (3) Secretary (4) Treasurer.
b.
The Advisory Board may recommend for just cause the removal
of any officer of the board member. Such officers of directors
may then only be removed by a majority vote of the membership
at a scheduled or special membership meeting.
c.
Lack of ~nterest as evidenced by failure to attend three (3)
consecutive Board Meetings without proper excuses to the board,
shall constitute sufficient grounds to recommend removal.
SECTION 3.
OFFICERS
All elected officers shall have the following duties.
a. THE PRESIDENT shall:
i. Preside at all the membership and advisory board meetings.,
2. Appoint Chairpersons of all standing Committees: appoint
Special Committees and be ex-officio member of all such
Committees.
b. THE VICE PRESIDENT shall:
1. Assume the office of President in the absence of the President;
and assist the President in the duties of that office.
c. THE SECRETARY shall:
i. Be the custodian of all non,-financial records of the Association.
2. Record the minutes of all meetings; make notification of all
meetings.
3. Handle all correspondence of the Association and assist the
President as needed.
d. THE TREASURER shall:
1. Receive and record all funds of the Association; account
for all dues -reee-iptsand., e.xpenditures., .,.
2. Report the state of the finances of the Association at each
meeting. The office of the Treasurer cannot be combined
with any other office of this Association.
SECTION 4. COMMITTEES.
The President shall appoint any committee as may be required for
the efficient operation of the Association. All Committee shall
report and be accountable to the President except for the Audit
Committee shall report directly to the membership.
SECTION 2. SPECIAL MEMBERSHIP MEETINGS.
a. Special Membership meetings may be called by the President,
or on petition of five (5) members of the Board, or on petition
of the Membership. The membership petition must state the purpose
of the special meeting and be signed by at least ten(lO) per-cent
of the membership.
SECTION 3. BOARD OF DIRECTOR MEETINGS.
a. Regularly scheduled meetings of the Board of Directors may be
called by the President or on petition of five(S) Board members.
Proper notice and time should be set forth and each Board member
notified.
SECTION 4. COMMITTEE MEETINGS
a. May be held on an as needed basis at a time and place agree'able
to all Committee members.
SECTION 5. QUORUMS FOR LEGAL MEETINGS.
a. MEMBERSHIP MEETING
Ten(lO) per-cent of members in good standing shall constitute a
quorum for the transaction of business at any membership meeting.
b. BOARD OF DIRECTORS MEETINGS
Fifty(50) per-cent, or a majority of the Board members shall
constitute a quorum for the transaction of business at any Board
of Directors meeting.
c. COMMITTEE MEETINGS
The Committee Chairperson and one other committee member shall
constitute a quorum for such committee n:eetings.
d. The latest edition of Robert's Rules of Order shall be the authority
for procedures and' questions of all.meetings---unless ,in. dir-e-c-t--
conflict with our own by-laws.
ARTICLE IV:
ASSOCIATION GOVERNMENT
SECTION 1. The affairs and property of the Association shall be governed and
managed by a B~ar~ of Directors, composed of not less than five(S)
nor more than t~~l~ members of the Association.In the event of a
vacancy of any of the officers of the Association, the Board of
Directors may elect, by a majority vote amongst themselves, a succ-
essor to serve the balance of the unexpired term until the next
regularly scheduled election. Such successor must be an Association
member.
NOMINATIONS
ARTICLE V:
SECTION 1. NOMINATING COMMITTEE
a. A nominating committee appointed at the regular January
memberhsip meeting shall consist of three(3) members. One chosen
by the President, two seek names for the prospective Advisory
Board and submit such names by April 1st to the secretary for the
purpose of conducting the regular elections of the Board of Directors.
b. All names submitted must have acknowledged in writing their
willingness to serve.
c. All nominations shall be published at least ten(10) days prior
to elections.
d. At the May meeting, elections shall proceed by written secret ballot.
A majority of those voting at the meeting. including absentee ballots
shall constitute the election. NeW Directors will assume their duties
June 1st. Members may serve for a limit of two(2) consecutive years.
ARTICLE VI
DUES
SECTION 1. DUES
a. The annual donation of this Association shall be recommended by the
Board.
b. The initial annual donation of this Association shall be $2.00 and
payable January 1st of each year. Non residents can be voted in by
the Advisory Board and will be Associate members with no voting
privilege, and will pay a donation of three $3.00.
c. A member shall be considered delinquent for non-payment of donation
by April 1st and memberhsip shall be considered inactive pending
payment of such donation.
d. A member in good standing is, ,a memb.er ..who..is no.t_ d.eliD.qU.~n.L.;i,n__
donation payment.
ARTICLE VII:
REPORTING
SECTION: 1. REPORTING
a. At each meeting of the membership the Treasurer shall report
on the status of funds, credits and debits.
ARTICLE VI II
AUDITS
SECTION 1. AUDITS
a. The accounts of this Association shall be audited annually.
b. At the January meeting, an audit committe consisting of three(3)
non-board members shall be elected based on nominations from the
membership floor. A majority shall prevail on the outcome of the
election.
c. The audit shall cover the Association's fiscal year, January 1,
to December 31, and a report presented to the membership at the
next reguler meeting.
d. A copy must be filed with the secretary.
ARTICLE IX:
AMENDMENTS
SECTION 1. AMENDMENTS
a. Proposals for the amendments of by-laws may be made by the Board
of Directors or any member in good standing.
b. Such proposals shall site the reason for the amendments and be in
writing.
c. Proposed amendments shall be presented to the President not less
than sixty(60) days prior to a regular membership meeting at which
such proposal is voted on.
d. The Secretary will notify each member of the proposed amendment
and the meeting, date ,amendmen.t_will..b.e voted on and at least
ten(10) days notice given prior to such meeting.
e. All amendents will require 2/3 affirmative vote of members present.
-:r TE.,..,\ 0
CITY OF WINTER SPRINQS
.JOB DESCRIPTION
JOB TITLE: SENIOR CENTER MANAGER
DEPARTMENT: PARKS & RECREATION
GENERAL DESCRIPTION:
plans and coordinates all programs for a senior recreational center
faci lity. Work is performed under the general supervision of the Parks
and Recreation Director.
ESSENTIAL .JOB FUNCTIONS:
1. Plans and supervises programs at the center.
2. Hires, trains, supervises and schedules part-time employees.
3.
Complies and maintains various reports and records.
supplies.
Orders
4.
plans and coordinates varlOUS trips and events.
tion activities. Collects fees. Accounts for
revenue, equipment and fixed assets.
Conducts registra-
all expenditures,
5. Coordinates building maintenance functions.
6. Organizes special events.
(These essent i a 1 job funct ions are not to be'. construed as a canp 1 ete statement of all
dutiesperfonmed. Employees will be required to perronm other job related marginal
duties as required.)
MINIMUM QUALIFICATIONS:
KNOWLEDGE, .SKILLS AND ABILITIES:
Know 1 edge of the fundamenta 1 s of recr eat i on as app lied to
senlors.
Knowledge of types of facilities and materials required to
carry out programs.
Ability to analyze and adjust special activities to the needs
and structure of participating groups.
Ability to train and supervise others in special activities.
Ability to use creativity and imagination in development and
super-vision of special recreational programs.
Skills and interests in a number or recreational activities
and other specialty areas.
Skills in planning, organizing and implementation or the
special activities.
SENIOR CENTER MANAGER
PAGE 2
EDUCATION AND EXPERIENCE:
High school graduation or possession of an acceptable equivalency
diploma. Two (2) years exper'ience in the center programs plus
experience in planning and supervising activities and programs for
varlOUS age groups.
(A comparable amount of training, education or experlence can be substituted for
the minimum qualifications.)
LICENSES, CERTIFICATIONS OR REGISTRATIONS:
Valid Florida Driver's License and an acceptable driving record.
Abi 1 ity to obtain a CDL, Class "C".
ESSENTIAL PHYSICAL SKILLS:
Acceptable eyesight (with or without correction)
Acceptable hearing (with or without hearing aid)
Abi lity to communicate both orally and in writing.
Light (up to 15 pounds) lifting and carrying
Walking
Standing
ENVIRONMENTAL CONDITIONS:
Works i,ns ide
Works outside occasionally
(Reasonable accommodations will be made for otherwise qualified individuals with a
disabi 1 ity.)
APPROVED:
NAME
TITLE
DATE
III.'
HOLD HARMLESS/INSlJRANCE AGREEHENT
Th~ Contractor-Vendor or user hereby promises and agrees to indemnify and hold harmless the City of Winter Springs. a municipal
corporation. its officers. agents, and employees from and against any and all liability. claims. damages. demands, expenses, fees.
fines. penalties, suits, proceedings. actions and costs of actions. including attorney's fees for trial and on appeal. of any ki.nrl al
nature arising or growing out of or in any way connected with the performance of the Agreement whether by act or omission of t'
Contractor-Vendor. officers. agents. servants, employees or others. or because of or due to the mere existence of the agreement becwel
the parties.
The applicant shall supply a "Certificate of Insurance" reflecting minimum coverage of $500,000 bodily injury occurrence and $lOO.O!
property damage. The City of Winter Sprinqs shall be named as an add'jtional insured which shall be noted on the Certificate. The
Certificate shall indicate that the applicant's insurance policy shall not be cancelable without thirty days prior written notice to tl
City. The undersigned agrees to abide by the regulations governing the said facility and is responsible for charges incurred and mu:
supply a .Certificate of Insurance" to the Parks and Recreation Department no later that ten (10) calendar days prior to program/event datE
COPYRIGHT LAW: License assumes all costs ariSing from the use of patented. trademarked or copyrighted materials, equipment, device:
processes, or dramatic rights used on or incorporated in the conduct of any event covered under the agreement; and license agrees tl
indemnify and hold harmless the City, from all damages, costs and expenses in law or equity for or on account of any patented,
trademarked or copyrighted materials, equipment, devices. processes or dramatic rights furnished or used by license in connection wit
, this Agreement and will defend the City from any such suit or action. regardless of whether it be groundless or fraudulent.
License Signature
Date
IV.
LICENSEE ACKNOWLEDGEMENT
You are required to sign and date your agreement. Falsification of information may result in rejection or cancellation of the event by tt
City of'Winter Springs.
Date
Signature of Licensee
THE PARKS AND RECREATION DEPARTMENT IS AN EQUAL OPPORTUNITY ORGANIZATION AND DOES NOT DISCRIM;' T
ON THE BASIS OF RACE. RELIGION. COLOR. AGE. SEX, NATIONAL ORIGIN OR HANDICAPPED STATUS IN F.._
FACILITY USES OR PROGRAMS.
The program/event will be terminated should it create or cause any violation of Local. State or City of Winter Springs )aws or
ordinances. Litter resulting from the use of this facility is to be piCked up and deposited in refuse containers before leaving the arE
of facility. Facility must be left is same condition as when rented.
V.
OFFICE USE ONLY
Contract Approved Disapproved_______
Certificate of Insurance Required: Yes____ No
Director Authorization to Waive Insurance
City Employee in charge during event
USER IS: Resident ( ) Non'Resident (
By Authori zation of
Date Received
City Listed as Additional Insured Yes_____ No
Date
Supervisor
City Program Number
COPIES OF THIS CONTRACT HAILED TO (I):
DATE
DATE
) Ci ty Manager
) Police Department
) Fire Department
( ) General Service Department
( ) City Clerk's Department
( ) Finance Department
( ) Utility/Public Work Department
COllillents:
wInter Springs Parks & Recreation Department. 1126 East State Rd. 434. Winter Springs. FL 3r-'E
ParkS and Recreation Department FAX (407) 327-0018
Central Winds Park
1000 E. S,R. 434
Winter Springs, FL 32708
(407) 327-7110
Civic Center
400 North Edgemon Ave.
Winter Springs, FL 32708
(407) 327-4031
Senior Center
400 North Edgemon Ave.
Winter Springs. FL 32708
(407) 327-4031
c.rry OF WlNTER SPRINGS
PARKS AND RECREATION DEPARTMENT
MULTI-USE FACILITY AGREEMENT
j.TEM 0
/ /
--
~LICANT/SPONSORNAME:
Phone: (W)
(H)
Address: Street
City
State
Zip
FACILITY REQUESTED:
Date(s) Requested:
Event Hours: From
To
Facility Open: From__To
Estimated: Participants
Vehicles
Name of Event:
Descriptionof Event:
How wi 11 program/event be advert i sed/promoted?
Person Responsi bl e for Program/Charges:
Phone: (101)
(H)
Address :Street
City
State
Zip
List ALL special requests. Explain completely (concession, par~ing. rehearsal. lighting, equipment. sound system, tents, etc.)
Firewor~s/Pyrotechnics?
Yes
No_
Amusement Rides?
Yes_ No_
Animal Rides? Yes_
No
Will Admission Fee be Charged? Yes No
If yes, explain revenue source/costs per person (tickets, donations, solicitc:ion~
Will food. goods or services be sold at event: Yes No
If yes, explain:
Will live/recorded music be used? Yes No
Will facility be used for commercial filming or photography? Yes
No If yes, explain:
Does your organization have current insurance for these activities? Yes_ No_ If yes. explain type of coverage. amount. ~rriā¬
and carri er phone:
Community Based Organization? Yes
No If yes. Approved Verification Date:
Phone
NameorOrganization
Address:
II.
Street
City
State
Zip
ITKM CHARGE (To be comploted by Parks and Recreation Departmont)
A.
B.
S
$
$
$
$
Senior Center-# Hours_____
Civic CeQtor-~ Hours______
Kitchon/Othor Foa
# of Additional porsoQQol_ # Hours
S Por Hour
Solos Tax 7\ (unloss Ta.x &xompt)
Sub Total
\,
Insuranco Policy Expiros (Date)
S
S
S
Tax E:xomp t 1/:
Cosh_ Ch~ck_ Check 1/
Received By
Date
Balance Due: (Dote)
Damdge/Cloan Op Doposit (Refundablo)
Make chocks payable to: City of W1ntor Sorinqa.
s
S
BdlancQ duo
dnv~ nrinr ~n nvn~~
J:TEM@
COMMUNITY BASED ORGANIZATION CRITERION
*Must be a non-profit group or have tax exempt status through the
Internal Revenue Service.
*Must serve, but 1S not limited to, the citizens of Winter
Springs.
*Must complete a "Conummity Organization Verification" Form at
least 30 days prior to initial requested use.
*Must complete a "MULTI-USE FACILITY AGREEMENT" no later than 10
days prior to the actual date of requested usage.
*Must pay all 1nsurance and any security deposits which may be
required prior to the Facility Use Contract being confirmed.
*Any groups dealing with
_ ...Q_r_'__J;:,~Jj,.gJ.~,us activities
status.
political parties or causes, elections,
are._.._~~.t el ~gibl e for Communi ty ..._Base..cl
*Maximum time available is four hours per event unless special
approval is granted by Management.
* Maximum
contract time is three months. (continual basis use)
*Existing contracts cannot be submitted for renewal prior to 30
days of their--expiration date.
*A $50.00 security and cleaning deposit is required. Please make
checks payable to the City of Winter Springs. Your organization
is required to set-up, break-down and clean facility unless prior
approved arrangements have been concluded with the management.
User will be held responsible for all damages incurred during
their use of the facility; except - --for 'normal wear'. and--- tear- and.
acts of nature. Deposit is refundable at conclusion of agreement
if area is left clean and there is no damage to furnishings or
equipment.
*All meetings, socials, events, etc. must be free and any
admission/donations for special functions must be approved prior
to the event. Approval must be received in writing from the Parks
and Recreation Management or his designee 10 days prior to the
event.
PAGE 2
COMMUNITY BASED ORGANIZATION CRITERION
*Alcoholic beverages are prohibited on property.
*Users are to remain in assigned area(s) and are responsible for
supervising all participants in their program so as not to
interfere with other possible on-going activities/programs within
the area.
*Perrnanent or temporary storage of any items before the event day
or after the event, will not be provided.
*Management will not be responsible for items stolen or left on
premises.
*The signee of this agreement or his/her designee is the sole
liasion between the organization and center/facility management.
*The organization and participants are to honor all facility/City
of Winter Springs rules and codes.
*Failure to adhere to
immediate cancellation of
the security deposit, and
any these conditions may result in
the existing agreement, forfeiture of
future use of other City facilities.
JANUARY, 1994
CITY OF WINTER SPRINGS
PARKS AND RECREATION DEPARTMENT
COMMUNITY ORGANIZATION VERIFICATION FORM
NAME OF ORGANIZATIOO:
PHONE :
S'l'R.EFl' ADDRESS:
CITY:
ZIP:
List of Officers
Office Held Address
Phone
l.
2.
3.
4.
PRESENT MEETING LOCATlOO ADDRESS:
NUMBER OF VarING MEMBERS:
ARE YOO aIARTERED WITIr-'I'HE" srATE -OFFLClRIDA?- - ----.amRTER# - ,-- -- "
ARE YOO A NON-PROFIT, ORGANIZATION?
TAX I.D.#
DOES YOOR ORGANIZATION HAVE AN ,ESTABLISHED BANK AccaJNT?
BANK:
ADRESS :
Y'E2ffi. EST:
~ WAS YOOR ORGANIZATION FOUNDED? M:fil'H YEAR
FRCM WIiffiE ARE YOOR ORGANIZATIOO' S RE.VENUES DIRIVED?
WHAT ARE YOOR. CRGANIZATION~_S'lWO_MAJOR ANNUM.._ EXPmSES?
NUMBER OF PAID STAFF:
VOIDN'l'EERS :
;: -rEM 8)
PAGE 2
<XM1UNITY ORGANIZATION VERIFICATION FORM
WHAT IS THE PURPOSE OF YOUR ORGANIZATION? (USE BACK OF FORM IF
NECESSARY) :
**FDR CI'l"Y OF WINTER SPRINGS USE ONLY**
RE.VIEYnill BY:
DATE:
A<x';~ l'.lill
DENIED
R.E1\Sa'l DENIED
:r. -rEM @
OBTAINING TAX EXEMPT STATUS
CITY OF WINTER SPRINGS
PARKS AND RECREATION DEPARTMENT
In order to obtain and be recognized as "tax exempt" for facility
rental rates and other appropriate "tax exempt" rate status, an
organization must first obtain, complete and file with the Parks
and Recreation Department a "BLANKE'l' CERTIFICATE OF RESALE" card
which lists the purpose of the tax exemption, such as "tax exempt
organization" and the tax exempt number.
NOTE:
This "BLANKET CERTIFICATE OF RESALE" card must be
on file before the tax exemption is given.
PurchafU
Addrm
RULE 39
FLORIDA DEPARTMENT OF REVENUE. SALES TAX DIVISION
BLANKET CERTIFICATE OF RESALE
Thif if 10 cuufy Ihtll all mtlluial, muchandiu. (Or goodf Fur(htlud hy Ih~ undafl:f{n~d from Ih~
tlftu
if purchtlud for Ih~ follou'ing purpou:
o
o
o
o
Id,,'.)
Resale as tangible personal properly.
To be incorporated at a material or part of other tangible personal property to t:-.~ produced
for sale by manufacturing, assembling, processing or refining.
To be exporled for sale, use, or consumption oulside Ihe continental limits of Ihe United States.
Other:
This certificale shall be considered a part of each order which we shall give provided such order
contains our certificate number. This certificate is '0 continue in force until revoked.
CERTIF.
NUMBER
BY
SEMINOLE R - 3~
ALCOHOLIC BEVERAGE WAIVER
~ ICrY\ ~
CITY OF WINTER SPRINGS
PARKS AND RECREATION DEPARTMENT
Date su1::mitted:(no less than 10 days prior to event).--/.--/_
Facility to be used:
Name of Function/Activity:
Date(s) Requested:
Tirre of Event: Fran:
To:
Esti.m3.ted Attendance:
A verage Age:
Name of Person Requesting Waiver:
Address:
phone:
Fax:
'I}pe Al cohol to be served:
Liquor:
Wine:
Beer:
Charrpagne:
Proposed Serving Hours:
Fran:
To:
SIGNATURE
will be present at the
event/facility with the
responsibility of assuring
that those under the age of 21
will not be permitted to drink
any alcoholic beverage.
FL DRIVERS LICENSE NO.
DATE :
AUTHORIZED SIGNATURE/ORGANIZER.
Sub:nitted ~o Hanager:--.I--.I_
Da,te
Approved:
DATE:~~_
City Manager, City of
Winter Springs
Disapproved:
Serving Hours Cb.ly: Fran:
Off Duty Police Required:Ye.s:
Police Officers Assigned:
#
To:
No:
and
rnn~'. U;n~or ~nr;n~~ Dnl;ra n~n~rfmDn~
j:.lEM @
SENIOR CENTER REGISTRATION CARD
A "SENIOR CENTER REGISTRATION CARD" will be completed and
submitted for file by each Senior Center participant. The card
will serve as a record of information in the event that an
emergency, such as injury or patron incapacitation occurs. One
time visiting guests will not be requested to complete a
Registration Card.
SENIOR CENTER REGISTRATION CARD
__J _--1__
Reg. ~
Biyth Date
DATE
Name:
Last
First
Middle
Address:
Street
City State Zip
Home Phone:
Bus. Phone:
Resident:
Non-Resident:
Emergency Contact:
Name:
Phone:_.
Family Doctoy:
Name:
Phone: